What is anxiety?

Anxiety is a state of alert characterized by a “pending process,” in which the brain springs into action to find solutions to situations perceived as challenging or threatening. In this process, the neurotransmitter glutamate plays a central role, being produced in greater quantities to activate brain circuits responsible for dealing with stressful stimuli. Glutamate, as an excitatory neurotransmitter, intensifies activity in regions such as the amygdala and prefrontal cortex, areas that regulate fear, stress, and decision-making.

When the glutamatergic system is constantly and rapidly activated, as occurs in chronic anxiety states, it requires greater interaction with other neurotransmitters, such as serotonin, dopamine, and norepinephrine, which help modulate the stress response. However, if the brain cannot balance these systems efficiently, excess glutamate can lead to prolonged brain excitation, a phenomenon known as excitotoxicity. This process results in the wear and tear of neurons, which, when compromised, can die, impacting the brain structure.

These changes can occur especially in regions such as the hippocampus, which is associated with memory and mood. Neuronal death and loss of brain plasticity contribute to the emergence of other conditions, such as depression, which is often associated with chronic anxiety. Thus, glutamate, although essential for quick and instinctive responses, can, in excess, generate brain imbalances that affect mental and emotional health.

Conclusion

Anxiety is a natural and necessary process for dealing with challenges, but its constant activation can overload brain systems. Glutamate plays a central role in this process, but its imbalance, combined with the brain’s inability to modulate other neurotransmitters, can lead to structural and functional changes in the brain, paving the way for conditions such as depression. Understanding these mechanisms is crucial to developing management strategies that prevent the negative effects of chronic anxiety.

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