With the growing emphasis placed on the biological etiology of anxiety the significance of environmental elements on the onset of anxiety symptoms ought to not be ignored. Clinical observations indicate that the stressful events in early life can make a individual vulnerable to anxiety disorders. Family members environment and culture could influence susceptibility of GAD. Dysfunctional couples, divorce, death of family members member or buddy, criticism and greater expectation with their children have relationship with pathological be concerned and anxiety. GAD is also widespread right after natural disasters, traumatic events and withdrawal from addictive substances.
Izterabe Nafsani Umoomi most frequently caused by altered and exaggerated functioning of quwwate nafsania. This abnormal function of quwwate nafsania comes under the category of sue mizaj (altered temperament) . The illnesses which mimics with izterabe nafsani umoomi are generally related with sue mizaj haar sada, sue mizaj safrawi and sue mizaj saudawi. As mentioned by Rabban Tabri in Firduasul hikmah that “illness like waswas, bedaari, hizyan, tawahhush and so on.
primarily occurs as a result of increment of hararat (hotness) and yaboosat (dryness) in the brain. In additions to this there are some other predisposing aspects which aggravate the disease such as:
Liver and spleen disorders.
Disorders of absorption and excretion.
Chronic alcoholism.
Excessive and prolonged pressure.
Unbalanced emotional life.
Excessive worry.
High work load.
Excessive sex.
Excessive grief, loneliness or alienation.
Disruption in rhythm of sleep and wakefulness (prolonged insomnia).
Cessation of menses and obstructed haemorrhoidal veins.
Lengthy period of stay in hot climate.
Living in overcrowded and dark locations.
Diets which produce excess black bile (sauda) in the body also have an additive affect in the izterabe nafsani umoomi. It consists of dry or stale foods, excessive consumption of raw or astringent or salty foods, and certain foods, like beans or some nuts.