Anxiety

Clinic

• Anxiety is an entity which contain sign/symptoms such as Uneasiness / Worry/ Palpitation / Hyper hydrosis / Mouth dryness
• Its underlying mechanism is Sympathetic hyperactivity.

Anxiety vs. Fear

• Both are entities, differentiating from their qualities as below.

Four main domains	Fear	Anxiety
Duration of emotional experience	Short	Long
Temporal focus	Present	Futute
Specificity of the threat	Specific	Diffuse
Motivated direction	Escape	Additional associated cognitive activity

Neuroanatomy

• Amygdala (which regulates emotions like anxiety and fear, stimulating the HPA axis and sympathetic nervous system). People who have anxiety tend to show high activity in response to emotional stimuli in the amygdala. Some writers believe that excessive anxiety can lead to an overpotentiation of the limbic system (which includes the amygdala and nucleus accumbens), giving increased future anxiety, but this does not appear to have been proven.
• Hippocampus (which is implicated in emotional memory along with the amygdala)

• Research upon adolescents who as infants had been highly apprehensive, vigilant, and fearful finds that their nucleus accumbens is more sensitive than that in other people when deciding to make an action that determined whether they received a reward. This suggests a link between circuits responsible for fear and also reward in anxious people. As researchers note, "a sense of 'responsibility', or self-agency, in a context of uncertainty (probabilistic outcomes) drives the neural system underlying appetitive motivation (i.e., nucleus accumbens) more strongly in temperamentally inhibited than noninhibited adolescents".

The gut-brain axis

• The microbes of the gut can connect with the brain to affect anxiety. Gut microbes such as Bifidobacterium and Bacillus produce GABA and dopamine, respectively.
• Another key pathway is HPA axis. The microbes can control the levels of cytokines in the body, and altering cytokine levels creates direct effects on areas of the brain such as the hypothalamus, the area that triggers HPA axis activity.
• HPA axis regulates production of cortisol. When HPA activity spikes, cortisol levels increase, processing and reducing anxiety in stressful situations.

Remedies

Remedies	Mind characters	Physical characters	General characters
	His thoughts are coming from stomach	Extremely restless	Intense, sudden
Arg-n	Uncertainty Claustrophobia Hurry Fear of looking at high places Cannot face the strangers	Diarrhea
Ars	Fastidious Suspicious		Weak
Calc	Fear of insanity Insecurity in changing routins
Gels	timid Agoraphobia,	Vulnerable to fainting	Shaky
Ign	Very sensitive Mood swings
Kali-ars	Fear of heart attacks		Feeling cold
Kali-p	Anxiety from having too much to do or increased ambitions		Physical complication of anxiety
Phos	Difficult concentration when anxious
Sul	Forgetful, confused Aversion to bathing. Overambitious, day-dreams, boaster.		Anxiety + Fainting spells + Profuse sweating Worse in the morning.
Borx	Fear of falling Fidgetiness and nervousness. Anxious about trifles, Easily frightened by slightest noise Children wake suddenly, screaming and grasping sides of cradle without apparent cause.		Anxiety agg by upward or downward motion, going in elevator Worse till 11 p.m.

Acon

• Intense, sudden anxiety, panic, or fear.
• Panic could be connected to PTSD. (Dry skin, dry mouth, and fast heartbeat)
• Even trivial complaints are accompanied by great fear and anxiety of mind.
• Great anxiety and excitement, patient is hasty in every action.
• Tendency to start at everything
• He thinks his thoughts are coming from stomach
• Music is unbearable and makes her sad
• Patient is extremely restless-mentally as well as physically.
• Patient tosses about in agony, must change his position often.
• Fear of future, fear of going out, of crowd, of crossing street.
  

Arg-n

• Anxiety that is due to uncertainty
• Claustrophobia, hypochondria, fear of heights, or fear of everyday things.
• It could be accompanied with digestive disturbance, like diarrhea and sweets cravings.
• Anxiety makes the patient to walk fast
• Anxiety due to anticipation
• Patient is always in hurry, time passes too slowly.
• Impulsive, impulse to jump, when in a high place.
• Fear of crossing corners of street,
• Fear of death
• Fear of looking at high places.
• Patient is sad, melancholic with great anxiety, forgetfulness and dullness.
• Defective memory, Child does everything in great haste.
• Cannot face the strangers.

Ars

• Anxiety due to fear of loneliness, darkness, or being imperfect.
• They may control their anxiety to prevent being criticized by others.
• They often feel cold.
• Always moving from one place to another, and when physically too weak to move, they want to be moved.
• Fear of death; fear that he is having some incurable disease.
• Sad and hopeless of recovery
• Fear when alone, anxiety about money, feels as if he will die soon.
• Suicidal tendencies, weary of life.
• Impulse to commit suicide, over sensitiveness to circumstances and surroundings, patients is extremely fastidious, wants everything in proper place, even when he or she is sick.

