Postpartum Anxiety: Common Symptoms and Treatment Options

Worry and Anxiety: Becoming the Captor, Not the Captive

Understanding Anxiety Does Not Have to be Complex

Anxiety Symptoms in Women: What is “Normal”?

Did you know that even though anxiety affects both genders at all ages, anxiety symptoms in women are different from anxiety symptoms in men?

Anxiety also manifests differently depending on how old the person is. Symptoms of anxiety in children and younger teens are usually some type of phobia or incessant worry. Young adults are most likely to experience PTSD, and older adults are most prone to panic disorders and generalized anxiety.

Yes, men experience anxiety; however, women are twice as likely to suffer anxiety, and anxiety disorders are much more prevalent in women than men. Anxiety in both men and women is often missed by physicians and mental health professionals, as many of the symptoms can be misdiagnosed as other health issues.

Which anxiety disorders most commonly affect women in their 30’s and 40’s?

  • Generalized anxiety
  • Panic attacks
  • PTSD (Post-traumatic Stress Disorder)

Why are midlife women more likely to be afflicted by these disorders?

The hormonal fluctuations of childbirth, pre-menopause, and menopause are a plausible factor in anxiety. Midlife is also an especially demanding time for women. At this age, most women have children to care for, and probably aging parents. Many women are climbing the ladder in their career and balancing the stresses of family life and work.

The requirements of raising children can be a daunting task for mothers. Women also feel pressured to maintain immaculate and stylish homes, hair, nails, and clothes, to stay in good physical shape, to advance in their careers, to have an active social life and to engage in church, community, and volunteer activities, not to mention nurturing a marriage!

Anxiety in mid-life women in mid-life can often simply be due to the stress of trying to squeeze too many responsibilities into 24 hours. Women also tend to compare themselves to other women their age and become self-condemning as a result. They may have negative “self-talk” that sounds something like this:

  • Everyone else here looks so thin! I’m the fattest person here. And look at her boots and her hair! I wish I’d done more with my hair before I left the house!
  • She always seems to glide effortlessly through work, church, and home. I need to be more like her! What’s her secret?
  • Oh! Look at her Facebook photos! Her husband seems to really dote on her! And they’re in France! They always have such glamorous vacations! All we ever do is visit the in-laws!

Another cause of anxiety disorder in some mid-life women is abuse that they suffered as a child, adolescent or young adult that can result in PTSD episodes years after the violence occurred. Females are more likely to be the victims of sexual abuse and violence, and random events or places can trigger latent memories.

Common Anxiety Symptoms in Women

If you’re a woman in your 30’s or 40’s, you may be experiencing symptoms of an anxiety disorder. You may have a vague feeling that something’s wrong, but not sure what. Let’s take a look at the three most common anxiety disorders in mid-life women and what the symptoms are.

Generalized Anxiety Disorder Symptoms

People with Generalized Anxiety Disorder experience incessant worry about many different things – their own health, their children’s health, their career, relationships, finances, relationships, and so forth.

We all worry about these things from time to time, but someone with Generalized Anxiety Disorder literally feels compelled to worry – to stew over every concern to the point where they’re not able to enjoy or engage in life very much.

Someone with Generalized Anxiety Disorder is ruled by anxiety. They can’t snap out of it by distracting themselves with other things or trying to be more realistic. They blow actual concerns out of proportion or even worry about things that aren’t really a problem. They often imagine the worst-case scenario and have a sense of impending doom.

People with Generalized Anxiety Disorder have at least three of the following symptoms that occur regularly and persist for at least six months:

  • Inability to relax and enjoy the moment
  • Fidgety, nervous, edgy, easily startled, or tense
  • Difficulty focusing and staying on task, mind “goes blank”
  • Sleep issues: trouble falling asleep, mind racing, waking up with obsessive thoughts and not being able to fall asleep again.
  • Fatigue, sleepiness
  • Muscle tension and muscle aches
  • Sweating
  • Stomach problems – nausea, diarrhea
  • Increased heart rate, hyperventilating

Panic Disorder Symptoms

People with panic disorder have unexpected and intense fear that comes on suddenly, usually brought on by some trigger, and generally resolves within ten minutes or so.

