Monday, 30 June 2014

Kate Moss husband admits he gets separation anxiety when they are apart

ROCK star Jamie Hince said he desperately misses the supermodel  – and their pet Staffie – when he's on the road with his band The Kills.

Kate Moss and Jamie Hince

WE seldom get an insight into Kate Moss’s life.
But a new interview with her husband Jamie Hince reveals the couple are so close, he suffers separation anxiety whenever they have to spend time apart.
It must be an absolute nightmare as he tours with his rock group The Kills and she’s a jet-setting supermodel.
Jamie, 45, revealed: “My wife is very much my sidekick. So I tend to get separation anxiety when I’m away from her.”
And he admits “missing my family” is the worst part of life on the road with the band.
The couple wed in 2011 and have adopted a pet Staffie called Archie together.
“He came from the deepest, wildest countryside in Italy,” Jamie says.
“He was almost feral. I should’ve gotten a shelter dog, I know.
But Archie was born, he was there and he needed me, so I adopted him.”
Jamie, who rarely opens up in interviews, also reveals that he suffered a nasty injury to his left hand last year and has had to completely retrain himself to play guitar.
He said: “It’s taken its toll on my other fingers and I’m in pain quite a lot after shows.
“That’s my least favourite part of touring now: The physical pain. And missing my family.”
Jamie was promoting his photography exhibition at New York’s Morrison Hotel Gallery, which includes topless shots of Kate, 40.
The guitarist’s portraits – which include supermodel Naomi Campbell, his
bandmate Alison Mosshart and, of course, Archie – are for sale for up to £2400.
He previously said of the images: “The thing about Kate is that she’s a free spirit.
“She doesn’t care about technique or any way you should be doing things.
“She’s really aesthetically open-minded.
“Sometimes a shot will come back that will be completely wrong technically – out of focus, wrong exposure – and it will be the most beautiful shot of the lot.”

