1. YOU AND YOUR ANXIETY: Who’s running the show?
Dr. Dina Hijazi, PhD, LSSP, CSAT Dr. Margaret Rutherford, PhD
(214) (479)

3. 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….

4. WHAT IS ANXIETY?

5. 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

6. 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

7. 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

8. 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

9. PREVALENCE IN ADULTS BY AGE

10. 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

11. 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:

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

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

15. CAN ANXIETY BE HELPFUL?

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

17. Role of the adrenal glands

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

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

21. Visualization: Where Your Body
Takes You

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

23. THE VOICE OF ANXIETY

24. Visualization:
The Ripple Effect Of Your Thoughts

25. 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

26. WHERE DOES ANXIETY COME FROM AND HOW IS IT LEARNED?

27. The real causes of your anxiety

28. 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

29. START RUNNING YOUR SHOW: TECHNIQUES FOR MANAGING ANXIETY

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

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

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

34. 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):   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 Jun;62(6):   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 Jun;62(6):

35. Thank you! Dina@DrDinaHijazi.com