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It’s used to treat various kinds of anxiety and tension-related problems as well as allergic reactions augmentin 625 mg on-line how long do you take antibiotics for sinus infection, such as hives and itching quality 375 mg augmentin antibiotic resistance epidemic. Beta blockers Because anxiety can increase blood pressure order 375 mg augmentin with visa antibiotic resistance global statistics, perhaps it’s not surprising that a few medications for the treatment of hypertension also reduce anxiety. Chief among these are the so-called beta blockers that block the effects of norepinephrine. Thus, they control many of the physical symptoms of anxi- ety, such as shaking, trembling, rapid heartbeat, and blushing. In the treat- ment of anxiety, their usefulness is primarily limited to specific phobias, such as social anxiety and performance anxiety. They’re highly popular among professional musicians, who often use them to reduce their performance anxiety prior to an important concert or audition. Two beta blockers, Inderal and Tenormin, are most frequently prescribed for these purposes: ✓ Inderal (propranolol): Generally, Inderal is used for the short-term alle- viation of stage fright, public speaking, test anxiety, and social anxiety. Atypical antipsychotics Medications called atypical antipsychotic medications are not often prescribed for anxiety disorders. When used to treat anxiety-related problems, these medications are usually prescribed at far lower doses than when used for psychotic disorders. Upon seeing this category, you may have easily thought, “Hey, I’m anxious; I’m not crazy! So you may wonder why medications designed to treat psychosis have anything to do with treating anxiety. Those who merely suffer from anxiety rarely, if ever, experience the kind of substantially confused thinking that psychotics do. These medications are primarily prescribed for people who have severe, hard-to-treat anxiety or who suffer from other mental disorders along with anxiety. They’re generally not prescribed unless other forms of treatment have been unsuccessful. However, because the risk exists, those with relatively milder anxiety prob- lems would probably want to avoid them. Another disturbing side effect with many of these atypical antipsychotics is a change in metabolism that increases the risk of weight gain and can eventually lead to diabetes. As with most of the medications for anxiety, these should generally be avoided when pregnant or breast-feeding. Chapter 9: Considering Medications and Other Physical Treatment Options 157 Here are four antipsychotic medications, with their generic names in paren- theses. However, when standard treatments haven’t worked, doctors sometimes find them useful for treating their patients’ anxiety. People who suffer mood swings like those with bipolar disorder often benefit from this particular class of drugs. Medications in this category include Depakote (valporic acid), Eskalith (lithium), Lamictal (lamotrigine), Neurontin (gabapentin), Tegretol (carbam- azepine), and Topamax (topiramate). A few intriguing medication options The search for anti-anxiety medication options leads to a few unexpected places. Taking this drug while facing fears may allow people to speed up the process of unlearning the original fear, and the patient only needs to take the drug during a few therapy sessions. During therapy, it is administered under medical supervision — we don’t encourage our readers to try this at home. Oxytocin, a naturally occurring hormone that is released by both men and women during orgasm, is given via nasal spray. Oxytocin won’t give you an orgasm administered this way, but research- ers at the University of Zurich in Switzerland have found that people with social phobia who are given a few sniffs of oxytocin feel more confi- dent and open to therapy.