Raising Awareness - Depression, Social Anxiety Disorder and Panic Attacks

Sunday, 29 June 2014

8 Things To Understand About Panic Attacks & How To Deal With Them


 panic attacks

I remember my first panic attack in more detail than I remember losing my virginity or the first time I drove a car by myself. (I guess vivid terror of suddenly not being able to breathe really ingrains itself into your psyche.) It was 1998 and I was watching the “Psycho” remake with my family’s French exchange student. During the infamous shower scene, my throat and lungs tightened inside me like a figure eight knot.  I got up and paced around the movie theater, unable to control my body and wondering if I was having a heart attack. I’ve had panic attacks periodically since then, probably due to a combination of biology and circumstance. I’ve made an effort to lessen the conditions that they occur in and for the most part, I live a pretty calm life. My anxiety only spikes in extreme circumstances, such as the rare times I’ve gotten temporarily stuck in a subway underground (I’m claustrophobic).
After a couple of years without anxiety attacks in my everyday life, I’ve started having them again. The stress is related to old stuff resurfacing in my life and the anxiety is pretty much the same, too: my chest tightens, my heart beats too fast, I can’t breathe, and I feel like I’m having a heart attack. (Or, you know, what I assume a heart attack feels like.) I’m 30 now. Panic attacks are still shitty and frustrating, but all the experience I’ve had coaxing myself through them over the years actually does makes them less intense and quicker to get over.
These are my thoughts on what panic attacks are like, how to deal with them, and what I hope other people could understand if they’re trying to help:
1. Panic attacks are really fucking scary. If a person is panic attack virgin, his or her mind naturally goes to an Oh my God I’m dying I need to get the ER!!! place.  That’s … a bad place. Yet, it’s a deeply-ingrained reaction to feeling physically out of control. (Google “flight or fight response.”) All you’re feeling while you’re having one is that you would give anything to feel normal again — panic attacks are so scary that I used to have panic attacks because I was worried about having panic attacks!
The reality is that after the person calms down and starts breathing normally again, he or see will feel better soon. “Better,” of course, is relative, but what I mean is that when she calms down, she’ll be able to see that she’s not immediately at risk. In the moment, though, her focus is on her inability to breathe, tense muscles, dizziness, trembling and her wildly-beating heart. She feels like she could be dying and is rightfully terrified.
So, if someone you know is having an anxiety attack, be sensitive. It’s an enormously scary thing to go through. Make them feel safe and keep calm yourself.
2. Anxiety isn’t necessarily rational, so explaining why not to panic isn’t helpful. Conquering an anxiety attack is a matter of “mind over body,” but that doesn’t mean the panic is just going to shut itself off when the person hyperventilating into a paper bag hears a really good argument. People mean well. I get it. But something that always frustrates me is when my family or friends try to rationalize why I shouldn’t be having an anxiety attack. Like, I’m in therapy, I’m an self-reflective person, I know I shouldn’t be hyperventilating over XYZ problem. Alas, my anxiety doesn’t respond to logic — it responds to feelings. So, in the throes of a panic attack, try not to address their problems. Instead, focus on making this person feel safe and staying calm. (By all means, address their problems later, though.)  
3. A panic attack might be tipped off to something specific, but it usually has been built up over time. Here are a few things that have caused me to have panic attacks:
- a combinatronics test
-an email from my mother
- the death scene in documentary about John Lennon
Were those really the stressors that made me have an anxiety attack? No, of course not. They were just what triggered a well of worry and anxiety to rise up and spill over. This is part of the reason why I say that anxiety isn’t rational; coaxing a person to respond to the immediate trigger is sort of useless. Stress is much wider and deeper than it seems on the visible surface.
4.  Medication generally works for me, but dealing with anxiety has a lot more to do with practicing self-care. I have a prescription for Lexapro and also Xanax. So, yes, I am an advocate  of addressing generalized anxiety disorder (GAD) and depression through proper medication. That being said, there are no quick fixes. I believe what has really helped me the best — the real reason that I went several years without large panic attacks — was because I made well-rounded self-care my #1 priority. What does that mean? I get eight to 10 hours of sleep every night. I don’t over-commit myself to plans or responsibilities. I use the word “no.” I try to eat healthy-ish. I go to the gym a couple times a week. I don’t take hard drugs and I barely drink. And I stay as far away from stress-producing assholes and energy vampires as possible. (I’m personally not a fan of the “just meditate!” or “just do yoga!” schools of anxiety remediation, but lots of people say that works for them.)
5. Avoiding anxiety triggers is also important. The phrase “trigger warning” gets used a lot in feminist activism and academia (lately, often times in a denigrating way). Personally, I don’t go around telling other people what they shouldn’t expose me to and instead worry about what I expose me to. I know I’m not awesome in tiny, compact spaces, such as airplanes. I get really anxious when people are murdered in movies. A few years ago, I stumbled across a man domestically abusing a woman on my street and, quite understandably, I had a panic attack. So, when I can control it, I try not to expose myself to stressful triggers. (Conversely, if I start to feel panicky, I’ll do things that have proven to make myself calmer, like going outside for fresh air or giving my husband a call.)
6.  Panic attacks are embarrassing.  Everyone experiences stress. But anxiety attacks really are a physical manifestation of how you’re feeling inside and, to be frank, that can feel like you’re weak and whiny. Most people don’t want to think that way about themselves. And it’s really hard for some people to admit weakness, especially if they put up a front of toughness. It took me years — like almost a decade — to get past my denial and embarrassment over feeling depressed and anxious. I prided myself on being successful and put-together; I didn’t want my peers to think I was weak or “crazy.” I thought if I hid how I felt, eventually it would change on its own. Well … if anything was crazy, it was that idea.
7.  A lot of times anxiety goes hand-in-hand with depression.  A lot of people, especially women, experience anxiety and depression together. Just like I take care of my anxiety, I have to take care of my depression, too. Again, it’s not really a big deal in my life because I generally take care of it well.  I try to make smart choices for my life while keeping everything in mind — for example, I don’t drink much, because alcohol is a depressant.
8. Some medical professionals really fucking suck at helping with anxiety. I once saw an (old, white, male) GP who advised me to cope with my anxiety attacks by keeping a paper bag in my purse and breathing into it. The doctor meant well. But his “advice”? It was crap. He made me feel like I had been overreacting and just being silly. This was during one of my worst bouts of panic attacks  during college, which eventually lead me to getting prescribed Lexapro and seeing my therapist again.  I wish I had gotten a second opinion, because I suffered for something like seven or eight months absolutely vicious panic attacks until I actually got help. All that time was wasted just because I didn’t have someone who knew what he was talking about.  So try to be as patient as you can. You deserve good help. When you’ve gotten it, your anxiety will become manageable and your life become enjoyable again. Not to co-opt It Gets Better but … it does get better.

