Talk:Anxiety

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[edit] Merge

I think this article should be mooved to the Anxiety Disorder page and the content currently on that page merged in. The Anxiety page should not just be merged into this one, (1)It doesn't have any meaningful content on its own, and (2)this article is more accurately named the Anxiety Disorder page.

Thoughts from people who have worked on these pages? I haven't worked on either but think something should be done. --Banana04131 03:04, 17 August 2005 (UTC)

Anxiety is a symptom, anxiety disorder is a disorder. You can have anxiety without having an anxiety disorder, though I guess you can't have an anxiety disorder without anxiety. I don't agree that they should be merged in that this page still deserves to exist. Perhaps just some of the content should go to anxiety disorder Alex.tan 14:42, August 17, 2005 (UTC)

Anxiety itself is a complicated concept in psychology and psychiatry. Anxiety in itself is not a psychiatric disorder. Anxiety is one of the basic emotions, and it plays a major role in classical fear conditioning. Debilitating anxiety can be present as a symptom of a mental health disorder (not the least of which are the anxiety disorders), but anxiety is not merely an emotion of abnormal mental processes. When a psychiatrist says someone's problem is anxiety, that is only shorthand for an anxiety disorder (i.e., an overreaction of anxiety; the emotion of anxiety is in disorder for the patient). By and large, this article currently covers anxiety disorders and not the pure emotion; the current contents should be moved to Anxiety disorder and an article dealing with anxiety per se should replace it.--24.217.183.224 08:33, 19 August 2005 (UTC)

[edit] Alternative medicine

Is palliative care really an alternative medicine? Considering one of the oldest, most mainstream centre's in the world, Memorial Sloan-Kettering Cancer Center, has had a Integrative Medicine Service for close to 5 years now. Where do we draw the line between alternative and mainstream medicine? AstroBlue 14:55, 22 Jun 2004 (UTC)

First, palliative care is about complementary medicine rather than alternative medicine. Second, it is 'where do you' draw the line rather than where mainstream medicine draws a line. Clearly many physicians are in favor of it. And, clearly some are not.

This survey exists. It is not hot air. It is reality. It is factual. And, it is the best survey to date. It is also 100% online and in the public domain. -- [[User:Mr-Natural-Health|John Gohde | Talk]] 04:21, 23 Jun 2004 (UTC)

I'm not discounting the validity of the survey (my point was not in regard to the survey at all). I was questioning the semantics of "The strongest connection can be found in complementary medicine which is well known for using palliative care to treat cancer patients. Some research has strongly suggested that treating anxiety in cancer patients improves their quality of life." and putting it under the title of Anxiety and alternative medicine. When palliative care encompasses far more than just previously alternative medicines. A low dose of radiation to the spine of a patient with a cord-compression is seen as palliative care, a visit to a counsellor or psychologist regarding anxiety is considered palliative care. Would you consider them alternative or complementary? And considering mainstream Oncology's mantra has been "holistic care" for a good 10 years now, and "complementary medicine" has been practiced in one of the most conservative and "old school" centres in the world. Can you really put that under the title of alternative medicine? It's complementary medicine at the least, and integrative medicine at the most. AstroBlue 08:16, 23 Jun 2004 (UTC)

LOL! An Alternative Medicine Section is precisely that, a section or portion of the article. -- [[User:Mr-Natural-Health|John Gohde | Talk]] 11:32, 23 Jun 2004 (UTC)

I understand that, again, I wasn't questioning the title of the section. I was questioning the placement of the italicised quote in the section, I think it belongs outside of the alternative medicine section. Because it's not an alternative medicine.

[edit] Interpretation of survey percentages

According to the survey itself, "The denominators used in the calculation of percents [in table 3] are the estimated number of adults who used CAM (excluding megavitamin therapy and prayer) within the past 12 months, excluding persons with unknown information about whether CAM was used to treat the specific condition" (footnote, p 9). I believe this means that 4.5 percent of CAM-using adults used CAM to treat anxiety (not "4.9 percent of the population" as currently stated in this article). Any comments before I fix this and other references to this survey?

