Académique Documents
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Alexandria Hernandez
Abstract
Anxiety is known as being one of the leading causes to depression, which then leads to the
alarming epidemic of suicide and self-harm. However, while everyone focuses on depression it is
important to focus on anxiety as well, being that there are many stigmas surrounding it ,
including treatment, relationships, and discourse about it. This literature review will focus on and
inform the reader about treatment options, maintaining relationships while having anxiety and
relationship all arise from the lack of awareness and education on the matter. These stigmas lead
to the building of barriers between one's health, relationships (romantic and platonic) and
comfortable discourse. Anxiety is a widespread and everyday obstacle many persons face,
however the lack of awareness leads to stigmas within discourse, relationships and treatment.
person.” In association with anxiety, the stigmas which will be discussed will be the “disgrace”
or fear that follows the lack of knowledge concerning anxiety. Not only has anxiety been
saturated through casual discourse, it is constantly used in a negative connotation. The casual use
of the word “anxiety,” can most commonly be found intertwined with discourse about
depression, suicide, mental institutes, mental breakdowns, and inconsolable emotions. Another
issue being, that conversation regarding anxiety comes from those unknowledgeable of the true
symptoms of the mental illness, either leading them to use the term loosely and as a joke or in a
disturbed alarming context. This abuse of discourse then masks the real time stigmas and issues
that come along with not being knowledgeable in regards of anxiety. Although having and
having any sort of relation with someone who has anxiety may be difficult, there are aspects that
may be acknowledged and overcome easier through being properly educated. Issues such as
treatment/management of anxiety have become a toppling stigma which often time gets ignored
or pushed aside due to negative connotation. Other issues such as being in relationship while
struggling with anxiety or r being able to openly and comfortably bring up the conversation of
this mental illness continue to add to the fear, which veers away effective help. In order to find
BRINGING AWARENESS TOWARDS ANXIETY 4
effective questions that must be answered in early awareness regarding anxiety, this review will
dive into the following questions first: 1. How is anxiety being discussed? How can the
conversation of anxiety be less taboo? 2. How does having anxiety effect relationships? 3. What
are approaches that could be taken to assist one living with anxiety?
understood what is being discussed throughout this research and literature review. Anxiety, as
defined by Kimberly Holland, comes in spectrum where one side of the spectrum is “the body’s
natural response to stress” and the opposite side of the spectrum is when the symptoms are
extreme, frequent and long term. In this instance that one finds themselves on this end of the
spectrum they would be known to have Anxiety Disorder. When dealing with anxiety disorder,
intense feeling of fear is constantly with someone, which may bring them to a halt in life, and
according to Holland, will get worse if left untreated. Anxiety, then, is the “key part of several
different disorders,” those disorders being: panic disorder, phobia, social anxiety disorder,
traumatic stress disorder. Symptoms for those with anxiety disorder, in reference to Holland, are
“feeling out of control,” which may lead to an increased heart rate, rapid breathing, panic attacks,
“painful thoughts and memories that you can’t control,” and constantly feeling fearful and
worried. Other symptoms, which were gathered through surveys of El Paso residents, were
tightening of the chest, uncontrollable crying and sad emotion and inability to concentrate on
anything else other than their worries. A common occurrence for those who experience the
overwhelming apprehension, worry, distress, or fear.” An anxiety attack is known to bring the
feeling of faint or dizziness, shortness of breath, sweating, chills, distress and restlessness
BRINGING AWARENESS TOWARDS ANXIETY 5
(Holland, 2018). With this, the remainder of the research and literature review will focus on
stigmas revolving around anxiety symptoms, those of stress induced anxiety and those of anxiety
A concerning stigma is those afraid and hesitant to receive treatment to help control and
maintain their anxiety symptoms. It has become evident through surveys conducted that many
believe the only approach to treating anxiety is through medication. One answered received
through this survey included a fearful nineteen-year-old expressing that she has heard that being
medicated for anxiety is “known for stripping one of their personality.” However, other answers
had been relatively similar to that of the teenager. They had all been in the relativity of “putting
you to sleep,” and bringing a “numb” sensation. A small portion of answers had mentioned a
different approach of treatment, these answers briefly mentioned the use of marijuana, CBD and
sleep. There had been approximately, fifteen surveys which had been left blank or answered that
they were unaware of any forms of treatment or control for anxiety when asked. It is also worth
mentioning that those whose answers did mention medication, that no brands, names, or specifics
had been included in any survey, only the terms “medication,” “pills,” or “prescription drugs,”
had been used. Through this survey it had been evident that medication had been the most
commonly known form of treatment and had been viewed and discussed in a negative light.
