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Anxiety affects so many people worldwide that it qualifies to be labeled a modern plague. The mental disorder already contributes significantly to the rise of the global mortality rate. What makes it one of the biggest health concerns of our generation is that its effects can be felt deeply by the families and loved ones of the affected individuals.

Contrary to popular belief, anxiety is not just a mental illness that changes how your brain works. Its negative impact can be so severe that it affects all aspects of daily life.

Some of the notable first victims of anxiety are your self-esteem, economic well-being, day-to-day life, and finally, romantic and social relationships. Anxiety quietly escalates from a tool of personal torment to a chaotic force that wreaks havoc on a person’s entire livelihood.

As luck would have it, anxiety is not a problem that goes away if you ignore it. As a matter of fact, turning a blind eye to the problem always leads to severe repercussions. The first step to solving any problem, especially one as devious and persistent as anxiety disorder, is to learn all you can about it.

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In this guide, I uncover the truths and realities of anxiety disorder to equip you with all the tools you need to rid yourself of the debilitating condition. In addition to its origins, causes, signs, and symptoms, I will discuss the various treatment strategies for anxiety, including the appropriate homeopathic and pharmaceutical avenues you can take to manage its symptoms.

By the end of this comprehensive anxiety guide, you will understand everything about the mental condition, including the underlying causes, triggers, and how it manifests. You will also learn how to effectively manage the mild, moderate, and severe symptoms of anxiety, and how to permanently break free from the vice-like grip of anxiety disorder.

 

Table of Contents 

Chapter 1 – Anxiety and Its Historical Expressions

Chapter 2 – The Etiology, Pathophysiology, and Complications of Anxiety

Chapter 3 – Classification of Anxiety Disorders (And their Signs and Symptoms)

Chapter 4 – Self-Diagnosis and Screening Tools for Anxiety

Chapter 5 – Recent Findings from Anxiety Research (2020 Update)

Chapter 6 – How to Manage Anxiety without Medication

Chapter 7 – Treating Anxiety with Anxiolytic Drugs

Chapter 8 – How to Overcome an Anxiety Attack on Your Own 

Chapter 9 – Anxiety Success Stories and Emotional Support Animal (ESA) Tidbits

 

Chapter 1- Anxiety and Its Historical Expressions

What is anxiety?

Why do we get anxious?

How long have human beings been dealing with the adversities of anxiety disorder?

This chapter defines and explains what anxiety is, where it comes from, and when it is classified as a disorder. It also touches on some famous historical expressions of the mental imbalance. It highlights the turning point of anxiety from a reflexive mental state that protects us, to a debilitating psychological condition that ruins our way of living.

What is Anxiety?

The clinical definition of anxiety is that it is a mental state that manifests emotionally as feelings of fear, worry, tension. And physically, like elevated heart rate, high blood pressure, and nervous behavior.

Why do we Get Anxious?

Anxiety is the mind’s natural response to pending danger. It is the brain’s way of signaling to the rest of the body that something terrible is about to happen, so we should be alert and prepared. Under normal circumstances, anxiety is a useful reflexive emotion that keeps us alert to external threats.

On the other hand, runaway anxiety is hugely destructive. Imagine being constantly terrified, fearful, depressed, or panicked. The emotional toll it will have on you is significant. However, anxiety disorder doesn’t just affect us emotionally. Over time, it can have dire physical and mental implications.

There’s no quick and easy way to describe anxiety. It is an amalgamation of behavioral responses, fearful thoughts, and physical changes that emerge when our minds respond to a perceived threat.

It doesn’t have to be a significant threat. You can get anxious before a visit to the dentists’ office. You can also get worried when your boss calls you into his office abruptly. Anxiety is simply how our minds prepare our bodies for a threat it senses in our future. It can also be a response to a negative experience from our past.

The reality is that everyone gets anxious. In small doses, anxiety is vital to our survival. Think about it. Before crossing the road, you look both ways to make sure no vehicles are coming, and use a crosswalk to stay safe. That is anxiety driving you to keep yourself from harm, even if there are no vehicles nearby.

Anxiety is, therefore, an entirely rational response to perceived danger until it becomes excessive, intense, and out of control. This crucial defense mechanism that keeps us safe from external hazards suddenly starts to eat at our mental and physical health from the inside out.

 

Factors of anxiety disorder
Factors Causing Anxiety Disorder

 

Historical Expressions of Anxiety

To say that anxiety is a recent problem would be inaccurate. Throughout the civilized history of mankind, great minds have discussed anxiety disorder at length in an attempt to define it and understand it.

  • Charles Darwin

The great evolutionary theorist was no stranger to the workings of the mind. Darwin defined anxiety as the product of adaptive emotions. He suggested that anxiety emerges when our behavioral psychology evolves radically, hinting at mania and psychopathy as two prime examples of drastic emotional adaptation.

  • Walter Cannon

Cannon pinpointed the origin of anxiety to the thalamus, the part of the brain responsible for behaviors like anger, fear, and the ‘fight or flight’ response. Cannon’s expressions are in line with modern perceptions of the thalamus, which is the trigger for all emotions and is responsible for involuntary actions (like breathing), and organ functioning.

  • Ivan Pavlov

Russian physiologist Pavlov made historically significant contributions to the study of anxiety when he conducted experiments with a trained dog. He concluded that the brain could develop agitated behavioral patterns in the wake of excessive or constant inhibitory and excitatory stimuli.

 

Suffocation – The False Alarm Theory of Panic Disorder

This 1993 publication by Klein suggests that the cause of many panic attacks (which are a symptom of acute anxiety disorder) is the brain’s ‘suffocation monitor.’ The brain erroneously signals a lack of breathable air, which in turn causes the victim to hyperventilate, experience increased heart rate and blood pressure, and even lose consciousness.

The theory proposed that a rise in plasma CO2 levels and brain lactate was enough to send the body into a state of dyspnea and hyperventilation, even when there was no real threat of suffocation. This theory shows just how badly the mind can cause the body to overreact due to anxiety.

 

Why Anxiety is a Big Problem Today?

Before humans settled into civilizations, we were exposed to a host of environmental dangers as well as threats from other humans from different communities. Back then, the only real cause for anxiety was social isolation and poor grooming habits. We understood enough to know that we needed each other and that we needed to keep our bodies clean.

Fast forward to the 21st Century, where modern problems have morphed the leading cause of anxiety into a plethora of reasons. There is a lot more to be uncertain about in the intricate settings we’ve created for ourselves. We have school fees to think about. The mortgage is due every month. Our relationships need work and attention. We are overwhelmed by the amount of work on our plate.

Anxiety has developed astronomically over the centuries and is now one of the biggest mental disorders on the planet. On our path to understanding it, we have gone back in time to gather evidence and examples. But the real secret to stopping anxiety is to learn how it affects the body and the mind at a personal level.

All this is covered in the next chapter, which explores anxiety and its effects on the human body. For further reading on the origin and history of anxiety, you can find a thorough publication here.

 

Chapter 2- The Etiology, Pathophysiology, and Complications of Anxiety

How does the body react to anxiety?

What are the changes that occur when in a state of anxiety?

What causes these changes?

To better understand how to manage the symptoms of anxiety, you first need to know how it starts. This requires a closer look at the origin of anxiety on your body and the effects it has on your physical and mental wellbeing.

This chapter will walk you through the underlying causes of anxiety, the symptoms that manifest first, and the complications that anxiety brings so that you’re in a better position to grasp the anxiety management strategies that we will talk about later in the guide.

 

What Causes Anxiety?

Think about the last time you were anxious. Was it the time you were confronted by a bully on your way home? Was it when you forgot your wallet at home only to find out at the check-out counter?

You might not remember precisely when it was, and that’s okay. However, it is impossible to forget the sickening feeling of your stomach dropping when faced with a stressful situation. That’s how anxiety feels like, and everyone has felt it at least once before.

If we go with the American Psychological Association’s definition of anxiety, which is “a future-oriented concern that cautions you to avoid stressful situations,” we see that anxiety is a response to an unknown threat that is yet to appear. You can’t overcome anxiety if you don’t know what you’re anxious about in the first place!

So, the first step to overcoming anxiety is knowing what causes fear. That’s what I will cover in this chapter.

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Psychological Causes of Anxiety

  • Overthinking

In psychological circles, overthinking is also known as ‘rumination.’ To ruminate is to go over something repeatedly, casually, and slowly. Animals known as ruminants are called so because they regurgitate food they’ve already eaten, and eat it again. In relation to the human mind, rumination can be described as the act of focusing all your attention on your distress and its consequences, but not its solutions.

Overthinking happens when you take even the slightest problems that you have and repeatedly visualize its consequences. In the process, your mind begins to exaggerate the problem, essentially turning that molehill into a mountain of depressive and anxious thoughts.

Overthinking is the leading cause of stress and anxiety. It can lead you to stress and obsess over the tiniest problems.

  • Unrealistic expectations

Just like ruminating on your problems is a bad idea, fixating on your achievements can be a slippery slope too. You may be an exceptional individual that is blessed with talents to help you achieve academic, romantic, and social success.

But when you become obsessed with achieving more out of your job, relationship, or academics, you put your mind and body at risk. It’s okay to be an over-achiever, to work overtime, and to stay ahead of your peers.

However, it should never be at your health’s expense. High expectations lead to overworking, and if you make it a habit, you might find yourself unable to relax. Being unproductive can cause severe spells of anxiety if you get into the habit of working continuously.

  • Low Self-Esteem

We live in the age of popularity where our value is determined by the quality and quantity of our interactions on social media. The need to please everyone can be overwhelming and is a present danger to our peace of mind.

Low self-esteem is the apparent result of the thorough scrutiny one receives on every text, status update, blog post, and the image they upload on the Internet. After a while, you begin to attach your value to how many responses you get on a post, or how popular your social media pages are.

We go through tremendous pressure to impress with each breath we take. It is then not surprising that social media is one of the biggest causes of anxiety in our era.

  • Pessimism

Living with a negative mindset is comparable to putting your mind in jail. Pessimism forces the best of us to dwell on negative thoughts and predict nothing but negative consequences for our actions. It is a dark, joyless abyss that continually puts your brain on edge. With an inability to calm down and relax, anxiety becomes inevitable.

  • The Past

Humans have evolved a sense of self-preservation so strong that we are incapable of living in bliss and harmony for our entire lives. The mind doesn’t forget, and a traumatic past is sometimes the unexpected cause of a bout of anxiety.

We are all molded by our past, but as much as we’d prefer to let bygones be bygones, our brain is constantly reminding us of the traumatic events that shaped our present. This deep-seated fear of the horrible past repeating itself sometimes evolves into a vicious cycle that spawns a particularly ruthless form of anxiety known as post-traumatic stress disorder (PTSD), which we will talk about in-depth.

  • Environmental Causes of Anxiety

Our surroundings are constantly changing in this fast-paced world. It’s not easy to adapt to everything new immediately. Most people have trouble leaving their comfort zones, which is a natural response to the fear of change.

On the one hand, the changing world is our cue as humans to be braver and more excited about discovering new things. On the other hand, not everyone is mentally equipped to deal with change. Sometimes, our anxiety is a direct result of our environment changing at a pace that makes us uncomfortable.

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Physiological Causes of Anxiety

  • Genetics

Anxiety can be passed down through generations, much like hereditary diseases. If your family has a history of mental disorders like depression and anxiety, it might explain why you suffer from anxiety, even in the absence of the psychological and environmental factors we’ve discussed.

  • Hormonal Imbalances

Sometimes it all boils down to a chemical imbalance in your brain. This imbalance might be inherited, or it could be the result of a severe head injury. Trauma can change the way brain cells send and receive signals, making you more likely to react vigorously to small negative incidents.

  • Alcohol and Substance Abuse

Some drugs are known to exacerbate our natural anxiety. However, the most prominent drug-related cause for anxiety is withdrawal. Quitting a drug addiction thrusts your body into a state of withdrawal, which famously leads to extreme anxiety, depression, and even psychosis.

 

The Pathophysiology of Anxiety

On your path to understanding anxiety, you may have encountered various abstract descriptions of how the mental disorder is formed. The reality is there is a distinct physiological process behind the onset of anxiety disorder.

Here is what you need to know.

When you encounter a wild animal or sink into a period of anxiety-fuelled rumination, you activate the body’s hormonal system. It is called the hypothalamus-pituitary-adrenal system. Triggering the hormonal system results in the release of cortisol, a stress hormone that puts your body in a state of hyper-alertness. It also inspires the release of another hormone, the corticotropin-releasing hormone, which releases corticotropin, another stress hormone.

All this is perfectly fine under normal circumstances. But, when your mind is continuously agitated, stressed, or anxious, a severe problem starts to develop.

The corticotropin-releasing hormone is vulnerable to genetic polymorphism. That means if activated too frequently, it can stay activated. Your body has mechanisms to check the release of the stress hormone because staying in a state of alertness is mentally and physically exhausting. However, repeated and prolonged spells of anxiety repress the gene that controls the release of stress hormones.

