The peripheral manifestations of anxiety include increased urinary frequency, stomach upset, tremulousness, tingling in the extremities, tachycardia, syncope, restlessness, palpitations, hypertension, hyperhidrosis, dizziness and diarrhea. Anxiety in most cases is not a stand alone condition, but rather is a symptom of an underlying psychiatric condition. Dr. Covert does not use habituating minor tranquilizers in the treatment of anxiety, but rather employs antidepressant medications, like the SSRI’s and other medications in combination with cognitive behavioral therapy and medical biofeedback training.

When symptoms of insomnia are predominant, a comprehensive psychiatric examination is followed by psychological testing and completion of a sleep history questionnaire followed by a determination that the insomnia is either primary, that is a stand alone condition or secondary, that is due to another psychiatric or medical disorder. Sleep or hypnotic medications may be prescribed and when appropriate referrals can be made for overnight sleep studies for further diagnoses and treatment.

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