Anxiety

Anxiety can be either a short term "state" or a long term "trait". Anxiety, and particularly chronic anxiety, (also known as anxiety disorder) is a medical and psychological condition which is generally beyond the scope of normal coaching. Anxiety is not the same as fear, which is a nomal response to a real or perceived immediate threat. Anxiety is brought on by the expectation of a potential future threat and is characterized by an unpleasant state of inner turmoil. It is often accompanied by other symptoms such as muscular tension, elevated heart-rate, excessive sweating, restlessness, fatigue and problems with sleep, eating and concentration. Whilst an anxiety response can be appropriate in some circumstances, when experienced regularly it may be an anxiety disorder, which is best referred to a medical doctor or psychologist. People with anxiety may withdraw from situations which have provoked an anxiety response in the past. There are various types of anxiety including: test anxiety; social anxiety; stranger anxiety; stage fright; etc. When a client presents with anxiety, the first step is to evaluate the possible presence of an underlying medical cause because symptoms of anxiety can be masking a medical disorder. This is why it is always advisable to refer the client to a medical practitioner. Anxiety disorders are partly genetic but may also be due to drug use, including alcohol, caffeine, and benzodiazepines (which are often prescribed to treat anxiety), as well as withdrawal from drugs. Anxiety disorders often occur with other mental disorders, particularly bipolar disorder, eating disorders, major depressive disorder, or certain personality disorders.