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GAD – General Anxiety Disorder

tarantula-in-hand-smYou have a fear of spiders, or of flying, or of crowds. Are you just sitting there suffering? It’s time to try Exposure Therapy!

Exposure therapy is a type of Behavioral Therapy used to help the patient confront a feared situation, object, thought, or memory and dispel its power to produce fear and anxiety. It involves reliving a traumatic experience in a controlled, therapeutic environment.

The Anxiety Disorders can paralyze the sufferer with ever-mounting avoidance behaviors. While successful for the moment, avoidance just sets aside the fear and anxiety triggered by a situation. They are sure to come back, stronger than ever.

Exposure therapy has been shown to be effective with many of the Anxiety Disorders, including Social Phobia (SAD), Generalized Anxiety Disorder (GAD), panic attacks and Panic Disorder, Agoraphobia, Adult Separation Anxiety Disorder (ASAD), Post Traumatic Stress Disorder (PTSD), and specific phobias.

This is the second of a two-part series of articles on Exposure Therapy. It focuses on tips to make your Exposure Therapy successful. Today’s installment has these headings:

  • Exposure Therapy: Better in real life or in imagination?
  • Tips for successful Exposure Therapy experiences

Yesterday’s Part 1 describes Exposure Therapy and what goes into a typical Exposure Therapy plan:

  • Exposure Therapy is based on habituation
  • Exposure Therapy counteracts Anxiety Disorders’ avoidance
  • Exposure Therapy is a part of Cognitive Behavioral Therapy
  • Characteristics of a typical Exposure Therapy plan

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tarantula-on-face-smThe neighbor’s dog barks night and day. If you have gotten used to it, you have used one of the root principles of Exposure Therapy.

Exposure therapy is a type of Behavioral Therapy used to help the patient confront a feared situation, object, thought, or memory and dispel its power over them. It involves reliving a traumatic experience in a controlled, therapeutic environment.

In a way, Exposure Therapy is related to the old maxim “face your fears,” but instead of jumping into a terror-inducing situation with both feet, therapy usually advocates a carefully planned, gradual approach to alleviating fears.

Exposure therapy has been shown to be effective with many of the Anxiety Disorders, including Social Phobia (SAD), Generalized Anxiety Disorder (GAD), panic attacks and Panic Disorder, Agoraphobia, Adult Separation Anxiety Disorder (ASAD), Post Traumatic Stress Disorder (PTSD), and specific phobias.

This two-part series of articles describes what Exposure Therapy is, and offers tips to make your Exposure Therapy successful. Today’s installment has these headings:

  • Exposure Therapy is based on habituation
  • Exposure Therapy counteracts Anxiety Disorders’ avoidance
  • Exposure Therapy is a part of Cognitive Behavioral Therapy
  • Characteristics of a typical Exposure Therapy plan

Tomorrow’s part of the article will continue the discussion under these headings:

  • Exposure Therapy: Better in real life or in imagination?
  • Tips for successful Exposure Therapy experiences

[Read the entire article...]

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therapist-session-sm
Anxiety Disorders cause severe distress and disrupt the lives of individuals suffering from them.

The frequency and intensity of anxiety involved in these Disorders is often debilitating. Fortunately, with proper and effective treatment, people suffering from Anxiety Disorders can lead normal, productive, and happy lives.

Many people think of treatment for Anxiety Disorders as being solely medication. While drugs can be effective, their remedy is temporary; they work only as long as you take them. And some medications for Anxiety Disorders are habit-forming and cannot be taken for more than a few months at a time.

But there is an equally effective treatment for Anxiety Disorders that will teach you how to manage and control them for the rest of your life: psychotherapy. Although psychotherapy requires more time to work than a pill, it is the best use of your time you will ever experience.

This article discusses the role of psychotherapy in the treatment of Anxiety Disorders under the following headings:

  • Avoidance is at the core of Anxiety Disorders
  • Why is it important to seek treatment for Anxiety Disorders?
  • Are there effective treatments available for Anxiety Disorders?
  • How can a qualified therapist help someone suffering from an Anxiety Disorder?
  • How long does psychological treatment take?

