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Breaking Free From Obsessions
“I don’t believe life can be any different. I’m ready to give up I’ve been fighting this thing so long. Do you really think things can change?” These are statements that I often hear when a client first comes to talk about their Obsessive Compulsive Disorder (OCD).
Change absolutely is possible! Cognitive behavioral therapy is an extremely effective treatment against the brain tricks of OCD. In fact it is considered the “gold standard” for treating obsessive compulsive disorder, as well as other anxiety disorders. Despite the high success rate using this therapy method, very few therapists receive training in this method.
As a cognitive behavioral therapist, I do see children, teens, and adults emerge from their urgent needs to engage in compulsions and rituals to reduce their anxieties. In actively confronting and engaging their obsessions and compulsions as much as possible during therapy and then at home, people are able to free themselves from their previous thought patterns. However, it is not stopping the rituals, but learning how to restructure their thoughts and beliefs about their obsessions that makes the difference.
If you or someone you know struggles with anxiety or (OCD), contact us at (407) 248-0030 for more information about cognitive behavioral treatment.
Anxiety: The
Unseen Monster by Evelyn
Wenzel, LCSW
Does it seem like an
unseen monster lurks around the corner?
Does fear and worry weigh you down?
Frustrated because you feeling like
nothing will ever change? Everyone
experiences
anxiety
as it is a normal response to
threatening situations; however, for
some people it becomes a disabling
response to life. Irrational responses
to everyday situations seem to cripple
the 40 million Americans who suffer from
anxiety disorder each year. In fact more
people suffer from anxiety than
depression! What differentiates everyday
anxiety from an anxiety disorder? The
key words with everyday anxiety are
appropriate and reasonable.
“Butterflies” in the stomach is a common
physiological response when someone
experiences anxiety before giving a
speech or entering a competition. If a
burglar tries to break into your house,
fear is a normal response to the
situation. So challenges in life that
involve lose or failure, and unexpected
or unknown situations all cause
normative anxiety responses.
Anxiety
disorders involve a much more intense
response, last a lot longer after the
stress situation concludes, and disrupts
normal functioning. Anxiety disorders
often lead to secondary issues such as
low self-esteem, impaired relationships,
substance abuse, and depression. Six
anxiety disorders are as follows:
Generalized Anxiety Disorder (GAD),
Specific Phobia, Social Anxiety
Disorder, Obsessive-Compulsive Disorder
(OCD), Panic Disorder, and
Post-Traumatic Stress Disorder (PTSD).
Despite their different forms, these
disorders all are neurobiological in
nature. Anxiety negatively impacts lives
and involves persistent, intense,
all-consuming fears or worries. People
who suffer from anxiety look for
emotional escape and avoidance, which
leads them to become observers of their
existence rather than participants in
life. Specific phobias involve avoiding
particular types of objects or
situations. Heights, flying, driving,
elevators, dental or medical procedures,
and animals are all common objects or
situations that can cause irrational
fear and anxiety.
Obsessive Compulsive Disorder (OCD) is characterized
by obsessions and compulsions that
interrupt normal routines,
relationships, and daily functioning.
Obsessions are unwanted thoughts,
impulses, or ideas that intrude upon a
person’s thinking and create increased
worry or anxiety. Compulsions are
responses to those obsessive thoughts
and are done to relieve or prevent the
anxiety. PTSD often develops after a
traumatic event where a person’s safety
or life is threatened or where he/she
has witnessed a traumatic event. Even
months after the event occurred, people
experiencing PTSD have trouble coping
with the disabling psychological
symptoms created by the event. Social
anxiety is one of the most common types
of anxiety and is marked by an extreme
fear of being embarrassed in a social
setting. People are often concerned with
being judged or humiliated publicly. The
most common type of social anxiety
disorder is performance anxiety, such as
public speaking. Panic disorder seems to
occur without any apparent cause and is
characterized by an episode of
apprehension and intense fear.
Panic: Often
when someone first experiences Panic
Disorder they believe that they are
experiencing a heart attack! There
physical response to fear is so intense
that they experience chest pain,
dizziness and shortness of breath.
People who suffer from GAD worry
excessively about everyday things, such
as health issues, work, money, and
relationship problems. Many people
suffer in silence from this unseen
monster and never seek treatment because
they don’t believe their live can be any
different. Despite the toll it takes on
your life, the good news is that anxiety
disorders are highly treatable!
Treatment:
Effective treatment for anxiety
disorders includes cognitive-behavioral
therapy (CBT), dialectical behavioral
therapy (DBT) and exposure based
behavioral therapy. Cognitive-behavioral
therapy helps people change their
thinking patterns and the way they react
to anxiety provoking situations. DBT
targets skills deficits as well as the
cognitive beliefs that maintain the
avoidance. The ultimate goal is for you
to learn more strategic behavior skills
that once acceptance of those feelings
occur. Both CBT and DBT incorporate
relaxation and stress reduction
techniques into their treatment of
anxiety. Often they both make use of
exposure therapy. Exposure therapy
gradually acclimates a person to
situations that previously triggered
anxiety. This desensitization process
helps people confront their fears in a
controlled environment. Once phobias are
no longer “rewarded” by escape and
avoidance, they tend to diminish and
fade away. Interestingly, twenty minutes
of aerobic exercise per day is thought
to be an effective weapon against
anxiety. Good nutrition is essential and
adding supplements such as B Vitamins,
calcium, amino acids, and Vitamin C may
be important. Caffeine and cigarettes
aggravate anxiety and should be
eliminated or decreased. Don’t let
anxiety rule your life. Get into
therapy, exercise, eat right and
experience life to its fullest!