What follows is that your stress levels skyrocket, and with no inhibitors to dump the stress hormone out of your system, you continuously become anxious.

Anxiety would be almost non-threatening if the disorder stuck to the confines of the mind. Unfortunately, it doesn’t. Anxiety interferes with the functioning of the sensorimotor system, which is responsible for our senses, motor responses, and nerve function.

This system controls how we move and how we respond to stimuli. That’s why when in the grip of an anxiety attack, our movements become jerky and uncoordinated.

 

Problems causing by anxiety
7 Problems Caused by Anxiety

 

Complications and Long-Term Side-Effects of Anxiety

Even though your anxiety may seem like an insurmountable issue on its own, it gets worse. There are grave long-term ramifications of anxiety, which can make the condition ten times worse. Here are the common complications and side-effects associated with long-term anxiety.

  • Depression

Anxiety and depression are what we refer to as “twin problems.” One almost always accompanies the other. Despite their relationship, these two are interminably different and require different strategies and medications. Studies are still ongoing to prove that anxiety can lead to depression and vice versa.

That said, depression and anxiety share a number of symptoms, including:

  • Interrupted sleep cycles
  • Agitation
  • Irritability
  • Nervousness

 

  • Gastric Disorders

Anxiety is responsible for a gastric disorder that affects about 20 percent of the American population. That disorder is known as involuntary bowel syndrome (IBS) and is characterized by sharp upper abdominal pain. Studies show that the majority of these people also suffer from anxiety.

  • Sleep Disorders

The National Institute of Health Research estimates that 60 million people in the U.S. alone suffer from a long-term sleeping disorder. Problems like insomnia don’t usually manifest organically. Sometimes they come as a side-effect of pharmaceutical drugs. However, in the absence of a blatant cause, anxiety is suspected as one of the leading reasons for disrupted sleep cycles and sleep disorders.

  • Chronic Pain

Chronic pain manifests in different ways, but only has a few causes. The leading cause of all illness is inflammation, and anxiety is one of the biggest inflammatory instigators in the human body. Unfortunately, most people treat their chronic pain as a separate issue, when, in reality, the problem that needs to be addressed is their anxiety.

  • Erectile Dysfunction

Anxiety can cause erectile dysfunction in any male over the age of 20 years. The research says that it stems from the behavioral changes induced by anxiety, which is why some men find it challenging to sustain erections in stressful situations. Anxiety can impede any of the three mechanisms responsible for psychogenic, reflexive, and nocturnal erections.

  • Substance Abuse

To escape the vicious cycle of negative thoughts and fears, some people may opt for drugs and alcohol. Since none of these substances address anxiety at the root, they soon become a crutch that helps them to temporarily forget their problems. This behavior can easily lead to addiction and depression.

  • Suicidal Behavior

Anxiety disorder can be overwhelming to live with. The inability to turn off negative thoughts and feelings has a significant toll on the human mind. Sometimes, people view suicide as their only escape. Anxiety, at its most extreme, culminates in the horrific loss of life through suicide.

Can you pinpoint the cause of your anxiety?

Are you a victim of its side effects and complications?

Finding out if it affects you is a massive step in the right direction. After all, you can’t treat what you don’t have.

The next step is to identify the different types of anxiety disorders, which will help you develop a specific strategy to conquer it.

 

 

Chapter 3- Classification of Anxiety Disorders (And their Signs and Symptoms)

So far, I’ve touched on anxiety’s clinical definitions, historical expressions, etiology, pathophysiology, and complications. All this information has given you a better understanding of general anxiety.

Now, it’s time to sink our teeth into the details. Anxiety is further classified into:

  • Generalized anxiety disorder
  • Obsessive-compulsive disorder
  • Social anxiety disorder, and;
  • Post-traumatic stress disorder

Identifying the type of anxiety that plagues you is the key to learning how to manage its symptoms, and eventually free yourself from it.

Without further delay, let’s dive in.

 

Types of anxiety disorder
4 Major Types of Anxiety Disorder

 

Generalized Anxiety Disorder (GAD)

This type of anxiety manifests as extreme distress to even the slightest negative situation. A person with GAD will always expect the worst out of any situation, be it their job, family life, or future. The problems they obsess over may not even hold real-world implications.

To qualify for a GAD diagnosis, the person must experience this form of anxiety for at least six months, and exhibit the following signs and symptoms for at least three:

  • Unexplained nervousness
  • Feelings of impending danger
  • Hyperventilation
  • Sleep disorders
  • Increased heart rate
  • Gastric disorders

Females are twice as likely to suffer from GAD than makes. This type of anxiety starts to creep in at the end of childhood and can last all the way to your 30s and 40s. Most people with GAD can tell that they’re overreacting but have no way to control their worrying. It is an unfortunate situation that often leads to escalated anxiety and, gradually, panic.

 

Obsessive-Compulsive Disorder (OCD)

OCD is a mental illness that is characterized by overthinking and compulsive behavior. A compulsion is an irresistible urge to do something even when you don’t understand why you’re doing it. This form of anxiety is famous for causing intrusive thoughts and mindlessly repeated actions.

An example of OCD can be witnessed in people who bite their nails in nervous situations. They may be well aware that they shouldn’t be doing that, but they cannot control the urge to do so anyway.

OCD manifests in very odd situations, from counting to organizing, cleaning, and even talking. For instance, if you have to wash your hands three times every time you use the toilet, or are compelled to arrange everything in your house to be parallel to each other, you may have OCD.

OCD can be further classified into four types:

  • Contamination OCD (where you don’t want to touch objects for fear of contamination)
  • Rumination OCD (where you obsessively think about specific thoughts)
  • Checking OCD (where you repeatedly check on something, such as whether you turned the oven off)
  • Symmetry OCD (where you need everything around you to be in perfect symmetry)

OCD is, by far, the most diverse form of anxiety. As such, there are many symptoms to look out for. They include:

  • A need to count things
  • Extreme paranoia about people who are close to you
  • Unwarranted submissive behavior
  • Continuous body sensations (such as itchiness, heat, or cold)
  • Germophobia

OCD manifests during the teenage years. Like GAD, it is also more prevalent in women than in men.

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Post-Traumatic Stress Disorder (PTSD)

PTSD comes after you experience or witness a traumatic event. It could be a car crash, seeing a murder, watching a loved one die, or even experiencing a traumatic injury. People who go through such trauma often have a hard time re-adjusting, and when this goes on for months, or even years, they can be diagnosed with PTSD.

PTSD prominently appears in the form of flashbacks, sleep issues, and night terrors. Most soldiers come back from the war with PTSD due to the graphic and inhumane nature of combat. In any case, symptoms of PTSD include:

  • Avoidance (of thoughts, memories, or other people)
  • Intrusive flashbacks
  • Altered emotional reactions
  • Negative thinking

Children who have PTSD may also exhibit the following symptoms:

  • Agitation
  • Bed-wetting
  • Speech problems (slurred speech)
  • Night terrors

PTSD patients have to relive their worst moments every day. Experiencing these symptoms regularly can have a dramatic effect on a person’s day-to-day life, and it can alter their brain chemistry permanently. PTSD sufferers are highly susceptible to suicidal thoughts and may also be prone to violent outbursts, hallucinating, and even psychosis.

 

Social Anxiety Disorder (SAD)

SAD manifests itself as the fear of social environments. People with SAD may experience extreme discomfort in typical social situations. They find it hard to talk to other people or even visit crowded places.

SAD causes the brain to formulate negative assumptions about other people and the environment. This negativity culminates in fear of the non-existent. It is not uncommon for panic attacks to arise when a person with SAD is forced to stay in a social setting.

The physical symptoms of SAD are:

  • Staggered speech
  • Nausea
  • Excessive perspiration
  • Heart palpitations

Despite its severity, SAD affects about 50 percent of people aged 11 and under, and up to 80 percent of people between 12 and 20. It is quite pervasive and, therefore, normalized, which explains why few people seek medical attention for the condition.

If you suspect that you have one of these four types of anxiety but cannot be sure, the next chapter is specifically for you.

 

Chapter 4- Self-Diagnosis and Screening Tools for Anxiety

Are you a victim of anxiety?

Most of us are, but we have no way of knowing that.

In this chapter, I provide a set of screening tools and information that will help you determine whether you have anxiety and the specific type of anxiety that you have. In addition to those, I will list down some general anxiety symptoms.

 

Common Symptoms of Anxiety

Even though anxiety is a familiar feeling, the symptoms of anxiety vary from person to person. The same can be said about the frequency and intensity of the symptoms. Your type of anxiety vastly dictates how you manifest the disorder. While OCD pushes you to compulsiveness, SAD might cause you to isolate yourself from the rest of the world.

Be that as it may, anxiety affects the body in a pretty standard way. As the instigator of the ‘fight or flight’ reaction, it may result in a few common symptoms for all people who have anxiety. These include:

  • Muscle tension – tensed up muscles are the first physical sign of anxiety. However, there is debate as to whether anxiety causes muscle tension or muscle tension causes stress and anxiety.
  • Panic attacks – people with a long history of anxiety are more likely to experience panic attacks, even if their anxiety is instigated by something minor.
  • Sinus tachycardia – this fancy term simply refers to an increased heart rate, which is a telltale sign of stress and anxiety. This condition progresses in severity the longer your anxiety is left untreated. It can, sometimes, even turn out to be life-threatening, causing cardiac arrests or otherwise interfering with the normal functioning of the heart.
  • Insomnia – Anxiety is part of the trifecta (the other two are stress and depression) that is notorious for causing sleep issues such as insomnia.
  • Constipation – Bowel movements can be affected by anxiety too. When there is no other cause for constipation, it may be possible that the problem is a psychogenic side-effect of anxiety.

 

Tips to control anxiety
Simple Tips to Control Anxiety

 

Self-Screening for Anxiety Disorders

Self-evaluation is critical when determining whether you have anxiety and how severe it is. Below, I have compiled a series of precise questionnaires to serve as screening tests for all four types of anxiety disorders. These tests apply to people of all ages and health conditions.

It is essential to take part in the screening test before moving on to the other chapters, which will talk about the ways to manage your anxiety.

GAD Screening Questionnaire 

  1. Do you worry about several things over the course of a day? Has that been the norm for the past few weeks/months/years? (YES/NO)
  2. Is your tendency to worry increasing in frequency and/or intensity? (YES/NO)
  3. Is it hard to stop worrying once you get started? (YES/NO)
  4. Do you obsess over the most insignificant things, such as arriving late at work? (YES/NO)

References-Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the Generalized Anxiety Disorder Questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33, 215-233. doi: 10.1016/S0005-7894(02)80026-0

OCD Screening Questionnaire 

  1. Do you experience unpleasant intrusive thoughts or impulses? (YES/NO)
  2. Are you always worried about germs? (YES/NO)
  3. Do you experience shortness of breath for no apparent cause? (YES/NO)
  4. Have you, in the last few days, experienced a sensation of weakness in the legs? (YES/NO)
  5. Do you find it hard to throw out things even when you don’t need them? (YES/NO)
  6. Have you recently altered your eating or sleeping habits? (YES/NO)
  7. Over the course of last year, were you arrested or fined as a direct consequence of alcohol or substance abuse? (YES/NO)

References-Goodman, WK, Price LH, et al. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS): Part 1. Development, use, and reliability. Arch Gen Psychiatry. 46:1006-1011 (1989). Diagnostic and Statistical Manual of Mental Disorders (DSM IV), American Psychiatric Association, 1994, Washington, D.C

PTSD Screening Questionnaire 

  1. Have you experienced/witnessed a life-threatening event that still makes you fearful today? (YES/NO)
  2. Do you experience repeated feelings of distress, unpleasant flashbacks, or nightmares? (YES/NO)
  3. Do you experience intense physical or emotional pain when you think of an event from your past? (YES/NO)
  4. Do you actively avoid conversations and thoughts about a traumatic event from your past? (YES/NO)
  5. Do you harbor negative beliefs about yourself? (YES/NO)
  6. Do you feel isolated from other people? (YES/NO)
  7. Are you in a continuously negative emotional state? (YES/NO)
  8. Do you have problems sleeping? (YES/NO)
  9. Do you have problems concentrating? (YES/NO)

References- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing

SAD Screening Questionnaire 

  1. Do you have an intense fear of social situations? (YES/NO)
  2. Do you have trouble with social interactions? (YES/NO)
  3. Do you feel extreme discomfort under observation? (YES/NO)
  4. Does the thought of getting in a social situation make your heart pound? (YES/NO)
  5. Is your fear of socializing a present feature in your daily life? (YES/NO)
  6. Do you feel worthless and ashamed for no reason? (YES/NO)
  7. Have you been arrested before for alcohol or drug abuse? (YES/NO)

Reference- Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994.

