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Anxiety Disorders: A Brief Overview

IMG 2444 300x300 - Anxiety Disorders: A Brief Overview

As a rule, I tend to specialise in the areas of anxiety disorders and work-related stress management. Between the two, I cover a multitude of sins. And, but sins I mean I help people deal with a series of emotional and behavioural problems that have them thinking, feeling and acting in ways that they don’t like but don’t seem to be able to change.

The term ‘anxiety disorder’ on it’s own could mean any one of several things up to and including, but not limited to panic attacks and panic disorder, social anxiety disorder, generalised anxiety disorder (GAD), obsessive compulsive disorder (OCD), post traumatic stress disorder (PTSD), psychosexual dysfunction, health anxiety and any and all types of phobias.

Broadly speaking, anxiety is your response to danger; it’s the fight, flight (or freeze, for those of you who experience brain lock) response to a threat or a danger. However, this response is being triggered in situations that aren’t that dangerous. Coming across a hungry lion whilst walking down your street is very dangerous, whereas sitting an exam is not. However, if you have anxiety, the same thoughts and feelings are being triggered in the face of an exam as they are when confronted by that hungry lion.

Anxiety problems are the number one presenting symptom here in the United Kingdom

Panic Attacks

Panic attacks are an extreme type of fear response. They are an exaggeration of your body’s normal response to danger, stress or excitement. They’re not much fun

Panic Disorder

This is where you have regular or frequent panic attacks that don’t seem to have a specific cause or trigger. It can mean that you are so afraid of having another panic attack that the fear itself can bring on a panic attack. Not good.

Social Anxiety Disorder

This is where your fear response is being triggered by social situations, such as pubs and parties, work and networking events. Basically, anywhere you have to talk to another person. This is also known as social phobia and it’s more common than you think.

GAD

Pity the person who is living with this condition, for they are experiencing regular or uncontrollable worries about many different things across most aspects of everyday life. It could be that there are many, many triggers or no specific trigger at all, making GAD a tricky little bugger to pin down.

OCD

This problem is made up of two parts, an obsession and a compulsion. Obsessions are unwelcome and intrusive thoughts, images, urges, worries or doubts that repeatedly appear in your mind. The compulsions are repetitive activities that you feel compelled to do in order to reduce the anxiety caused by the obsession. It could be checking that a door is locked, or repeating a specific phrase in your head and so on. Some people have what is known as ‘Pure O’ where they have the obsession but not the compulsion. This does not make it any less distressing.

PTSD

This is an anxiety problem that gets diagnosed after you have gone through something that you found traumatic. A close brush with death or a violent attack on you or someone near you can do it. PTSD can cause flashbacks and nightmares that make you feel like you are reliving the fear and anxiety you experienced during the traumatic event again and again. Who said the mind isn’t your best friend?

Psychosexual Dysfunction

When related to anxiety, psychosexual dysfunction is the inability to become sexual aroused or achieve sexual satisfaction because you are afraid of something happening or something going wrong. The problem is not physiological it is psychological. It can affect both men and women and, obviously can be quite miserable and debilitating.

Health Anxiety

Perhaps unsurprisingly, this means anxiety about your health. You will have an obsessive preoccupation with the idea that you have (or are about to develop) an illness. Common health obsessions including cancer, heart health, HIV and so on, but people can become preoccupied with any condition. Behaviours include researching symptoms, constant checking to see if you have them and many, many, many visits to your local GP.

Phobias

A phobia is an extreme form of anxiety that can be triggered by a particular situation or object, even when there is no danger. The sufferer knows that their reaction is out of proportion to the danger but they just can’t stop themselves. People can becoming phobic about anything and everything: spiders, mice, lifts, heights, thunder and lightning, buttons, ships, you name it.

Other anxiety problems include performance anxiety (stage fright and exam fears, for instance), body dysmorphic Disorder (BDD) and more.

Thankfully, all forms of CBT are considered the gold standard of treatment for anxiety disorders. Hypnotherapy is also a highly effective adjunct to CBT. So, if you need to find a therapist to help you with your anxiety, look for someone who has CBT skills, or hypnotherapy skills, or both.

Obviously, there is quite a lot to digest here so I’ll leave the heady world of work-related stress (the number one cause of staff absenteeism) until next time.

Do You Want to Feel like Spring has Sprung?

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It’s Easter, a time for renewal, rebirth and resurrection, a celebration of new life and the passing of spring into summer. It’s also the time for a good old spring clean, literally, metaphorically, physically and emotionally. So, as the days get longer, brighter and warmer and as summer beckons, where do you want to start? Read more

Fear of Flying: It Can Be Controlled

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At this time of year, with winter a wet and distant memory and spring definitely springing, a lot of thoughts are turning to foreign holidays. And so, it’s about this time of year I see an increase in people wanting help with their fears of flying (even more so since the disappearance of Malaysia Airlines Flight MH370). This increase in anxiety has even been noted in the press (click here). But fear not, for help is at hand! Read more

Nothing to Fear but Fear Itself

Okay, so the title of this article may have been purloined from the inaugural address of the 32nd President of the United States, Franklin D. Roosevelt, but it also serves as an excellent introduction to that aspect of anxiety known as panic disorder, a condition that can be borne of just one or even several panic attacks. A panic attack is several things at once, none of them fun.  Read more

Executive Stress: It’s Tough at the Top

Last year I posted a blog about work-related stress management (click here). Today, I’m writing about a specific sub-section of it known as ‘executive stress.’ Being a director or CEO, being in charge, hiring and firing, dealing with the day-to-day problems of everyone else below you, it’s no surprise that executives can come with their own special brand of work-related stress. But, what can you do about it?  Read more

Am I a Specialist?

People often ask me if I specialise. It’s a simple question with a slightly less-than-simple answer, as my reply lies somewhere between yes and no. Technically, I specialise in that branch of cognitive behaviour therapy (CBT) known as rational emotive behaviour therapy (REBT) and clinical hypnotherapy. With them I can successfully help people manage and control a wide variety of problems. However, I do tend to specialise in the treatment of certain conditions over others. Read more