What causes anxiety?
From the book – Chapter 8: Anxiety Disorders
Causes and risk factors
Anxiety disorders arise from a combination of factors. No single cause explains all cases.
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Biological: genetic vulnerability; brain circuit differences (amygdala hyperactivity, prefrontal regulation issues); neurotransmitter imbalances (serotonin, norepinephrine, GABA, glutamate).
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Psychological: temperament (behavioural inhibition, high sensitivity); learned patterns (highly critical or anxious environment); cognitive styles (catastrophising, overestimating danger).
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Environmental: stressful life events (loss, trauma, abuse, bullying, accidents); chronic stress; substance use (caffeine, stimulants, some drugs can worsen anxiety).
Read the full chapter – Chapter 8: Anxiety Disorders
Stories from real life
- The Night My Heart Raced – Arjun, twenty-nine, was in a crowded Mumbai local train when his heart suddenly pounded, his hands tingled, his chest tightened and he felt sure he was…
- What If Tonight Goes Wrong? – Meera is a forty-two-year-old mother in Hyderabad who cannot remember the last day she did not worry. What if her son fails? What if her husband's…
- The Back Row – Tomás, nineteen, studies engineering in Lisbon. He is clever, but he sits at the back of every class, never asks a question and hurries out. Eating…
- The Lizard on the Wall – Sunita, thirty-eight, lives in a village near Nashik and cares for her family with great energy, except when a lizard appears. Last month one dropped near…
Shloks
- Bhagavad Gita 6.34 – The mind is restless, agitating, strong and stubborn. To hold it, I think, is as hard as to hold the wind.
More on this topic: Anxiety, panic attacks and fear – signs, causes and what helps
More questions
- Understanding anxiety and the body
- How is anxiety treated?
- Psychological therapies in the treatment of anxiety
- Medicines in the treatment of anxiety
- Lifestyle and self-help — support, do not replace, professional treatment in the treatment of anxiety
- Anxiety in children and adolescents – what to know about anxiety
- Common myths about anxiety
- Understanding the anxiety cycle
- Anxiety in daily life: useful techniques – explained simply
- The worry decision tree – anxiety in daily life: useful techniques
- How to calm anxiety – simple techniques for daily life
- Is it normal worry or an anxiety disorder?