YOU AND YOUR ANXIETY: Who’s running the show? Dr. Dina Hijazi, PhD, LSSP, CSAT Dr. Margaret Rutherford, PhD (214) 437-6605 (479) 443-3413 Dina@DrDinaHijazi.com AskDrMargaret@DrMargaretRutherford.com www.DrDinaHijazi.com www.DrMargaretRutherford.com

WHAT THE EFFECTS OF ANXIETY ARE ON YOUR BODY AND YOUR MIND HOW TO IDENTIFY YOUR BODY’S UNIQUE SIGNALS OF ANXIETY THE REAL CAUSES OF YOUR ANXIETY TO USE YOUR NEW AWARENESS TO STRENGTHEN YOUR OWN BELIEF IN YOURSELF TO TEACH YOUR CHILDREN TO DO THE SAME TODAY YOU WILL LEARN….

WHAT IS ANXIETY?

DEFINITION anx·i·e·ty aNGˈzīədē/ noun a worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. 3. to be engaged in mangling something by tearing with the teeth Synonyms: worry, concern, apprehension, uneasiness, fearful, agitation, anger, tension

THE MANY TYPES OF Anxiety disorders Generalized anxiety disorder (GAD) Specific phobia Social anxiety disorder (SAD) Panic disorder (PD) Agoraphobia Separation Anxiety Disorder Anxiety Disorder due to a General Medical Condition Substance-Induced Anxiety Disorder Post Traumatic Stress Disorder Obsessive Compulsive Disorder

Generalized Anxiety Disorder Excessive worry more days than not for at least 6 months about a number of events and the worry is it difficult to control. 3 or more of the following symptoms: Restlessness or feeling keyed up or on edge, easily fatigued, difficulty concentrating, irritability, muscle tension, and sleep disturbance Anxiety causes significant distress or impairment

prevalence in adults 28.8 percent lifetime prevalence Most common category of mental health disorders 18 % of adults currently have an anxiety disorder (40 million) $42 billion in annual health costs

PREVALENCE IN ADULTS BY AGE

PREVALENCE IN Children and Adolescents Median age of onset 11 – earliest of all forms of psychopathology 8 % of children between ages 13 and 18 currently have an anxiety disorder 25% will have an anxiety disorder between the ages of 13 and 18 5.9% will have “severe” anxiety disorder Only 18 % of these teens receive treatment

Genetic influence of Anxiety Disorders There is significant familial aggregation for PD, GAD, OCD and phobias Twin studies found heritability of 0.43 for panic disorder and 0.32 for GAD. Hetteman J. et al. A Review and Meta-Analysis of the Genetic Epidemiology of Anxiety disorders. Am J Psychiatry 2001;158:1568-1575

The Role Of Genetics in Anxiety A 1930’s description of performance anxiety, or a panic attack.

WHAT ARE WE ANXIOUS ABOUT?? Make a list of things anxious about…

CAN ANXIETY BE HELPFUL?

The physiology of anxiety The First Path = Body Response the amygdala Says “Uh-Oh” the hypothalamus Obeys

Role of the adrenal glands

”We need Warp Speed Scotty. Now!” “Aye Aye, captain!”

The Physiology of Anxiety The Second Path = Mental Response Adrenal Glands Hypothalamus Amygdala

Visualization: Where Your Body Takes You

Increase in heart rate Shallow breathing Tension in body Constriction in body Tightness Clenching Jaw BODY SIGNALS

THE VOICE OF ANXIETY

Visualization: The Ripple Effect Of Your Thoughts

I’m scared! It’s gonna happen again! I don’t have any control! What’s wrong with me? Why do I keep thinking about this? Thought signals

WHERE DOES ANXIETY COME FROM AND HOW IS IT LEARNED?

The real causes of your anxiety

Core beliefs THAT trigger anxiety I am inadequate I am cowardly I am unsafe I am not in control I’m powerless/helpless I’m a failure I can’t trust myself I’m not good enough I’m not loveable I’m not important

START RUNNING YOUR SHOW: TECHNIQUES FOR MANAGING ANXIETY

Physical SYMPTOMS EXERCISE VISUALIZATION BREATHING PRACTICE CONNECT MINDFULNESS (Jon Kabat-Zinn) Physical SYMPTOMS

THOUGHTS MINDFULNESS JOURNALING MEDITATION (Phone Apps) THERAPY GROUP THERAPY 12 RECOVERY GROUPS SPIRITUAL PRACTICE SELF COMPASSION (Kristen Neff.org) THOUGHTS

RESOURCES APA’S BEST PHONE APPS HEADSPACE WHIL SATTVA SMILING MIND BREATHE

References Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 2005 Jun;62(6):617-27.  2  Ibid  3  Kessler RC, Berglund PA, Demler O, Jin R, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry. 2005 Jun;62(6):593-602.  4  Ibid  5  Ibid  6  Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC. Twelve month use of mental health services in the United States. Archives of General Psychiatry. 2005 Jun;62(6):629-640.

Thank you! Dina@DrDinaHijazi.com AskDrMargaret@DrMargaretRutherford.com