Effective recognition and diagnosis of the symptoms and well equipped treatment of depression and anxiety produces better results. Paying vigilant attention to the development of depression and anxiety reduces the economic burden of the patients. Medical practitioners, doctors and consultants should clearly understand the medical disorders, comorbidity of anxiety and depression in order to treat the patient effectively.
There are various cases of comorbid disorders. They are depression coupled with illness, depression along with heart attack, depression along with diabetes. Doctors should also analysze the impact of depression and anxiety and the increased risk of committing suicides.

Pharmacological and non pharmacological treatments are the effective way to treat comorbid anxiety disorders. Patients with severe symptoms require medical cure.

Non pharmacological therapy consists of CBT-cognitive behavioral therapy.

The general first level of pharmacological treatment for the disorder is the usage of SSRIs. The results show that they are in no way more effective to other anti depressants.
Other effective antidepressants are atypical antipsychotics, anti convulsants, β-adrenergic blocking agents, busprine, benzodiazepines.

SSRI’s are recommended over MAOIs and TCAs in non comorbid and comorbid depression and anxiety taking into consideration side effect and safety of the drugs.

Any treatment should take into consideration the patient’s profile and how he responds to the treatment. Based on the response of the patient to the various drugs, the condition and level anxiety in patient should be monitored.

Generally all the people have some defect or the other physically. But people with this disorder magnify even the minute defects in them. They are severely impacted by these negative obsessions with their inaccurate perceptions. People with BDD often undergo cosmetic surgery and dermatology treatments that are unnecessary and not required for them.

People are affected by these symptoms due to some incidents in their life.
They are depressed, socially isolated, stressed, inferior quality of life and tend to commit suicide. BDD people are at high risk of committing suicides, and when they attempt suicide they generally succeed.

BDD people even though their appeared is quite perfect they tend to perceive they are abnormal. They assume themselves to be abnormal, unattractive, deformed and think that they are some monsters. BDD is seen in adolescents and can even children. This disease affects people in almost all countries.

BDD is extremely difficult to diagnose as people shy away from discussing their problems with anyone due to fear of being trivialized. In most cases this symptom may be under diagnosed as people doesn’t like to consult with many doctors. BDD requires use of diagnostic instruments but with patients not cooperating it is a difficult task. Sometimes it may be misdiagnosed as social phobia or psychotic depression or schizophrenia.

Since treatment for BDD research is still going on, CBT-cognitive behavioral therapy and SRI-serotonin reuptake inhibitors are the most prescribed treatments.
People with BDD should be treated with extreme personal attention so that they will come away from their perceived misconceptions.

So both these conditions should be treated separately. If the symptoms are due to bipolar disorder, then anxiety cures with bipolar disorder. But if both symptoms are not interrelated, anxiety persists even when bipolar disorder is cured.

Anxiety with separate condition requires special attention and treatment. Psychotherapy treatment gives better results in combination with medicines. Social anxiety is most common in people with extreme mood swings. Some people experience confident mood swings. In this type, people will be extremely confident and some times their anxiety increases where they long to meet new people often. This is termed as social phobia. In these circumstances if medication is used then bipolar disorder worsens. One can have behavior therapy. Here people are treated without anti depressants.

If people suffer from anxiety as a symptom of bipolar disorder, then they will be having agitation, pick the nails, can’t sit still, pace up and down. People cannot even think if these symptoms are severe since they will be experiencing extreme energy. They will be even experiencing irritation and other manic symptoms that make them addicted to alcohol. This also results in successful suicide attempts. People experiencing anxiety with depression will have strong urge to commit suicide. Under these circumstances people feel their future is unbearable resulting in suicides. These symptoms are curable and people should consult therapists.

There are different types of conditions in anxiety that results independent of bipolar disorder. They are social phobia, generalized anxiety disorder GAD, post traumatic stress disorder PTSD, obsessive compulsive disorder OCD, specific phobias, panic disorder with or without agoraphobia.

People suffering from these disorders if diagnosed and treated accordingly, will be cured of these diseases.

What can be the causes for anxiety attacks? The causes can be generally divided into two i.e. physical cause and psychological cause.