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Rethinking your ability to cope Most people with anxiety disorders gravely underestimate their ability to cope in the face of unexpected challenges 375mg augmentin for sale antibiotic resistant strep. They see themselves as easily overwhelmed and lacking either the will discount 375mg augmentin otc xeroform antimicrobial, skills order 375mg augmentin with amex infection app, or resources to deal with adversity. For example, they say to themselves, “I couldn’t stand that,” “I can’t take it,” or “I’d fall apart if that happened to me! In Chapter 5, we provide a list of five questions for helping you deal with some pretty difficult worst-case scenarios. First, we show you the questions, and then we illustrate their use with an example. In the next example, a resident of Southern California attempts to answer the coping questions to help her deal with her fear of earthquakes. Lynne moves from London to San Diego to take an academic position at the University of California. One day as she walks across campus, she’s surprised by a sudden feeling of unease. When she arrives at her office, she notices that some of the pictures are slightly tilted. The student laughs and says, “Oh, that little sway was just a tremor, nothing like a real earthquake. Now she returns to these questions to help her calm her newly heightened fears about earthquakes. Chapter 15: Keeping Steady When the World Is Shaking 239 Have I ever dealt with anything like this in the past? I guess about 36 million or so Californians have lived through a few earth- quakes and haven’t moved out. I can ask people I know about earthquake safety and get more involved in the local neighborhood so I meet some of my neighbors. I realize that lots of people come to the University of California from other countries around the world. We can socialize a bit and have speakers about adjusting to America, including earthquake safety. It will be a great way to meet new and interesting people and provide a way for me to expose myself to my fear. Lynne learns to accept the risk of earthquakes and the questions help her to stop feeling helpless and anxious. See Chapter 5 for examples of how these questions can help you ponder and cope even with the possibility of an unex- pected event that results in death. Going right at your worries Exposure — facing your fears gradually over time — is probably the most powerful approach to dealing with fear and anxiety (Chapter 8 covers expo- sure in detail). Don’t worry — obviously, we’re not going to recommend that you actually chase tornadoes or set forest fires and walk into them. When dealing with a fear of natural disasters, the best exposure strategy is called imaginal exposure, which includes constructing a staircase of fear and imagining the worst-case scenario (see Chapter 8). You can use imaginal expo- sure as an alternative approach to using the coping strategy questions (see the preceding section). Alejandro’s story demonstrates how someone can apply imaginal exposure to an intense fear of earthquakes. Rightly so, because San Francisco sits in a zone that poses a high risk for major earthquakes. Alejandro has taken all the usual, appropriate preparations, such as knowing how to shut off his utilities, securing water heater tanks, maintaining fire extinguishers, knowing evacuation routes, keeping emer- gency supplies, and such. His mind starts to dwell on horrible images of death and destruction, and then he quickly tries to think about something else.

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We show how acceptance helps you stop spinning your wheels so you can calmly consider productive alternatives purchase augmentin 625mg online antibiotics buy online. We discuss how too much con- cern with ego and self-esteem can make seeing the way out difficult trusted augmentin 375 mg bacteria 4 plus, and we explain how living in the present provides a roadway to a more balanced life 625 mg augmentin overnight delivery bacteria 80s. Finally, we give you some thoughts about the possible role of spirituality in finding serenity. When you find yourself stuck in the rut of anxiety, don’t slam down on the accelerator. Sit back, let the wheels settle a bit, rock back into the rut, and then gently push forward. Eventually, you’ll discover a rhythm of going for- ward, then rocking back, and your efforts will lead you to solid ground. So why is it that after showing you how to get rid of your anxiety, we tell you to mindfully accept it? But the paradox of anxiety is that the more you feel you must rid yourself of it, the more anx- ious you feel. Imagine going to a carnival or birthday party where someone gives you a Chinese handcuff — a little, decorative, woven straw tube. The harder you pull, the tighter the hand- cuffs squeeze; a way out doesn’t seem to exist. Taking a calm, dispassionate view Anthropologists study the behavior and culture of human beings. They make their observations objectively from a dispassionate, scientific perspective. Study your anxiety and prepare a report that conveys what anxiety feels like in your body, how it affects your thoughts, and what it does to your actions. Then, being as objective as possible, answer the following ques- tions in your report: ✓ Where in my body do I feel tension? Mel’s story that follows provides a good example of how your powers of observation may help you get a handle on your anxious feelings. Mel, a 38-year-old hospital administrator, experienced his first panic attack three years ago. Since then, his attacks have increased in fre- quency and intensity, and he’s even started to miss work on days when he feared having to lead staff meetings. The therapist notices that Mel’s perfectionism drives him to demand instant improve- ment. The therapist, realizing that Mel needs to slow down and back up, gives him an assignment to pretend that he’s an anthropologist on a mis- sion and to write a report about his anxiety. Mel completes the assign- ment as follows: I started noticing a little shortness of breath. I could almost hear the anxiety tell- ing me that I would feel much better if I stayed home because if I went to work, I’d have to talk to a room full of upset surgeons. If I get too anxious, my words will turn into nonsense, and I’ll look like a total fool. Rather than attack his anxious feelings and thoughts, he watched and pon- dered his experience by really trying to emulate the sense of scientific curios- ity of anthropologists. If only they could control every- thing around them, they might not worry so much, and that’s probably true: If you could control everything, you wouldn’t have much cause for worry, would you?

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