prescribed to a patient if they choose to accept. It is important to note that anxiety disorder is not
curable, however, treatment such as medications makes the symptoms more manageable which
helps patients go on with their day to day life. Medications include Benzodiazepines, Buspirone,
that can help relax your muscles and calm your mind. (Healthline, 2016),”so they are usually
used to treat panic, social and general anxiety disorder and are used for only short term due to
symptoms such as drowsiness, lack of balance and issues with memory. However, medication
such as Buspirone is used for both short-term anxiety and chronic longer termed anxiety, and it
known to help regulate your mood; side effects include dizziness, headaches and nausea.
Antidepressants are prescribed to anxiety patients because they are known to work by “affecting
neurotransmitters,” which help treat symptoms (Healthline, 2016). A type of antidepressant used
to treat anxiety is SSRIs, selective serotonin reuptake inhibitors, which increase levels of
serotonin, affecting mood, appetite, sexual desire, sleep and memory all which are known to be
lost while dealing with anxiety; side effects include, nausea, dry mouth, dizziness, drowsiness,
diarrhea, muscle weakness and sexual dysfunction. Tricyclics are similar to SSRIs, however
cannot be used to treat obsessive-compulsive disorder, but in general is an older medication that
is now rarely used; side effects include dizziness, drowsiness, lack of energy, dry mouth, nausea,
constipation, blurred vision, and weight gain. MAOIs are commonly used to treat panic disorder
and social phobias, because it is an antidepressant it will work with your neurotransmitters to
regulate your mood, however, like SSRIs, MAOIs are an older medication which come with
many side effects. Lastly, beta-blockers are used mainly for the “physical symptoms of anxiety,”
which is useful for those who suffer with social anxiety disorder, allowing them to manage
symptoms and overcome social events they find themselves distressed in. It is evident that taking
medication to treat anxiety does come with risks and side effects, just as any medication would,
however, through research none are “known for stripping one of their personality.” It is crucial
that you express to your doctor not only your symptoms but also your concerns and stigmas
BRINGING AWARENESS TOWARDS ANXIETY 7
about medication, they will be sure to prescribe a medication best suited for you and within your
comfort.
Medication, however, still may not be the route that some prefer to take. Luckily there are
numerous natural, non-medicinal approaches anxiety patients may take. With that, it is still
strongly suggested to speak to a doctor or professional to hear options and be guided toward the
best option for their symptoms, because even the natural approaches work for certain symptoms.
to avoiding caffeine and taking natural supplements. Psychotherapy will require a person
speaking with a therapist or psychologist, which may help implement strategies and certain tools
to control anxiety on your own. Many patients choose to see a therapist because they say this is
an approach where they feel like they have control over, those who see therapists frequently have
learned how to apply the skills they were taught to subdue the symptoms on their own.
Meditation is another natural approach that patients find themselves enjoying and being able to
personally implement. The practice of meditation and mindfulness has helped those with social
allowing one to reach in to their own mind and calm themselves in that moment (Koszycki, D.,
Thake, J., Mavounza, C., Daoust, J., Taljaard, M., & Bradwejn, J., 2016). Exercise is a universal
approach not only used to overcome some symptoms of anxiety but also stress, fatigue and other
negative aspects, because during exercise the body will release endorphines which regulates
moods and tends to make someone happier or relaxed. There has also been plenty of research
and success found in taking natural supplement, this approach is similar to taking medication but
preferred since they are natural. Some natural supplements being passion flower, kava and
valarian root all which have been found to reduce and subdue anxiety symptoms. For example,
BRINGING AWARENESS TOWARDS ANXIETY 8
Having Anxiety
When one does not have anxiety or has never come across someone with it, the lack of
awareness and education of anxiety is often overlooked. And for those living with anxiety, are
constantly working toward cope with their own symptoms and feelings, building relationships
(platonic or romantic), is difficult and may feel as a job almost. The early awareness of not only
defining anxiety or talking about in a negative concise matter but rather what the symptoms are
and even the practices which make a “close to normal life” possible will allow even those who
don’t suffer from anxiety disorder to be aware of the mentality and break the mental barrier
between each other. In the survey conducted, one of the questions included asked “Do you
believe you would be able to notice if a loved one has anxiety disorder?” In which the results had
been majority negative, which then brings up the next issue is, if anxious tendencies do arise
A symptom of anxiety disorder that is often overlooked or not spoken about, is anxious