Saturday, 28 June 2014

Can film scripts help people understand anxiety?

Anxiety is one of the most common mental health conditions, now with its own arts festival. But can seeing various disorders played out in films such as Solaris and Walz With Bashir further our understanding?

The Headless Woman
Verónica, in The Headless Woman, whose tipping point comes after a car accident.

Anxiety has always been woven into the fabric of film-making. From the nail-biting Hitchcock thriller to the bombastic Hollywood action movie, most films work to keep viewers on the edge of their seats; even a romantic comedy can bring a level of worry about whether everything will turn out as it should.
But can films actually help us understand anxiety as a clinical condition, experienced – according to the Mental Health Foundation – by almost 5% of the UK population? Yes, says Jonathan Keane, film curator for the foundation's first Anxiety arts festival, taking place in London this month. "The history of film," he says, "is the history of anxiety. At a screening of the Lumière brothers' early film The Arrival of a Train at La Ciotat, people ran out screaming: they thought the train was coming right at them. But film doesn't just make us feel anxious: it also stages anxiety, and helps us to understand how it works."
Here, then, is a selection of films that do this best, as chosen by Keane and a panel of psychologists.

Safe

Todd Haynes's 1995 drama stars Julianne Moore as a suburban housewife who convinces herself she is being assailed by invisible pollutants. Psychologist Colette Hirsch of King's College London says the character's condition bears many of the hallmarks of generalised anxiety disorder. "There's a lot of ambiguity set up in the film," she says. "This relates very much to the way people with the disorder apply negative interpretations to apparently innocuous things. In a 2010 study, we showed that if you help people to develop a more positive interpretation of situations – more like those used by the rest of the population – this reduces their tendency to worry."
If only that treatment had been offered to Moore's character: instead, she ends up ensnared in a sinister cult.

The Headless Woman

For Keane, this 2008 Argentinian film – called a "masterpiece" by the Guardian's Peter Bradshaw – is a study of the importance of the "tipping point": the moment when a particular experience or incident kicks off an unhealthy cycle of worry. In the film, this comes when the main character, Verónica, hits something with her car, and doesn't stop. Gradually, she becomes convinced that she has killed a child; the director, Lucrecia Martel, cleverly depicts her emotional disintegration. "It's a brilliant exploration of how anxiety can cause people to start seeing things that aren't there," Keane says. "The character literally loses her head. There's no easy resolution, but we do see her start to find closure. That's useful, too, in reminding people with anxiety that there will be an end to it."

Solaris

Solaris
Solaris, 'a compelling example of how those with an anxiety disorder will try
 to categorise their feelings'. Photograph: Moviestore Collection/Rex

In Andrei Tarkovsky's 1972 movie, adapted from a science-fiction novel by Stanislaw Lem, a psychologist, Kris Kelvin, is dispatched to help three astronauts apparently going insane on a distant space station. According to Vyv Huddy, a lecturer in clinical psychology at University College London, the film provides a compelling example of how those with an anxiety disorder will try to categorise their feelings, and then avoid exposure to their source. "We see that tendency towards avoidance in Kelvin's behaviour," he says. "We also get a sense of the anxiety created by being so far away from home, and the different ways people try to cope." And with Kelvin gradually becoming implicated in the strange world of the space station, Huddy thinks it's a particularly useful film for clinicians, too. "We see how difficult it can be," he says, "to separate yourself completely from the people you are treating."

