Stress, fear and anxiety all tend to be interactive. The principal components of anxiety are psychologic (tension, fears, difficulty in concentration, apprehension) and somatic (tachycardia, hyperventilation, palpitation, tremor, sweating). Other organ systems, e.g. gastrointestinal, may be involved in multiple-system complaints. Fatigue and sleep disorders are common. Sympathomimetic symptoms of anxiety are both a response to a central nervous system state and a reinforcement of further anxiety. Anxiety can become self-generating, since the symptoms reinforce the reaction, causing it to become spiral.
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