attachment. Because anxiety is a constant mental battle, a symptom such as attachment is not
brought to light until someone is put into a situation where they are working or plunging into a
relationship whether it be with a friend, family member or new romantic partner. Anxious
cognitions with a focus on interpersonal and social domains; and the constant seeking of
attention and care from others when such threats are present (Roccaforte,Cinzia, 2017).” In other
words, the anxiety will brew a mental threat on the relationship that may not exist, so will tell the
person to seek reassurance and attention in order to shut out these anxious feelings and
symptoms. Experiencing anxious attachment is difficult for both parties because the anxious one
is constantly living with negative cognitions which then leads to negative reactions. As for the
other party, the one without anxiety, is not given a fair chance in the relationship because
regardless of them never giving a reason to have a negative view upon them, the anxious
However, just as the discussion of medication and having the loophole of natural
approaches, there is a way to overcome and subdue the negative effects of anxious attachment
and have a comfortable and healthy relationship. There is the approach of talking to a
professional, and whilst stating symptoms also mentioning the overcast of worry in the
relationship. Possibility of medication or lifestyle change may be the answer to treating the cloud
of fear and worry. There is also the approach of therapy, it may be helpful to have a clinician
explain why these feelings are arising and will help one better understand themselves and better
It is important to understand anxiety, the symptoms and thought process is causes if you
are not one who has anxiety but especially if you do suffer from it yourself. Anxiety disorder is a
constant mental battle, so when seeing negative results such as a failing or troublesome
relationship it is easy for the worry and fear to be turned to one's self, in the sense of self-blame,
which is extremely unhealthy especially with the sensitivity of someone with anxiety disorder.
Although anxious attachment is just one of the obstacles that may arise within a relationship, due
to anxiety, it is a prime example of not only being aware that a partner or friend is dealing with
anxiety disorder, but to also be aware of what comes with it and how to approach it together and
in a healthy way.
Along with being aware and educated on the topic of anxiety disorders, it is crucial to
break the barrier which holds us back from talking about it. Beginning the discussion revolving
around mental illness early will not only implement easy discussion later, but open doors to
reaching out for help and justify the feelings of those who feel alone while dealing with anxiety.
Early discussion will burn the bridge between someone with anxiety disorder and treatment,
medical professionals, relationships, family, friends and the rest of the world which is usually
Luckily, anxiety has been brought to light through mental illness awareness platforms
such as newsletters, webpages (I.e. anxiety.com) and celebrity mental illness advocates.
Newsletters and webpages, although easily accessible, are not as commonly found or saturated
through our everyday lives. In other words, it is less common to come across or scroll past a
newsletter or webpage in our everyday lives. However, we find ourselves scrolling past pop
culture content without even having the intent to take part in it. So, the likely hood to come
BRINGING AWARENESS TOWARDS ANXIETY 11
across 800,000 people kill themselves every year. What can we do? Is high because pop-star
Lady Gaga took part in this article. Simply having her name associated with information such as
“One in four of us will have to deal with a mental health condition at some point in our lives, and
if we’re not directly affected, someone we care for is likely to be (Lady, G., Adhanom, T.,
2018),” will make its way to a much bigger audience who may not even be in search of
information, which is extremely helpful. If this trend continues, and the audience allows
themselves to implement this trend of openly speaking in mental illness in the same way they
implement other trends they inherit from pop-culture, the discussion will always be open.
Conclusion
In conclusion, this research and literature review has found and analyzed that with proper
education and discussion, plenty of barriers are easy to overcome. All stigmas discussed are
interrelated, discusssion will break the barrier in relationships and the barrier in receiving
treatment. Receiving treatment will help treat symptoms which will allow everyday life
relationships and discourse more approachable. While overcoming relationship barriers may help
one realize that treatment is a good option and that discourse is crucial. And with that, they are
all interconnected with early education, when mental illness awareness is brought up at an early
age, it allows other to feel more confident in overcoming these stigmas if they ever do arise
whether they have anxiety disorder or not. This analysis was completed in the hopes to cover and
elaborate on information that is commonly misread or ignored which survey takers had noted
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