If you’ve answered yes to more than one question in each of the above questionnaires, you should consider seeing a primary care physician. These questionnaires only help you confirm whether you have anxiety or not. If you still feel uncertain, here is a more detailed survey to help you out.

This guide (2020 update) is merely a resource for all the questions and concerns you might have about anxiety. For a full diagnosis, visit a hospital for further evaluation.

The next chapter covers the most recent findings on the anxiety that are based on scientific evidence.

Let’s jump in!

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Chapter 5- Recent Findings from Anxiety Research (2020 Update)

This guide would not be complete if I didn’t touch on some of the recent findings in the study of anxiety.

I’ve carefully selected a handful of relevant and recent studies with science-backed evidence to help you better understand how anxiety management tactics are changing.

This chapter is all about the most recent anxiety research (2020 update), including new findings and the latest anxiety management trends from around the globe.

 

Anxiety is a Major Contributor to Quality-Adjusted Life-Year Loss

The quality-adjusted life-year, or QALY for short, is a measure of the burden of living with a disease in relation to the quality and quantity of the life lived. If you’ve lived one QALY, that means you’ve spent a year in perfect health.

According to a 2020 Composite International Diagnostic study conducted by the World Health Organization in Singapore, GAD and OCD are two of the top five leading causes of QALY loss. Conclusions that were drawn from the study revealed that these two forms of anxiety are some of the worst mental conditions to live with and that they gradually lead to severe societal and psychological implications.

The study also revealed that mental disorders, in general, mostly affect females, young people, unemployed people, and people with low socioeconomic backgrounds.

 

Gamers Are at a High Risk of Anxiety

The gaming culture, which was already prevalent in Korea, Japan, and China, has now reached Africa. Gamers stand a higher risk of suffering from anxiety, according to recent findings. Despite the lack of prior statistics on the impact of video games in Africa, there is cause for concern following the results of a 2020 research.

According to the study, there is a notable rise in anxiety symptoms like sinus tachycardia, insomnia, depression, and panic attacks across different age groups and health brackets in Africa. It appears that Africa is wading knee-deep in an aggressive onslaught of gaming-induced anxiety that spawns from the increased accessibility to video game consoles like

The PlayStation and the Xbox.

Curiously, smartphone addiction faces the blame for Africa’s rapidly growing technology craze. The situation has deteriorated so quickly due to technology that a considerable portion of the population now suffers from anxiety disorders and a host of other mental illnesses.

 

Anxiety facts
Recent Anxiety Facts and Stats

 

Female Redheads Are More Likely to Have Anxiety

Even though only 2 percent of Europeans have red hair, science says that redheads are more likely to get anxiety disorders, especially if they’re female. The explorative study showed that even though redheaded men were similarly prone to anxiety, females were more likely to experience a severe form of the condition in their lifetime.

How can this bias be explained scientifically?

Redheads are also known for their fair/pale complexions, which is indicative of low receptor activity. The receptor in question is the MC1R gene, which is responsible for skin and hair pigmentation. In redheads, this gene is suppressed, which is the reason behind the red color of their hair.

Red pigmentation has less protective benefits than black and brown pigmentation, which means redheads get exposed to more UV radiation than everyone else. Excessive exposure to UV rays causes undue oxidative stress on the cells, which can lead to permanent DNA damage.

The statistics went on to say that unlike their redheaded counterparts, women with black or brown hair and darker skin are less susceptible to mental disorders.

 

Anxiety during Pregnancy Can Lead to Complications

Pregnant women are often advised to avoid stress and for a good reason. Unlike the rest of us, anxiety and stress affect not only the psychological health of expectant mothers but also the health of the fetus. It also amplifies existing medical conditions, which can turn out to be dangerous for the baby.

How dangerous can anxiety be to a pregnant woman?

First of all, there is the risk of developing preeclampsia, a pregnancy complication that comes about as a result of high blood pressure. There is also eclampsia, a condition that causes seizures in pregnant women. You don’t need a medical degree to know that that is dangerous to both the baby and the mother.

Doctors are more likely to recommend caesarian sections if the woman arrives at the maternity ward, looking tense and stressed out. There is an incredibly high risk of hurting the fetus during childbirth if anxiety is a present factor.

Anxiety is totally treatable in pregnant women. In fact, another study confirmed that taking anxiety medication while pregnant does not directly cause complications.

 

Early Life Stress is a Major Cause of Anxiety

A study has confirmed that early life stress (ELS) is a precursor to late-adulthood anxiety. Previously, late-adulthood anxiety was challenging to screen due to the cumulative negative effect of stress over the course of a person’s life. Anxiety becomes harder to diagnose the older we grow because there are several clinical and subclinical symptoms to observe.

However, these new findings reinforce the notion that ELS plays a significant role in instigating anxiety during our golden years.

What exactly does that mean?

To put it simply, ELS could be the result of child abuse, maltreatment, a death in the family, or divorce. The findings show that people with negative childhood experiences, including a problematic upbringing due to low socioeconomic status, are predisposed to get anxiety in their senior years. There is still a lot of research to be done concerning early life stress and how it links late age anxiety.

Find a suitable solution to your anxiety today!

 

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Garlic Can Make You Less Anxious 

Apart from making delicious bread and warding off vampires, garlic has another unusual use: it soothes anxiety!

According to a study, antioxidant-rich vegetables can reduce oxidative markers in the brain. However, no human trials have occurred yet; the test was conducted on rats.

After being divided into two groups, the first group received garlic treatment for ten days, while the other did not. At the end of the study, the garlic-treated group was observed to display less anxious behavior than the group that didn’t receive any treatment.

What can we conclude from this?

Garlic can help manage anxiety symptoms due to its ability to cut down oxidative stress in brain cells. A healthy brain does not easily develop behavioral patterns that are consistent with chronic anxiety.

 

Exposure Therapy as a Promising Anxiety Treatment

When something scares us, our first impulse is to get as far away from it as possible. Exposure therapy sounds counterintuitive because it forces you to face your fears, which doesn’t sound very fun.

However, it is practical, so that makes it an option worth considering. Exposure therapy is designed for people who want to get over their fears. And what better way is there to do so than to confront what terrifies you?

To avoid inducing even stronger bouts of anxiety (anxiety can escalate rapidly to a panic attack under sudden stress), exposure therapy occurs in a safe and controlled environment. Though the road to recovery is slow using this method, exposure therapy is extremely useful in eradicating avoidant behavior.

It also has a few different variations:

  • Virtual Reality (VR) Exposure

This type of exposure utilizes equipment to replicate the sounds, sights, and smells of the patient’s worst fears.

  • In Vivo Exposure

This method involves placing the patient in direct contact with the object that causes them anxiety.

  • Imaginal exposure

This type of exposure encourages the patient to relive the traumatic events that cause them anxiety.

  • Interoceptive exposure

This form of therapy invokes memories of past events by simulating the physical sensations that the patient went through.

  • Graded exposure

For this type of exposure, the patient is exposed to several objects of fear progressively based on the level of anxiety they inspire.

  • Flooding exposure

The patient is exposed to the object of his greatest fear first.

  • Systematic desensitization

Objects of anxiety are introduced gradually after intermittent periods of relaxation exercises.

Why does exposure therapy work?

As people experience their worst fears over and over, they gradually stop being afraid of them. Exposure therapy weakens the haunting memory of a traumatic event. Over time, the memory and the feelings it inspires becomes less intense.

An unexpected perk of exposure therapy is that it re-instills a sense of confidence. Overcoming fear is a great achievement that empowers the person to be more capable of overcoming other fears and anxieties. It equips the patient with the ability to manage their mental health on their own.

Eradicating unwarranted fears is the whole point of anxiety therapy, and as far as that is concerned, exposure therapy is one of the most effective ways to manage anxiety disorder.

In the following chapters, we will dive a little deeper into the pharmacological and homeopathic treatments and anxiety management therapies used today. In order to gain complete control over your anxiety symptoms, you need to take action!

Let’s take a look at all the options that you have at your disposal.

 

Chapter 6- How to Manage Anxiety without Medication

Can you keep anxiety disorder in check without a prescription?

Undoubtedly, most people with anxiety have explored homeopathic options before going the pharmacological way. However, are you aware that non-pharmacological treatment can be just as effective in treating anxiety?

These therapies teach you how to relax and calm yourself out of a state of anxiety. That’s saying a lot. You see, most medicines alter your brain chemistry so that you don’t feel anxious anymore. But with these homeopathic methods, you address your anxiety at the root of it and learn how to cope with it.

Do these methods help to suppress all anxiety symptoms?

For the most part, yes. For instance, you can use these anxiety management therapies to suppress:

  • Behavioral symptoms – these include overprotective behavior, aggression, substance abuse, and compulsive behaviors.
  • Cognitive symptoms – these are such as worrying, negative thinking, panic attacks, inability to focus, daydreaming, and obsessions with body sensations.
  • Physical symptoms – these may be sweating, elevated heart rate, lethargy, dyspnea, tense muscles, weakness, nausea, shivering, fluctuating body temperature, the urge to urinate constantly, blurred vision, and chest tightness.

Read on to see all the possible ways you can manage these symptoms of anxiety without using medication.

 

how to overcome anxiety without drugs
5 Ways to Fight Anxiety without Drugs

 

Cognitive Behavioral Therapy (CBT)

CBT is a type of psychotherapy used to treat not just anxiety, but a wide array of mental issues as well. The therapy works by helping the patient discover the origins of negative thoughts and impulses, which can help them detect the habits and thinking patterns that induce anxiety.

Why is it practical?

Because it helps you unearth the underlying reasons behind your anxiety, which can be the key to stopping anxiety attacks permanently. Not only does it help you manage the symptoms of anxiety, but it also prevents you from relapsing, helps you control your emotions better, and trains you to overcome your emotional trauma.

Are there risks involved?

No, there’s nothing significant to speak of. However, it may force you into very uncomfortable situations with your therapist as you explore your mind to establish your objects of fear and overcome past emotional traumas. Let’s just say that these sessions can get really intimate.

How can you get CBT for your anxiety?

  1. Find a qualified therapist. The higher their reputation is, the better for you.
  2. Go over the expenses and payment plans first before starting the therapy.
  3. Go over your symptoms as well as any other information that you may need to tell the therapist before you attend your first appointment.
  4. Attend all sessions dutifully.

In the end, you can expect to see an improvement in your mental health. You will also gain all the skills necessary for coping with future stressors.

If that sounds a little complex, here is a quick overview of the whole process:

  • First, the therapist listens to you to try to identify the main issues that plague your mind.
  • Then, they observe your thinking and try to interpret your thoughts to understand what you really mean.
  • The next step is the identification of negative cognitive patterns, which can be observed from the way you talk.
  • Finally, the therapist attempts to destroy all negative thinking patterns so that you can create new positive ones.

How reliable are the results?

Rather than address the underlying causes of your anxiety directly, CBT empowers you to deal with the symptoms and complications of anxiety without relying on anyone else. Over time, you become more adept at dealing with anxiety symptoms, which makes you more confident, happier, and optimistic about the future.

 

Exposure Therapy

I touched on exposure therapy briefly in the previous chapter. Now, let’s take a more in-depth look at the treatment, including the conditions it treats and why it has such a high efficacy for anxiety management.

Exposure therapy can be used on the following mental health issues:

  • PTSD
  • GAD
  • General anxiety
  • Phobias
  • OCD

Like we mentioned, there are different techniques for exposure therapy. What will work for you depends on your anxiety and how well you respond to fear.

 

In-Vivo Training 

This type of exposure involves putting the patient in the situation that they fear most. For instance, if you have SAD, the therapy may place you in an environment that would typically make you fearful, such as a party. Most of the time, these environments are only simulations, so they give you plenty of room to adapt to their real-world equivalents.

 

Imaginal Exposure

Here, the patients are requested to imagine or think about all the situations and objects that make them anxious. After a period, they learn to cope better in the same stressful situations because they learn how to control the emotions that cause them anxiety. Also, repetitive imagination may weaken the actual memory of the traumatic event.

 

Flooding Method

This method is particularly intense, and not recommended for all anxiety patients (some might react adversely to the sudden exposure of their worst fears). It is called the flooding method because the patient is exposed to the most fearful object first. On the upside, once the patient is able to overcome the most fearful stimuli, everything else is easier to cope with.

Get professional help with your anxiety!

 

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Systematic Desensitization

Regarded as the core concept of exposure therapy, systematic desensitization involves the gradual exposure of the patient to progressively more fearful objects as a means of helping them build a coping mechanism.

A sound coping mechanism can be a powerful tool to help you keep anxiety and its symptoms at bay.

Here’s an example of how the systematic desensitization of a car accident victim might look:

  • Step One: Looking at pictures of vehicles and roads.
  • Step Two: Watching footage of cars driving and/or racing.
  • Step Three: Discussing the possibility of a test drive.
  • Step Four: Meeting at the physical location for the ride (could be an empty parking lot)
  • Step Five: Sitting in the driver’s seat, fastening the seat belt, and checking the mirrors, tire pressure, etc., but not driving. This step is essential to getting over a fear of driving.
  • Step Six: Driving a car for a short distance.

