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Treatments of anxiety essay
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Literature Review The reviewed literature has focused on two main themes in treating anxiety. These are behavioural therapies (e.g., exercise, exposure therapy, yoga, mind-body connection interventions) and cognitive therapies (e.g., cognitive therapy, schema therapy). A substantial amount of literature supports the use of combining these with cognitive behavioural therapy (CBT), without considering the effects of gender. As my practicum will be at the Young Women’ Christian Association (YWCA) Counselling Centre, I intend to create and use a general treatment plan to use with women with anxiety. Before discussing the treatment of anxiety, I explore the gender differences and how these might be incorporated into the treatment plan. While there are considerable gender differences in anxiety, the majority of the research focuses on certain populations and certain anxiety disorders (e.g., pregnant women and post-partum anxiety). For this treatment plan, I have intentionally remained general so it could be tailored to other specific situations and clients. As stated in Kinrys and Wygant (2005), anxiety disorders are more prevalent in women, are more likely to be comorbid with other mental health disorders, have different or worse symptoms, and have different ages of onset compared to their male counterparts. For example, women were about twice as likely to have generalized anxiety disorder (GAD) and approximately 2.5 times as likely to have panic disorder or posttraumatic stress disorder (PTSD) (Kinrys & Wygant, 2005). As for panic disorder, the authors noted that women experience more respiratory-related symptoms in panic disorder (e.g., difficulty breathing) and were more likely to re-experience panic or agoraphobic symptoms when ... ... middle of paper ... ... Central MIRECC, Houston. De Moor, M. H. M., Beem, A. L., Stubbe, J. H., Boomsma, D. I., De Geus, E. J. C. (2006). Regular exercise, anxiety, depression and personality: A population-based study. Preventative Medicine. 42. 273-279. Kinrys, G. & Wygant, L. E. (2005). Anxiety disorders in women: Does gender matter to treatment?. Rev Bras. Psiquiatr. 27(Supl II.). 43-50. Smith, M., Segal, R., Segal, J. (2014). Therapy for anxiety disorders. Helpguide. Retrieved from: http://www.helpguide.org/mental/anxiety_therapy.htm. Toureche, M. I., Ernst, E., Hodnett, E.D., Blanchet, C., Dodin, S., Njoya, M.M. (2011). Mind-body interventions during pregnancy for preventing or treating women’s anxiety. The Cochrane Library. 7, 1-42. Wright, J. H.., Basco, M. R., Thase, M. E. (2006). Learning Cognitive-Behaviour Therapy. United States. American Psychiatric Publishing, Inc.
Stern, Richard. "Behavioural-Cognitive Psychotherapy Training for Psychiatrists." Pb.rcpsych.org. The Royal College of Psychiatrists, 1993. Web. 24 Feb. 2014.
Psychoanalysts believe that anxiety disorders are caused by internal mental conflicts often involving sexual impulses. These impulses cause an overuse of the ego’s defense system that fails over time. This shows that the unacceptable impulses the ego has blocked are the generalized anxiety disorders. These blocked impulses cause an unconscious state of apprehension for which the person does not know the cause of. Phobias, however, occur if the person sets the cause of the anxiety to a certain object, or situation, which they can more easily avoid than the actual source of anxiety.
Beck, J. S. (2005). Cognitive therapy for challenging problems: What to do when the basics don't work. New York: Guilford Press
With this information in mind, I began thinking of my personal experiences with anxiety. On one occasion I went to the emergency room, expressing the inability to breathe and dizziness. It was concluded that I ...
Smith, M. M., & Segal, J. P. (2014, February). Generalized Anxiety Disorder. Retrieved 03 10, 2014, from HelpGuide.org: http://www.helpguide.org/mental/generalized_anxiety_disorder.htm
Vincelli, F., Anolli, L., Bouchard, S., Wiederhold, B. K., Zurloni, V., & Riva, G. (2003). Experiential cognitive therapy in the treatment of panic disorders with agoraphobia: A controlled study. CyberPsychology & Behavior, 6(3), 321-328. doi:http://dx.doi.org/10.1089/109493103322011632
Along with being the most widespread mental health disorder, women are more likely to be affected by most anxiety disorders than men. Anxiety disorders are often characterized by feelings of worry, uncertainty, anxiety, or fear, which can be so intense, it can interfere with a person’s daily activities. Therefore, it is likely for a person struggling with an anxiety disorder will find themselves unemployed, financially dependent on others and even have poor quality social relationships as well. As an anxiety disorder may affect other functional impairments, it is also important to be aware of its development considering an anxiety response affects various populations and individuals differently.