Since no one has objected, I am going to begin correcting the references to this survey. I will link to this page from the edit summary in case anyone has further comments.

[edit] References

Thank you to user 67.125.168.127 for the additions. If you come back to this page, please insert the citations for the references at the bottom of the article. If you are not sure how to format them then just put them in and I will do it. Thanks again. Have you had a look at the other articles leading from here on those disorders? GAD in particular needs a lot of work. --CloudSurfer 05:01, 9 Oct 2004 (UTC)

[edit] OCD an anxiety disorder?

Is obsessive-compulsive disorder really considered an anxiety disorder? I realize it often goes with PAD, SAD, et al., due to the often-found seratonin link between them, but I'm not sure OCD should be included here. (If it is, then depression should as well.) --Joe Sewell 16:33, 13 Oct 2004 (UTC)

OCD is currently classified under the DSM as an anxiety disorder. Yes, there is an overlap with depression but for the moment that is how it is generally viewed. I am not familiar with the ICD to tell you how they classify it. --CloudSurfer 10:30, 14 Oct 2004 (UTC)

I are now edumacated (which is the whole point of Wikipedia, isn't it? :) ). Thanks, 'surfer! --Joe Sewell 11:57, 20 Oct 2004 (UTC)

Yes, it is an anxiety disorder. When sufferers do not do the compulsion, they report a feeling of anxiety. Or they use the compulsions to manange anxiety. It's a bit like phobias in a way - sufferers of phobias feel they must get away. --Nervous neuron 05:46, 9 October 2006 (UTC)

From a psychonutritional point of view OCD is part of the complex of anxiety disorders because when you test them with the Medical Test for Hypoglycemia they usually test positive to hypoglycemia. Thus OCD patients tend to be hypoglycemic and therefore tend to overproduce adrenaline. Adrenaline can be considered a focusing hormone, compelling people to focus on something.This is part of being compulsive Jurplesman 05:06, 9 March 2006 (UTC)

[edit] It may well not

There is an ongoing controverse in the scientific community about wheter OCD is to be classified as an anxiety.

DSM sais it to be, ICD (by the united nations) sais it does not.

From practice, we have a lot of parallels not only in the feelings of people suffering from OCD and anxiety but in the (possible) medication as well. So we may conclude that there are similar neurochemical processes in those deseases.

There may be a sub-group of anxieties that are quite close to OCD. At least that's what I see in my practice.

Nevertheless, I wouldn't include OCD in the anxieties. Rather create sort of an related-topics-link.

Geraldstiehler 10:49, 24 Nov 2004 (UTC)

[edit] Link suggestions

An automated Wikipedia link suggester has some possible wiki link suggestions for the Anxiety article, and they have been placed on this page for your convenience.
Tip: Some people find it helpful if these suggestions are shown on this talk page, rather than on another page. To do this, just add {{User:LinkBot/suggestions/Anxiety}} to this page. — LinkBot 10:39, 17 Dec 2004 (UTC)

[edit] External links

The following external links have been removed from the article twice:

WP:EL tells us the following:

Official sites should be added to the page of any organization, person, or other entity that has an official site.
Sites that have been cited or used as references in the creation of a text. Intellectual honesty requires that any site actually used as a reference be cited. To fail to do so is plagiarism.
If a book or other text that is the subject of an article exists somewhere on the Internet it should be linked to.
On articles with multiple Points of View, a link to sites dedicated to each, with a detailed explanation of each link. The number of links dedicated to one POV should not overwhelm the number dedicated to any other. One should attempt to add comments to these links informing the reader of what their POV is.
High content pages that contain neutral and accurate material not already in the article. Ideally this content should be integrated into the Wikipedia article at which point the link would remain as a reference.

Information from these sources has been used in the article. Items 2, 3, and 5 apply here. We may wish to move them from external links to references section once more content from them is included. Please do not remove them from the article on the basis that they provide information that should be in the article - that they provide information (whether we use it or not) is exactly why they belong there. Thanks Scott Ritchie 06:49, 22 August 2005 (UTC)

The pages linked are not references. The first link is a sad personal account that is not representative, itself not referenced and full of advertisements. The URL has been designed to attract search engine related traffic. The second link is a portal, again full of advertising. There are much better resources than this.

