Anxiety neurosis is common,most frequently seen in young adults especially college and school going students because of stress they have to undergo in schools and colleges and is pschiatric disorder more specifically neurotic disorder.
neurotic disorder is disorder that do not interfere with the ability of the patient in terms of insight,judgement,touch with the reality,behaviour,intelligence and perception.
neurotic disorder are often described as intermediate connecting link between various adaptive mechanisms unconsciously utilised on one hand and personality disorganisation on other.
Anxiety neurosis also called generalised anxiety disorder in which the patient suffers persistent free floating anxiety about everyday circumstances(not attached to any specific object or situation). example only the knowing the date of examination he starts getting anxiety even before the situation(examination) has occured.
- Familial predisposition present
- Usually individual suffering from Anxiety neurosis is said be having anankastic(obsessive) personality.
- Predisposing causes.
- Loss of relationship from loved ones.
- Financial strains.
- Physical trauma.
- Depression is associated with Anxiety neurosis .
- Sociophobia not adapting well with the society.
- Difficulties in married and sexual life.
Pathology behind anxiety
Main cause for development of Anxiety neurosis is because the patient is not able to suppress all unwanted thoughts,feelings and ideas into subconscious mind,resulting into failure to adapt to the on going changes around him. every individual gets anxious,child cries when separated from mother. therefore any kind of separation real or threatened can cause anxiety. one develops Anxiety neurosis because he is not able to adapt to the changes around him.
Core psychological features(mental symptoms) of Anxiety neurosis are:
- Fear,feeling of great uneasiness,apprehension,restlessness,iriitability,cant concentrate,disturebed sleep due to continous thoughts in mind,startles easily,hypersensitivity to physical exertions.
Few of somatic features(effecting the body and expressed in the form of physical symptoms)
- Increased rate of breathing,dizziness,blurring of vision,ringing in ears,numbness,faintness
- Dryness of mouth due to mouth breathing,difficulty of swallowing,epigastric discomfort,faltulence,frequent urination.
General Symptoms are:
- Muscular weakness,increased perspiration,body ache,extreme fatigue.
- Supportive therapy-listen to patient’s worries empathetically.
- Assure the patient that his complaints are understood.
- Explanation about his suffering.
Encouragement and practical guidance in rejection of false concepts and coping with problems.
- Behavious therapy
- Relaxation training
- Exercises to relax skeletal muscles and regulate breathing.
- Anxiety management training to reduce anxiety by meditation,relaxation,distraction and reassurance.