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Chapter 2: Anxiety Disorders – Part II
ОглавлениеObsessive Compulsive Disorder
People with obsessive-compulsive disorder become victims of their own thought patterns and behaviors that they are compelled to perform, usually extremely repetitive.
People suffering from obsessive-compulsive disorders have cycles of distressing thoughts and of fears, whether real or imaginary that they just cannot get out of their head.
Those recurring thoughts and fears are called obsessions and these obsessions are what cause the anxiety to manifest.
These obsessions are so bad and intense that they overtake the person’s thinking, until that is all they are thinking about; the person suffering from this knows that this is not normal, hence the extreme anxiety that is caused by this.
Sufferers of obsessive-compulsive disorder have certain routines or rituals that they feel compelled to perform repeatedly in an effort to make the obsessions go away.
The rituals might work on a temporary basis but the thoughts that are obsessive will nearly always come back, triggering another round of compulsive rituals and routines.
People with this disorder feel very much trapped by their obsessions and compulsions but are unable to stop the cycle.
Some sufferers will only develop obsessions but no compulsions and some will have compulsions but no obsessions.
They may be hyper-focused on certain ideas, things, or objects but are unable to control that focus.
Some symptoms of obsessive-compulsive disorder are:
Extreme doubt and insecurity and seeking constant reassurances from others
Fear of germs, dirt or contamination – excessive washing/cleaning, fear of touching other people, surfaces such as doorknobs and counters
Fear of misbehaving – fear of acting unacceptable or acting foolish
Fear of hurting others – obsessive thoughts of doing harm to other people
A pressing need for order, for things to be in their place, symmetry and constant re-arranging or putting things in order – everything has to line up, nothing moved out of place, things must be arranged how they like them and no exceptions
Hoarding – fear of not having something if they need it, collecting things that have no value
Extreme thoughts dealing with religion, sin and sexual acts
Fear of being harmed – constant checking of alarm systems, to make sure doors are locked, windows shut and locked.
Repeating words, phrases or counting either out loud or in their head, such as counting steps, bricks, books on a shelf, etc.
Compulsions must be performed a certain number of times
Social Anxiety
People with social anxiety are constantly afraid that they will make a faux pass in public, that they will embarrass themselves or the people that they are with when in a social situation.
For people suffering from this, any social occasion can be a nightmare, causing panic attacks and anxiety.
Social anxiety sufferers are often insecure and extremely self-conscious and have the constant feeling that whenever they are in public that they are being made-fun of, judged, laughed at, criticized by others, which will end in their being humiliated and shamed.
Social anxiety can begin to take a hold before the person even enters a social situation, just the thought of having to be in a social situation can induce panic in a sufferer.
People suffering from social anxiety tend to be withdrawn and find it hard to hold a job, attend school, or have relationships.
This goes far beyond a fear of speaking in public (which will have its own section); this is an anxiety that can cause its sufferers to feel trapped in their own houses because any human interaction can cause them extraordinary bouts of anxiety or a panic attack.
This is a self-cycling disorder because each time the person attempts to overcome it and fails; it only builds up as such a huge failure on their part that it makes them twice as anxious the next time they have to be in a social situation.
They have such a distorted view of their perceived “mistakes” when in public that they find it difficult to overcome them, even though they usually have not made any mistakes at all, it is often just in their head that they have.
Situations that can trigger social anxiety include:
Having to give a report in class or speak at a meeting – rather than voice their opinions a person with social anxiety will remain quiet
Any situation where attention is called to them
Asking questions of others or when others ask them questions
Meetings and conferences
Having to eat or drink in a group setting
Working as a group
Using public restrooms
Talking on the phone to people that they do not know
Any interaction with people, such as parties, dates, even informal get togethers.
Some symptoms include:
Panic attacks
Intense feelings of anxiety and panic
Tendency to avoid any and all social situations
Upset stomach, blushing, shaking, sweating, confusion, palpitations
Stage Fright (Performance Anxiety)
This is a very common problem, a great deal of the population would rather have a root canal than have to stand in front of a group of people and have to either perform or talk.
If your job requires you to have to go out and give seminars and talks and you have performance anxiety, unless you get it under control, you can end up in trouble at work.
If you are good at sports but are crippled with performance anxiety, you are not able to do what you love; same with actors or dancers and any number or artists who have a talent but are limited by stage fright.
Symptoms can include:
Dry mouth
Rapid heartbeat
Shaking
Sweaty hands
Nausea or butterflies in your stomach
Trouble seeing
Fast, shallow breathing