Anxiety neurosis

Anxiety is an emotional condition, in which, there is fear and uncertainty about the future.It is a chronic fear of mild degree, strong or overwhelming fear. Anxiety, in that, feeling of mingled dread and apprehension about the future without specific cause for the fear, is a secondary drive involving an acquired avoidance response.             Anxiety neurosis is a neurosis, in which, the most prominent symptom is anxiety that cannot be identified with any particular cause and which in many cases is pervasive and affects major areas of the individual’s life. In these cases, ordinary methods of coping, including the “normal” use of ego-defense mechanisms, have proven inadequate, and the individual is forced to rely increasingly on more extreme defensive reactions. In fact, neurotic behaviour is maladaptive but it does not comprise gross distortion of reality or marked personality disorganization. Moreover, it does not result in violence to the individual or to others.The people who are typically anxious, ineffective, unhappy, and often guilt-ridden do not ordinarily require hospitalization but, nevertheless, are in need of therapy.                                                      The term neurosis was coined by the Englishman William Cullen that refers to disordered sensations of the nervous system. According to Freud,”Neurosis stemmed from intrapsychic conflict rather than disordered reactions in the nervous system is the outcome of an inner conflict involving an approach tendency of the Id and the ego’s and superego’s prohibitions against its expression (avoidance tendency). Anxiety results as a signal provided by the ego that a dangerous impulse has been activated. The basic model was approach-avoidance conflict. Any nonpsychotic disorder that might have psychological conflict at its base could be considered neurotic. The role of maladaptive learning to avoid anxiety has also been recognized in the origins of neurotic behaviour. Coleman states that neurotic refers to those disorders, in which, inner psychological conflict, the anxiety it produces, and the resulting efforts of the individual to build defenses to “manage” the anxiety are thought to be central in causing the behavioural abnormality. Freud considered anxiety to be the “central problem” of neurosis.A typical outcome is that the individual not only fails to reduce the anxiety but actually, through misdirected efforts at resolution, renders it more complicated and self-sustaining.                                       The anxiety states and phobic disorders are two basic forms of anxiety disorder. The anxiety states includes generalized anxiety disorder and panic disorder.                                              Generalized anxiety disorder is characterized by chronic diffuse anxiety, apprehensiveness, and acute anxiety attacks. It is “free-floating” type due to pervasive anxiety and in most instances acute anxiety attacks are most common patterns. People suffering from generalized anxiety disorder live in a relatively constant state if tension, worry, and diffuse uneasiness. These people are oversensitive in interpersonal relationships and feel inadequacy, depression, or uselessness. Problems in concentration; making decisions; dreading to make a mistake; or to accomplish the job successfully are their chief complaints. The high level of tension is often reflected in strained postural movements, overreaction to sudden or unexpected stimuli and continual nervous movements. Commonly, muscular tension, chronic mild diarrhoea, frequent urination, and sleep disturbances (insomnia and nightmares) are other disorders. They perspire profusely and show cardiovascular changes, such as, elevated blood pressure and increased pulse rate. Sometimes, they may experience breathlessness and heart palpitations for no apparent reason. Their vague fears and fantasies-combined with their general sensitivity-keep them continually upset, uneasy and discouraged.Relatives and friends lose patience with them. Unforeseen complications or circumstances become visible to them. Often, they review each mistake, real or imagined, recent ir remote.Regretting the events of the past and anticipating all the difficulties those that may arise in the future are of utmost importance. The anxiety dreams-dreams of being choked, being shot, falling from high places or being chased by terrorists or with the horrible sensation  that their legs will move only in slow motion are the anxiety states. Panic disorder is given a separate category. These acute panic attacks come on suddenly, mount to high intensity, and then subside, all in the absence of any obvious cause., such as life-threatening situation or physical exertion. Faintness and diziness, coldness and pallor of the face and extremities , gastric sensations and an ineffable feeling of imminent death, and physiological symptoms, together with the sensation of impending catastrophe make an anxiety attack a terrifying experience.Normally, the attack subsides after a few minutes. If it continues, the individual may frantically call someone to summon a doctor.If root-causes are analyzed even upto the childhood stage and made extinct the individual is rendered normal in several attempts.

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