What Causes Anxiety

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Anxiety may be caused by a mental condition, a physical condition, the effects of drugs, or a combination of these. The doctor’s initial task is to see if your anxiety is a symptom of another medical condition.

Common causes of anxiety include these mental conditions:

These common external factors can cause anxiety:

  • Stress at work
  • Stress from school
  • Stress in a personal relationship such as marriage
  • Financial stress
  • Stress from global occurrences or political issues
  • Stress from unpredictable or uncertain world events, like a pandemic”
  • Stress from an emotional trauma such as the death of a loved one
  • Stress from a serious medical illness
  • Side effect of medication
  • Use of an illicit drug, such as cocaine
  • Symptom of a medical illness (such as heart attackheat strokehypoglycemia)
  • Lack of oxygen in circumstances as diverse as high altitude sickness, emphysema, or pulmonary embolism (a blood clot in the vessels of the lung)

The doctor has the often-difficult task of determining which symptoms come from which causes. For example, in a study of people with chest pain — a sign of heart disease — 43% were found to have a panic disorder, not a heart-related condition.

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