Treatment of neurotic and anxiety disorders

When anxiety does not go away for a long time, it becomes difficult to relax, and thoughts constantly return to possible problems, this may be a sign of a disorder that requires attention. Such a condition should not be perceived as a weakness of character or be attempted to be overcome only by willpower.

At the «Oxford Medical» medical center, professional help can be received in a comfortable and confidential atmosphere. The doctor will assess the complaints, determine the further tactics, and select treatment aimed at reducing anxiety and improving general well-being.

Neurosis — is a generalized name for conditions in which anxiety, internal tension, obsessive thoughts, or fears persist for a long time and worsen well-being. At the same time, a person usually recognizes their experiences and critically assesses their own condition.

A neurotic disorder can affect emotional well-being, behavior, and the ability to cope with usual activities. Unlike psychotic disorders, the perception of reality is not impaired in neurosis.

Neurotic and anxiety disorders usually develop under the influence of several factors. The risk of developing the disorder may be increased by:

• the presence of similar disorders in close relatives (family history);
• prolonged or intense stress;
• difficult life events, losses, or psychological trauma;
• constant overload and insufficient sleep;
• a tendency toward excessive anxiety;
• chronic diseases that affect physical and emotional well-being;
• some hormonal disorders that may be accompanied by mood changes and increased anxiety.

According to the National Institute of Mental Health, hereditary predisposition, characteristics of the nervous system, and life circumstances may influence the development of anxiety disorders. That is why the doctor determines when the complaints appeared, what preceded them, and whether there are any accompanying health disorders.

Neurotic conditions differ depending on which experiences prevail and how they affect a person’s behavior. Accordingly, they require different approaches to treatment.

The clinical picture of neuroses, that is, the totality of their manifestations, may differ depending on the type of disorder and the characteristics of the person’s condition. In addition, a person may have manifestations of several disorders at the same time. Therefore, the doctor determines not only the general condition in neurosis but also the leading disorders that require priority correction.

Physical signs of neurosis may occur even in the absence of significant exertion and intensify during anxiety. Sometimes a person is also troubled by weakness, changes in blood pressure, a feeling of heat or chills, sudden urinary incontinence, or other symptoms.

Behavioral manifestations are often associated with avoiding situations that cause fear or tension. A person may postpone important matters, limit communication, constantly check their actions, or seek confirmation that there is no danger.

Doctors at «Oxford Medical» explain that the symptoms of neuroses may resemble manifestations of diseases of the heart, endocrine, nervous, or digestive system. Therefore, not all complaints should be explained solely by stress. If they persist, intensify, or interfere with everyday life, it is necessary to consult a doctor and undergo an examination.

The diagnosis of neurosis begins with a consultation with a neurologist. The doctor determines which symptoms are troubling the patient, when they appeared, and how much they affect sleep, ability to work, communication, and everyday activities. The doctor also clarifies previous illnesses, the level of psycho-emotional strain, recent stressful events, and the medications the patient is taking.

During the basic examination, the neurologist:

• assesses the patient’s general and emotional condition;
• checks reflexes, sensitivity, and coordination of movements;
• assesses muscle strength and other functions of the nervous system;
• if necessary, uses special questionnaires to determine the level of anxiety.

Additional tests and instrumental examinations are prescribed only when indicated to rule out other causes of the complaints. Depending on the symptoms, these may include laboratory tests or electrocardiography. In addition, a brain MRI may be recommended in the presence of atypical neurological manifestations, including impaired sensitivity, muscle weakness, persistent dizziness, or memory deterioration.

In addition, the patient may be recommended consultations with a psychotherapist, psychiatrist, endocrinologist, or another specialized professional. This helps to clarify the cause of the symptoms, distinguish a neurotic disorder from other diseases, and determine exactly what kind of help is needed.

Without proper help, a neurotic disorder can last for months or years, gradually intensify, and affect various areas of life. The possible consequences of neurosis depend on its form, the severity of the symptoms, and how promptly the person consulted a doctor.

A prolonged course of the disorder can lead to:

• persistent sleep disturbance and constant fatigue;
• reduced ability to work and difficulties with performing usual activities;
• limited communication and avoidance of situations that cause fear;
• intensification of panic attacks, obsessive thoughts, or phobias;
• deterioration of relationships with loved ones and social isolation;
• abuse of sedatives or alcohol in an attempt to alleviate the condition independently;
• development of depressive manifestations;
• exacerbation of accompanying diseases against the background of prolonged stress.

Physical complaints may also become more intense. For example, the patient may be more frequently troubled by fluctuations in blood pressure, digestive disorders, muscle pain, palpitations, or extrasystole — a heart rhythm disorder involving the appearance of premature heart contractions. However, such manifestations should not automatically be explained by neurosis — their cause must be determined by a doctor.

Timely treatment helps reduce symptoms and gradually restore everyday activity. The longer a person postpones seeking help, the more time may be needed to stabilize the condition.

The cost of treatment depends on which consultations, examinations, and therapy methods the patient needs. After the initial appointment, the doctor determines the further tactics, so the exact amount can be calculated only after assessing the condition and establishing the diagnosis.

Current prices for doctors’ consultations can be viewed here or clarified at the contact center. To schedule a consultation, choose a convenient «Oxford Medical» department and agree on the appointment date with the administrator.

The information is for informational purposes and does not replace a doctor’s consultation.

Sources:

• World Health Organization
• National Institute of Mental Health
• National Institute for Health and Care Excellence