Psychological Causes: The reasons of anxiety attacks related to disorders, characterized by rare hereditary diseases because of chemical imbalances in the brain and daily stress, overwork or fatigue. A little bit will never cause trouble but when they get out of control, it can lead a person to lose emotional stability and affects a person’s emotional health. However, it stops with the end of stressful time and are temporary. Physical causes for anxiety attacks are hence more likely to happen.

Physical Causes: Hormonal imbalances are the main causes for anxiety attacks. Cortisol is the name of the hormone that is responsible for stress and anxiety and its level is regulated by oestrogen hormones. Cortisol cannot be controlled if oestrogen level is dropped in your body, thereby producing more anxiety and stress. Imbalance in the levels of hormone occurs during menopause, which is the most common cause for anxiety attacks.

Anxiety attacks can get worse if not treated on time; there are various effective and safe methods to control and cure these attacks. First of all, understanding whether the problem is psychological or physical is important. If it is psychological, then it should be treated by a psychiatrist and proper rest should be taken and proper schedule should be maintained to treat stress, fatigue and overwork.

If you can manage to integrate an exercise program along with these, you will get quicker relief from attacks. As for treatment in case of low hormonal levels hormonal balancing programs and drugs that helps in restoring the balance back in your body should be taken. There are certain therapies such as “lifestyle approaches” that are also an effective ways to treat anxiety attacks.

This therapy has been proved most effective in case of panic attacks. General statistics has revealed that about one third of American population has experienced panic attack at some point in their life based on several reasons. Getting too scared, tension, stressful life, dealing with enormous pressure and handling too much of pressure are simple reasons to get someone a panic attack making him quite uncomfortable, abnormal, and obviously daily life activities of the person comes to complete halt.

Often people remain ignorant about the disease, symptoms and its treatment options. To cure these panic attacks, hypnotherapy is one of the most effective options that can work in several ways.

Hypo- analysis or analytical Hypnotherapy is the latest accepted technique of hypnotherapy for curing panic attacks. This therapy uses talks as a remedy to help a patient feel safe and secure first; often by providing him a cordial atmosphere surroundings. The patient then travels through a process of identifying the causes of his phobia, anxiety, fears and panic attacks. This Therapy is extremely focused and the process is intensively carried out using hypnosis. Once the ulterior cause of panic or anxiety is identified and minimized, all symptoms associated to it are reduced dramatically.

As it is a natural process, there are no side-effects or after effects of this treatment. Often the patients recover really fast and experience better relaxed mood and feel more positive, providing him all new way to think and behave. There are a lot of breathing exercises involved in the treatment procedure too as it helps patient relax and get rid of negative thoughts and fears from within.

So far, the therapy has been proved helpful in several cases of panic attacks and individuals have been extremely happy with the way it cures the disease and restores back their lost life and confidence.

Apart from this, the person finds the substance abuse as an easy way to escape from stress. He feels this might make him feel happy and peaceful and relieve stress. Many a times there are no reasons for substance abuse, it is just curiosity which makes the person to start substance abuse.
Cognitive behavioral therapy helps the patients to come out of the substance abuse and modify their thinking, attitude and behavior. It also increases their life skills to lead a healthy and happy life. The recent research shows that this therapy actually works and helps the substance abused patients to come out of their abuse. Cognitive Behavioral Therapy is based on a combination of Behavioral Theory and the Cognitive Theory. The Cognitive theory assumes that most of the psychological problems derive from a wrong thinking process, the therapy focuses on the thoughts, beliefs, attributions and attitudes that influence one’s feelings. The Behavioral theory assumes that substance abuse disorders are developed through the general principles of learning and reinforcement. As per this theory, changes in one’s behavior come through the learning of new behaviors.

At last, it can be concluded that the CBT approach is not only successful but rather superior to that of other approaches to deal substance abuse disorder. The comparative studies also indicated that, in most of the cases, the cognitive behavioral therapy is preferred over other therapies. The skills of this therapy can be used for a long time. This therapy is normally used to treat mental illness like depression, phobia and anxiety disorders.