Waltz With Bashir

Waltz With BashirWaltz With Bashir, a powerful evocation of post-traumatic stress disorder. Photograph: Moviestore Collection/Rex
Made by Israeli film-maker Ari Folman in 2008, this powerful animation stands between documentary and autobiography: it's an attempt, in film, to recover the director's lost memories of serving in the Israeli invasion of Lebanon in 1982. Nick Grey, a consultant clinical psychologist at the South London and Maudsley NHS trust, says it is also a powerful evocation of post-traumatic stress disorder, one of anxiety's best-known manifestations. "The film deals with trying to complete gaps in memory," he says, "and also with some of the powerful beliefs that people with PTSD are left with: 'I didn't do enough', 'I abandoned him'. It's those beliefs that keep the anxiety going."

Opening Night

Gena Rowlands starred in her husband John Cassavetes' 1977 examination of anxiety on- and offstage. She plays veteran Broadway actor Myrtle Gordon, whose confidence is severely shaken after a young female fan is killed in an accident. "There are two levels of anxiety at work here," Keane says. "One is performance-related, and the other is about how a woman is to grow old when she has been so defined by her image. She begins to go off-script while acting – not unlike what we see in real life in people with anxiety problems. They sometimes start to say things that don't make sense."
Of course all these films – and the many others that describe anxiety, and its treatment – are works of art: none of them can be expected to offer the rigorous analysis of a clinical research paper. What they can do, though, is help cut through the levels of silence and misunderstanding that still surround this complex condition. "We seem to feel that anxiety is a personal problem," Keane says, "and one we can't do anything about. My hope is that anyone who sees these films - and others - will understand that they're not alone. Anxiety often makes people feel that they're stuck. Films like these might just be able to help get them moving."
• These films, and others, are showing as part of the Anxiety Arts Festival, which continues until the end of June.

Living with and getting through social anxiety.

Friday, 27 June 2014

Five Shocking Celebrities Who Suffer From Anxiety and Depression

Anxiety and depression are silent illnesses that people all over the world suffer from. You may look at someone with anxiety and depression and think they are perfectly fine, while inside, they may feel like they are dying or losing their minds. Anxiety and depression are among the most common diseases suffered by Americans, so it doesn't come as any surprise that celebrities suffer too. Here are five shocking celebrities who suffer from anxiety and depression.
Emma Stone
Five Shocking Celebrities Who Suffer Anxiety and Depression
Who would have thought that this amazingly talented actress with the bubbly personality that makes us love her suffered from a major anxiety disorder? In an interview with Vogue, Stone opened up about suffering from crippling panic attacks starting at the young age of eight. She recalled feeling “immobilized by it.” As so many people with these disorders do, Stone felt that no one understood her or what she was going through. She began isolating herself at a young age to avoid having to answer the impossible question, “what’s wrong?” Eventually, she developed agoraphobia as well. When someone is suffering with these diseases, often times there is nothing  that can be perceived as wrong on the outside, but on the inside, they can feel like they’re falling apart. Luckily, Stone got the help she needed and after years of therapy that provided her with the tools she needed to overcome her attacks, she began her acting career at age 23.
Vinny Guadagnino
Five Shocking Celebrities Who Suffer Anxiety and Depression
Better known as the fist-pumping cutie on the Jersey Shore, Vinny came out in the past few years about his major battle with anxiety. Vinny was forced to temporarily leave the Jersey Shore house during season five of the show after he reached his breaking point. He told MTV he needed to “leave to recharge.” Though he may have hit his breaking point on the show, Vinny has suffered from clinical anxiety his entire life. In 2012, Vinny wrote a book about his lifelong struggle with anxiety, called Control the Crazy: My Plan to Stop Stressing, Avoid Drama, and Maintain Inner Cool. The book tells about his journey, and gives others tips and strategies to help them through their own struggle.
LeAnn Rimes
Five Shocking Celebrities Who Suffer Anxiety and Depression
In 2012 country singer LeAnna Rimes voluntarily checked herself into a 30 day inpatient clinic when her anxiety and stress got out of control. While at the clinic she learned various coping mechanisms that have enabled her to keep her anxiety and stress level under control. For those fighting these illnesses, learning coping skills is imperative. While it doesn’t put an end to anxiety and depression, these skills can be extremely helpful during the more difficult times.
Adele
Five Shocking Celebrities Who Suffer Anxiety and Depression
Adele, the woman with the gorgeous voice and strong lyrics is yet another one of the five shocking celebrities who suffer from anxiety and depression. Adele has had a lifelong problem with anxiety, and is often plagued with severe panic attacks. She also claims to have social anxiety disorder, a disease which makes it difficult for people to go into public situations, and also severe stage fright. While she still suffers, she has obviously learned some amazing coping skills to be able to battle her disease and perform in front of thousands.
Fred Durst
Five Shocking Celebrities Who Suffer Anxiety and Depression
Who remembers Fred Durst from the wildly popular 90’s band, Limp Bizkit? Durst has had a lifelong problem with OCD and other anxiety disorders, which made performing in front of crowds for him nearly impossible at times. Durst doesn’t open up much about his struggles with OCD, but claims he has sought out therapy and help for years, and still hasn’t found the tools to help him cope on a daily basis. Sadly, this is often the case for many.
Of course, these are only five shocking celebrities who suffer from anxiety and depression. Many more have come forward to share their stories and journeys and offer help to their fans who may be battling the same demons. The important thing to remember with these illnesses is that there is always help available, and always support to get you through the toughest times.

