Today we talk about anxiety disorder. You and I are in an era of chasing each other. Desire fills your hearts and is never satisfied. Materials divide people into different levels like a ruler. Therefore, anxiety has become an unavoidable topic nowadays!
Below we will quote data from the authoritative American Preventive Services Association to see the data and harms of anxiety disorder in the United States!
All adults under the age of 65 should undergo anxiety screening, according to data from the influential U.S. Preventive Services Task Force, which released a new draft guide last month. These guidelines help guide doctors’ decisions until the end of the public comment period later this month. Nevertheless, this is the first time that a national expert group has recommended that such a wide range of anxiety screening for the American public.
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According to the draft recommendations of the US Preventive Services Task Force, the lifetime prevalence of anxiety disorder is 26% in men and 40% in women.
How common is anxiety disorder? Are some people more risky than others? What are the symptoms people may have? How often should anxiety screening be performed and what do they need? What are the treatments? What do these suggestions mean?
To answer these questions, I interviewed Leana Wen, MD, a medical analyst at CNN, an emergency physician and professor of health policy and management at the Milken Institute, George Washington University. She is also the author of Lifeline: Doctors’ Journey in the Public Health Struggle.
CNN: How common is anxiety disorder?
Dr. Wen Lina: According to the draft recommendations of the US Preventive Services Task Force, the lifetime prevalence of anxiety disorder is 26% in men and 40% in women. This means that about 1 in every 4 men and 4 in every 10 women will suffer from anxiety at some point in their lives.
This is obviously a problem that needs to be solved. Anxiety, like depression and other mental health issues, must be treated with the same concerns we have about physical health issues. I am glad that the Working Group has issued guidance to raise awareness about the need to diagnose anxiety disorders.
CNN: How do you define anxiety?
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: This is an important clarification - it is crucial to distinguish anxiety from the medical diagnosis of anxiety disorder. Anxiety is a normal reaction to stress. Everyone feels a certain degree of nervousness about the situation in life.
Anxiety is characterized by persistent, excessive fear or anxiety that affects a person's function. They can cause people to avoid various situations—such as social activities, professional functions, dates and even daily errands—and influence their work, education and relationships. Anxiety disorders include a range of diagnoses including generalized anxiety disorder, panic disorder , social anxiety disorder and specific phobia .
CNN: Are there some people who may be more likely to suffer from anxiety?
Text: The existence of another mental health condition increases the possibility of a person suffering from anxiety disorder. For example, depression and anxiety often overlap. A large study found that 67% of patients with depression also had anxiety. There is also a link between anxiety disorder and smoking and drinking. Stressful sexual events such as unemployment, bereavement or pregnancy may also increase the likelihood of anxiety disorders.
(The draft recommendation also acknowledges the need for further study of the prevalence of anxiety disorder in the population defined by race and ethnicity, sexual orientation and gender identity.
CNN: What are the symptoms of anxiety disorder?
Text:
People with anxiety disorder may experience a wide variety of symptoms - irritability, feeling panic or feeling of bad luck, difficulty concentrating or sleeping, and experiencing panic attacks. Panic attacks are characterized by palpitations , shortness of breath or cold sting of hands.
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It is important to note that many people with anxiety may have other physical symptoms. For example, some people experience headaches, stomachache, , nausea and fatigue. Because anxiety disorders have a variety of symptoms, undertest detection and underdiagnosis are common.
CNN: How often should a doctor screen patients for anxiety?
text: The draft proposal of the task force has no specific explanation. This is because there are not enough studies to illustrate that anxiety screening needs to be performed within a certain time interval. The national task force calls for a “pragmatic approach” that “may include screening all adults who have not been screened before and using clinical judgment when considering risk factors, comorbidities and life events to determine if additional screening for high-risk patients is necessary.
As a clinician, what I said to me is that if we have never screened patients for anxiety, it is good to do it at least once. (This usually requires having patients complete a questionnaire and/or answer a range of questions during a medical appointment. Then, based on other things we learn from the changing environment of patients Information, we may screen again. For example, if a patient's life has changed recently, if they are diagnosed with depression or other mental health conditions, or if they report an increase in alcohol consumption, we may undergo another screening.
clinicians should also be aware of other symptoms that may prompt potential anxiety disorder.
CNN: What treatments can people diagnosed with anxiety disorder?
text: Like depression and some other mental health diagnosis, anxiety can be treated with medication, psychotherapy or both. Drug therapy involves medication, and psychotherapy includes cognitive behavioral therapy done through collaboration with psychologists or other mental health experts. Typically, clinicians also recommend lifestyle changes, including meditation, exercise and reducing alcohol intake and smoking.
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Anyone who thinks they may have anxiety should make an appointment with their primary care doctor, Leana Dr. Wen said.
Some patients need continuous treatment. Many people are treated for a period of time and then monitored to see if they may need it again.
The bottom line here is that treatment is effective. They can reduce the symptoms of anxiety and help people recover in their lives.
CNN: What should I do if someone thinks they may have anxiety?
text: People can use an online screening tool to see if they have anxiety disorders, including the Generalized Anxiety Scale. Anyone who thinks they may have anxiety disorders should make an appointment with their primary care physician. If they have already visited a mental health professional, they can also go straight to that person.
It is important to tell your health care provider all your symptoms. Some people who don’t seem to have direct contact may actually point to anxiety disorders. Don't procrastinate; remember that treatment exists and is effective.
If you have physical health problems - for example, Migraine causes headaches or stomach pain caused by ulcers - you may want to fix this problem. Mental health issues should be dealt with in the same way, with equal urgency.
CNN: Why is it recommended that screening should be targeted at adults under 65 years old? What about children or the elderly?
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Article: The working group pointed out that the evidence is most powerful in supporting routine anxiety screening in adults under 65 years of age.
This does not mean that children or the elderly should not be screened for anxiety.For clinicians, regardless of age, they should pay attention to the anxiety symptoms or concerns of all patients. For patients, regardless of age, they should increase the possibility of anxiety symptoms to the attention of healthcare providers. This is a good practice.
CNN: What is the next step recommended by the Task Force - when will they take effect?
Text: These suggestions are in draft form, which means that the working group will solicit opinions from the public by October 17. I expect them to be finalized later this month.
Even so, it is still a responsibility for healthcare providers to perform anxiety screening for patients. I hope these guidelines will achieve their key goals of raising awareness about anxiety and drive more patients to receive treatment for this mental health problem.