All these steps happen in different sessions or at the pace recommended by the therapist. The reason why this therapy is useful in that it teaches relaxation techniques, first and foremost. Secondly, it eases the victim into their fears slowly by slowly so that they don’t get overwhelmed and relapse. Finally, it involves constant guidance and supervision, which makes the anxiety patient feel less alone, and therefore, less likely to feel distressed.

 

Breathing and Muscle Relaxation Exercises 

Here is a simple way to calm your anxiety whenever it strikes using little more than your lungs.

  • Make sure you’re sitting comfortably. Place one hand on your stomach and the other on your chest. Breathe in deeply. The hand on your chest, ideally, should not move or should move only slightly. The hand on your stomach should move more prominently than the one on your chest.
  • Breathe in normally through your nose as you pay attention to your hands. Ensure that the hand on your stomach moves even if it is only slightly (that means you’re expanding your diaphragm).
  • For a while, keep breathing slowly, but through your mouth this time.
  • Repeat this process as many times as you need to feel calm again.

You can also practice muscle relaxation to help you quell and anxiety attack.

  • Sit comfortably, then slowly inhale through your nose, and exhale through your mouth.
  • Ball up your hand into a tight fist.
  • Squeeze the fist as hard as you can and hold the position for a few seconds. Focus on the tight feeling as hard as possible.
  • Slowly unclench your hand and feel the tension as it dissipates. Your hand should feel lighter and more relaxed.
  • Repeat the exercise with different muscle groups (your biceps, your calves, your abs, etc.) until your heart rate drops back to normal.

 

Biofeedback

Biofeedback offers a play-by-play of the events that lead up to an anxiety attack. This form of therapy helps patients understand how their bodies react when they start becoming anxious. When you get anxious, your body gives off a number of signs, which are not usually perceptible by the victim. These include:

  • Fluctuating body temperature
  • Muscle tension
  • ECG and EEG changes
  • Increased heart rate

Monitoring their bodies for these signs gives them insight about their anxiety, including its triggers and how quickly it develops into a full-blown attack. Getting real-time peek at the inner workings of their bodies assists them to deploy relaxation methods rapidly before the problem escalates.

References- Beck, A. T. (2005). Anxiety disorders and phobias: A cognitive perspective. Basic Books.

The therapies we’ve discussed are widely used today to treat the symptoms of anxiety. However, there is no guarantee that any one of them is 100% effective for everyone.

Sometimes, as is the case in severe anxiety disorder, medication is a necessity, not a choice. Some people suffer from such crippling anxiety that they can’t leave their homes without medication. Such people may find relief in the next chapter, where we will discuss the best pharmaceutical drugs for anxiety management.

 

Chapter 7- Treating Anxiety with Anxiolytic Drugs

When all else fails, the only hope for anxiety management comes in the form of prescription medication. These are the drugs used to treat severe instances of clinical anxiety, so expect them to be potent, and to have a few side effects.

 

Types of anxiety medications
Generalized Types of Anxiety Medications

 

Benzodiazepines

Today, benzodiazepines are the most widely used anxiolytic drugs. They are safer and more effective than other options, so this is probably the first thing your doctor will prescribe.

Types of benzodiazepines include:

  • Triazolam (short action)
  • Alprazolam (intermediate action)
  • Flurazepam (long action)
  • Diazepam
  • Temazepam

How Benzodiazepines Treat Anxiety

Benzodiazepines have sedative properties. They affect the GABA receptor, which is the primary inhibitory neurotransmitter in the CNS (central nervous system). GABA receptors are scattered all over the nervous system and the brain. They can be found in the thalamus, cerebral cortex, and limbic structures.

These anxiolytic drugs slow down brain activity in lower doses. At higher doses, they can even have a hypnotic affect. They’ve proven effective for treating symptoms that are consistent with PTSD, SAD, OCD, and GAD, as well as any anxiety-related phobias.

Like many pharmacological products, benzodiazepines are not without side effects. They may include:

  • Ataxia
  • Confusion
  • Drowsiness
  • Cognitive dissonance
  • Dependency
  • Stomach problems
  • Headaches
  • Amnesia
  • Blurred vision

Benzodiazepines sometimes produce counterintuitive effects. Instead of making the patient calm and relax, they may induce agitation, mania, irritability, and even hallucinations!

It’s worth mentioning that some demographics are predisposed to these unwanted effects. Pregnant and breastfeeding women, geriatric patients, and substance abusers are at high risk of developing complications from the medication.

Benzodiazepines have different durations of action to better suit the various strains of anxiety.

 

Selective Serotonin Reuptake Inhibitors (SSRIs)

SSRIs are more commonly used as anti-depressants. They inhibit serotonin reuptake. Serotonin is the “feel-good” hormone. In its absence, the brain can develop destructive thinking patterns such as the ones that lead to anxiety and depression.

SSRIs also come with milder side effects than most of the other anxiolytic drugs we will discuss. Some common SSRIs include:

  • Citalopram
  • Paroxetine
  • Sertraline
  • Fluoxetine

How SSRIs Treat Anxiety

SSRIs stop the reuptake of serotonin, therefore leaving plenty of the happy hormone in your brain chemistry to combat stress inducers like cortisol. It takes about two weeks for the drug to exhibit positive results.

The other reason why this drug is so popular is that it works for about 80 percent of people with anxiety. The side effects, though mild, can still be uncomfortable to experience. They include:

  • Nausea
  • Anxiety
  • Disrupted sleep patterns
  • Anxiety
  • Complications from drug interactions

Perhaps the most concerning side effect of SSRIs is Discontinuation Syndrome. When discontinued abruptly, SSRIs may induce intense withdrawal symptoms that are in line with some of the withdrawal symptoms observed with narcotics.

Patients may experience irritability, changed sleep patterns, nervous behavior, malaise, headaches, and flu-like symptoms when they stop taking the prescription abruptly.

 

Buspirone

Buspirone is considered more effective than most benzodiazepines. It is used to treat symptoms of anxiety-related disorders like GAD and OCD.

Unlike benzodiazepines and SSRIs, buspirone doesn’t have anticonvulsant or muscle-relaxing properties. Most anti-depressants do, because these symptoms usually arise, either as a direct consequence of the disease or as a side effect.

Buspirone is often prescribed for acute anxiety and depression treatment. Even though side effects don’t occur frequently, they are still a present concern. They include:

  • Dizziness
  • Headaches
  • Nausea
  • Light-headedness
  • Nervousness
  • Mild sedation
  • Psychomotor dysfunctions
  • Minimal cognitive dissonance

Buspirone is suitable for people with a history of substance abuse because it has a low risk of dependence. Furthermore, there are few notable or threatening drug interactions inspired by the drug.

Get your anxiety medicines prescribed today!

 

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Barbiturates

Barbiturates are incredibly habit-forming, which is why most of them have been replaced by benzodiazepines. Even though technically, benzodiazepines are still barbiturates, their binding mechanisms and sites are different.

Barbiturates are mild sedatives that can also induce hypnosis. They’re popularly administered to treat insomnia, anxiety, and nervous tension.

Lately, the use of barbiturates for insomnia has tapered down as better pharmacological and homeopathic remedies emerge. However, Butalbital, a barbiturate, works along with migraine medications to kill anxiety-induced headaches.

Some of the side effects of barbiturates include:

  • Addiction
  • Nausea
  • Vertigo
  • Tremors
  • Drowsiness
  • Enzyme induction

 

Antihistamines

Antihistamines such as Hydroxyzine, Doxylamine, and Diphenhydramine offer sedative properties to help manage the symptoms of anxiety.

Although most of these drugs have side-effects too, antihistamines are widely available and accessible over the counter, which can be useful in emergency situations.

As we close the chapter, remember that it is not wise to take any prescription drug WITHOUT your doctor’s consent. Most of them can be addictive, plus they all come with a set of unpleasant side effects.

The next chapter talks about how to help yourself out an anxiety attack using simple but effective anxiety management techniques.

 

Chapter 8- How to Overcome an Anxiety Attack on your Own

Anxiety attacks can strike when you least expect them. If you’ve been through such an ordeal, you understand how debilitating and uncomfortable a sudden attack can be.

This chapter is a secret key. A key that will help you unlock your own potential to stop anxiety attacks without anyone else’s intervention.

These quick management guidelines can get you out of a tricky situation quickly and discreetly.

 

 Anxiety relief tips
Simple Tips for Anxiety Relief

 

Be fully aware of the anxiety attack

The symptoms of an anxiety attack are consistent with those of a heart attack or angina. Your chest tightens, you feel dizzy and weak, and you start hyperventilating.

At this moment, your brain is unable to decipher what’s happening, so it’s not uncommon for it to exaggerate the severity of the attack. The first time someone gets an anxiety attack, they may feel like they’re dying.

However, it is crucial that you recognize the attack as it starts. The faster you believe that it’s all going to go away in a few minutes, the better you start to feel. Calmness descends once you convince yourself that it is nothing to worry about.

 

Start your breathing exercise immediately

Hyperventilation makes it incredibly hard to focus or calm down, and it is usually the first symptom of an anxiety attack. If you can get your breath under control quickly, then you can manage the rest of the symptoms just fine.

Breathe deeply and feel the air rushing into your chest and abdomen. Breathe in until your diaphragm feels tight, then slowly let it out through your nose. Draw it out as long as you can, don’t just exhale at once. Repeat this severally until your breathing returns to normal.

 

Close your eyes

Anxiety is your body’s way of telling you that it’s feeling overwhelmed by stimuli. One of the first things you should do is close your eyes. Motion, colors, and visual stimuli are known to trigger more anxiety, and that’s the last thing you want while in the middle of an attack.

Sit somewhere comfortable, or hold onto something while you stand, shut your eyes, and breathe the anxiety away.

 

Stay aware

Try your best to stay conscious of your surroundings. You might get a sudden attack in public, or worse while driving.

In a state of anxiety, brain alterations make you lose your sense of balance, vision, and reality. It’s not uncommon to hallucinate under extreme anxiety.

By all means, keep yourself conscious to avoid further hurting yourself. Move your feet around, clench and unclench your hand, and do anything else that keeps you grounded in the present.

 

Find a focal point and divert all your attention to it

To quiet down an anxious brain, you need to minimize the number of external stimuli it gets. Pick a point anywhere in front of you and focus on it. Pour all your attention on it as if it is the only thing in existence. Analyze it thoroughly, detail from detail, and reflect on it for as long as you need to.

Anxiety usually dissipates when the brain focuses on something.

 

Try progressive muscle relaxation

If breathing isn’t working for you, progressive muscle relaxation will. Start with your hands. Ball them up into tight fists, hold and feel the sensation, then let go and feel your muscles relaxing.

Continue doing this for your arm, your shoulder, your chest, and your torso and legs until your anxiety goes away.

 

Picture yourself in your happy place

You’re no longer at the train station or coffee shop. Instead, you’re at that beach destination you’ve always wanted to go to. You’re at your son’s graduation, or your daughter’s wedding, or witnessing your child’s first steps.

Your happy place can be anything you want it to be, it just needs to distract you from the present. Much of anxiety management is distracting oneself from the repetitive negative thoughts causing you grief.

Divert your attention from whatever is causing you anxiety, and picture your perfect day or dream destination. A diversion is the quickest way to quell anxiety before it even starts.

 

Try some light exercise

Exercise releases endorphins into the bloodstream. Endorphins are the enemies of cortisol and corticotropin, the two stress hormones. Light jogging or brisk walking can inject you with some much-needed endorphins to overcome your anxiety.

Keep in mind that your body is already stressed as it is. Your heart rate is probably through the roof, so don’t engage in strenuous physical exercises at this time. Also, you may find it difficult to do anything particularly vigorous because of hyperventilation.

 

Take medication

If you have it handy, an anxiolytic drug can help your anxiety deescalate if it comes unexpectedly. These are not the only anti-anxiety drugs out there, but they’re generally more effective for most people.

There are a lot of ways to deal with anxiety. However, in a pinch, you will find that benzodiazepines are far more effective at quelling anxiety than herbal or homeopathic remedies. One such drug you can have handy at all times is Alprazolam, which is an FDA-approved anxiolytic.

Get help from MangoClinic’s experienced healthcare professionals!

 

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Stay away from caffeine

Caffeine is one of the substances that are notorious for exacerbating anxiety symptoms. Consuming coffee or soda during an anxiety attack could spell bad news for you. It is, after all, a stimulant that sends the brain into overdrive.

Make sure your diet contains little to no caffeine whatsoever if you get frequent anxiety attacks. Foods like chocolate and beverages like tea, coffee, and soda may increase the recurrence and intensity of your attacks.