Thursday, 26 June 2014

Head teachers' concern over pupil anxiety

sad child
The Key says mental health is not an issue teachers can ignore

A poll of more than 1,000 heads by the school leaders' network, The Key, found 64% saw pupil depression as a concern.
In total, 80% of secondary school heads expressed concern about self-harming.
The Key says delays in getting young people referred to the Child and Adolescent Mental Health Service (Camhs) is of particular concern.
The survey of 1,131 head teachers also found:
  • 41% expressed concern about eating disorders among pupils in their school (32% in primary schools and 55% in secondary schools)
  • 51% expressed concern about self-harm among pupils in their school (33% in primary schools and 80% in secondary schools)
  • Of those who made a referral to Camhs, 45% had to wait between one and three months for the case to be followed up, 26% had to wait three to six months and 9% had to wait more than six months
Amy Cook, senior researcher at The Key specialising in pupil well-being says: "The impact of council budget cuts on Camhs means that the job of nurturing pupils' mental health is increasingly falling to schools.
"And since our ability to take in new information can be significantly affected by our mental health, it's not an issue that teachers can ignore.
"These figures emphasise both the current strains on the mental health system and the pressures felt by school staff, many of whom don't always have the means or training to properly address these issues."
Budgets
Provision of mental health services for young people varies widely across England, with entry-level care largely funded by local authorities which are facing budget cuts.
According to research by the charity Young Minds, more than half of councils have cut or frozen budgets for child and adolescent mental health.
Mental health services account for 10% of the total NHS budget, with just 6% of this earmarked for Camhs, it says.
sad child
The survey found head teachers were concerned about levels of depression in children
Responding to The Key poll, Lucie Russell, director of campaigns at the mental health charity Young Minds said: "Sadly, these figures are not a surprise.
"Schools tell us they want more mental health support to help provide care for their pupils. With cuts to children's mental health services up and down the country services are really struggling to cope with demand.
"Mental health spending needs to be prioritised, it is a national disgrace that just 0.6% of the NHS budget is committed to Camhs when statistically three in every classroom will have a diagnosable mental health problem."
'Fragmented system'
The Local Government Association (LGA) said councils were overstretched and it wanted to see a "complete overhaul" of the system.
David Simmonds, chairman of the LGA's Children and Young People Board, said: "Councils have worked hard to protect the many services they provide for vulnerable children but in the face of 40% cuts to local government, this has becoming increasingly challenging.
"Local authorities have serious concerns about mental health funding for children and want a complete overhaul of the fragmented and complex system that they currently face each day when trying to access services delivered by the NHS and other partners.
"It is absolutely crucial that the whole system is properly funded, resourced and joined up to ensure young people receive the very best services available."
The Key, founded in 2007 as part of a government-funded initiative to support schools in England, brings together school leaders from across the country to share practical ideas and experience.