Psychological symptoms include:

  • The sense of impending doom
  • Feelings like everything is surreal
  • Feeling like you’re going crazy or losing control
  • Feeling like you’re going to die or pass out
  • Feeling like you need to escape

Physical symptoms include:

  • Racing or pounding heart and/or irregular heart rate
  • Chest pain or pressure
  • Trembling or shaking
  • Shortness of breath or choking feeling
  • Feeling weak or lightheaded
  • Feeling hot and sweaty or chills
  • Nausea, vomiting and/or abdominal pain
  • Feeling numbness or tingling or “pins and needles” on the skin, especially in hands and feet.

People who have panic attacks begin to have anxiety about having another one, which leads to avoidance behavior – trying to stay away from the trigger that caused a previous attack. Avoidance behavior can quickly lead to a significantly altered lifestyle.

Panic attacks are often undiagnosed because a number of the symptoms mimic heart issues, respiratory disorders, and other health problems. If you are a woman in your 30’s or 40’s and have had at least four of the above symptoms at one time, you may have been having a panic attack.

Post Traumatic Stress Disorder (PTSD) Symptoms

PTSD symptoms will manifest for at least a month after a person experiences some sort of trauma: such as witnessing a sudden or violent death, being the victim of a violent attack, observing the results of violence in victims – especially in situations such as soldiers in a war zone, first responders to accident or crime scenes, or emergency room personnel.

PTSD may lie dormant for years, even decades, and then symptoms might surface due to another trauma in the person’s life, or having one’s memory jogged by some sort of experience.

PTSD is characterized by the following dominant symptoms:

  • One finds they are reliving the trauma in some way, such as through sudden and distressing memories, nightmares, or flashbacks.
  • One goes to great lengths to avoid memory triggers – such as people, places or situations that are associated with the trauma, as exposure to triggers causes extreme distress.
  • One persistently has negative emotions and beliefs, such as believing the world is an unsafe place, blaming yourself or others for the trauma, emotional numbness, detachment, disinterest in activities, inability to feel positive emotions, and commonly experiencing feelings of shame, horror, or fear.
  • One has significant changes in reactions and arousal, such as difficulty focusing, disruption to sleep, feeling nervous and very easily startled, irritated by minor things, outbursts of anger, aggressive behavior, and self-destructive behavior

About half of all women have experienced trauma of some sort. Women and men tend to experience different types of trauma, and they also usually manifest different symptoms of PTSD.

We often think of PTSD as being associated with veterans of combat, but women who have been victims of sexual abuse or domestic violence or have dealt with the sudden death of a loved one are also prone to PTSD.

Actually, women are more than twice as likely as men to develop PTSD following a traumatic event. Because women have a propensity to take responsibility for themselves and others, they tend to have a higher anxiety level simply due to stress.

But this sense of responsibility also causes women to take the blame for trauma that has been inflicted on them. Because they blame themselves rather than realize they were a victim, they tend to ignore the impact that trauma has had on them, including symptoms of PTSD.

Where to Go for Help

Are you a woman in midlife and experiencing the symptoms of one of the anxiety disorders listed above? Anxiety issues are common for women, although the symptoms are frequently overlooked. Women often fail to get the help they need because they minimize their symptoms and don’t realize that what they’re experiencing isn’t normal.

The good news is that there is hope and there is help for you! Treatment can be very helpful in reducing the symptoms of anxiety, enhancing the quality of life, and helping you take charge of your emotions and thought life.

You may feel like you can deal with things on your own, but anxiety rarely goes away by itself, and it can interfere with how you live your life and the quality of your relationships. If left untreated, your symptoms could worsen.

If you are struggling with an anxiety disorder, counseling can help you identify triggers, and equip you with the tools you need to deal with its symptoms. A counselor can introduce you to therapy methods that have a proven track record in helping people with anxiety disorders gain control of their life and their emotions.

“Anxious,” courtesy of Sascha Berner,, CC0 License; “Nervous,” courtesy of xusenru,, CC0 Public Domain License; “Growth,” courtesy of Tambira Photography,, CC0 Public Domain License; “Nervous,” courtesy of Eddie Kopp,, CC0 License

4 Techniques to Manage Severe Anxiety

Severe anxiety attacks can present in a variety of different ways.

When you talk with a Christian counselor, they may use the phrase panic attack to refer to the event of the anxiety attack, while acknowledging that the effects can last for several hours. The term panic anxiety disorder describes a long-term condition in which people experience frequent panic attacks, often on a daily basis.