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The diagnosis of Anxiety Disorders in older adults is made all the more difficult because the stigma of mental illness makes it hard for elders to talk about them.

And it’s not helped along by the fact that, until recently, Anxiety Disorders in older adults was little-studied and were treated with dismissal and veiled ageism. However, research is accelerating in the treatment of older adults, and there are some very effective therapies becoming available.

Still, diagnosis of Anxiety Disorders in older adults is difficult at best, because it takes a great deal of sensitivity and experience to ask the right questions. Family and friends are very important in the diagnosis, since they can see the changes in moods, behavior, and habits that a physician cannot see.

This post is the second in a two-part series on the Anxiety Disorders in older adults. Yesterday’s post addressed how many older adults have Anxiety Disorder, how it is strongly linked with depression, and the risk factors. This post covers the following topics:

  • Why are Anxiety Disorders so hard to diagnose in older adults?
  • Overview of treatment of Anxiety Disorders in older adults
  • Medications for Anxiety Disorders in older adults
  • Therapy for Anxiety Disorders in older adults
  • Asking the right questions to diagnose Anxiety
  • Worried about an aging parent or loved one?

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Anxiety Disorders in older adults is a huge problem that has been ignored, causing a great deal of unnecessary suffering.

Research on older adults’ Anxiety Disorders lags behind that of other mental conditions, such as depression and Alzheimer’s. Until a few years ago, Anxiety Disorders were believed to decline with age. But now experts are beginning to recognize that Anxiety is as common in the old as in the young, although how and when it appears is distinctly different in older adults.

Sadly, because of the lack of information on Anxiety Disorders in older adults, especially in how to diagnose them, many go undiagnosed and untreated. James Maddux and Barbara Winstead state: 1

[I]n comparison to other diagnoses (e.g. depression) less is known about the etiology [causes], including clinical characteristics, course, treatment, and prognosis of anxiety disorders in late life. … Because anxiety disorders are difficult to diagnose in older adults, they are often undiagnosed.

Yet, late-life Anxiety Disorders are what Keri-Leigh Cassidy and Neil Rector call a “sleeping geriatric giant.” Anxiety Disorders are twice as prevalent as dementia among older adults, and 4 to 8 times more prevalent than major depressive disorders, causing significant impact on the quality of life, morbidity, and mortality of older adults.2

The annual U.S. health care costs due to late-life Anxiety Disorders in 1990 was estimated to be $42.3 billion. The numbers are surely higher now, and likely to go higher yet as the Baby Boomer generation grows older.3

This post is the first in a two-part series on the Anxiety Disorders in older adults. Tomorrow’s post addresses the diagnosis and treatment of Anxiety Disorders, and gives some tips on how to tell if your parent or loved one is suffering from them. This post covers the following topics:

  • How prevalent are Anxiety Disorders in older adults?
  • What are the most common Anxiety Disorders in older adults?
  • Anxiety Disorders in older adults are strongly linked with depression
  • What are the risk factors for Anxiety Disorders in older adults?

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Dizzy? It May Be an Anxiety Disorder!

by Mike Nichols on November 14, 2008 · 9 comments

Are you among the 3 million Americans who is always dizzy?

Recent studies show that about 60 percent — almost 2 million — of chronically dizzy people also have an Anxiety Disorder. In fact, the Anxiety Disorder causes the dizziness!

If you are among these numbers, you may have what is called Chronic Subjective Dizziness. It’s a condition in which there are no physical reasons for the dizziness. You may have suffered from this condition for years without knowing what or why it was. New research from the University of Pennsylvania now has answers for you!

This post details this new research and explains why it is important to you or someone you know who is always dizzy. The subject is explored under these topics:

  • What is Chronic subjective dizziness?
  • Research on Chronic Subjective Dizziness and Anxiety Disorders
  • The results of the study shows 60 percent had Anxiety Disorders
  • The relationship of migraines, Anxiety Disorders and Chronic Subjective Dizziness
  • The significance of this study on Chronic Subjective Dizziness
  • Treating Chronic Subjective Dizziness

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Your chances of being killed on a donkey are greater than being killed in an airplane crash!

