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Anxiety Disorder

Are you often anxious and anxious? Do you worry a lot about things that are unlikely to happen? Do you often use a negative perspective and pessimism in every situation? Do you realize that you have endless worries and concerns about family, work, finances, and health? Do these worries and anxieties make you feel angry, tense, sad, distressed?

Anxiety is a psychiatric disorder accompanied by an intense feeling of fear and the physical symptoms that accompany this feeling. Physical symptoms include heart palpitations, sweating, tremors, feeling of shaking, back pain, headache, muscle tension, easy fatigue, startle, cold hands, diarrhea, dry mouth, frequent urination, feeling of discomfort in the stomach, difficulty in swallowing, difficulty breathing, sore throat. sensation of lump stuckness, numbness in arms and legs, rapid breathing, etc. The symptoms appear together with the feeling of fear. This intense fear changes the person's way of thinking, perceptions, and cognitive structure, causing distortions and unrealistic evaluations. The person has difficulty concentrating due to the feeling that something bad will happen, and shows symptoms of insomnia or oversleeping, loss of appetite or overeating.

The feeling of fear is a healthy emotion. It is an autonomic response that ensures that human beings are protected from dangers in order to continue their species. It allows us to respond appropriately by providing us with the necessary energy and physical equipment to choose between flight or fight in the face of a known or seen danger. However, anxiety, also known as anxiety, is different from healthy fear. Anxiety is a response to an unknown, uncertain and contradictory threat. In case of excessive anxiety about daily life conditions, events and interpersonal relationship conflicts, the person suffers most of the day with the thoughts that something bad will always happen, things will happen beyond my control, I will not be able to prevent this negative situation, everything will get worse, bad things will happen to my relatives. At the time of anxiety, the person feels intense restlessness and the physical symptoms that accompany this restlessness and make the person very uncomfortable. He is not in a position to hear logical explanations from others. This intense anxiety causes disruptions in certain areas of life.

For the diagnosis of anxiety disorder, anxiety disorder occurs almost every day for at least 6 months, about many events or activities, work, school, family, success, economic negativities, etc. There must be symptoms of extreme anxiety, anxious anticipation, and sadness. The person has difficulty controlling this sadness. Feels restless, anxious, excited. He has difficulty concentrating his thoughts, his mind seems to have stopped. These physical, mental and spiritual symptoms disrupt the person's family life and responsibilities within the family, anxiety about making mistakes in business life and performance, academic success at school, or feeling stressed about relatives and disrupting communication.

In addition to the psychopharmacological approach in the treatment of anxiety disorders, cognitive behavioral therapies, psychodynamic therapies, group and family therapies, insight-oriented psychotherapy, supportive psychotherapy, behavioral therapies and cognitive therapies are used in psychotherapy.

In behavioral therapies; Positive and negative reinforcement, systematic desensitization, exposure, gradual exposure, response inhibition, thought stopping, relaxation techniques, anxiety control treatment, and self-monitoring are used. In cognitive therapy, correcting irrational cognitions works with cognitive assumptions, assumptions and basic beliefs about the person's self-perception and how others perceive them. The aim of insight-oriented therapy is to help the patient develop insight and awareness into his psychological conflicts. In supportive psychotherapy, it makes suggestions about reality testing and behaviors to develop the person's adaptive coping methods. Psychodynamic therapies work on the subconscious, which covers most of the psychological function. The psychoanalytic perspective focuses on the conflicts, defenses, desires, subconscious fantasies, past and character traits behind the anxiety symptom.

Whichever psychotherapy method is applied, the aim is to enable the person to cope with anxiety symptoms and return to their functional role in life. In the psychopharmacological approach, drug treatment is applied to reduce anxiety and address depressive symptoms. It is essential to apply an eclectic, holistic treatment approach in anxiety disorders, taking into account the intensity, frequency and duration of the anxiety disorder.

Prof. Dr. Özgür Öztürk

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