All ¬anxiety disorders show distinct expressions of behavioural, subjective, and physiological symptoms of anxiety (Andrews, Creamer, Crino, Hunt, Lampe, & Page, 2004; Franklin & Foa, 2002). Research consistently showed that although basic anxiety symptoms are present in most if not all disorders, they are indeed manifesting differently in each (Caprara, Steca, Cervone, & Artistico, 2003). Therefore, the exact nature of feared stimuli cannot be predicted and is generally distinctive from individual to individual.
Anxiety is a normal reaction to a threatening situation and results from an increase in the amount of adrenaline from the sympathetic nervous system. This increased adrenaline speeds the heart and respiration rate, raises blood pressure, and diverts blood flow to the muscles. These physical reactions are appropriate for escaping from danger but when they cause anxiety in many situations throughout the day, they may be detrimental to a normal lifestyle. An anxiety disorder is a disorder where feelings of fear, apprehension, or anxiety are disruptive or cause distortions in behavior, (Coon, 526); they are psychiatric illnesses that are not useful for normal functioning. At times, an underlying illness or disease can cause persistent anxiety. Treatment of the illness or disease will stop the anxiety. Anxiety illnesses affect more than 23 million Americans with about 10 million Americans suffering from the most common, general anxiety disorder . (Harvard, 1). Common anxiety disorders are panic attacks (panic disorder), phobias, and general anxiety disorder (GAD). Panic attacks Panic attacks can begin with a feeling of intense terror followed by physical symptoms of anxiety. A panic attack is characterized by unpredictable attacks of severe anxiety with symptoms not related to any particular situation. (Hale, 1886). The person experiencing the attack may not be aware of the cause. Symptoms include four or more of the following: pounding heart, difficulty breathing, dizziness, chest pain, shaking, sweating, choking, nausea, depersonalization, numbness, fear of dying, flushes, fear of going crazy. Heredity, metabolic factors, hyperventilation, and psychological factors may contribute to anxiety causing panic attacks.
What if you woke up every morning with a feeling of dread about getting through the day? What if you were constantly in a state of worry? What if you had spontaneous, uncontrollable panic attacks throughout the day? What if you uncontrollably washed your hands to the point where they bled and cracked? What if you had an anxiety disorder? Anxiety is the most common illness in the U.S., affecting 40 million adults over the age of 18; that counts for 18% of the U.S. population. However, 22.8% of those cases are counted as severe anxiety.
It also enhanced recognizing early signs of anxiety. Applied Relaxation consisted of a 3 phases totaling in 16 sessions. Phase 1 focused on muscle relaxation training, Phase 2 focused on apply relaxation to early signs of anxiety, and Phase 3 (last 3 sessions) focused on relapse prevention and strategies to maintain gains (Hayes-Skelton, Sarah 2013). The outcome measures used in this study was the Generalized Anxiety Clinician Severity Rating, Structured Interview Guide for Hamilton Anxiety Rating Scale, Penn State Worry Questionnaire, Depression Anxiety Stress Scale, and State Trait Anxiety Inventory along with second outcome measures including Quality of Life Inventory. Major findings of the study design was that Acceptance therapy did not lead to a significant decrease in depression, comorbid conditions, nor did it increase the quality of life in individuals compared to those receiving therapy using Applied Relaxation (Hayes-Skelton, Sarah 2013). Applied Relaxation was viewed as more simple for dissemination but unyielding and time-consuming for clients
My chosen topic is anxiety disorders. Why anxiety? It is an epidemic affecting many people I know. It is understandable that we all need a little bit of it to keep us motivated, but too much of it could be detrimental. Anxiety is the apprehension, uneasiness, and excessive worry and fear about the future, often accompanied by compulsive disorders (Townsend, Mary, and Karyn, 2018). Anxiety is very common in our society today. While mild anxiety is motivational, moderate, severe, and panic anxiety disorders could negatively impact our perception of reality and general wellbeing. My purpose for writing this paper is to explain the concept of anxiety and suggest
When developing a treatment plan, other aspects of the individual has to consideration, such as health condition, activities, participation, personal and environmental factors. The aspects of intervention the treatment will focus on is Jane’s problems with anxious thoughts and behaviors, starting with her background and past information, dealing with her present and her goals moving in to the future. She’s had an average development, upbringing and personal interaction; decent friend and family relationships. As a teenager, her parents were controlling, but the relationship is much better. She does very well and enjoys going to school. There was no identification of heritability or comorbidity with other disorders like depression and lives
National Institute of Mental Health. (2009). Studying anxiety disorders. NIH Medline plus, 5, 13-15. Retrieved from http://www.nimh.nih.gov/health/publications/anxiety-disorders/complete-index.shtml
"Diseases and Conditions." Depression and Anxiety: Exercise Eases Symptoms. Mayo Clinic Staff, n.d. Web. 02 Apr. 2014.