 

Call your emergency contact

In case an attack catches you off-guard, it is best to call someone that can help you immediately. Severe anxiety attacks can be crippling. You may need someone’s help to get to a medical center, or to overcome the attack.

If you don’t have an emergency contact, call emergency services. Either way, don’t suffer on your own because some attacks can be horrendous.

Now you know what to do the next time an anxiety attack catches you flat-footed. Next, we take a positive turn to look at some of the anxiety success stories I’ve come across, plus some tasty tidbits about Emotional Support Animals (ESA) and what they can do for people with anxiety.

 

Chapter 9- Anxiety Success Stories and Emotional Support Animal (ESA) Tidbits

To wrap up our 2020 anxiety go-to-guide, I’m going to share some real-life stories about people who overcame anxiety, as well as why getting an ESA could be the turning point in your battle with anxiety.

I have handpicked the stories that I feel would be most relatable to a broader audience, and that contain some of the strategies we’ve discussed in the earlier chapters.

All of these stories are self-told. I am merely passing them on to you. So, if you’re ready for a happy ending, let’s dive in.

 

Success Story #1: Samantha’s Victory over SAD

Before last year, I was a perfectly healthy person. I was not psychotic, and I had never experienced hallucinations before, either. However, things took a turn for the worse when social anxiety disorder (SAD) took hold of me and refused to let go.

Deep inside, I always had a deep fear of social settings. Going to parties was an ordeal I just couldn’t handle. The mere thought of it gave me Goosebumps.

In retrospect, I should have known something was amiss when I looked at my high school attendance sheet. It was spotty at best.

When I turned 20, my family planned a surprise party. I don’t know what was worse; the fact that they planned it in a public restaurant, or the fact that they invited what seemed like a million people to my birthday party.

I remember clearly how quickly my chest tightened at the sight of all those people yelling “Surprise!” with an assortment of party favors stacked around them. I couldn’t breathe, and my legs were suddenly too weak to support me. When my vision started to blur out, I was certain that I was about to die.

That was the first of many anxiety attacks. Afterward, we went to see the family therapist, who gave me a screening questionnaire for social anxiety disorder. I was later diagnosed with an acute form of social anxiety.

The therapist was extremely helpful, and I owe my mental health to them. After some sessions, I opted for cognitive behavioral therapy as a means of getting over my anxiety. It wasn’t working quickly enough for me.

Soon, I started practicing breathing exercises and muscle relaxation. I was desperate for an answer, and I nearly gave up until my therapist prescribed a benzodiazepine drug to help with my anxiety.

From that day, every time I could feel an anxiety attack coming on, I would pop a pill, and it would all go away. It was liberating. I soon began getting my social life back on track. I could meet friends from school and even visit public spaces like malls by myself.

20 therapy sessions later, we finally found the underlying causes of my anxiety. I had so much pent up negativity that I was projecting it on everyone I saw.

I’m still attending therapy sessions, and occasionally taking a pill to stop an anxiety attack, but I am much more comfortable in social situations than I ever thought I would be. I am learning how to quell my attacks without medication, and soon, I will be completely capable of managing my anxiety using these self-taught techniques. I couldn’t be happier.”

Samantha is a perfect example of how destructive social anxiety can be. She is a fighter, though, and so are you. Anxiety should not be left to dictate your daily life.

 

What to know before consulting anxiety doctor
Things to know before consulting anxiety doctor

 

Success Story #2: Andrew Kicks Anxiety to the Curb

“My life was perfect. I was a middle-aged man with two beautiful kids and a loving wife. I had a great job at the bank, my own house, and I made enough to live comfortably and travel the world with my family. All this turned to dust when, one day, I was fired.

At first, I was sure it was a temporary setback. However, the bills started to pile up. The house needed groceries. We had a mortgage to pay. We couldn’t manage all that with just my wife’s salary.

I don’t know how it happened, but soon I was perpetually drunk. Alcohol was an escape from my overthinking mind. You don’t become an addict overnight, but when you finally realize that you are, everything changes.

Shame drove me to act aggressively towards my own family. I felt hopeless, useless, and soon, my only way out looked to be suicide. If it wasn’t for my patient, persistent, and caring wife, I would not be telling you this story.

As soon as she noticed my alcoholism, my wife was on blogs, message boards, and forums on anxiety management. She looked far and wide for a solution, and after consulting our insurance company, she signed me up for psychiatric sessions.

My family was nothing but supportive throughout. My wife somehow kept the house running on her income alone. Meanwhile, the therapist helped me discover a lot of negative emotions and thoughts that were the root of my anxiety.

Soon, I was taking exposure therapy to deal with my fear of financial instability and economic loss. My therapist also helped me discover that I was dealing with a lot of guilt, and I felt that I had let my family down.

In time, I quit binge drinking and took anxiolytics as prescribed. Later, I landed another job at a local bank and was finally able to take care of my lovely wife and children.

I couldn’t have overcome anxiety without their love and support, and I strongly advise anyone who feels stressed to get analyzed before the problem swallows them whole.”

Getting evaluated is the first step toward fighting off anxiety disorder. Don’t sit on your problems, thinking they will go away; they might just stay with you for life.

 

Success Story #3: Daniel Gets Over Anxiety with an ESA

Before we get to our last success story, I should mention a few things about Emotional Support Animals (ESAs).

It was Sigmund Freud himself, the famous psychoanalyst, who observed that people who love animals and keep them as pets release endorphins in higher amounts than those who don’t. Their mental health tends to be better too.

Mental health organizations recommend getting an ESA for psychological issues like anxiety. They can be instrumental in managing the more severe symptoms.

How can you get your very own emotional support animal? It’s easy. All you need is an ESA letter, and this is how you get that:

  1. Establish that you do need an ESA. Remember, ESAs are specially trained to provide emotional support. If you just want a pet, look into adopting from the shelter instead.
  2. If you have a trained pet, you need to acknowledge that and let the concerned parties know as well.
  3. Visit a licensed therapist for an evaluation. You can also apply for an ESA letter online, which is a different but straightforward process too.
  4. Wait for your ESA letter in the mail.

Our next protagonist, Daniel, used the same approach to get himself an ESA for his chronic anxiety problems.

Get an ESA letter today!

 

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Here is his story.

“I am happy to be able to finally talk about my condition, which has troubled me for years. I would be glad if I am able to reach out to other people like me who need help with their anxiety.

For as long as I can remember, anxiety has been a part of my life. I’ve struggled daily through strange negative thoughts, night terrors, and a cascade of never-ending stress. As I grew older, the condition only became worse. I would suffer such intense anxiety attacks that by the time they were over, I’d be drenched in sweat, and my heart would be going a mile a minute.

I would spend hours on health blogs, then soon these hours would be spent in a therapists’ office. Prescriptions followed, and though I did my best never to skip doses, the symptoms didn’t seem to go away.

One day, as per my physician’s request to participate in light exercises, I found myself in the park after a mile-long jog. I was sitting on a park bench, mulling over my dark thoughts, as usual, when suddenly I was broken out of my reverie by something warm and wet on my bare shins. It was a cute little dog.

Soon after, the owner, a flustered lady, came over apologizing profusely for the dog, which had apparently broken its leash. I waved away her apology, and we sat and talked for a while. She had three lovely Pomeranians. We talked about a lot of things, including her cute, furry babies.

After she left, it suddenly hit me: I had not thought of anything but dogs in nearly 45 minutes! Heck, I had even temporarily forgotten that I had anxiety! It felt like a miracle had just happened.

That night, I did my research about animals and anxiety. I was ecstatic. Apparently, animals could provide emotional support, which is what I felt with the nice lady’s dogs at the park.

You can guess what I spent most of my next therapy session talking about. My therapist agreed, and through him, I obtained an ESA later. That same day, I adopted a trained, friendly, and very lively Dalmatian and named him Barney.

Since Barney came home, even my medication seems to be working at hyper strength. We are making a lot of progress with my therapist too. I rarely have time to overthink things, and Barney never lets me worry—he’s always ready to distract me with a few acrobatic runs around the house.

My only regret is that I didn’t stumble upon ESAs sooner. I highly recommend anyone who feels like their medication or therapy has stalled to consider getting an ESA. It will change your life, I assure you.”

 

Conclusion

The ultimate guide for anxiety, unfortunately, ends here. Within these pages is all the information you might need to learn about your condition and do something about it.

Anxiety affects a lot of peoples’ livelihoods, even without their knowledge. However, it doesn’t have to. Knowing is half the battle, and with this information at your disposal, you’re halfway to victory against chronic anxiety disorders.

If you’re finding a reliable source to get your anxiety treated then MangoClinic is your safest bet. Schedule an appointment to seek assistance from our highly professional and experienced healthcare professionals.

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Initially, the disorder was referred to as ADD. More so because previous research showed it only involved loss of attention. But with more research, experts realized that the disorder involved more than the loss of attention. And, therefore, it was renamed to ADHD.

Attention Deficit Hyperactivity Disorder (ADHD) is a condition that affects individuals and causes them to have difficulty concentrating and coordinating activities. It is more common in children, but it also does manifest in adults. If you have ADHD, you will have a hard time socializing at home or school because you will be either overactive or without interest in any activities. Early detection of ADHD is crucial because it increases the chances of managing the disorder effectively.

Inattentive ADHD symptoms
Common Symptoms of Inattentive ADHD

Types of ADD or ADHD?

ADD, or ADHD manifests itself in either of the following ways:

  1. Inattentive ADHD: This involves the inability to pay attention to. When you have inattentive ADHD, you get distracted easily.
  2. Hyperactive ADHD: This type of ADHD involves the inability to contain yourself. You become hyperactive at all times. You also become uncomfortable in situations where you have to stay still for long periods of time.
  3. Combined ADHD: This is a mixture of both inattentive and hyperactive ADHD. With this condition, you tend to display the signs of both hyperactive and inattentive ADHD.

What are the causes of ADD or ADHD?

There is no known cause of the disorder. However, some researchers argue that it can be hereditary or acquired from the environment. Both of these factors are still not definitive. So far, there’s no apparent cause of ADD OR ADHD.

  • Hereditary: according to some experts, the disorder can be genetic since one-third of known ADD or ADHD parents give birth to children with ADD or ADHD.
  • Environmental: other experts say the environment surrounding an individual can cause them to have ADD/ADHD. The argument finds toxic chemicals like those used in cans for canning foods or furniture, to be responsible for the disorder. Others believe that food additives and sugar play a role in causing ADD or ADHD. Other experts also believe that culture and growing up in a place that does not challenge the brain could be responsible.

What are the signs and symptoms of ADD or ADHD?

The signs and symptoms of ADD or ADHD depend on the type that you have. If you have inattentive ADHD, your symptoms will differ from those of a person with hyperactive ADHD. Different disorders have similar symptoms. You might confuse ADD or ADHD symptoms with those of other disorders like anxiety, mood disorder, or depression. This is why you must talk to a doctor about your symptoms for a clinical diagnosis. Symptoms of ADD or ADHD are known to reduce with age. However, some do persist even later in adulthood. In some cases, new symptoms manifest later in life. Some of the signs and symptoms of ADD or ADHD include the following:

  • Constantly interrupting others
  • Fidgeting
  • Trouble waiting your turn
  • Inability to focus
  • Emotional turmoil
  • Trouble playing quietly
  • Getting easily distracted
  • Talking excessively
  • Difficulty staying organized
  • Always daydreaming
  • Easily forgetting and misplacing things
  • Constantly making mistakes when performing tasks
  • Always avoiding mentally challenging tasks.
Hyperactive Impulsive ADHD
Prominent Symptoms of Hyperactive-impulsive ADHD

How is ADD or ADHD diagnosed?

Noticing signs of ADD or ADHD in yourself or your child is not enough. If you suspect that you or your child have ADD or ADHD, please follow these steps:

  • Visit a licensed physician for a diagnosis.
  • The physician will ask you questions about the signs and symptoms, and you must answer these questions truthfully.
  • After the questions, the doctor will do a comprehensive test whose outcome will determine whether you have the disorder or not.

How is ADD or ADHD treated?

ADD or ADHD can be treated using either medication or therapy, or a combination of both. Treatment is designed by a specialist, like a psychiatrist or a pediatrician, but your regular GP can monitor the condition. The medications prescribed are not a permanent cure, but they will help you manage the symptoms.

With treatment, you may be able to concentrate better, be a lot calmer and less impulsive. Therapy treatment options include psychoeducation, social skills training, and cognitive behavioral therapy. Diet, supplements, exercise, sleep, and relaxation can also be used in the treatment of ADD or ADHD.

It is never too late to seek treatment for ADD or ADHD. Sometimes, people with the disorder do not know they have it. It is, therefore, the role of those around them to ascertain if there is a need to seek help. The sooner you find out about your diagnosis, the sooner you can start treatment and be on your way to getting better.

