What is it?
Anxiety is a natural response to danger. But if worry persists most days, becomes hard to control, or sudden attacks of intense fear with palpitations and breathlessness occur, an assessment is advisable.
To distinguish panic-like symptoms from heart, thyroid or respiratory causes, tests or input from other specialties may be arranged. Avoided situations and their impact on daily life are discussed in detail.
Cognitive behavioural therapy, medication and breathing or relaxation exercises are among the options. The suitable approach is chosen with you after assessment; response varies between people.
Who is it assessed for?
- People with hard-to-control worries most days
- Those having sudden attacks of palpitations, breathlessness and intense fear
- People starting to avoid crowds or public transport
- Those with marked anxiety in social situations
Step by step
- 1
Interview
The pattern of anxiety, triggers and avoidance are discussed.
- 2
Physical causes
Tests or input from other specialties are requested if needed.
- 3
Plan
Psychotherapy and other options are considered together.
- 4
Skills practice
Breathing and relaxation techniques may be practised together.
- 5
Follow-up
Symptoms are reviewed at regular intervals.
Questions
During a panic attack I think I'm having a heart attack; what should I do?
If chest pain and breathlessness are new or different from usual, call 112. Once physical causes are excluded, managing attacks is discussed at your visit.
Therapy or medication for anxiety?
Both are options and are sometimes combined. The choice depends on severity and your preferences and is made together.
Can I return to situations I avoid?
Therapy can aim to approach them in gradual, planned steps, at a pace that suits you.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.