Leland Clipperton
Showing posts with label therapy. Show all posts
Showing posts with label therapy. Show all posts

Monday, July 5, 2010

Anxiety Therapy

Feeling Anxious?

Feeling anxious is a common and normal response to situations in our lives typically created by excessive demands that we are not accustomed to like writing an exam, heavy workloads or dealing with problems in a relationship.

These feelings are different from symptoms of an anxiety disorder. People with anxiety disorder have difficulty finding a reason for why they’re feeling the way they do. Their anxiety may be triggered by certain events but the symptoms often occur seemingly on their own. They can appear as a prolonged sense of distress and fear without an obvious reason. People with an anxiety disorder will typically begin to accommodate the physical and cognitive sensations by avoiding certain situations and can become agoraphobic, which is primarily an avoidance of all situations where the person does not feel they have a sense of control. People with anxiety feel at risk, fearful, out of control and helpless.

They often feel that nothing can help. They may feel embarrassed or ashamed and that they should be able to manage this on their own. There are various treatments available and the first step is to increase your awareness and understanding of your anxiety.


What are anxiety disorders?

There are different types of anxiety disorders which affect behaviour, thoughts, emotions and physical health. Anxiety is primarily caused by a combination of biopsychosocial factors; biological being what we inherent from our parents genes, psychological being a persons character and nature and sociolological being a persons life situation. It is important to have a routine medical examination to help understand your medical condition and to examine any physical contributing factors. You may be dealing with more than one type of disorder and the symptoms can coexist with depression, eating disorders or substance abuse.


Types of anxiety:

Panic Disorder – Typically known as panic attacks which can occur without warning and are often accompanied by sudden feelings of terror. Physically, an attack may cause chest pain, heart palpitations, shortness of breath, sweating, dizziness, abdominal discomfort, feelings of unreality and fear of dying. When a person avoids situations that he or she fears may cause a panic attack, his or her condition is described as panic disorder with agoraphobia.

Phobias - Phobias are divided into two categories: social phobia, which involves fear of social situations, and specific phobias, such as fear of spiders, flying, blood and heights, etc.

Social Phobia - People with social phobia feel a paralyzing, irrational self-consciousness about social situations. They often have an intense fear of being observed or of doing something horribly wrong in front of other people. They feelings cause people to often become reclusive, tentative and paranoid. The feelings are so extreme that people with social phobia tend to avoid objects or situations that might stimulate that fear, which dramatically reduces their ability to lead a normal life.

Specific Phobias - Fear of flying, fear of heights and fear of open spaces are some typical specific phobias. People suffering from a specific phobia are overwhelmed by unreasonable fears, which they are unable to control. Exposure to feared situations can cause them extreme anxiety and panic, even if they recognize that their fears are illogical.

Post-Traumatic Stress Disorder - A terrifying experience in which serious physical harm occurred or was threatened can cause post-traumatic stress disorder. Survivors of rape, child abuse, war, car accidents or a natural disaster may develop post-traumatic stress disorder. Common symptoms include flashbacks, during which the person re-lives the terrifying experience, nightmares, depression and feelings of anger or irritability. They often fear that the trauma will re-occur at some point.

Obsessive-Compulsive Disorder - This is a condition in which people suffer from persistent unwanted thoughts (obsessions) and / or rituals (compulsions) which they find impossible to control. Typically, obsessions concern contamination, doubting (such as worrying that the iron hasn't been turned off) and disturbing sexual or religious thoughts. Compulsions include washing, checking, organizing and counting.

Generalized Anxiety Disorder –Experienced like a “free-floating anxiety” characterized by repeated, exaggerated worry about routine life events and activities. The individual anticipates the worst, even if others would say they have no reason to expect it. Physical symptoms can include nausea, trembling fatigue, muscle tension, or headache.


How can anxiety disorders be treated?

There are two main medical approaches to treating an anxiety disorder: (1) drug therapy and (2) cognitive-behavioural therapy (CBT). Combining the two types of treatment can be effective.

Because most anxiety disorders have at least some biological component, anti-depressants and anti-anxiety drugs can be prescribed to help relieve the physical symptoms and to accelerate the therapeutic process. Nobody like taking pills, however, it is important to be open to getting the help and to understand that it often helps accelerate the therapeutic process. Speak with your physician about possible medications.

Therapeutic strategies can be effective in reducing symptoms in each of the anxiety disorders. The techniques used include cognitive restructuring, to help people turn their anxious thoughts, interpretations and predictions into thoughts which are more rational and less anxious. People with anxiety disorders may also benefit from controlled exposure to feared objects or situations.

The goal is to help you regain a sense of effective control in your life without anxiety. Begin by charting or writing about your anxiety... when it occurs, how you experience it physically, mentally and emotionally. Speak with your doctor about your anxiety and then contact a therapist familiar with appropriate treatment. 

Leland
http://www.counselilngandmediation.com/
Leland@CounsellingandMediation.com
(905) 510-9117
(705) 443-8290

Saturday, July 3, 2010

But It's Mine!

Many clients come to me looking for change... feeling stuck with or in a situation that they perceive themselves unable to resolve.

They often feel compelled to "fix the problem" and want me to help them fix it or tell them what they need to do to fix it or fix it for them... It's a normal response for them to be upset, frustrated and perhaps angry when I tell them that I cannot do that... and try instead to have them understand that our minds work differently... and we need to understand why people don't invite or create the change that they say they want. If we don't have what we say we want... why not?

There's a story of a person who falls off a cliff... with all of who they believe they are in their arms and a parachute on their back. In order to save themselves all they need to do is to let go off their "stuff" and pull the parachute cord to fall safely to the ground. Even knowing this, the person persists in hanging on... even to their death! They can be heard repeating the same phrase... "BUT IT'S MINE!"

We have our perception of our reality and that provides us with comfort around our illusion of control and understanding of ourselves and the world around us. We hang on to that and gather ample evidence to support that it's right to do this and our information is accurate.

One of the most difficult areas to conquer in therapy is the recognition that nothing ever changes as long as we are pointing at the cause external from ourselves. Saying that we're the victims of some sort of our own sense of reality. We are the common denominator of our lives and suggesting that we do not play a part in contributing to our circumstances is folly... Once some degree of responsibility is recognised, then change can occur, sometimes instantly there is a paradigm shift of thinking. Even for those who do not feel they are responsible, I suggest that they ask themselves who it is that can create a desired change in their lives?

Having anxiety is a natural response to this recognition. The thought that we as individuals are indeed responsible for making our lives different means a number of things that promote an anxious feeling. In some way we don't want to be responsible... who would we or what would we blame for our demise? How do we go about dealing with this?

I often have clients ask... "well, just tell me what to do!" Hence the need for therapy... therapy that is present and real, not about people recounting the stories of their lives but of the responses and interpretations that become available during the development of the relationship between the client and the therapist.

A good therapist will be delicately balancing the paradox of the desire to change with the resistance to change... "BUT IT'S MINE" 

Leland
http://www.counsellingandmediation.com/
leland@CounsellingandMediation.com
(905) 510-9117
(705) 443-8290