Anxiety is the most common mental health condition worldwide — and Pakistan is no exception. Millions of Pakistanis live with anxiety disorders that significantly impact their quality of life, relationships, and work performance. As a psychiatrist practising in Rawalpindi for over 20 years, I want to help you understand anxiety, recognise its symptoms, and access the effective treatments available.
What Are Anxiety Disorders?
Anxiety disorders are a group of mental health conditions characterised by excessive, persistent worry and fear that interferes with daily life. Unlike normal nervousness before an exam or interview, anxiety disorders cause distress that is disproportionate to the situation and difficult to control.
Types of Anxiety Disorders
Generalised Anxiety Disorder (GAD)
Persistent, excessive worry about everyday things — work, health, family, money — for six months or more. People with GAD find it almost impossible to stop worrying even when they know their anxiety is excessive.
Panic Disorder
Recurrent, unexpected panic attacks — sudden episodes of intense fear with physical symptoms like racing heart, shortness of breath, chest pain, and dizziness. Many people with panic disorder visit the emergency room believing they are having a heart attack.
Social Anxiety Disorder
Intense fear of social situations and being judged or embarrassed by others. This goes far beyond shyness — it can prevent people from going to work, attending school, or maintaining relationships.
Specific Phobias
Extreme fear of specific objects or situations — such as heights, needles, or certain animals — that causes significant distress or avoidance.
Symptoms of Anxiety
Psychological Symptoms
- Excessive, uncontrollable worry
- Feeling on edge or restless
- Difficulty concentrating
- Fear of losing control or "going crazy"
- Irritability
Physical Symptoms
- Rapid heartbeat or palpitations
- Sweating, trembling or shaking
- Shortness of breath
- Chest tightness or pain
- Nausea or stomach problems
- Headaches and muscle tension
- Sleep difficulties
Treatment for Anxiety in Rawalpindi
Cognitive Behavioral Therapy (CBT)
CBT is the gold-standard treatment for anxiety disorders. It helps you identify the thought patterns that trigger anxiety and teaches you practical skills to manage your response. Most patients see significant improvement within 8–16 sessions.
Medication
Several types of medication are effective for anxiety, including SSRIs and SNRIs (antidepressants that also treat anxiety), which are safe for long-term use. Medication is particularly helpful for moderate to severe anxiety and is often combined with CBT for the best results.
Relaxation Techniques
- Controlled breathing exercises
- Progressive muscle relaxation
- Mindfulness and meditation
- Regular aerobic exercise
Lifestyle Changes
- Reducing caffeine and alcohol
- Maintaining a regular sleep schedule
- Regular physical exercise
- Limiting news and social media consumption
When Should You See a Psychiatrist?
- Your anxiety is interfering with work, relationships or daily activities
- You are avoiding situations because of fear
- You are using alcohol or other substances to manage anxiety
- You are experiencing panic attacks
- Self-help strategies are not working
Get Anxiety Treatment in Rawalpindi
Safari Hospital, Car Chowk, Bahria Town, Rawalpindi
Monday – Saturday: 6:00 PM – 9:00 PM