Signs of a Severe Anxiety Attack

While there are many different ways in which an anxiety attack can present, the most common signs include:

  • Chest pain
  • Headaches
  • Feeling hot or cold (flushes/chills)
  • Feeling lightheaded or dizzy
  • Feeling as though you’re detached, or that your surroundings aren’t real
  • Tingling and numbness
  • Stomach ache, cramps or digestive distress
  • Feeling nauseous and/or vomiting
  • Feeling like you can’t breathe
  • Hyperventilating
  • Shaking or trembling
  • Sweating
  • Rapid heart rate and pounding heart
  • Feeling afraid you’re going to die
  • Overwhelming feelings of doom and danger
  • Feeling weak
  • Feeling confused
  • Feeling out of control
  • Racing, terrifying thoughts
  • Pain
  • Experiencing the sense as if you’re falling off a cliff
  • Inability to focus on anything

Treatment Options for Dealing with Severe Anxiety Attacks

There are a variety of options when it comes to treating severe anxiety attacks.

A Christian counselor can help you work through these principles:

  • Trust in Christ to give you strength. Embrace the promises that God has made in His Word.
  • Understand that Jesus empowers you. Remind yourself of the way that God has already worked in your live and depend on the power of the Holy Spirit within you.
  • Allow the Holy Spirit to quash your fear. People who experience recovery from severe anxiety know that victory can come through inviting God to enter and tear down strongholds of fear.
  • Stop focusing on the “what ifs” in your life. The best strategy to defeat severe anxiety, stress, and worry is to have a “so what?” mindset instead. Focus on this truth: “If God is for us, who can be against us?” (Romans 8:31b; NIV).
  • Take a stand against internal passivity and apathy. When you believe that anxiety is taking away your control, you are giving it power. Instead, surrender your control to the Lord.
  • Educate yourself and learn everything you can about your anxiety disorder. Having knowledge and understanding can help you to rationalize what is happening during an anxiety attack, which can counteract some of the fears associated with such attacks. Be an expert in your condition and tell the people who care about you how they can help. Partnering with someone supportive who understands your anxiety can be beneficial.
  • Don’t succumb to a feeling of helplessness. Anxiety can be beaten!

  • Be compassionate with yourself. It’s very easy to fall into patterns of self-loathing and self-accusation, but these patterns only benefit the enemy who wants to keep you trapped. Never believe the lie that you have less worth in God’s eyes because of your anxiety attacks. You wouldn’t think that of someone with cancer, so don’t think it of yourself.
  • Don’t allow anxiety to become your identity. You have anxiety attacks, but they don’t define you.
  • Instead of having a pity party because of the way your anxiety affects your life, take control by asking yourself what you can do to manage it.
  • Get support. There are support groups for Christians with anxiety disorders and being a part of such a group can help you avoid isolation and despair.
  • Never give up on God, yourself or your support network of family, friends and church community.

Things to Remember During a Severe Anxiety Attack

  • It’s important that you don’t try to run from your symptoms. This will only make things worse because activating the fight/flight/freeze mechanism simply floods your body with adrenaline that exacerbates the symptoms of anxiety. Ride out the attack instead, because anxiety attacks are always short-lived, even if the after-effects aren’t.
  • Remember that the symptoms will pass in a few minutes, and you’ll be back in control. Fear that the attack is going to last forever only makes the symptoms worse. Anxiety attacks are actually your body’s way of alerting you to more long-standing problems in your life that you could work through with a Christian counselor.
  • Use breathing and relaxation techniques as much as you possibly can.

Breathing Techniques for Severe Anxiety Attack Management

There are two principle types of prayer/meditation that Christians have been practicing for almost two thousand years. The first of these is a type of concentrative meditation, involving focusing on an object or thought, producing deeper thinking.

The best way to practice concentrative prayer is to restrict the senses. Try concentrating on God’s Word in Scripture. Concentrative prayer meditation is an excellent way of planting the truth of God’s Word in your heart and increasing your focus on what God wants to achieve through you.

The second variety of prayer meditation involves listening to God’s word through the external environment. This might include nature, analyzing current events, analysis of historical events, biblical archaeological analysis, and looking at scripture through the eyes of culture and history. Mindfulness is often used to describe this type of meditation.

Christian mindfulness helps to understand the way the God is at work in our surroundings. It’s a type of prayer that requires listening rather than making petitions to God in prayer.

Many Christians misunderstand mindfulness and fear that it is un-Christian, largely due to the way it is conveyed and discussed in secular situations. However, Christian mindfulness is actually a way of communing with God that is beneficial for people who suffer from anxiety attacks.

