Anxiety Disorders: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate an anxiety disorder (symptomatology must be primary manifestation of anxiety):

  • Anxiety without a real threat
  • Occurrence mainly of physical symptoms such as:
    • Headache
    • Visual disturbances/dizziness
    • Angina pectoris (“chest tightness”; sudden onset of pain in the heart area), palpitations (heart pounding)
    • Sweating (possibly including night sweats / night sweats), tremors.
    • Anorexia (loss of appetite), nausea / vomiting, diarrhea.
  • Occurrence of psychological symptoms such as:
    • Nervousness
    • Irritability
    • Restlessness
    • Chronic fatigue
  • Unusual anxiety in duration, intensity, and frequency

If the anxiety is prolonged, the following symptoms may occur:

  • Addictions, especially to alcohol or medications (sleeping pills).
  • Fear of anxiety
  • Engaging in dangerous hobbies, undertakings to overcompensate.
  • Limitation of the quality of life
  • Loss of control
  • Social withdrawal

Cave (Attention)!

  • In young children, isolated anxiety is harmless in most cases. If depression symptoms are added, this indicates a poor developmental environment. There is a risk of developmental and severe psychosocial disabilities in these cases.

The following symptoms and complaints may indicate generalized anxiety disorder (GAS):

Tension, worry, and apprehension about everyday events and problems for ≥ 6 months:

Psychological symptoms

  • Fear of loss of control
  • Fear of dying
  • Derealization
  • Vertigo

Vegetative symptoms

  • Increased heart rate
  • Sweating
  • Tremor (shaking)
  • Xerostomia (dry mouth)

Symptoms of tension

  • Globus sensation (feeling of lump)
  • Muscle tension
  • Restlessness

Thoracic or abdominal symptoms (symptoms in the chest and abdominal area).

  • Difficulty breathing, feeling of tightness
  • Chest pain (chest pain)
  • Abdominal discomfort

Other non-specific symptoms

  • Insomnia (sleep disturbances, especially difficulty falling asleep).
  • Concentration difficulties
  • Irritability
  • Exaggerated startle reactions

Caution. Patients with generalized anxiety disorder (GAS) have comorbidity (concomitant disorder) with depression in 40-67% of cases.