Anxiety and Obsessive Compulsive Disorders

What are Anxiety and Obsessive Compulsive Disorders?

(As described by the Mayo Clinic)

Anxiety: Experiencing occasional anxiety is a normal part of life. However, people with anxiety disorders frequently have intense, excessive and persistent worry and fear about everyday situations. Often, anxiety disorders involve repeated episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes (panic attacks). These feelings of anxiety and panic interfere with daily activities, are difficult to control, are out of proportion to the actual danger and can last a long time. You may avoid places or situations to prevent these feelings. Symptoms may start during childhood or the teen years and continue into adulthood.

OCD: Obsessive-compulsive disorder (OCD) features a pattern of unwanted thoughts and fears (obsessions) that lead you to do repetitive behaviors (compulsions). These obsessions and compulsions interfere with daily activities and cause significant distress. You may try to ignore or stop your obsessions, but that only increases your distress and anxiety. Ultimately, you feel driven to perform compulsive acts to try to ease your stress. Despite efforts to ignore or get rid of bothersome thoughts or urges, they keep coming back. This leads to more ritualistic behavior — the vicious cycle of OCD. This often centers around certain themes — for example, an excessive fear of getting contaminated by germs. To ease your contamination fears, you may compulsively wash your hands until they're sore and chapped. If you have OCD, you may be ashamed and embarrassed about the condition, but treatment can be effective.

Common Types of Anxiety and Obsessive-Compulsive Disorders and Symptoms

(As described by the Mayo Clinic)

Anxiety

Agoraphobia: a type of anxiety disorder in which you fear and often avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed.

Generalized Anxiety Disorder (GAD): includes persistent and excessive anxiety and worry about activities or events — even ordinary, routine issues. The worry is out of proportion to the actual circumstance, is difficult to control and affects how you feel physically. It often occurs along with other anxiety disorders or depression.

Panic Disorder (PD):  involves repeated episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes (panic attacks). You may have feelings of impending doom, shortness of breath, chest pain, or a rapid, fluttering or pounding heart (heart palpitations). These panic attacks may lead to worrying about them happening again or avoiding situations in which they've occurred.

Separation Anxiety Disorder: is a childhood disorder characterized by anxiety that's excessive for the child's developmental level and related to separation from parents or others who have parental roles.

Social Anxiety Disorder (SAD or Social Phobia): involves high levels of anxiety, fear and avoidance of social situations due to feelings of embarrassment, self-consciousness and concern about being judged or viewed negatively by others.

Specific Phobias are characterized by major anxiety when you're exposed to a specific object or situation and a desire to avoid it. Phobias provoke panic attacks in some people.

Obsessive-Compulsive Disorder

(as described by the Mayo Clinic)

OCD usually includes both obsessions and compulsions. But it's also possible to have only obsession symptoms or only compulsion symptoms. You may or may not realize that your obsessions and compulsions are excessive or unreasonable, but they take up a great deal of time and interfere with your daily routine and social, school or work functioning.

Obsessions are repeated, persistent and unwanted thoughts, urges or images that are intrusive and cause distress or anxiety. You might try to ignore them or get rid of them by performing a compulsive behavior or ritual. These obsessions typically intrude when you're trying to think of or do other things.

Obsessions often have themes to them, such as:

Fear of contamination or dirt

Doubting and having difficulty tolerating uncertainty

Needing things orderly and symmetrical

Aggressive or horrific thoughts about losing control and harming yourself or others

Avoidance of situations that can trigger obsessions, such as shaking hands

Compulsions are repetitive behaviors that you feel driven to perform. These repetitive behaviors or mental acts are meant to reduce anxiety related to your obsessions or prevent something bad from happening. However, engaging in the compulsions brings no pleasure and may offer only a temporary relief from anxiety. You may make up rules or rituals to follow that help control your anxiety when you're having obsessive thoughts. These compulsions are excessive and often are not realistically related to the problem they're intended to fix.

Examples of compulsion signs and symptoms include:

Hand-washing until your skin becomes raw

Checking doors repeatedly to make sure they're locked

Checking the stove repeatedly to make sure it's off

Counting in certain patterns

Silently repeating a prayer, word or phrase

Arranging your canned goods to face the same way

OCD usually begins in the teen or young adult years, but it can start in childhood. Symptoms usually begin gradually and tend to vary in severity throughout life. The types of obsessions and compulsions you experience can also change over time. Symptoms generally worsen when you experience greater stress. OCD, usually considered a lifelong disorder, can have mild to moderate symptoms or be so severe and time-consuming that it becomes disabling.

What Causes Anxiety and Obsessive-Compulsive Disorders and Who is at a Higher Risk?

(as described by the Mayo Clinic)

Anxiety: The causes of anxiety disorders aren't fully understood. Life experiences such as traumatic events appear to trigger anxiety disorders in people who are already prone to anxiety. Inherited traits also can be a factor. 

These factors may increase your risk of developing an anxiety disorder:

Trauma: Children who endured abuse or trauma or witnessed traumatic events are at higher risk of developing an anxiety disorder at some point in life. Adults who experience a traumatic event also can develop anxiety disorders.

Stress due to an illness: Having a health condition or serious illness can cause significant worry about issues such as your treatment and your future.

Stress buildup: A big event or a buildup of smaller stressful life situations may trigger excessive anxiety — for example, a death in the family, work stress or ongoing worry about finances.

Personality: People with certain personality types are more prone to anxiety disorders than others are.

Other mental health disorders: People with other mental health disorders, such as depression, often also have an anxiety disorder.

Having blood relatives with an anxiety disorder (genetics). Anxiety disorders can run in families.

Drugs or alcohol. Drug or alcohol use or misuse or withdrawal can cause or worsen anxiety.

Obsessive-Compulsive Disorder: The cause of obsessive-compulsive disorder isn't fully understood. Main theories and risk factors include:

Biological and Environmental: Biological factors such as changes to your body's own natural chemistry or brain functions could cause these disordered thoughts and acts. Learning obsessive fears and compulsive behaviors can be inherited from watching family members or gradually over time.

Genetics: OCD may have a genetic component, but specific genes have yet to be identified. Having parents or other family members with the disorder can increase your risk of developing OCD.

Stressful life events: If you've experienced traumatic or stressful events, your risk may increase. This reaction may, for some reason, trigger the intrusive thoughts, rituals and emotional distress characteristic of OCD.

Other mental health disorders: OCD may be related to other mental health disorders, such as anxiety disorders, depression, substance abuse or tic disorders.

Who can Diagnose these disorders?

A mental health professional such as a psychiatrist is someone who specializes in diagnosing and treating these disorders and should be consulted if symptoms of an anxiety disorder are presented.

A psychologist and certain other mental health professionals can diagnose anxiety and provide counseling (psychotherapy).

How are they Treated?

There are two main treatments for anxiety disorders: psychotherapy and medication. Both of these treatments should be handled by a mental health professional. In some cases, both medication and psychotherapy are prescribed to reach the best results for someone suffering from one of these disorders.

No treatment option works for everyone, which is why consulting with a professional is important so they can tailor a treatment plan to your specific needs.

Can they be Prevented?

There are no known ways to prevent anxiety disorders completely. However, treating a disorder as early as possible can result in the person adjusting better and finding a more healthy mental health routine for better long-term results.