Cognitive Therapy This therapy was developed by psychiatrist Aaron T. Beck
in the 1960's. Beck rationalized that the way we perceive and interpret
events can be more important than the event itself in eliciting psychological
problems such as anxiety. Beck’s original work focused on depression
and he devised a list of “errors” in the thinking process that
once corrected could alleviate the depression. It has also shown to be
an effective anxiety treatment. Modern Cognitive Therapy aims to change
unrealistic and skewed thought patterns which may be contributing to the
anxiety.
Behavioral Therapy The goal of behavioral therapy is to modify and gain control
of unwanted behaviors by changing how you react to situations. The therapy
is based primary on classical and operant conditioning. Typical someone
with anxiety will be exposed to situations which would normal make them
anxious while at the same time learning tools to manipulate their behavior
while in the situation. The goal here is to take control over the anxious
situation.
Cognitive-Behavioral Therapy (CBT) Many therapists choose to use a combination of changing the
way we perceive events (Cognitive Therapy), and developing tools to deal
with and modify our behavior towards the event (Behavioral Therapy).
This combination seems to yield the best results for anxiety treatment.
Pharmaceuticals Medication is often prescribed in combination with the above
therapies. These medications can include selective serotonin reuptake
inhibitors (SSRI's) as well as anxiolytics drugs and can greatly improve
the effectiveness of other treatments for certain people. It's important
to note that everyone's brain chemistry is slightly different and what
works for one may not work for another.
Anxiety Disorders
Generalized
anxiety disorder (GAD): GAD is the most common of the anxiety disorders.
It is characterized by chronic intense feelings of anxiety in the absence
of any definable stressor.
Panic
disorder: Panic disorder sufferers experience episodes of acute
anxiety lasting anywhere from a few seconds to a few hours. Panic disorder
is characterized by reoccurring attacks of extreme fear and the urge
to flee the situation. People with Panic Disorder often experience
anticipatory anxiety, fearing that an attack may come at any time,
even in public. For this reason, Panic sufferers are also at high risk
for developing agoraphobia.
Posttraumatic
stress disorder (PTSD): PTSD is a condition which can manifest
after experiencing a severely traumatic event. Symptoms of PTSD usually
begin immediately following the event but occasionally manifest many
months or years after thereafter; these symptoms include intense psychological
distress, flashbacks, and reoccurring dreams of the event. A person
with PTSD may seem irritable, socially detached, and become startled
by sudden noise or movements; this may cause them to avoid crowds and
social events. Stimuli associated with the traumatic event may trigger
psychological distress and often flashbacks.
Obsessive-compulsive
disorder (OCD): OCD is characterized by reoccurring thoughts (Obsessions)
and actions (compulsions) which the individual feels they cannot control.
Social
anxiety disorder (SAD): Social anxiety disorder is characterized
by intense feelings of anxiety in social situations. Sufferers of social
anxiety disorder can feel uncomfortable enough in social situations
that they eventually begin avoiding social events all together. Sufferers
are overcome with thoughts of how they are being viewed by others and
often have a negative self image of themselves which causes them to
act in ways which further strengthen their view that they are inferior
to others in the group.
Phobias:
Phobias are typically unrealistic fears of events (such as flying on
an airplane) or of things (such as snakes). If the phobia is elicited
by something common there may be a strong need for treatment since the
fear is probably encountered on a daily basis.
The Nature of Anxiety
This Weeks Anxiety Treatment Video: "Anxiety Treatment: Drugs"
All of us have experienced anxiety at some point in
our lives. Whether we’re late for an appointment, going on a blind
date, or preparing for battle, the feeling is the same; a feeling in
your body of intense anticipation. Your heart rate and blood pressure
increase, you begin breathing more rapidly and you begin to sweat. This
is a normal response to threatening situations, designed to heighten
our senses and prepare us to either run or fight. Unfortunately for us,
our brains do not make a very large distinguish between life threatening
events and the rigors of daily life, both elicit the same defensive mechanism
which culminates into a feeling of anxiety. These feelings are normal
to experience occasionally and may come and go based on the circumstances
you find yourself dealing with.
Anxiety becomes problematic when your level of anxiety
is elevated beyond what would be considered normal for the particular
events you are dealing with. Everyone has a baseline level of anxiety.
This is the level of anxiety they experience in the absence of any definable
stressor. For some this level is very low, so low that it is not even
perceivable. For others the baseline level of anxiety is slightly elevated
and tuned for action. When anxiety becomes too intense or is elicited
by events which do not warrant the level of anxiety being produced it
may cause someone to seek treatment. Whether or not your level of anxiety
warrants treatment is a question of how much it is affecting your life,
your interactions with others, and your happiness. If any of these three
things are adversely affected then anxiety treatment is a great option.
Insurance For The Treatment of Anxiety
It is important to check with your healthcare provider
regarding mental health coverage as each carrier has different policies
when it comes to mental health. In september of 2007 the United States
senate unanimously passed the Mental Health Parity Act of 2007, which
would insure that insurance companies provide equal coverage for both
mental and physical illnesses; however, this bill has yet to be enacted.
In the meantime it is important to check with your mental health practioner
as well as insurance carrier regarding insurance policies.
Anxiety clinics directory: Choose a state below or search for your city
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