Wednesday, 25 June 2014

How To Stop An Anxious Thought In Its Tracks

ANXIETY

When we're worried about something, "What if?" is the enemy. What if we mess up at work? What if we can't complete our goals? What if everything falls apart?
Our default is to dwell on the potential of bad outcomes. As psychologist Rick Hanson explains in his book "Hardwiring Happiness: The New Brain Science of Contentment, Calm and Confidence," our brains have a natural negativity bias -- and before we know it, one troublesome thought can spiral out of control, leading to even more anxiety.
For those who deal with anxiety and anxiety disorders on a daily basis, it can be challenging to put an end to a fearful thought before it shifts into chronic stress. Fortunately, there are ways to train your brain to stop a worry-ridden thought in its tracks, says Peter Norton, a professor of psychology at the University of Houston. "The more you look for something or expect something to be there, the more likely you are to find evidence of it, so sometimes people can mislead themselves [when they're having an anxious thought]," Norton tells The Huffington Post. Our deep trust in our own thinking is what leads us astray -- but it's also what can help us get back on track, he explains.
Here are some expert tips for getting rid of an anxious thought, before it's able to spiral out of control:
1. Get in touch with how you're feeling.
feeling
The first step to eliminating an anxious thought is to recognize when you're feeling an emotional shift, Norton says. "Really allow changes in your emotions to be a guide to take a step back," he says. "Those changes in emotions are [the first] red flag."
That's because our thoughts have a way of deceiving our emotions -- in other words, we aren't able to separate logic from feelings in a worry spiral. "It's very common for people to not really be an astute observer of their own thoughts," Norton says. "Because we're so used to trusting our brains, it's very difficult for us to sometimes take that step back and think about our own thoughts and say, 'OK, I believe this is happening, let me reevaluate whether or not that's true.'"
2. Don't try to put it out of your mind.
It may sound like a paradox, but avoiding fearful thoughts actually makes anxiety worse, explains Dr. Mickey Trockel, M.D., a psychiatrist and clinical assistant professor of psychiatry and behavioral sciences at Stanford University. "The biggest concern is when anxiety starts to create an avoidance cycle," Trockel tells The Huffington Post. "When something is provoking those emotions, then avoiding it feels good -- and because that feels good, it's reinforcing the anxiety. Then, the next time the situation comes up, without any conscious decision-making, it creates greater intensity."
Norton suggests confronting your initial anxiety in a mindful manner to keep it from worsening. Otherwise, avoiding those worrisome thoughts may cause them to manifest in other ways, such as nightmares or flashbacks. "Challenge your own thoughts and diffuse them, rather than hide them underneath the rug," he says.
3. Ask yourself questions that put your fears in perspective.
questions
This trick, which is used in cognitive behavioral therapy techniques for severe anxiety, allows you to step outside of how you're feeling and approach your thoughts in a logical way. "Evaluate the evidence for and against that thought," Norton advises. "Weighing the evidence back and forth will help you come to a more rational view of the situation."
Norton suggests mentally asking yourself questions in a way that reframes your fear. For example, "What do I feel is so dangerous or so bad about this current situation?" and "What do I think would be the worst outcome?" This prompts you to challenge those thoughts and move on from there. "This will help you learn to become a good observer of your own anxious thoughts," Norton says. "It allows you to take a step back from them [and] reevaluate the likelihood or the actual realities of the threat in order to try to come up with a less-biased interpretation of the situation."
4. Confront your fear in small ways.
Once you've managed to reframe your fear, Norton advises taking baby steps to overcome it. "Start with easier fears or easier situations first, then move up to more difficult ones as you become more successful in confronting your fears," Norton says. For example: If you get anxious during public speaking, practice in front of a friend or two first. Doing this will give you time to build up your resilience to the anxiety.
5. Practice mindfulness meditation.
meditation
To eliminate anxiety-driven thoughts before they take off, Norton advises employing relaxation practices to calm your mind and the rest of your body. "The body and the mind work in concert," Norton explains. "If one side is fired up, the other side is getting fired up. So by trying to relax or decrease your level of arousal, whether through meditation, relaxation exercises or deep breathing, you can typically start to bring the mental side of things down along with it."
Trockel suggests setting aside just five minutes to practice mindfulness meditation exercises. By spending those moments just focusing on your breathing, you can eliminate the temptation of letting your mind wander to the worst-possible scenario. "The goal isn't to breathe in a certain way, but rather to allow one's attention to focus on the sensation of breathing," he says. "Just five minutes of practice will make it easy to manage anxiety and allow you try it on the spot [when you start to experience those emotions]."
The practice also has long-term benefits if done regularly. Mindfulness meditation has been shown to change the brain in a positive way, help with weight-loss goals,lower blood pressure and even lead to better sleep.
6. Gradually build on your successes.
Once you're able to catch yourself ruminating on an anxious thought, Norton says it's all about practice until it becomes more second nature. "Try to short circuit that chain of thoughts and reevaluate the assumptions there," he explains. "Once you're comfortable with [what makes you fearful], move up to a more difficult situation. The great thing about confronting the fears is it also works well in concert with the thought challenging. It gives the person an opportunity to test out what really does happen in a situation ... and you can actually see what's more likely to come true."
Trockel says no matter how you address anxiety, the most important thing is recognizing when you're feeling stressed, and actively working to conquer it so it doesn't consume you. "If [anxiety is] left unchecked, it can zap your energy and make life less fun," he says. "Don't allow it to change what you really want to do."