Calc

• Like Ars, his anxiety is due to breaking out of any safe routine.
• Agg when plans are changed, and they show difficulty in “going with the flow.”
• Evening anxiety + Restlessness + Palpitation + Mental weakness (Inability to prolonged mental exertion, difficult thinking, Weak memory, Confusion, Misplacing of words, Indolence).
• Irritable, obstinate, and sad.
• Inclined to weep, fear of insanity and anxious.
• Ailments from prolonged worry or anxiety, prolonged application to business, from excitement of the emotions.
• Fears loss of reason, fear of death, of consumption, of misfortune, of being alone.
• Horrible dreams, startled at every noise.

Gels

• Anxiety due to feelings of inadequacy
• They are often timid and shaky
• Agoraphobia, avoid crowds or public speaking
• Vulnerable to fainting
• They often desire solitude and avoid insistent pressure from other people.
• Anxiety due to fright, fear, exciting news,
• Stage fright; worse while appearing for examination or interview etc.

Ign

• Anxiety from grief or loss or mental shock
• Very sensitive
• Mood swings: Moving from laughter to tears, Alteration of opposite mental states.
• Depression, Absent-minded, aversion to company
• Patient weeps and broods in solitude
• Hysterical from disappointment; patient weeps, laughs, shrieks, jerks and twitches and may go in to convulsions or faint.
• Patient is unable to control her emotions and excitement.

Kali-ars

• Health-based anxiety include hypochondria, excessive grooming
• Fear of heart attacks
• Racing thoughts and difficulty sleeping
• Fear of death or dying
• Feeling cold
• Vulnerable to panic attacks.

Kali-p

• Vulnerable to stress or becoming overwhelmed.
• Their anxiety from having too much to do or increased ambitions
• Physical complication of anxiety

Lyc

• Lack self-confidence (Similar to Gels, Sil)
• Stage fright: Fear of speaking in public but they hide it well by talking loudly or loquacity

Phos

• Social people with anxiety
• When anxious or vexed, their thoughts get scattered and they have a difficult time focusing or getting things done
• Anxiety of being approved in social circles or from romantic partners

Puls

• Childlike anxiety
• They need lots of reassurance and support from others to feel better.

Sil

• Lack self-confidence (Similar to Gels, Lyc)
• Fear experiencing new things, Stage fright
• Fear of getting a lot of attention
• They tend to become workaholics to soothe their fears.

Stram

• Night terrors, nightmares, or dark thoughts while awake
• Fear of the dark or being alone
• Esp scared by thoughts of monsters or mysterious figures
• Their imaginations tend to worsen their anxiety

Sul

• Anxiety with fainting spells, profuse sweating, worse in the morning.
• Mentally lazy, always tired, occasionally restlessness and hasty.
• Irritable, impatient of others, selfish, easily excited and offended.
• Always in dreams, delusions, thinks rags to be beautiful things.
• He is a ragged philosopher, very unclean, does not care for neatness, he thinks there is no need of cleanliness.
• Suspicious and mentally depressed.
• Very forgetful, confused, absent minded, having aversion to mental, as well as physical efforts.
• Aversion to bathing.
• Overambitious, day-dreams, boaster.

Borx

• Anxiety aggravated by upward or downward motion, going in elevator
• Worse till 11 p.m.
• Fear of falling when rocking, dancing, singing, going downstairs, or going rapidly down to the hill.
• Fidgetiness and nervousness.
• Anxious about trifles
• Excessive nervous, easily frightened by slightest noise or an unusual sharp sound, a cough, a sneeze, cry, lighting a match etc.
• Patient becomes nauseated and excitable after mental exertion and in anxiety.
• Children wake suddenly, screaming and grasping sides of cradle without apparent cause.

Bry

• Anxious about business, even when seriously ill
• Mind is hazy and confused.
• The patient dozes frequently, while his eyes are closed, he sees people who are not in the room.
• Mild type of delirium first during sleep, and later on during waking hours.
• Talks incoherently, about his business affairs or events of recent happening, wants to go home as he thinks he is away from home
• He wants something but do not know what he wants, desires things which cannot be had, which are refused when offered.

Caust

• Full of apprehension; patient is melancholic, lachrymose, hopeless, and foreboding.
• Prone to fits of anger, startled easily, the least things make the child cry who is peevish.
• Forgetful, taciturn, and extremely restless, especially at night.
• Always anticipating some dreadful events,
• She lacks mental balance, hysterical women who have lost all control of herself, esp at night.
• Intensely sympathetic for suffering of others, ailments are worse when thinking about them.
• Mental symptoms that come on from suppression from skin eruptions.

Anac

• Dullness / Sluggishness of mind /Memory impaired / Sudden loss of memory / Absent mindedness
• Anxiety better after eating
• Lack of confidence in himself and others
• Very easily offended
• Irresistible desire to curse and swear, tendency to use violent language
• Aversion to work, indolence
• All complaints are worse from mental exertion.
• Thinks he is possessed of two wills, one commanding to do what other forbids
• Hallucinations that a demon sits on one shoulder and an angel on the other
• Feels he is double, mind and body are separated.
• Suspicious about everything around him
• Anxious while walking, as if someone is pursuing him.