Symptoms
Persistent, intense fear or anxiety about specific social situations because you believe you may be judged, embarrassed or humiliated
What is Social Anxiety Disorder
What is Attention Deficit Disorder
A type of talk therapy, can help a person learn a different way of thinking, reacting and behaving to help feel less anxious.
What is Cognitive Behavioral Therapy
Begins with deep breathing, focusing on one sound or sight point, often needs help in the beginning to reduce the fight or flight sensation. Then moves through to mid brain where can start to regulate body symptoms and emotions on own finally to top brain where can have discussions and work through the problem.
What is bottom up emotional regulation
Presentation Mary is aged 42 years, divorced with two children, employed part time and cares for her mother who has Alzheimer’s disease. Past history Mary has no significant past medical history, although she frequently makes appointments with her GP and practice nurse about problems experienced by her and her children. She was moderately depressed following her divorce 5 years ago and was offered antidepressants but declined them. She was referred for six sessions of counselling, which led to some improvement in her symptoms. On examination Mary complains of feeling ‘stressed’ all the time and constantly worries about ‘anything and everything’. She describes herself as always having been a ‘worrier’ but her anxiety has become much worse in the past 12 months since her mother became unwell, and she no longer feels that she can control these thoughts. When worried, Mary feels tension in her shoulders, stomach and legs, her heart races and sometimes she finds it difficult to breathe. Her sleep is poor with difficulty getting off to sleep due to worrying and frequent wakening. She feels tired and irritable. She does not drink any alcohol.
What is her diagnosis
What is Generalized Anxiety Disorder
Affect nearly 30 percent of adults at some point in their lives.
What are anxiety disorders.
What is Post Traumatic Stress Disorder
Will not cure anxiety disorders, but can give significant relief from symptoms.
What is medication
Medications can be prescribed in combination with therapy. It is often helpful to reduce symptoms so the client can work on learning new skills.
The most commonly used medications are anti-anxiety medications (generally prescribed only for a short period of time) and antidepressants. Beta-blockers, used for heart conditions, are sometimes used to control physical symptoms of anxiety.
Slowly breathing in through your nose for the count of 4, holding it for the count of 4, releasing it for the count of 4, and resting for the count of 4
What is 4 square breathing
Mike is a 20 year-old who reports to you that he feels depressed and is experiencing a significant amount of stress about school, noting that he’ll “probably flunk out.” He spends much of his day in his dorm room playing video games and has a hard time identifying what, if anything, is enjoyable in a typical day. He rarely attends class and has avoided reaching out to his professors to try to salvage his grades this semester. Mike has always been a self-described shy person and has had a very small and cohesive group of friends from elementary through high school. Notably, his level of stress significantly amplified when he began college. You learn that when meeting new people, he has a hard time concentrating on the interaction because he is busy worrying about what they will think of him – he assumes they will find him “dumb,” “boring,” or a “loser.” When he loses his concentration, he stutters, is at a loss for words, and starts to sweat, which only serves to make him feel more uneasy. After the interaction, he replays the conversation over and over again, focusing on the “stupid” things he said. Similarly, he has a long-standing history of being uncomfortable with authority figures and has had a hard time raising his hand in class and approaching teachers. Since starting college, he has been isolating more, turning down invitations from his roommate to go eat or hang out, ignoring his cell phone when it rings, and habitually skipping class. His concerns about how others view him are what drive him to engage in these avoidance behaviors. After conducting your assessment, you give the patient feedback that you believe he has social anxiety disorder, which should be the primary treatment target. You explain that you see his fear of negative evaluation, and his thoughts and behaviors surrounding social situations, as driving his increasing sense of hopelessness, isolation, and worthlessness.
What is Social Anxiety Disorder
Likely to involve a combination of factors including genetic, environmental, psychological and developmental.
What causes anxiety
What is depression
Includes stress and relaxation techniques such as yoga, meditation, and being present.
What is mindfulness
Imagining that you are in a safe space, uses all 5 senses.