Breathing exercises, likewise, are sometimes frowned upon by Christians, but again, there is nothing un-Christian about them. They bring about calmness and allow you to shift your attention from your anxieties onto God and His goodness and promises.

It’s been shown that breathing and meditation exercises have significant benefits for people with mental health problems, and for people with physical issues. These practices are ancient and pre-date all the other techniques that are commonly used for handling health issues.

Four Ancient Breathing Techniques to Practice

1.Sama Vritti (Equal Breathing)

The word sama means equal. The translation of vritti is the state of being. In our fast-paced world, we have become accustomed to shallow breathing, to the extent that we regard it as normal.

One major benefit of this breathing method is its ability to bring calm to the nervous system. It also helps with increased focus and reducing stress and anxiety.


This is a simple breathing technique that is effective with a count of 10 breaths. To start sama vritti you inhale While counting to 4, then exhale While counting to 4. The more you practice, the easier you will find it, and you can build up to counts of 6 or 8 per breath. Always breathe through your nose to get the best effects.

When to use

This breathing technique can be practiced anytime, anywhere. It’s great for slowing down racing thoughts, and if you’re having trouble sleeping. It helps to slow the mind, giving you the opportunity to focus on God instead of your thoughts.

2.Nadi Shodhana (Alternate Nostril Breathing)

This breathing method has been developed as a means of uniting the two hemispheres of the brain and create balance in the mind. It is sometimes called a silent breathing technique.


This breathing technique is best done from a seated position. Hold one thumb over one nostril and inhale through the other nostril, deeply. It’s a method that’s suggested during pregnancy and is great for relaxation and circulation.

At the peak of the inhalation, momentarily pause so that you can place your ring finger over the other nostril. Then you lift your thumb and exhale through the uncovered nostril. Continue with this pattern, inhaling through one nostril and exhaling through the other.

It’s important to slow the pace of your breathing with this.

When to use

Nadi shodhana is a great technique when you need to re-energize or re-focus, for example during the mid-afternoon slump. It helps to relax the whole body when done correctly.

3.Sohum Meditation (Abdominal Breathing/ Ocean Wave)

Often referred to as being like an ocean wave, the imaginative aspect of this exercise can be especially effective for visual learners and creatives.


Place one hand on your chest and the other hand on your stomach. Take a deep breath in (breathing through your nose) and make sure your diaphragm (rather than your chest) inflates so as to fill your lungs with enough air to stretch them. You should pause for 2-3 seconds after each breath.

Try to do 8-10 slow, deep breaths each minute, and repeat for at least 5 minutes every day. This helps to lower blood pressure and help you handle stress more effectively. It helps build lung capacity and can also have a positive effect on digestion and heart rhythm.

When to use

This is a perfect breathing technique to use before you take tests, attend interviews, or deal with stressful events. It can be difficult at first to get the hand of controlling the breath, but practice will help.

4.Anuloma Viloma (Intermediate Level of Nadi Shodhana)

Similar in technique to the alternate nostril technique, this requires a more forceful type of breathing, rather than controlled breathing at a slow pace. Ancient sources claim that this breathing method heals all types of internal disease. Regardless of the truth of that claim, there are a lot of benefits to be had from anuloma viloma.


Make sure that you are sitting in a comfortable position and blow your nose to clear any excess mucus. As with the alternate nostril breathing, you need to use your thumb to close your right nostril. Lift your right elbow in line with the right shoulder, making it parallel to the floor.

Force inhale through your left (open) nostril – it will sound like a noisy breath, but that’s how it’s meant to be. Now use your ring finger to cover your left nostril and exhale out of your other nostril. Immediately begin the breath again. It’s meant to be fast paced. The purpose is to clean your lungs to increase heart rate.

Be careful when practicing this type of breathing, however. Because it’s more advanced it may make you feel light headed at first.

When to use

The best time to practice anuloma viloma is when your stomach is empty – such as first thing in the morning. It can also be helpful to counteract the mid-afternoon slump that many people experience. The technique is intended to give you an energy boost that will help you cope with whatever the day throws at you.

A lot of research has been done into the use of breathing techniques during anxiety attacks. The consensus is that controlled breathing can be effective in managing the severity of the attack. It’s a good idea to practice these techniques before anxiety attacks so that you have the resources in your toolbox to handle the symptoms of a panic attack. Additionally, practicing breathing techniques can increase the length of time between anxiety attacks.