Are you
interested in learning how to modify
your diet and learn more about
supplements to help you overcome your
anxiety? At TLC because we look at
the whole person, clients experience
symptom relief sooner by incorporating
exercise, dietary adjustments,
supplements along with cognitive
behavioral therapy. Serving the Orlando, Winter Park, Clermont and Central Florida area for anxiety ddisorder and anxiety therapy.


Anxiety Symptoms
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Diagnostic Criteria FOR
GENERALIZED ANXIETY DISORDER
|
A. Excessive anxiety and
worry (apprehensive expectation), occurring more
days than not for at least 6 months, about a
number of events or activities (such as work or
school performance).
|
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B. The person finds it
difficult to control the worry.
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C. The
anxiety and worry are associated with three (or
more) of the following six symptoms (with at
least some symptoms present for more days than
not for the past 6 months). Note: Only one item
is required in children.
-
restlessness or
feeling keyed up or on edge
-
being easily
fatigued
-
difficulty
concentrating or mind going blank
-
irritability
-
muscle tension
-
sleep disturbance
(difficulty falling or staying asleep,
or restless unsatisfying sleep)
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| D. The
focus of the anxiety and worry is not confined
to features of an Axis I disorder, e.g., the
anxiety or worry is not about having a Panic
Attack (as in a Panic Disorder), being
embarrassed in public (as in Social Phobia),
being contaminated (as in Obsessive-Compulsive
Disorder), being away from home or close
relatives (as in Separation Anxiety Disorder),
gaining weight (as in Anorexia Nervosa), having
multiple physical complaints (as in Somatization
Disorder), or having a serious illness (as in
Hypochondriasis), and the anxiety and worry do
not occur exclusively during Posttraumatic
Stress Disorder.
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| E. The
anxiety, worry, or physical symptoms cause
clinically significant distress or impairment in
social, occupational, or other important areas
of functioning.
|
| F. The
disturbance is not due to the direct
physiological effects of a substance (e.g., a
drug of abuse, a medication) or a general
medical condition (e.g., hyperthyroidism) and
does not occur exclusively during a Mood
Disorder, a Psychotic Disorder, or a Pervasive
Developmental Disorder. |
Diagnostic
Features
The essential feature of
Generalized Anxiety Disorder is excessive anxiety and
worry (apprehensive expectation), occurring more days
than not for a period of at least 6 months, about a
number of events or activities (Criterion A). The
individual finds it difficult to control the worry
(Criterion B). The anxiety and worry are accompanied by
at least three additional symptoms from a list that
includes restlessness, being easily fatigued, difficulty
concentrating, irritability, muscle tension, and
disturbed sleep (only one additional symptom is required
in children) (Criterion C). The focus of the anxiety
and worry is not confined to features of another Axis I
disorder such as having a Panic Attack (as in Panic
Disorder), being embarrassed in public (as in Social
Phobia), being contaminated (as in Obsessive-Compulsive
Disorder), being away from home or close relatives (as
in Separation Anxiety Disorder), gaining weight (as in
Anorexia Nervosa), having multiple physical complaints
(as in Somatization Disorder), or having a serious
illness (as in Hypochondriasis), and the anxiety and
worry do not occur exclusively during Posttraumatic
Stress Disorder (Criterion D). Although individuals
with Generalized Anxiety Disorder may not always
identify the worries as "excessive," they report
subjective distress due to constant worry, have
difficulty controlling the worry, or experience related
impairment in social, occupational, or other important
areas of functioning (Criterion E). The disturbance is
not due to the direct physiological effects of a
substance (i.e., a drug of abuse, a medication, or toxin
exposure) or a general medical condition and does not
occur exclusively during a Mood Disorder, a Psychotic
Disorder, or a Pervasive Developmental Disorder
(Criterion F).
The intensity, duration, or
frequency of the anxiety and worry is far out of
proportion to the actual likelihood or impact of the
feared event. The person finds it difficult to keep
worrisome thoughts from interfering with attention to
tasks at hand and has difficulty stopping the worry.
Adults with Generalized Anxiety Disorder often worry
about everyday, routine life circumstances such as
possible job responsibilities, finances, the health of
family members, misfortune to their children, or minor
matters (such as household chores, car repairs, or being
late for appointments). Children with Generalized
Anxiety Disorder tend to worry excessively about their
competence or the quality of their performance. During
the course of the disorder, the focus of worry may shift
from one concern to another.
Prevalence
In a community sample, the
1-year prevalence rate for Generalized Anxiety Disorder
was approximately 3% and the lifetime prevalence rate
was 5%. In anxiety disorder clinics, approximately 12%
of the individuals present with Generalized Anxiety
Disorder.
Course
Many individuals with
Generalized Anxiety Disorder report that they have felt
anxious and nervous all of their lives. Although over
half of those presenting for treatment report onset in
childhood or adolescence, onset occurring after age 20
years is not uncommon. The course is chronic but
fluctuating and often worsens during times of stress.
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For help with Anxiety Disorder in Orlando, WInter Park and CLermont, Call us at (407)
248-0030
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