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It is important for a medical professional to evaluate a person for other medical and mental causes of prolonged anxiety because treatments will vary considerably. [2] Numerous questionnaires have been developed for clinical use and can be used for an objective scoring system. Symptoms may vary between each sub-type of generalized anxiety disorder.
Atypical depression has high comorbidity with anxiety disorders, carries more risk of suicidal behavior, and has distinct personality psychopathology and biological traits. [2] Atypical depression is more common in individuals with bipolar I, [2] bipolar II, [2] [8] cyclothymia, [2] or seasonal affective disorder. [4]
Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older, or 18.1% of the population every year. According to the Anxiety and Depression Association of America, anxiety disorders are highly treatable but only 36.9% of people receive treatment. [6]
There are several main groups. Antidepressants are used for the treatment of clinical depression as well as often for anxiety and other disorders. [30] Anxiolytics are used, generally short-term, for anxiety disorders and related problems such as physical symptoms and insomnia. [31]
The cause of depression is believed to be due to a combined effect of genetic and environmental factors. [11] Other medical conditions, for example hypothyroidism, may cause people to experience similar symptoms as a major depressive episode. [20]
At a post-treatment follow-up four years later 90% of people retained a considerable reduction in fear, avoidance, and overall level of impairment, while 65% no longer experienced any symptoms of a specific phobia. [15] Agoraphobia and social anxiety disorder are examples of phobias that have been successfully treated by exposure therapy. [43]
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