Anxiety for Stephen Ministers and others who care
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Transcript of Anxiety for Stephen Ministers and others who care
Anxietyfor Stephen Ministers and others who care
June 11, 2013Tess Judge-Ellis
DNP, FNP-BC, PMHNP-BC
By the end of the evening…
• Understand anxiety as a psychiatric illness– What are anxiety
disorders?– How does anxiety differ
from nervousness?– What causes anxiety
disorders?– Treatment overview.
• Plenty of time to talk and dialogue
“Worrying is carrying tomorrow's load with today's strength- carrying two days at once. It is moving into tomorrow ahead of time. Worrying
doesn't empty tomorrow of its sorrow, it empties today of its strength.”
― Corrie ten Boom
Anxiety symptoms
• Apprehension, fear, obsession, physical tension, increased heart rate, increased respiratory rate, chest tightness, restlessness
Normal reaction to fear
Can be very helpful and motivatingObvious external threatShort lived
Anxiety disorder
• Overwhelming• Time consuming• Excessive response• No obvious external threat• Physical, cognitive,
emotional and behavioral components
Normal nerves or anxiety disorder?
Anxiety disorders-most common
• Generalized anxiety disorder• Panic disorder• Social anxiety/phobias• Obsessive compulsive disorder• Post traumatic stress disorder
• Generalized anxiety disorder– Excessive anxiety, difficulty controlling the worry,
out of proportion worry.– Other symptoms (e.g. concentration off, trouble
sleeping, musculoskeletal complaints)– Most common anxiety disorder
• Panic disorder– Recurrent, unexpected panic attacks along with
concern that another will reoccur or fear of the consequences of another attack “e.g. heart attack.”
– May or may not have agoraphobia
• Social anxiety/phobia– Fear of social situations where the person may
become embarrassed or feel subject to high degree of scrutiny.
– Disruptive to family, social or work.
• Obsessive compulsive disorder– Obsessive thoughts that cause distress or anxiety.
Compulsive thoughts or behaviors are done in attempt to neutralize the obsessive thoughts.
– Time consuming– Interfering – Men=women
• Post traumatic stress disorder– Exposure to traumatic event where the person felt
intense fear or helplessness followed with re-experiencing, avoidance/numbing and arousal.
– Prevalence• General public= 6-8%• Vietnam veterans= 30%• Iraq/Afghanistan= 15%
Medical causes of anxiety symptoms
• Hyperthyroidism• Heart disease• Asthma• Diabetes• Drug or alcohol withdrawal• Certain medications (e.g. albuterol, prednisone, methylphenidates**thorough physical if indicated
Anxiety
• “Anxiety's like a rocking chair. It gives you something to do, but it doesn't get you very far.” ― Jodi Picoult, Sing You Home
Anxiety disorders are the most common psychiatric disorder.18% of Americans
Why do anxiety disorders develop?
A combination of multiple factors• Genetic• Developmental• Environmental• Psychological• Biologic
Chemical imbalanceNeurotransmitters
• Serotonin • GABA• Glutamate• Norepinephrine
Don't believe everything you think.
“Man is not worried by real problems so much as by his
imagined anxieties about real problems” ― Epictetus
Anxiety disorders-treatment
• Psychotherapy/counseling– Cognitive behavioral therapy (CBT)• “stinkin’ thinkin’”
Anxiety disorders-treatment
• Medications– Antidepressants
– Examples: Prozac (fluoxetine), Zoloft (sertraline), Effexor (venlafaxine)
– Antianxiety medications– Examples: Klonapin (clonazepam), Ativan (lorazepam), Xanax
(alprazolam)
• Exercise
• Substance use/misuse
• Yoga• Meditation
(Slow breathing) is like an anchor in the midst of an emotional storm: the anchor won't make the storm goes away, but it will hold you steady until it passes. - Russ Harris
Resources
• Community Mental Health Center for Mid-Eastern Iowa– 338-7884– 1-800-697-3165
• The Crisis Center of Johnson County– 351-0140
• www.nami.org• Mindfulness Based Stress Reduction– Classes at UIHC