What is meditation
Dave is a 41-year-old male who was referred by his primary care physician after presenting to the ER with difficulty breathing. Dave’s physician was unable to find a medical explanation for his symptoms, which left Dave feeling confused, stressed, and angry. Over the last 6 months, Dave has had several instances where he felt an intense fear that would reach a peak within a few minutes. During these instances, he would also experience sweating, heart palpitations, chest pain and discomfort, and shortness of breath. At times, Dave worried that might die. As a result, Dave has persistent worry about having another attack. In addition, he has begun to avoid unfamiliar places and people where it may be difficult to get help in the event of another panic attack. The panic and associated avoidance are significantly impacting Dave’s life as he has been turning down social invitations, making excuses to stay at home whenever possible, and relying on his wife to drive their children to their various activities. Although she was understanding at first, Dave’s wife has grown frustrated with what she perceives as his irrational fear of panic attacks.
Panic Disorder
Persistent and excessive worry that interferes with daily activities. This ongoing worry and tension may be accompanied by physical symptoms, such as restlessness, feeling on edge or easily fatigued, difficulty concentrating, muscle tension or problems sleeping. Often the worries focus on everyday things such as job responsibilities, family health or minor matters such as chores, car repairs, or appointments.
What is Generalized Anxiety Disorder
caused by people attempting to cope with overwhelming feelings and painful emotions by controlling food.
disordered eating
This type of therapy focuses on these steps:First, mindfulness focuses on improving an individual's ability to accept and be present in the current moment. Second, distress tolerance is geared toward increasing a person’s tolerance of negative emotion, rather than trying to escape from it. Third, emotion regulation covers strategies to manage and change intense emotions that are causing problems in a person’s life. Fourth, interpersonal effectiveness consists of techniques that allow a person to communicate with others in a way that is assertive, maintains self-respect, and strengthens relationships.
What is Dialectical Behavioral Therapy (DBT)
The use of writing down feelings, and responses to release fears.
What is bibliotherapy.
Jenny, had not spoken for 2.5 years since she was enrolled at age three in preschool. At the time of therapy, she was 5 year, 8 months. She was the youngest of the three siblings. According to teachers and kindergarten staff, Jenny was shy and quiet. Her mother told her teachers that Jenny was quiet in the house too. School special education specialist reported that her hearing ability was tested, with positive results. She had seen Jenny and tried to help her speak. At school her teachers considered her “stubborn, never cooperated with teachers.” She was a big girl in stature compared to her peers. Her previous teachers described her difficulty in separating from her mother when she first enrolled in preschool 2 years previously. She avoided social situations, and she was silent in the classroom and in performance situations.
What is Selective Mutism
can include fear of being in open or enclosed spaces, leaving one’s house, and being in crowds or using public transportation.
What is Agoraphobia
People experiencing a mental health condition may turn to alcohol or other drugs as a form of self-medication to improve the mental health symptoms they experience. However, research shows that alcohol and other drugs worsen the symptoms of mental illnesses.
Substance abuse
A method of therapy that separates a person from their problem. It encourages people to rely on their own skills to minimize problems that exist in their lives. Throughout life, personal experiences become personal stories.
What is Narrative Therapy
Challenging negative beliefs and replacing it with positive messages.
What is positive self-talk
The patient is a 14-year-old adolescent whose problem started two and a half years ago due to an excessive fear of growing. He does not eat much because according to his own research food contains nutrients needed for physical development; in addition, he adopted a stooped posture to hide his height and began to distort his voice, using lower volume and higher pitch than usual, and he is greatly concerned with the development of secondary sexual characteristics. Every time he notices a physical change that indicates that he is growing, he feels fear and anxiety, to the point that has considered undergoing multiple surgeries to hide it. If people tell him that he is taller or older, he becomes extremely upset and cries. Due to the restriction in food intake, he has a weight loss of more than 24 lbs. He is currently in the 25th percentile, according to the BMI for his age; however, he does not perceive any alterations in body image. Other discrepancies with regard to his physical appearance also coexist; he has Latin American features but his ideal of beauty is that of a Caucasian, “like Hollywood stars,” according to his own definition. Although he believes that this fear is grossly excessive, he argues that the expectations that adults face are excessive: getting a partner, being independent, and having more responsibility and financial solvency. He also believes that once he reaches that age, he is more likely to get sick and die, all of which are very overwhelming.
What is a specific Phobia (fear of growing up)