Remember, there is a range of treatments available out there. If you suspect that you, your child, or someone else has ADD or ADHD, seek the necessary help. MangoClinic has experienced professionals that can guide you better about your condition. Book your appointment now and get the medical assistance that you require.

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Conditions Treated with Trigger Point Injections

A trigger point defines a sensitive portion comprising of a tight, constricted muscle. It derives its name from being an area on your body tender to the touch, yet having the propensity to induce pain when pressure is exerted. Often, there can be a multitude of such sensitive points in a single muscle. There are a handful of medical treatment options with trigger point injections being amongst the effective ones.

These subtle spots become apparent when a specific muscle is in a continuous state of contraction. Consequently, the region around the muscle may feel tight. Furthermore, you’re likely to experience intense pain (burning ache), an outcome of muscular contraction—making it significantly difficult for blood to circulate through the muscle. Fundamentally, this additional tension exerts stress on adjacent joints plus connective tissues.

Over time, trigger point injections have become substantially popular in the management of these sharp and intense pain on a specific muscle at rest or in motion.

So, how can trigger point injections offer you relief from chronic muscle pain? Let’s find out.

What Are Trigger Point Injections?

Trigger point injections are a straight forward procedure performed to relieve pain. The treatment involves the injection of medication into the trigger points—depending on the severity and cause of pain. The dosage may include a local anesthetic, a corticosteroid, or a botulinum toxin A (Botox).

While the anesthetic serves to block the pain receptors, corticosteroid reduces muscle and connective tissue inflammation. Moreover, Botulinum toxin A functions to interfere with nerve signaling pathways and prevent muscle contraction. If you have tense muscles, you might feel a crunching sensation after the injection. But the feeling goes away as the muscle relaxes. Sometimes you might also have a needle inserted, with no medication in it—this is known as “dry needling.” It helps relieve pain by making the trigger point inactive.

What Do Trigger Point Injections Treat?

Trigger Point Injections Miami
Trigger point injections have proven to be effective with minimal possible side effects

These injections help relieve pain that is caused by conditions that affect the musculoskeletal and nervous systems. Such cases include myofascial pain syndrome, fibromyalgia, headaches, and chronic pelvic pain syndrome.

Myofascial pain syndrome—This health concern manifests itself as a musculoskeletal pain condition that affects the muscles and their surrounding tissue. In myofascial pain syndrome, trigger points stimulate pain responses in disparate body parts, a phenomenon known as referred pain.

The trigger point injections reduce localized muscle pain by relaxing the affected muscles and interrupting the nerve signaling pathways that cause referred pain.

Causes of myofascial trigger points include repetitive motions, trauma to a muscle, poor posture, and psychological stress. In addition to referred pain, when you have myofascial pain, you may also experience pain that intensifies when you stretch or move the affected muscle, muscle stiffness and weakness, limited motion, and muscle knots that you can feel by touch.

Fibromyalgia—Fibromyalgia is a chronic pain condition that has symptoms similar to those of arthritis but affects the soft tissue instead of the joints. It is associated with widespread pain, sleep abnormalities, fatigue, and often distress.  Although its causes are unknown, some risk factors include infections, a family history of fibromyalgia, gender, and a history of an autoimmune disorder like rheumatoid arthritis or lupus.

With the condition, you might experience symptoms such as headaches, pain, and stiffness in the body, digestive issues, fatigue, difficulty concentrating, and numbness or tingling in the hands and feet. The condition causes widespread or systemic pain, which suggests that the pain comes from neurological problems that impact how the brain processes sensory information.

According to some studies, the medical intervention of trigger points in fibromyalgia patients produces significant relief of the pain and improves range of motion.

Headaches—Trigger points in the neck, shoulders, and head can contribute to a migraine and tension-like headache disorder. According to research, people with episodic migraines feature more trigger points than people without—while individuals with more myofascial trigger points also depicting more sensitivity to pressure pain. These findings suggest that myofascial trigger points influence the intensity of migraines. When treating headaches with trigger point injections, some specialists accompany the injections with peripheral nerve blocks in the same session.

Chronic pelvic pain syndrome—This pain syndrome not only affects the lower urinary tract, but also causes sexual dysfunction concerns, chronic pelvic health issues, besides interstitial cystitis, chronic prostatitis in men, and painful bladder syndrome in women. There may be a relation between reported painful sites in people with this syndrome and myofascial trigger points. Concentrating your therapy regime on trigger points outside and inside the pelvic floor has the potential to relieve symptoms.

How Are The Injections Done?

During the procedure, your doctor first locates the trigger point by pressing around the painful area, which may cause your muscle to twitch or hurt. The medic then cleans the area and then proceeds to inject medicine into that point in either one direction or more. If you have several trigger points in the muscle, the doctor might repeat the process. Your physician may stretch the area to relax the muscle or instruct you on how to stretch or move the muscle yourself.

This process takes between 10-30 minutes, depending on the number of trigger points present. But the actual injection takes only a few moments. Basically, the procedure does not require sedation. In fact, it’s frequently performed in the doctor’s office.
Trigger point injections may accompany other forms of treatment in the same session. And primarily, you should be in a position to continue with your daily activities immediately after the injection.

How Frequently Will You Require Trigger Point Injections?

Often a trigger point resolves fast after one injection. More so, if you have one trigger point, and the cause of the trigger point has effectively been removed. If you have trigger points resulting from chronic conditions like myofascial pain syndrome or fibromyalgia, they might, however, recur from the underlying problem.

In these cases, you will need to have the injections administered regularly or on a need basis.  The frequency of the treatment will depend on the medication administered. If you are having steroid medication injections, the sessions will be much less frequent, because steroids can expose tissues to the risk of damage or shrinkage.

What Side Effects Might You Experience From Trigger Point Injections?

Trigger point injections may cause some immediate and long-term side effects. Some people might experience temporary numbness or pain around the injection site, lightheadedness, dimpling or discoloration of the skin around the injection site, or bleeding.
Anesthetic trigger point injections may also cause myonecrosis, a severe form of muscle damage that may take 3-4 weeks to heal. Swelling, pain, and tenderness around the injection site wear off within a few hours. If you experience any side effect that does not go away within a couple of weeks, contact your doctor.

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What Are The Risks of Trigger Point Injections?

Trigger point injections rarely bring about any severe complications. However, they can lead to bruising, infection at the injection site, and muscle or nerve damage. Nevertheless, ultrasound imaging can help reduce the risk of developing any serious complications from the injections.

Trigger point injections are considered a safe treatment for chronic pain conditions. They can provide immediate relief for some patients, while for others, it might take a few days or even weeks. If you are experiencing chronic muscle pain, consult a doctor for further assessment and to establish if trigger point injections are a suitable option for you.

Contact us at Mango Clinic by dialing our toll-free number (1-888-578-6704) for all your healthcare needs including common acute pain problems, abdominal pain, back/muscle/joint pain, migraines, and counseling; schedule your appointment here.

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Contrave Prescription for Weight Loss

Those who are interested in losing weight should get in touch with Mango Clinic. We have licensed physicians who can evaluate you and help you determine what medication is best for you. Contrave can help many patients lose weight, as well as help promote a healthy lifestyle of exercising and eating right. Mango Clinic understands that everyone is different and that everyone has their reasons for losing weight. We want our patients to understand how effective a weight-loss drug can be and how it works best when combined with a total change in one’s lifestyle.

Everyone who has the aim to lose weight has their wants to do so for one reason or another. Whether you want to avoid heart problems, diseases, or are interested in becoming more fit, losing weight is rarely a bad idea. In the case of some people, losing weight is what they need to live a healthier life that will allow them to live better.

However, losing weight is not always so easy. For some, they may think it is impossible to lose weight effectively. It may look like something a privileged few can do, but it isn’t. No matter your situation, losing weight is not out of your reach and is something you can achieve. It may not always be easy, and it can definitely be harder for some, but there are options for everyone.

What Is Contrave?

Contrave is a weight loss drug aimed at treating those who classify as overweight or obese. The reasons for needing or wanting to take medication can vary, but what matters, in the end, is the effective use of the drug. If you are interested in a weight-loss drug, Contrave will help you lose weight in a healthy and helpful manner. The drug is a combination of two medications that target neurons in the body in order to limit your appetite and increase your energy.

Weight loss drugs do not magically make you shed pounds while you sleep, but when combined with exercise and a revised diet, it can be immensely effective. You also may not see results as quickly as you want, but that is all part of the process. Weight loss drugs are made to help you lose weight steadily, as this is both a healthy and safe way of losing weight. So if you start taking Contrave and only see yourself losing a few pounds in a few weeks, rest assured this is normal. What’s more important is that you keep losing weight over the months that you continue to take the drug.

Diet and Exercise with Contrave

If you plan to start losing weight with the help of medication, you have to make sure you are also exercising. While people know that exercising is a healthy activity that can help you lose weight, some people may not understand that weight loss medication directly benefits from exercise. The truth is that drugs like Contrave can only really work when combined with exercise, as the drug alone can only do so much. If you want to ensure healthy and regular weight loss, you have to get in shape.

Contrave
Contrave is a combination of bupropion and naltrexone.

Types of Exercise

Exercising can be a variety of things, as there are activities for all types of people. If you’re into sports, you may consider participating in one as a form of exercise. With the number of sports that exist, there is no doubt that there is something that will help you stay active and lose weight. Participating in a sport can also help you form social bonds, which is essential when you’re trying to lose weight and become healthier.

If you are more interested in going to the gym, you will be happy with the number of options you have for working your body. From cardio machines to weights that let you focus in on specific muscles, the gym provides a place for all types of people to stay in shape. You can even get a personal trainer who will be able to provide you with special exercises that work best for you. A personal trainer can also help you form a diet, which is especially helpful if your trainer doubles as a nutritionist.

Another popular option for exercise is going for walks. Many people do this as a regular part of their week, and it can be an excellent option for some people taking weight loss medication. If going to the gym or doing a sport is too strenuous for you, then simply going on walks is best. Any form of physical activity is essential, so if walks work best for you, make sure you do so regularly.

Contrave
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Diet

The other most important thing to compliment your weight loss medication is a revised diet. Many people will tell you that exercise is only one part of losing weight; if you do not have a healthy diet that compliments your exercise, you won’t find yourself losing as much weight. A healthy diet is a key to making sure the exercise and medication are being put to good use. What sort of diet you have is up to you, as there are a variety of diet plans out there for every type of person. Most people would recommend a low-calorie diet, as taking in too many calories is a major factor for why some people gain the weight that they do.

With a combination of exercise and a new diet, Contrave can help you lose weight in a way that is both healthy and effective. While you should not be expecting miracles from a weight loss drug, do understand that modest progress is still a good thing. As long as you stick with the medication, exercising, and diet regularly, you will see results in the long run that will keep you healthy and lower your chances of disease and risk.

If you are interested in being prescribed Contrave, get in touch with Mango Clinic. You may call us at (786) 422-9327 or visit our website to make an appointment with one of our licensed physicians.

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What Are Benzodiazepines?

Among the most popular types of prescription drugs are benzodiazepines, commonly referred to as “benzos.” These drugs are most commonly prescribed for anxiety treatment. Additionally, getting prescribed is not too difficult, as long as you have a valid reason for needing the prescription. Benzodiazepines are widely available in generic form, though branded drugs still exist and continue to be a dominant form of recognition of the drug in some parts of the world. Lorazepam also known by its brand name of Ativan is amongst the popular ones.

Around the world, people take different types of medicine for various reasons. These reasons can be because of ailments, symptoms, disorders, or just general stress from life. Sometimes the reasons are not so well defined, and many times they do not have to be, depending on the person. The widespread creation of prescription drugs has allowed many people from all walks of life the opportunity to find relief in an easy and safe manner. Precisely for this reason, Mango Clinic Miami can help you get the right help and appropriate prescription medication you need. With the help of our professional medical staff, we will be able to evaluate your situation and determine which type of medicine is best for you. Every patient is different, which means not every drug will work for everyone. Mango Clinic understands this, which is why we make sure to take care of each patient and understand their unique situation.

What Is Lorazepam?

Among the benzodiazepines that have proven popular with users is lorazepam, which is often taken for treating anxiety disorders, sleep disorders, seizures, and withdrawal. If you feel regularly anxious, lorazepam will calm you down and let you live a more balanced life. While not intended to be taken for long periods of time, this drug, like other benzos, has proven to be a significant benefit for those who otherwise would continue having severe anxiety.

Lorazepam works by interacting with the body’s GABA receptors and neurotransmitters. By bonding with the GABA neurotransmitter, it is able to influence the actions of the receptors that flow throughout the body. This then allows the user to become more relaxed and calm, resulting in a substantial decrease in anxiety. This also affects the parts of the body that can cause seizures, which is what makes lorazepam recommended for those who suffer from the disorder.

