Understanding Anxiety Disorders Insights from Matthew Goldenberg, D.O.Anxiety disorders are among the most common mental health conditions, affecting millions of people worldwide. These disorders can significantly negatively impact daily life, causing a range of physical, psychological, and emotional symptoms. Dr. Matthew Goldenberg, D.O., is an expert in psychiatry and offers valuable insights into the nature, causes, and treatments of anxiety disorders. Dr. Goldenberg is based in Santa Monica but sees patients by telehealth all across California and the State of Alaska.

What Are Anxiety Disorders?

Anxiety disorders are characterized by excessive fear or worry that is difficult to control. There are several specific anxiety disorders, including:

  • Generalized Anxiety Disorder (GAD): Persistent and excessive worry about various aspects of life.
  • Panic Disorder: Recurrent, unexpected panic attacks accompanied by intense fear and physical symptoms such as heart palpitations.
  • Social Anxiety Disorder: Intense fear of social situations and being judged by others.
  • Specific Phobias: Irrational fear of specific objects or situations, such as heights or spiders.
  • Obsessive-Compulsive Disorder (OCD): Recurrent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions).
  • Post-Traumatic Stress Disorder (PTSD): Anxiety following exposure to a traumatic event.

Causes of Anxiety Disorders

The exact cause of anxiety disorders is not fully understood, but several factors contribute to their development:

  • Genetics: A family history of anxiety disorders increases the likelihood of developing one.
  • Brain Chemistry: Imbalances in neurotransmitters, such as serotonin and dopamine, can play a role.
  • Environmental Factors: Stressful or traumatic events, such as abuse or the loss of a loved one, can trigger anxiety disorders.
  • Personality Traits: Certain personality traits, such as perfectionism or a tendency to be easily stressed, can increase the risk.

Symptoms of Anxiety Disorders

Symptoms of anxiety disorders can vary depending on the type but generally include:

  • Emotional and Psychological Symptoms: Excessive worry, fear, restlessness, and irritability.
  • Physical Symptoms: Increased heart rate, sweating, trembling, shortness of breath, dizziness, and gastrointestinal issues.
  • Behavioral Symptoms: Avoidance of feared situations, difficulty concentrating, and sleep disturbances.

A well-trained and experienced psychiatrist performs a comprehensive psychiatric evaluation to determine the specific anxiety diagnosis and recommended treatment options for each individual. 

Treatment Options

Treatment for anxiety disorders is highly effective and typically involves a combination of therapies:

  • Cognitive Behavioral Therapy (CBT): A form of talk therapy that helps patients identify and change negative thought patterns.
  • Medication: The right medication or combination of medications, such as antidepressants/antianxiety (SSRIs/SNRIs), benzodiazepines, and beta-blockers can help manage symptoms.
  • Lifestyle Changes: Regular exercise, a healthy diet, and stress management techniques, such as mindfulness and meditation, can be beneficial.
  • Support Groups: Connecting with others who have similar experiences can provide emotional support and coping strategies.

Q&A Section

Q: What is the difference between normal anxiety and an anxiety disorder?
A: Normal anxiety is a temporary and normal response to stress or danger and typically resolves once the situation passes. It is generally proportional to the external life stressor and usually does not inhibit the ability to perform normal daily activities. An anxiety disorder, however, involves persistent, excessive worry or fear that interferes with daily activities or makes it difficult to enjoy them, can be out of proportion to the life stressor (or there can be a lack of any external stressor), and lasts for an extended period, often six months or more.

Q: Can anxiety disorders be cured?
A: While there is no cure for anxiety disorders. However, they can be effectively managed with evidence-based treatments. Many individuals experience significant improvement and lead fulfilling lives with the help of therapy, medication, and/or lifestyle and behavioral changes.

Q: How can I support a loved one with an anxiety disorder?
A: Support your loved one by being patient, listening without judgment, and encouraging them to seek professional help. Educate yourself about their condition and avoid minimizing their feelings. Offer to accompany them to appointments or help with daily tasks when they are feeling overwhelmed.

Q: Are anxiety disorders common in children?
A: Yes, anxiety disorders can occur in children and adolescents. Symptoms may include excessive worry, irritability, restlessness, and physical complaints such as stomach aches or headaches. Early intervention and treatment are crucial for helping children manage their anxiety.

Q: What should I do if I think I have an anxiety disorder?
A: If you suspect you have an anxiety disorder, seek help from a well-trained and experienced mental health professional. They can provide an accurate diagnosis and develop an individualized treatment plan tailored to your specific needs and goals. Do not hesitate to reach out for support, as early treatment can lead to better outcomes.

Q: Can lifestyle changes really make a difference in managing anxiety disorders?
A: Absolutely. Regular physical activity, a balanced diet, adequate sleep, and stress management techniques can significantly reduce anxiety symptoms. Incorporating these changes into your daily routine can complement other treatments and improve overall well-being.

Conclusion

Anxiety disorders are manageable with the right combination of treatment and support. Dr. Matthew Goldenberg, D.O., emphasizes the importance of a comprehensive evaluation and an individualized treatment approach. With proper care, individuals with anxiety disorders can achieve a better quality of life and regain control over their mental health.

For more information or to schedule a consultation with Dr. Goldenberg, please visit our website or contact our office directly. Remember, you don’t have to face anxiety alone—help is available, and recovery is possible.

Matthew Goldenberg D.O.

2708 Wilshire Blvd
Santa Monica, CA 90403

Phone: (424) 276-0777

Business Hours

Monday – Friday: 8:30 am – 5:00 pm
Saturday, Sunday: Closed

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