For Christians, it’s important that there is an integration of Christian prayer and contemplation. It’s this combination that makes breathing exercises more effective. Breathing exercises can be combined with listening (prayer) to God and focusing on His truth.

Find a Christian counselor if you experience anxiety attacks and want extra support in managing your symptoms. While psychiatrists can prescribe medication, a Christian counselor can integrate faith into your journey towards healing and wholeness.

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Anxiety Symptoms You Shouldn’t Ignore

There can be times when everyday things may cause excessive worry for someone suffering from generalized anxiety. This worry can interrupt thoughts, disrupt sleep, and may not even make sense to the individual, leaving them feeling silly even acknowledging the dread that these symptoms cause.

However, generalized anxiety is no laughing matter. The feelings of dread and effects of losing sleep over worry can lead to irritability and even depression.

The Anxiety and Depression Association of America (ADAA) claims that Generalized Anxiety Disorder (GAD), characterized by persistent and excessive worry about a variety of things, is affecting 6.8 million adults, roughly 3.1% of the entire population of the U.S.

In order to help get it under control, one should understand the neurobiological sources of anxiety. It is only natural to try to understand the fountainhead of anxiety and worry as symptoms begin to surface. Sometimes when the source is identified an anxious individual may begin to make statements such as, “This is ridiculous,” or “I should not be letting myself worry about this.”

Even though this self-talk may be a positive helpful way to combat anxiety, the brain is actively seeking for things to worry about against personal control. Anxiety affects the brain automatically, scanning one’s surroundings or circumstances for sources of worry. Once identified, the body tends to react to a source, producing symptoms of anxiety.

Individuals bodies may react in different ways to anxiety or worry, however, there is a general reaction of fear similar to when a person faces a threat or potential danger. This is similar to when you are watching a suspenseful or scary movie.

The senses associated with the brain are scanning all the information received and the body is reacting to chemicals that the brain releases, producing symptoms such as a tight stomach, clammy hands, and accelerated breathing. This can happen to someone experiencing anxiety or constant worry. When these feelings are experienced over long periods of time there is a risk of developing chronic tension and stress.

Managing Anxiety Symptoms Well

Anxiety symptoms be differentiated into three groups, with three corresponding ways to deal with the symptoms. Group one includes the physical stimulation that can result in panic. Group two involves dread, tension, and stress. Group three centers around brooding worry.

The remainder of this article will deal with the use of Body Management to combat the symptoms of group one.

Fighting Panic with Body Management

Panic attacks stimulate your body in such a way that you experience accelerated pulse rate, shortness of breath, tingling, and dizziness. When these symptoms come without warning they can both frustrate and terrify the anxious individual. Panic attacks are not the only physical symptom, however, but shoulder, neck, and jaw tension, as well as a hollow feeling in your stomach, or even outright stomach pain, can also occur.

Taking care of the body

Physical solutions are typically used to combat physical symptoms. The first step toward regaining control of an anxiety disorder is to take control of the body. This may be accomplished in several ways. The first, and most important is the general maintenance of your body and your health.

Physical exercise, a healthy diet, and enough sleep are important areas for preventing anxiety symptoms. The use of caffeine or alcohol can cause the body to enter an anxiously aroused state, as well as insufficient sleep and lack of exercise.

Diaphragmatic breathing

Diaphragmatic breathing is a deeper type of breathing that creates a sense of calm and a restful attitude in the body. The more you practice controlling your breathing, the more your body will adjust to being in a state of calm.

It is helpful to learn deep breathing techniques and incorporate them into everyday life, especially when you suffer from anxiety symptoms. Using diaphragmatic breathing can put a complete stop to the stress symptoms.

Mindful awareness

The practice of mindful awareness is a third way to bring your body under control. Physical symptoms can be so acute that you are unable to focus on anything else. This leads to the ruminating fear and anxious feelings. Mindful awareness can help shift your thoughts from your body to your environment and thus regain control of your body.

Refocus your attention away from the anxiety symptoms to your body’s basic physiology – the way your breathing feels, your heartbeat, how your stomach feels, etc. Next, shift attention to your senses – sounds, smells, or what you can feel on your skin, the room ambiance, the wind on your face, the smell of flowers, etc.

As these actions are performed you will begin to feel that you are in control of your body and can overcome your symptoms. You develop the skill of being present in the moment, disregarding the persistent anxious thoughts or lack of bodily control.

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