Buy Ativan
Lorazepam works by enhancing the effects of GABA receptors

Lorazepam Risks

Individual users may have complications with taking lorazepam, which can be the result of previous issues or life circumstances. Some of these can be age, such as people being too young or too elderly to take lorazepam without assistance if they can take it at all. Being hypersensitive or having sleep apnea can also prevent some people from being able to take the drug. If you are pregnant or may become pregnant, taking any type of benzodiazepine is not recommended.

Like with any benzodiazepine, there are serious risks involved with taking lorazepam. While these side-effects do not affect everyone, it is still imperative that you understand the possible effects that can happen to you. It can also help you better decide whether the drug in question is best for you, especially since it can vary from person to person.

Lorazepam Side-Effects

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Common side-effects associated with lorazepam involve feeling overwhelmingly tired and exhausted. Sedation is among the most prominent of the different side-effects, which can contribute to the suggestion of when and how one should take the drug. It is not too unusual to feel tired after taking a benzodiazepine, but sometimes the effects can be stronger and less warranted than expected. For these reasons, always be sure you fully understand the possible consequences of taking lorazepam or similar benzo.

With all prescription drugs, there are risks involved with how the medicine will affect the user. However, for all the good benzodiazepines have proven to be for so many across the world, there are some serious consequences. While it does not happen to everyone, benzos have been known to cause dependency in many of its users. This means that patients can become addicted to drugs, which might then lead to tolerance.

Lorazepam Dependency And Tolerance

Dependency and tolerance are among the most dangerous risks one can face when taking benzodiazepines. Among the side-effects, problems arising from addiction to benzos have been cited as a major issue that affects many. The legal status of the drug, combined with how easy it can be to acquire, sometimes results in situations where users become addicted.

These issues of dependence, along with tolerance, can cause overdoses, something that has happened to an alarming degree. Even if it never gets to that, there is still the danger of the body becoming tolerant of the drug, causing the user to increase their dosage and want more benzos. This can be a bad way to live one’s life, especially since drugs like lorazepam are meant to be a short term part of one’s treatment. Those with addictive histories are strongly advised against taking benzos for this reason.

If you or a loved one requires anxiety treatment in the form of medications, make sure you understand the risks involved before consulting with your doctor. Once you have decided that you may need anxiety medication, get in touch with Mango Clinic to make your appointment. Our staff of licensed doctors can help you understand which drugs are best for your unique situation, along with possible risks and benefits. Call us on (786) 422-9327 or visit our website to schedule your appointment today.

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Emotional Support Dogs

For some people, recovering from a mental or health disorder requires something more than just medication or even therapy sessions. These can all be very helpful, but they can always be supplemented by something more. Something that can make the days feel safe and warm, something that can make a person get up in the morning and ready to take on the day, something like an emotional support animal, or better yet, an emotional support dog.

An emotional support animal is a companion for those who feel increasingly better when they have their favorite animal with them. An ESA does not have to specially trained in any way; their presence is all that is needed to be effective for the owner. All you have to do is pick a domesticated pet and consult with a medical professional who can sign you an ESA letter; your regular dog becomes an ESA dog.

Mango Clinic provides ESA letter services for those looking to get a genuine document that can be used for either travel, housing, or both. We make sure each of our ESA patients speaks directly with a doctor before being given a signed document; in this way, it is a completely valid letter. Neither airlines or landlords will be able to dismiss the letter when it is completely legit, meaning you and your ESA will be able to travel freely and find a new place to live without hassle.

Top 5 Emotional Support Dog Breeds

Among the most popular choices for ESAs is an emotional support dog, which is also happens to be a popular pet all over the world. Due to their friendly nature, loyalty, and reliability, dogs find themselves being chosen very often as one’s ESA. For these reasons, we have decided to present an unranked list of the top five ESA dog breeds that are most recommended for potential ESA owners. Each dog has its advantages, so don’t feel as though one is better than the other, or that you have to pick and choose from just these five.

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Golden Retriever

When you think of a big, lovable dog, there is a good chance a Golden Retriever is what you imagine. Well-known among the public, this breed is extremely popular, sometimes overwhelmingly so. Aside from shedding plenty of hair, Golden Retrievers are popular for a reason, providing much love and energy for people of all ages. Their large size can also be exceptionally comforting for some, as is their very fluffy hair.

It’s also important to remember how active Golden Retrievers can be. If you intend to get one, along with understanding how big they are, make sure you’re okay with a dog who is always up for some fun. This can make them good choices for those that want an ESA who will keep them active.

Pit Bull Terrier

There is a belief that pit bulls are inherently dangerous, that they should be avoided, and that they can easily hurt you. However, the reality of it is that a pit bull is not any more dangerous than every other domesticated dog that people own as pets.

The reputation that pit bulls have mainly comes from their history as dogs that were bred to be fighters, an unfortunate but real part of history. Dog fights would have these specially bred pit bulls go against each other in matches, but in the 21st century, dogfighting is illegal in the USA. Along with that storied past, pit bulls can still be used as dangerous animals for protection, hunting, or other related activities.

It can come as no surprise that people are hesitant about pit bulls, but the reality is that they’re a terrific choice for an ESA. Loving, caring, and always protective of their owners, a pit bull can be an excellent addition to one’s life. However, states have different laws pertaining to pit bulls, so be sure to inquire before deciding to get one.

Poodle

A smaller breed type, poodles can be an excellent choice for those who want their ESA to be on the smaller side. Poodles can be very fun and loving with both children and adults, further proving them to be apt ESA choices. They are also known as one of the most intelligent breeds, which can come in handy for owners who want their ESA to be a bit more hands-on. This also makes poodles a good choice for those wanting an active ESA that might encourage them to go out and play in the park.

Pug

Pugs are another small breed of dog, which can be exceptionally comforting for many. They are known for being active, happy, and of course, loving towards their owners. While they can be fond of taking it easy, a pug can be a great ESA dog for those who want something small but tenacious.

Labrador Retriever

Labrador Retrievers are often mixed up with Golden Retrievers, but their shorter hair is often the main giveaway. Retrievers are a generally popular dog breed in the USA and UK, and the Labrador is no exception. Like Golden, they are a bigger breed, and the two do share a similar size, along with look, without as much shedding.

Labradors come in unique varieties based on their color, such as yellow, black, and chocolate. They are also well adapted to training and performing tasks, in case that is something an owner would like their ESA to do. In any case, Labrador makes for a great emotional support dog due to the character, history, and popularity among many.

Esa letter for your dog
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Getting Your Emotional Support Dog Certification at Mango Clinic

If you are interested in having a certification for your emotional support dog, get in touch with Mango Clinic. Before getting an ESA letter, make sure you have picked out an animal to make your ESA. From here, you can call us or visit our website to set up an appointment with one of our licensed doctors.

When getting an ESA letter, you must always speak directly with a licensed doctor; otherwise, the letter is invalid. Mango Clinic will always have you speak directly with a licensed doctor, after which they will sign you the letter which you can use for housing, travel, or both. So don’t delay and make sure you get a legitimate ESA letter from Mango Clinic. Contact us by calling (786) 422-9327 or simply go online and complete this ESA Online Form before you schedule an appointment.

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ADHD Medications: Concerta (Methylphenidate)

What Are Stimulants?

Mango Clinic Miami is here to help patients from all walks of life, whether you’re remote or a local South Floridian. If you are suffering from ADHD/ADD, we can help you get properly evaluated and prescribed by one of our licensed physicians. There are many benefits to being prescribed an ADHD medication with Concerta being one of them, as it can treat a range of symptoms and specific disorders. However, it is important that you understand the risks involved, as well as the benefits and ways that make stimulants work as well as they do for patients the world over.

Life is full of ups and downs, and we do not always have the time to take care of ourselves properly. Even if we make strides in making sure we are healthy, certain things about our health may be hard to notice or take care of. In some cases, it is possible that there is something wrong with us that we have become accustomed to or we do not want to admit to. Sometimes these feelings, whatever they may be, have been with the person for years, and it hasn’t been a disruption to their daily life until recently.

What is Concerta?

Some people who have these sorts of issues end up having ADHD, which can be treated with Concerta, which is a brand name for the generic methylphenidate. Those with ADHD are prone to being highly distracted in nearly any environment, which can be a big problem at work and with friends and family. This can also mean they are restless and unable to stay still, which can be highly disruptive for the individual, as well as others, therefore, ADHD treatment is oftentimes not optional. Whether the person has had it since childhood, or if it only recently has come into the person’s life, it is wise to get it treated. A lack of concentration and inability to focus is not good for most, but Concerta is able to treat this disorder with great success.

Another disorder that can be treated with Concerta is narcolepsy, which may not be as common as ADHD, but can be just as problematic. A sleeping disorder, individuals with narcolepsy are prone to feeling exhausted throughout the day and in need of sleep on a frequent basis. The most famous symptom of narcolepsy is falling asleep at random, often in places where it is less appropriate, like a board meeting or family gathering. Concerta has proven itself to be an effective treatment option for those with narcolepsy, allowing patients to live better as a result.

Concerta (Methylphenidate)
Concerta is a stimulant drug.

Concerta works in much the way similar stimulants do, in that it stimulates the brain and releases dopamine. When the brain is under extreme duress, such as in ADHD cases, it is craving stimulation that it cannot get otherwise, which is further exacerbated by the lack of dopamine flow. Your neurotransmitters are not acting as they should, and this is causing the brain to have a bad time, which results in an individual being restless and lacking focus. By stimulating the brain and releasing dopamine, your brain gets the activity it so desperately wants, allowing you to regain your focus and stay concentrated, along with more alert.

Concerta Types

Concerta specifically is unique among stimulants as it only really comes in one variety, which is extended-release. It can last for up to 12 hours, which usually means taking one dose per day, or a least once every 12 hours (which usually means once a day for most people). Due to its stronger and longer-lasting effects, it can be recommended for patients who want a powerful stimulant. For that reason, it may not be recommended to all; those with severe ADHD and narcolepsy symptoms might prefer Concerta or similar.

You do not need to have ADHD or narcolepsy to be legally prescribed Concerta, as long as you qualify for the stimulant under the conditions required. A variety of symptoms, ranging from anxiety to stress, can qualify a person to be prescribed Concerta, as it will allow the person to regain their calm. This is why stimulants are so popular with college students, as they are able to keep their focus and concentration with drugs like Concerta. While it is easy to assume that many are interested in stimulants for recreational purposes, it has been shown many take the drug for legal and legitimate purposes related to mental enhancement.

Concerta Side-Effects

Concerta
Concerta prescription from Mango Clinic

For all the benefits that taking Concerta provides, there are also side-effects that should be kept in mind. While there are common ones, such as hypertension, nausea, dry mouth, and sexual dysfunction, there are also psychological side-effects which can be just as problematic. Some of these, though not as common, include anxiety and insomnia, as well as a decrease in self-confidence and libido.

Some of the more serious risks involved with Concerta are tolerance and dependence. If you take too much Concerta at a time, your body can become used to the drug, creating a tolerance that decreases the effects of the drug. This can make the user think they need to be taking more of the drug, which can then lead to dependence on the user. This dependence can easily be translated into addiction, which can turn deadly if the user takes too many pills and overdoses. Overdoses on stimulants are not unusual and can be a real risk if you become addicted to Concerta. This is why people with a history of drug abuse and addiction are not recommended to take stimulants, as it can lead to more problems than solutions.

Taking Concerta can help many people, and if you think you would benefit from it or any other type of stimulant, get in touch with Mango Clinic. Our staff of medical professionals will evaluate your situation, figure out the best medication and dosage, and provide you with a prescription you can take to your local pharmacy. To make your appointment, call us at (786) 422-9327 or visit our appointment webpage on our website.

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Rabbit as Emotional Support Animal

There are plenty of options for you if you want to get an ESA. While cats and dogs are never in short supply, you might be considering something else.

Among other popular choices for an ESA are rabbits, which are already a popular domestic pet. Known for being small and quiet, an ESA rabbit can provide immense comfort and joy for their owners. When keeping in mind that all an ESA has to do is be there for the owner, the benefits behind having a rabbit as your ESA begin to appear.

What Is An Emotional Support Animal?

For some patients, an emotional support animal can provide benefits that other forms of treatment are unable to reach. While traditional medication can be very helpful, it is not always as effective. For these reasons, a person can often be recommended an ESA.

Unlike service animals, which are trained to assist their owners, ESAs do not need any sort of special training. An ESA can be an already owned pet that the patient wants to officially designate as their ESA. So if you have a health disorder or ailment, and you own a pet that makes you feel so much better than you normally would, they could qualify as an ESA.

How your pet makes you feel is what qualifies them. If you love your pet, but do not feel distressed when you’re away from them, then they likely do not qualify as an ESA. However, if you feel awful without your pet, and feel immensely better with them, than they can qualify. If need be, a doctor can evaluate your case to determine whether your pet can be a recommended form of treatment.

ESA Rabbit
Can any animal be an ESA?