But you say, “Yes, that’s true, but what if I am the ONE?” 

The inability to tolerate uncertainty has been found by researchers to be a core feature of worry. Some worriers say that they would rather know for sure that the outcome will be bad than left in suspense not knowing for sure!

This post explores the relationship between the intolerance of uncertainty and worry, and how they interact with Anxiety Disorders. It also offers a list of topics for you to think about that will help reduce your intolerance of uncertainty and worry.

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Suicide and Anxiety Disorders: What Is the Risk?

by Mike Nichols on October 20, 2008 · 13 comments

Suicidal behavior has not been associated with the Anxiety Disorders alone until recently.

It has long been known that as many as 90 percent of suicides in the United States are associated with mental illness, especially substance abuse disorders, schizophrenia, and mood disorders such as depression. Up to 75 percent of all people with depression, schizophrenia or other mental illnesses who attempt or complete suicide also are diagnosed with one or more of the Anxiety Disorders.

As recently as 1999, the Surgeon General could only say that, ” it is likely that the rate of comorbid [simultaneous] anxiety in suicide is underestimated.” There had been no studies at the time of Anxiety Disorder alone being a risk factor for suicide.

However, since then there have been a number of studies of the risks of Anxiety Disorders alone for suicide. It has been universally found that the suicide risk in patients with Anxiety Disorders is much higher than previously thought. Bob Montgomery and Laurel Morris say,

Patients with anxiety problems, especially but not only panic problems, suffer an unexpectedly high rate of heart disease and suicide. Suicide has long been recognized as a risk associated with depression. But [when] researchers compared a group of anxious with a matched group of depressed patients and found that the suicide rates for anxious patients were equal to or slightly higher than for the depressed patients.

This post summarizes some landmark studies from the past three years that have proven Anxiety Disorders, both alone and in association with other mental illnesses, are a significant risk factor for suicidal ideation, attempts, and completions.

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Anxiety Disorders: Just What Are They? – Part 1

by Mike Nichols on September 11, 2008 · 0 comments

The subject of this blog are the Anxiety Disorders, obviously.

But I just realized that, aside from the reference information listed on the sidebar, I have never given a succinct list of what the primary Anxiety Disorders are.

This is the first of a two-part series that describes the main Anxiety Disorders. Note that every heading has a hyperlink to the full Reference article. Today’s post will cover the following:

  • General characteristics of Anxiety Disorders
  • Agoraphobia
  • Generalized Anxiety Disorder (GAD)
  • Obsessive-Compulsive Disorder (OCD)

The National Institute of Mental Health (NIMH) estimates that about 18.1 percent of the American people age 18 and older suffer from some sort of Anxiety Disorder. That’s 55 million people! According to the Anxiety Disorders Association of America (ADAA), the US economy loses over 42 billion dollars yearly due to undiagnosed, misdiagnosed and under-treated Anxiety Disorders. Less than one-third of those affected with Anxiety Disorder are treated, the ADAA found in a 1999 study.

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Stress and Its Impact on Your Life

by Mike Nichols on September 10, 2008 · 3 comments

Stress seems to be just another component of the modern life.

It is so common that it is treated as a joke by standup comedians, in tv sitcoms and in the print media. Here’s one for you, brought to you by one of the prominent stress reduction gurus:

  • Picture yourself near a stream.
  • Birds are softly chirping in the crisp, cool, mountain air. 
  • No one knows your secret place. 
  • You are in total seclusion from that hectic place called “the world”. 
  • The soothing sound of a gentle waterfall fills the air with a cascade of serenity. 
  • The water is clear.
  • You can easily make out the face of the person you’re holding under the water…

Can you relate to this joke? It’s funny because you can picture being at the breaking point, with the person causing so much stress leaving the picture permanently.

But stress is no laughing matter. It can ruin your physical and mental health. It can ruin your relationships and make your life a living hell. Following are lists of signs of stress to watch out for, along with information on how stress can affect your body and mind.

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