So 2 does not apply, for 3 better material is available, and 5 does not apply (this is not "high content"). JFW | T@lk 10:47, 22 August 2005 (UTC)

Ok, that makes sense. I didn't really read them yet anyway (though I was planning to do so later if I ever get around to putting content in the article.) For some reason your edit summaries made me think that you were removing them because you didn't think they belonged even though they had info. Scott Ritchie 21:32, 23 August 2005 (UTC)

[edit] Definition

I added a definition of anxiety trying to stress the normative side. Please feel free to edit it, especially if the language is faulty (I'm danish)130.225.37.97 08:54, 25 October 2005 (UTC).

[edit] Article heavily favors drug treatments

In the treatment section there is one line that mentions CBT. The rest of the section is mostly about drugs. I understand it's perhaps more convenient to pop a pill every day for the rest of your life than to go see a shrink. But is there evidence that drugs are considerably more effective than good CBT? Besides there are other benefits to CBT other than recovery, such as learning life skills. There are also very good cognitive-behavioral programs some people swear by, such as the one from the Midwest Center. The great thing about these programs is that if you need a "tune-up" it's very easy to get one. Neurodivergent 22:48, 6 November 2005 (UTC)

Against plain anxiety talk therapies doesn't do anything. It's different if you have an actual disorder, but for acute anxiety only benzo, barbs, booze will do.--Sinus 22:17, 17 November 2005 (UTC)

Is there a scientific way to determine if you have an "actual" disorder or (I suppose) just a made-up one? NVM, I'll take a shot at fixing the section myself. I should do some research on comparative effectiveness. I don't see any clear indications either way. BTW, CBT and talk therapy are not the same. And there are many different kinds of CBT. For example, there's one type of CBT that seems to be particularly effective in treating depression. Neurodivergent 16:43, 18 November 2005 (UTC)

[edit] Missing references

This article contains a whole bunch of in-text references that aren't actually in the "References" section. Namely:

Brawman-Mintzer & Lydiard, 1996, 1997
American Psychiatric Association (2000)
Craske, 2000
Gorman, 2000
den Boer, 2000
Margolis & Swartz, 2001
Gilmartin, 1987
Rowman & Littlefield, 2003

Here are some guesses:

Brawman-Mintzer O, Lydiard RB. (1996) Generalized anxiety disorder: Issues in epidemiology. Journal of Clinical Psychiatry 57(suppl 7):3-8.)
Craske, MG, & Barlow, DH (2000). Mastery of your anxiety and panic, 3rd ed
Gilmartin, 1987: Brian G. Gilmartin (1987) Shyness & Love: Causes, Consequences, and Treatment

...but I don't know, and it doesn't feel very good to add a bunch of references (to articles and books that I haven't read) when I'm not sure what the original author meant. I guess the best would be to include other references that can actually be confirmed... /Skagedal 21:53, 28 November 2005 (UTC)

Unless of course the persons who added the above references are listening now! :-) /Skagedal 21:58, 28 November 2005 (UTC)

That's what happens when people just cut & paste from anywhere. Your suggestions sound reasonable. JFW | T@lk 01:00, 29 November 2005 (UTC)

[edit] Nervousness?

Is nervousness the same thing as anxiety?