For many people, an emotional support animal resembles a dog. In some cases, an ESA could be a cat, or many cats, for those that claim more than one animal. However, these are not your only options for an ESA, and Mango Clinic wants to make sure patients know. Can I have an ESA rabbit, some might ask; a miniature horse, a pig? There are a variety of animals that can qualify to be your ESA, and this includes a rabbit, one of the most popular options outside of a cat or dog.

ESA Rabbit Benefits

ESA rabbit
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No doubt one of the biggest advantages of having an ESA rabbit is their size. This makes them easy to carry and bring with you, as well as making them easier to play with. The smaller size also means less food is needed to feed them, at least in relative comparison to larger animals. This is part of what makes rabbits easy to take care of.

Being as small as they are allows for rabbits to have a smaller living space. This is not a requirement, however; the size of a rabbit’s living habitat can vary. If you would like for their living space to be confined to the size of a medium-sized cage, you absolutely can, though you will still give them room to roam. On the other end of this is dedicating a whole room to your rabbit, which is also entirely possible. The amount of living space you want to provide to your ESA rabbit is up to you, as long as it is healthy for them.

Some owners allow their rabbits to roam their yard, which gives the rabbit exercise and a natural place to roam. This is important, as the health of your ESA can determine how much they can help you, as well. While an ESA patient is more likely to look after their pet than a regular owner, it is still important to keep in mind how to take care of them. Rabbits are not cats or dogs, so make sure you understand what to do to benefit both you and your new animal companion.

One other benefit of being small is that it makes them easier to take with you. If you live in an apartment, having a small rabbit can save you a lot of space that might otherwise be taken up by an animal. If you’re going on a trip, your rabbit will be less of a hassle than some other animals would be. Not only that, but their quiet nature is sure to not bother nearly as many people as if you had a larger animal for an ESA.

What Is An Emotional Support Animal Letter?

If you live in an apartment with strict animal policies, you will want to consider having an ESA letter. This document will prevent landlords from issuing unfair fees towards owners of ESAs. If you do not have documents backing up your ESA, you could easily be charged more per month or be forced to leave your apartment.

Airlines are already notorious for being difficult, so imagine how problematic it would be to bring your ESA onboard an airplane. If you do not have an officially written ESA letter, airlines will have no problem putting your ESA in cargo or preventing you from boarding your flight. On the contrary, an ESA letter will let you and your animal companion board without additional complications.

How To Get An ESA Letter With Mango Clinic

It can be easy to come across illegitimate businesses online, but Mango Clinic is nothing like those. If you want to get an officially written and signed ESA letter, we will be able to provide it for you. Whether in person, over the phone, or via video chat, we will make sure you speak directly with a licensed physician who can recommend your ESA as a legitimate treatment type. Once you have been approved, your letter will be emailed; you will also receive a physical copy. If you want to make an appointment with Mango Clinic, you may apply here, visit our appointment website or contact us by calling us today at (786) 422-9327.

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Valium (Diazepam) Overview, Uses, and Side-Effects

What Are Benzodiazepines?

Benzodiazepines are prescription drugs that help people who may be suffering from disorders or ailments, such as anxiety disorder. Diazepam is one such type of “benzo” which many across the country and world take for treatment. Drugs such as diazepam, widely known by its brand name Valium, can be very helpful for so many, but only under the supervision of a licensed doctor.

Mango Clinic Miami is dedicated to helping patients who are both local and from all over the country. We want to make sure everyone has access to life-changing medicine that can improve the well being of everyone who takes them. Our professional staff of licensed physicians can help you with a wide variety of health services, including prescription medication.

There are strong similarities between the various benzodiazepines that exist. Benzos are usually taken by those who suffer from severe anxiety, which allows them to stay more relaxed. While not a permanent solution, benzos are still recommended by many for taking care of one’s ailment or disorder, which can affect anyone of any age.

What Is Valium (Diazepam)?

Diazepam is a popular type of benzo that is more famously known under the brand name of Valium. This specific brand was created in the late 1950s; it was among the top-selling prescription drugs in the latter half of the 20th century. While still popular, it has long since been available in generic form, allowing for more companies to produce the drug and more patients to be prescribed.

What is Valium
Valium (diazepam) description and uses

Drugs like diazepam work much in the same way as other benzodiazepines. There is a neurotransmitter in the body known as GABA, along with the A receptors, which form the GABA ionotropic receptor. The benzo attaches to one side of where GABA is, which allows for the neurotransmitter to take on a different effect by way of affected receptors. This results in patients feeling the effects that reduce anxiety and produce calm.

Who Is Valium For?

On the surface, diazepam is for people who suffer from anxiety disorders, but it is also used for people who have insomnia, panic disorders, and alcohol withdrawal. In truth, there are a variety of reasons one might want to take diazepam, as a variety of symptoms can be treated with it. Some of these other symptoms that can be treated with diazepam include muscle spasms, restless leg syndrome, treatment from hallucinogens, and even withdrawal from other benzos.

Seizures and related conditions, in particular, can be treated by diazepam in different forms. While the drug is not intended for long time use, it has still been found to be useful for those who have epilepsy. Long term use can result in the body becoming immune to the drug, and this can be highly problematic with regards to patients suffering from seizures.

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As for how intense or severe your symptoms should be, this is not something you should worry too much about. You do not have to be under an extreme situation to be prescribed any type of benzodiazepine. Meet with your local physician and explain to them why you are interested in diazepam, and they will perform an evaluation. If your doctor believes that your symptoms can be treated with Valium, then you will be given a prescription.

This also expands who is allowed to take diazepam, as some may think you have to have some type of disorder. The ease at which benzos can be acquired makes it easy for many who need the medicine to have it. People with severe conditions, as well as others with less severe ailments, are able to easily get a prescription that can change their lives for the better. The drug’s existence in generic form also allows for more people to get their hands on it without restricting it to those who can afford the higher costs of brand names.

It should also be known what sort of person should not be taking diazepam. Certain conditions prevent potential patients from being able to take the drug, and they can vary in severity. People who suffer from glaucoma, hepatitis, sleep apnea, drug or alcohol dependence, or depression are advised from taking diazepam. Women who are pregnant or may become pregnant should also not begin taking benzodiazepines, due to the way the medicine can transfer into the womb.

Diazepam Side-Effects

Diazepam Side-Effects
If you experience any of these side-effects stop using the drug immediately and seek professional help

Like with many other types of benzodiazepines, diazepam is a drug that comes with severe risks and side-effects. While feeling sluggish and exhausted are among the most common of these effects, there are others which can be more problematic. An increase in depression is one, as is amnesia, which can cause patients to forget things while they’re taking diazepam. This means things that happen during treatment can be forgotten, though things learned before are retained.

One of the biggest dangers involved with benzos is dependence and tolerance, two things that are often intertwined with one another. If you take diazepam for too long, your body can become tolerant; this can lead to a patient wanting a higher dose or not realizing how much they’re taking.

The issue of dependence causes patients to continue wanting more of the drug, which can then lead to overdosing. Getting an overdose from a benzodiazepine is among the most severe and acknowledged risks associated with the drug. A shockingly high number of users of these drugs end up becoming dependent and having an overdose; as many as one-third of all users are at risk.

Since diazepam is not to be taken for an extended period, it is recommended, when it’s time to get off the drug, to start slow. It can be easy for some to become dependent, and a slow start is what helps patients get off the medication safely and securely. You lower the prescription after a few weeks and keep going lower until the patient can safely stop taking the drug.

If feel Valium or any other type of benzodiazepine may be right for you, get in touch with Mango Clinic. Our staff of medical professionals is here to help you understand how these drugs work, risks involved, and which one can work best for you. You can make your appointment by calling 786-391-0269 or visiting our website’s appointment page.


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Getting an emotional support animal can be a weird situation for some; getting an emotional support animal letter can be even harder. It can be confusing, especially with how many websites there are that claim to offer a real ESA letter. Mango Clinic wants to make sure everyone who is looking to get an ESA letter is not scammed or prevented from getting a legitimate piece of documentation.

What Is An Emotional Support Animal?

Some people can treat their health ailments and conditions with medication, therapy, and even home remedies. However, this is not the case for everyone, and it can be very difficult for some people to recover. In some of these cases, people go for alternative treatment options, as these can often be very helpful for someone who has not found success elsewhere.

One of the most popular and recommended forms of alternative treatment is getting an emotional support animal. In some cases, you do not have to go get an ESA because you already own a pet that you can designate as such. This is because an ESA does not have to be anything specific, nor does an ESA need to be specially trained. The only thing an ESA needs to be is a comfort to their owner; this means that the pet in question makes their owner feel so much better when in their presence. A pet qualifies as an ESA if, for example, they make their owners feel safe and comfortable when they might otherwise not be without them.

Since a pre-existing pet can qualify to be your ESA, many of them are likely to be a dog or a cat. Indeed, cats and dogs are the most common ESA choices, even if the person does not already own a pet to make their ESA. This can make many people think that an ESA must always be a dog, never mind a cat. This belief is further proliferated by online websites and the existence of service dogs. However, animals as different as pigs and snakes can qualify, as long as the animal in question is domesticated and not a danger to others.

What is GetESA?

There are many scam ESA sites online that are primarily aimed at robbing you of your money. Many of these sites follow the same patterns so that if you have seen many of them before, they will be easy to recognize when you come across them.

While they are not as obvious as other sites, GetESA.com still demonstrates the things that make a website suspicious at best and a scam at worst. Their low price of $99 a year for a housing or travel letter is a good first indicator, as businesses that sell legitimate ESA services don’t really sell documents at that price range.

The more obvious thing is something else that can be found on the homepage if you scroll down a little bit. Listed under “Three Simple Steps,” Get ESA outlines their process by stating that all you have to do is “Complete The Online Exam” followed by “Doctor Reviews Exam” and finally “Receive ESA Letter.” This sort of process is something many similar sites state, and it can usually be the only proof you need that the site should not be trusted. This is because, in order for a real ESA letter to be valid, you must speak directly with a licensed physician. Nowhere does it explicitly state you will be doing so on Get ESA’s website.

A few other things that can point to an illegitimate site include the lack of a physical address on the homepage. Even clicking on the “Contact Us” or “About Us” pages shows no address, only an email, phone number, and working hours. There is also a sole social media link to their Twitter page, which seems to consist only of reviews for the business, of which there are multiple per week.

One last thing is their mention of ESA ID cards. This is somewhat notable, if only because ID cards are not needed, necessary, or helpful when getting a real ESA letter. Many of these scam sites try to sell you things like ID cards, but other sites are big on selling you more unnecessary junk, like vests, none of which are needed for ESAs. Patients say that Getesa.com is operated by the same people as mmjdoctoronline.com/esa which is known for selling fake medical marijuana cards.

GetESA.com Scam

If you already have an emotional support animal, then you have likely heard of emotional support animal letters. Their importance and necessity can vary from person to person, but for the most part, they are very valuable to have. In many ways, it’s the best way to validate your pet as being an ESA. However, it should be said right now that you do not simply get a letter for your ESA that designates them as such. The only real designation an ESA ever needs is their owner saying so; the letters, therefore, provide a different benefit.

The main purpose behind having a real ESA letter is for when you need one for housing or travel. If you live in a residential complex that may not otherwise allow pets, an ESA letter for housing can permit you to live with your pet. Where landlords might charge you additional fees or kick you out, an ESA housing letter would let you stay without any trouble. What’s more, this document would make it illegal for your landlord to charge you more or kick you out. Do not buy fake ESA letters from GetESA to avoid this issues, check for a legitimate doctor.

As for an ESA travel letter, it lets you board airplanes without having to pay an additional fee or put your pet in cargo. This is probably the most popular among the two types of documents, as more people need to explain their ESA situation when they have to travel. It allows patients to comfortably fly with their pets without having to be hassled or bothered by airlines. All the same, it is always recommended to tell an airline ahead of time about your ESA.

ESA Letter
Many of online ESA services are just too good to be true.

Can I get a Real ESA Letter From Get ESA? Is It Legit?

Their website might be clean and straightforward, but due to their steps for attaining a document, along with a few other details, we cannot recommend Get ESA. They seem to be trying hard to make sure they do not come off as suspicious, but by following the same pattern of more obvious scam sites, they end up being just as untrustworthy.

ESA
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Choosing Mango Clinic

Mango Clinic is a trusted business for getting your emotional support animal letter. We make sure each of our patients speaks to a licensed physician who can sign a real ESA letter, making it completely legitimate. We also provide full customer service, in case you have any questions or need your document to be legitimized by an outside party.

To make your appointment with Mango Clinic, you can give us a call at (786) 391-0269, or you can make it online by visiting our appointment webpage.

Miami Licensed ESA Doctors
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Mango Clinic

+1(786) 422-9327
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#205 Miami, FL 33130

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Mango Clinic

Mango Clinic

347 5th Ave Ste 1402,

New York, NY 10016

(888) 578-6704

Mon-Sat 10 am – 6 pm

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