Mr. Paul C. Brown, LCSW, NCC

Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.

Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.

A comprehensive psychiatric evaluation is necessary to identify this illness, and one of the top criteria for a diagnosis of schizophrenia is that at least some of the symptoms listed above have to be present for a minimum of six months. The causes of schizophrenia are unclear, but studies have linked it to genetics, abnormalities in brain structure, and immune disorders. It has also been found to affect men and women equally, with onset typically occurring earlier in men.

Although there is no cure for schizophrenia, some treatments can help people manage their disease. For example, physicians may prescribe antipsychotics which are a group of medications that can reduce symptoms. Patients can also learn useful coping skills and get emotional support by regularly taking part in individual talk therapy and having family members participate in group therapy sessions.

Therapy can treat patients who self-harm. Therapists ask people to explore current and past experiences and emotions that may contribute to the desire to self-harm. Cognitive behavioral therapy, a specialized form of therapy, can also reduce self-harm by encouraging patients to identify negative patterns of thought and to develop coping strategies that do not involve self-inflicted injury. Those suffering from more severe self-harm may require in-patient hospitalization to recover mentally and physically.