I guess someone who is constantly nervous could be said to have generalized anxiety. But there's quite a bit more to anxiety, such as aprehension about an impending doom. Neurodivergent 20:58, 1 December 2005 (UTC)

[edit] The Psychonutritional Treatment of Anxiety and Panic Attacks

I'm a little skeptical of this section. I think it's OK to mention legit "alternative" treatments, but they should be clearly labeled as such. Stephen Barrett's Quackwatch has this to say about it:

Today's "fad" diagnoses used to explain various common symptoms are chronic fatigue syndrome, hypoglycemia, food allergies, parasites, "environmental illness," "candidiasis hypersensitivity," "Wilson's Syndrome," "leaky gut syndrome," and "mercury amalgam toxicity." The first four on this list are legitimate conditions that unscientific practitioners overdiagnose. OhNo itsJamie ^Talk 05:26, 9 March 2006 (UTC)

Well I happen to be very skeptical Dr Stephen Barrett. As a self-appointed defender of organised conventional medicine in America, he is hardly qualified to talk about alternative medicine. I do agree with him when it come to frauds in medicine and medicne that is not suppoirted by scientifif method.. But even Dr Stephen Barrett has approved hypoglycemia as a legitimate illness!!Jurplesman

Alternative views are allowed, but they must be presented in a neutral point of view. Read more about that on the comments already on your talk page. -- Barrylb 08:54, 9 March 2006 (UTC)

I've moved it here from the article. Even if it is legitimate, it needs a rewrite -- Barrylb 05:36, 9 March 2006 (UTC)

How do you propose to rewrite it???Jurplesman 06:47, 9 March 2006 (UTC)

Since you seem to be new here, I would like to politely ask that you read the links in the welcome message and other messages on your talk page. You will learn more about how to contribute here. -- Barrylb 08:51, 9 March 2006 (UTC)

Hi Barry, I see you too come from ozzie. You did not give a link to "Welcome Page". I thought I read that. I find that the instructions given on the Wikipedia "Help:Editing" extremely cumbersome. It is flooded with links, that leads to other links and then another. You can really get lost. I cannot even print out the "Help:Editing" as part of the information is not printed.

Now that you have taken the article off the main page, when are you going to put it back on again. If somebody is going to edit it I would like it to be somebody with some knowledge of nutritional biochemistry. What is the next procedure?? Who is going to edit it? Jurplesman 01:41, 10 March 2006 (UTC)

I was referring to all the information added to your Talk Page. In particular you should read about "neutral point of view" and "spam" mentioned under the header "Wikipedia's policy on adding links". You should also read about What Wikipedia is not. Regarding editing, I think the best person to edit it would be yourself once you are more familiar with what is appropriate. Sorry if this sounds like hard work but these are the established rules... -- Barrylb 04:30, 10 March 2006 (UTC)

I have rewritten the article with a few more external references and posted it on the main page. I hope it is altight this time. Jurplesman 03:50, 11 March 2006 (UTC)

Comment I agree with the move, Barrylb. It doesn't seem appropriate to have such a large portion of the article devoted to the "hypoglycemia is the root of all psychological problems" view, not to mention the promotional aspect of the content and links. OhNo itsJamie ^Talk 23:55, 14 March 2006 (UTC)

The faceless troglodites seem to be in control here. I have withdrawn the article altogether.Jurplesman 02:18, 19 March 2006 (UTC)

[edit] Useful Link

We have just added article and video content created by key opinion leader Physicians as well as government health organizations and would like to be considered as a useful resource for this page. We are hosting an online symposium on mental health and spirituality and think this would also be a valuable contribution to the community.

Thank you,

Ryan

anxietytreatment com Anxiety Treatment—This unsigned comment was added by Ryanandrew (talk • contribs) .

You've already been blocked once for commercial link spamming. What makes you think this is different? OhNo itsJamie ^Talk 00:30, 22 March 2006 (UTC)

[edit] Anxiety and Insomnia

I found an article that I found helpful.

Anxiety Insomnia

To whoever wrote this, I need to pass this information along to a co worker, who I'm sure will thank you. FireWeed 01:23, 27 January 2007 (UTC)

[edit] Treatment

the article says "Mainstream treatment for anxiety consists of the prescription of anxiolytic agents and/or referral to a cognitive-behavioral therapist." but as far as I know in most cases SSRIs are used as main stream especially in OCD and GAD. anxiolytic agents are used as the first choice when a patient comes to emergency with an attack. Any Psychiatrists around? neurobio 00:36, 5 June 2006 (UTC)