They resist any kind of change. OCPD persons are normally workaholics but not due to the reason that they like to work. They are constantly worrying that something may go wrong. They can sacrifice their family life, friendships and other relationships at the sake of productivity and output. They spend excessive time and energy in planning an event but are unable to enjoy the actual event. They are more demanding towards their partners. It really becomes difficult to maintain a long-term relationship with these persons. They are so terrified of change that they hardly discard useless objects and things, change the furniture, willing to relocate etc.
Obsessive Compulsive Personality Disorder (OCPD) is different from Obsessive Compulsive Disorder (OCD) as OCPD is a personality disorder while OCD is an anxiety. Person suffering from OCD focuses on particular distressing obsessions like repeated hand-wash etc. but person suffering with OCPD involves a broad approach.
Treatment of this type of personality disorder is possible through:
1. Psychodynamic Therapy- The goal of this therapy is to help the patient in identifying his feelings towards a situation. The therapist tries to remind his patients that they are also prone to error like the others and a mistake is not as bad as they believe.

2. Cognitive Behavioral Therapy- This is another method to treat the OCPD person that has
shown its positive results. In this therapy, the therapist listens to the OCPD patient and tries to change his faulty thoughts into the positive ones.

3. Medication – Medication also helps the patient to think about a situation more clearly and
make decisions better and faster without getting distracted by the minor details.

Therapists use several techniques in the course of their behavioral therapy to help their patients and change their thoughts and behaviors. Some of these techniques include:
• The therapist normally asks the patient to defend their thoughts and beliefs. If the patient fails to produce the objective evidence, their faulty nature is exposed.
• The patient is sometimes asked by the therapist to imagine a difficult situation he has encountered in the past and then try to practice how to cope successfully with.
• In Guided discovery technique, a series of questions are being asked by the therapist from the patient. This is done to discover the cognitive distortions of the patient.
• The patient is being told to maintain a diary of the situations arise in his everyday life and the behavior to those situations that accompany him. The therapist then reviews the diary with the patient and discovers all the maladaptive thoughts so as to correct them
• In positive reinforcement technique, the behavior of patient is routinely motivated by positive things and reward system is set up for them
• Some distress strategies are also given to the patients. The main goal in these techniques is calm and peace. The more the brain is relaxed and quiet, the easier the information can get into it and be processed accordingly. The main focus of this technique is on healing, inner peace and healthiness.
Several studies indicate that Cognitive behavioral therapy reduces the rate of rehospitalization, can help anxiety patients in managing their worry, effective treatment of insomnia, depression and many other disorders.

Many people are struggle with these kinds of fears. But the situation that triggers the symptoms of social phobia can be different from person to person. Some people feel anxiety in most social and performance situations while for some other people anxiety is connected with some specific social situations such as speaking with strangers or going to parties etc. Physical symptoms of this social phobia anxiety disorder include rapid breathing, dry mouth, sweating, blushing, muscle tension, shaky voice, dizziness, twitching etc.
The treatment for social anxiety disorder varies from person to person. One may find the self-help strategies enough to ease his anxiety symptoms or one may need professional help as well some therapy or medication. Some of the self help treatments includes avoid or use of less caffeine, getting adequate sleep, quitting of smoking etc. Normally medication is also used to relieve from the problem of social anxiety but it is not a cure for this disorder. Among all the treatments available cognitive behavioral therapy can be said to work the best for treating social phobia or social anxiety disorder. This therapy includes the ways of controlling the symptoms of anxiety through relaxation techniques and some breathing exercises, replacing the negative thoughts with balanced views, facing those social situations in which the anxiety occurs rather than avoiding them. If the level of anxiety is increasing just consult your doctor and then go to a mental health professional and start taking the behavioral therapy

1.    Identify the causes of your panic attack. Understand what causes you to stress out. Then chalk out a plan to avoid that stressed situation.
2.    Make a habit of doing exercise regularly. Exercise makes you feel better and give more energy.
3.    Don’t consume those foods, beverages, and pills that contain caffeine because caffeine acts as a stimulant and triggers your nervous system. Consume     the foods rich of vitamins and nutrients.
4.    Deep Breathing also helps to reduce the stress. Learn yoga and when you feel the panic attack, try to focus on your deep breathing.
5.    Take enough sleep. As you sleep you feel relieved and your stress goes out. An unhealthy sleep can agitate your body and mind.
6.    Think about some good things or funny things happened to you in the past. Just sing a song, whistle and make your mind free of stress.

If the above tips are not working and symptoms are more serious, then take the counseling and consult your doctor or the mental health provider.