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General practitioner
More and more young people are suffering from anxiety. Anxiety disorders are now considered the most common mental illness in the USA.
Experts agree that recurring anxiety symptoms and diagnosable anxiety disorders are on the rise. In fact, an alarming number of millennials (people aged between 23 and 38 in 2019), teenagers and even children are suffering from anxiety. Unfortunately, it is no exaggeration to call the disorders an "epidemic".
How many people suffer from anxiety?
The American Anxiety and Depression Association estimates that 40 million adults in the U.S. - roughly 18 percent of the population, or nearly one in five people 18 and older - suffer from an anxiety disorder.
However, anxiety disorders occur all over the world - with similar frequency. In Germany, too, many people suffer from anxiety disorders - over 12 million to be precise!
A 2019 survey by the American Psychiatric Association (APA) found that 68 percent of respondents would describe themselves as "very or somewhat anxious" most of the time.
➤ A nxiety is a widespread disease!
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Anxiety is defined as "a feeling of worry, nervousness or unease". This is usually directly related to an upcoming event or a major uncertainty.
Many of us feel nervous or anxious from time to time - that's normal. What is not normal, however, is spending the majority of your time in anxiety and not being able to manage these strong feelings. The lives of people with anxiety disorders - their relationships, performance at work, family commitments and other daily activities - are usually affected by the condition.
The National Institute of Mental Health lists the following conditions as the main forms of anxiety disorders:
Anxiety attacks, also known as panic attacks, affect about three percent of the U.S. population.
Symptoms of an anxiety attack, which often peaks within minutes, include the symptoms listed below (i.e. general symptoms that people with anxiety generally suffer from) as well as palpitations, dizziness, trembling and shortness of breath. These attacks can have clear triggers or come out of nowhere. They usually lead to a sense of loss of control and a feeling of impending doom.
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Symptoms of anxiety disorders are related to the body's "fight-or-flight" response. This describes physiological reactions to perceived attacks or threats. These symptoms can affect pretty much any body system: the central nervous system, the endocrine system, the digestive system, the cardiovascular system, etc.
The symptoms of anxiety include:
Anxiety often occurs together with other physical or mental illnesses (co-occurrence)
What is the main cause of anxiety disorders? There is not just one cause. People develop anxiety disorders for very different, very complex reasons.
However, known risk factors include gender (usually female), stressful life events in childhood and adulthood, family history, low income, chronic illness and shyness in childhood.
The most common causes of anxiety disorders are
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People have suffered from many of these causes in the past. So what has led to the rise in anxiety disorders over the last decade?
As described above, many of those affected are worried about their health, safety, finances, political circumstances and relationships. Experts believe that these concerns are exacerbated by the following:
We are also generally eating more unhealthily, taking more medication, which can increase anxiety, and suffering from troublesome chronic illnesses.
In the Washington Post, experts recently explained that "compulsive substance abuse and other addictive behaviors are responsible for the profound sadness and depression felt by many in the United States." One example of this is the ongoing opioid crisis.
For this reason, some argue that fears should not be seen as the problem of individuals. Rather, they are inextricably linked to far-reaching social issues such as political upheaval, environmental disasters, trauma and discrimination.
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Scientific research suggests that this could be the case. Women suffer more frequently from panic attacks and generalized anxiety disorder, especially in conjunction with depression. The reasons for this are at least partly sexual abuse and hormones.
Age also plays a role. The National Alliance on Mental Illness (NAMI) explains why millennials in particular are often referred to as the "anxious generation":
This was the first generation to grow up with the internet and social media. However, these technological achievements can make life more competitive and complicated. Young people often compare their personal and professional achievements with those of others.
According to NAMI, this can lead to low self-esteem and insecurity. Millennials have the world at their feet. At the same time, there is a lot of pressure on them. They feel like they constantly have to be "at the ready". They have to look and sound perfect and act as if they have everything under control.
A 2015 study by American University highlighted the positive aspect that millennials are typically more accepting of people with mental illness and more likely to get help. The reason for this is that they have heard a lot about anxiety, depression, eating disorders and suicide in their childhood and youth.
Below you will find some revealing facts about the prevalence of anxiety disorders:
Anxiety disorders are on the rise, especially among young adults (millennials), children, adolescents and baby boomers.
The most common symptoms include physical symptoms such as palpitations and sleep disorders as well as emotional symptoms such as poor attachment, mood swings and depression. Sometimes those affected also suffer from panic attacks. Signs of an anxiety attack include trembling, shortness of breath and feelings of impending doom.
Common causes include difficult life circumstances, trauma or abuse, substance abuse, genetic or family history, poor lifestyle choices such as lack of sleep, poor diet and lack of exercise.
Anxiety can be treated as follows: Medication (with caution), therapy (behavioral therapy), relaxation techniques, regular exercise, dietary changes and taking supplements.
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Sources (in English):
Craske, M. G., Stein, M. B., Eley, T. C., Milad, M. R., Holmes, A., Rapee, R. M. et al. (2017, May). Anxiety disorders. Nature Reviews, Disease Primers, 3:17024, doi: 10.1038/nrdp.2017.24
Fernandez-Rodriguez, M., Rodriguez-Legorburu, I. & Lopez-Ibor Alcocer, M. I. (2017, September). Nutritional supplements in Anxiety Disorder. Actas Espanolas de Psiquiatria, 45(Supplement):1-7
Dugas, M. J., Brillon, P., Savard, P., Turcotte, J., Gaudet, A., Ladouceur, R. et al. (2010, July). A Randomized Clinical Trial of Cognitive-Behavioral Therapy and Applied Relaxation for Adults With Generalized Anxiety Disorder. Association for Advancement of Behavior Therapy, 41(1): 46–58, doi: 10.1016/j.beth.2008.12.004
Hasheminasab, M., Kheiroddin, J. B., Aliloo, M. M. & Fakhari, A. (2015, May). Acceptance and Commitment Therapy (ACT) For Generalized Anxiety Disorder. Iranian Journal of Public Health, 44(5): 718–719
The National Institute of Mental Health (2018, July). Anxiety Disorders. Verfügbar unter: https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml]
Marie, J. (2017, December). Millenials and Mental Health. National Alliance on Mental Illness, Verfügbar unter: [https://www.nami.org/Blogs/NAMI-Blog/February-2019/Millennials-and-Mental-Health]
Locke, A. B., Kirst, N. & Shultz, C. G. (2015, May). Diagnosis and management of generalized anxiety disorder and panic disorder in adults. American Family Physician, 91(9):617-24
BAndelow, B. & Michaelis, S. (2015, September). Epidemiology of anxiety disorders in the 21st century. Dialogues in Clinical Neuroscience, 17(3):327-35
Andreescu, C. & Varon, D. (2015, July). New research on anxiety disorders in the elderly and an update on evidence-based treatments. Current Psychiatry Reports, 17(7):53, doi: 10.1007/s11920-015-0595-8