This needs clarification, OCD is classified as GAD and its treatment is in most cases SSRI used in combination or alone to CBT, on the other hand, when anxiety doesn't appear to have sign of obsessive or compulsive behavior anxiolytic agents are tried, but due to the dependence and the need to increase the dosage, CBT is favoured. But those are not the only treatment, in some cases, when in cases of severe social-phobia, uncontrolable depersonalization/derealization and the patient doesn't respond, atypical anti-psychotics at lower dosage might be tried. Anxiety treatment depending on the severity or the type is a case by case matter, but when taken 'anxiety alone' it is generally known that meanstream treatment includes anxiolytic agents and/or CBT. Fad (ix) 16:30, 6 June 2006 (UTC)

[edit] Ringxiety

Is it really appropriate to list ringxiety as a "see also" link? Seems kind of silly to me... -- Tim D 02:26, 13 October 2006 (UTC)

It is intensity of a feeling a negative motivation. Emotional state caused by a situation that is seen as threatening (wood 1998) involves worry that failure might accrue. Negative thoughts we may experience.

What are the signs of anxious performer? Body Mind Shaky, cold, sweaty, heart beats faster, feel sick, feel dizzy, breathing heavy, pacing up and down, butterfly’s, sweaty palms Saying things in your mind like I can’t do it, negative thoughts, frighten, mood swings.

What would you feel like if you had to do the following?

1. A bungee jump: nervous and shaky 2. Playing in front of a large crowd: motivated 3. White water rafting: excited 4. Snow boarding: excited 5. Watching your favourite game play: bored 6. Taking a penalty: nervous 7. Reading in front of the class: bored 8. Playing against someone better than you: scared 9. A minute before the match or a race is about to start: tense 10. Being watched by your parents or a relative: calm 11. A training session: relaxed 12. Taking an important exam: nervous shaky worried adrenalin rush scared heart racing ECT.

[edit] A note to the individual who posted a response to the comment above

Please, sign your posts. Also, you might want to read up on some of the formatting rules and tricks specific to Wikipedia. Thanks! --Roman à clef 11:12, 15 January 2007 (UTC)

[edit] Two factor theory section needs help

I flagged this part of the article as original research because it's very unclear who the content of the section is being attributed to in the article. Do these words belong to Freud or are they coming from an editor? If it's the former, we need a good citation (did Freud write anything about operant conditioning?), and if it's the latter we need to remove it from the article. --Roman à clef 11:12, 15 January 2007 (UTC)

The only two-factor theory of anxiety that I know of was proposed by Mowrer

(Mowrer, O. H. (1960). Learning theory and behavior. New York: Wiley)

(Mowrer, O. H. (1947). On the dual nature of learning: A re-interpretation of "conditioning" and "problem-solving." Harvard Educational Review, 17, 102-148.)

Adding it in would be certainly helpful. —The preceding unsigned comment was added by Eugeneltc (talk • contribs) 22:59, 28 March 2007 (UTC).

[edit] Test Anxiety

There's a request for an article on stress in school pupils over at Wikipedia:Requested_articles/Natural_Sciences#Physical Chemistry. Now might be a good time to (a) improve this section with some references and (b) link to a more detailed article on the subject - those who are expert in psychology. Sojourner001 18:49, 18 January 2007 (UTC)

[edit] This is a very good article

There is room for improvement, but this stands above 90 % of the English language Wikipedia articles. Everybody who contributed owes themselves congratulations. FireWeed 01:24, 27 January 2007 (UTC)

[edit] Psychotic Anxiety

Wikipedians, I am being treated for psychotic anxiety, but can find no information on this anywhere on the internet. It is referred to in academic journals, but I have no access to the content. Searches are also complicated by the frequent use of the term "non-psychotic anxiety", which shows up as a hit for "psychotic anxiety". I would really appreciate someone adding information about psychotic anxiety to this article, and also adding information about the use of antipsychotics for treating anxiety (this treatment is becoming more common, even for non-psychotic anxiety, or so I hear). —The preceding unsigned comment was added by 62.195.115.100 (talk) 12:25, 31 March 2007 (UTC).

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