Tuesday, 24 June 2014

Managing Workplace Anxiety

The need to effectively manage workplace anxiety has become imperative as research has shown that a work environment with so increased anxiety is neither good nor productive
Workplace stress is more common than ever because employers are on a tight budget and less people are expected to do more work.  In addition to financial reasons, working can be important for one’s self-esteem as it adds to your social identity.
And in the course of doing this daily job, everyone gets stressed at work from time to time.
090614l.Office-environment.jpg - 090614l.Office-environment.jpg
While healthy levels of stress and anxiety are good and can be motivating; unhealthy levels, experts say can lead to decreased productivity.
Indeed, health experts say the right amount of stress can actually improve work performance. However,  they emphasised that if people’s anxiety levels become too high, it interferes with their ability to work effectively.
An expert, Irene Levine explained that some anxiety in the face of stress can be a good thing adding that it helps employees work harder, prepare more thoroughly, and perform with more intensity.
She was however swift to add that people of different temperaments become anxious to varying degrees. Some, she said are laid-back and carefree while others seem to have been born to worry to excess.
However, surveys show that stress and anxiety levels among working adults have progressively increased over the past two decades.
Though, there are a host of factors that contribute to increased level of anxiety, our work culture, experts say plays a big role. This is so because the workplace is where people spend most of their productive hours; and how employees and employers process their work lives has a dramatic effect on their wellbeing.
For instance, research has shown one in every five adults -- experience anxiety so intensely that it interferes with their ability to function in the workplace. In another study of work stress by University of Otago researchers, they interviewed 900 New Zealanders in their early 30s and found that high-pressure jobs are associated with an increased risk for anxiety and depression.
Also, the World Health Organisation (WHO) reports that America is famously the most anxious nation in the world, with 31 percent of the country dealing with symptoms of anxiety.
In addition to work culture, technology is believe to be a huge part of this trend, as it's completely transformed how people live and work.
Tony Schwartz, founder of the Energy Project says it is logical for people to respond with anxiety especially in a demanding world that's increasingly complex.

Symptoms of workplace  anxiety
Health experts believe the symptoms of anxiety take different forms depending on an individual's temperament, role, and workplace stressors.

The forms are procrastination, avoidance, fatigue, irritability, fearfulness, obsessiveness, perfectionism, or a feeling of constantly being overwhelmed, all of which result in diminished efficiency. In dire cases, unchecked anxiety disorders can derail careers and even result in suicide.
Other symptoms could include aggressiveness, people avoiding social situations and becoming withdrawn, changes in eating habits, worrying obsessively, decreased ability to focus and decreased tolerance to stress.
The symptoms also included habitually avoiding certain tasks such as making presentations, speaking up at meetings, returning phone calls or completing complicated projects, experiencing physical symptoms such as racing pulse, shortness of breath, cold hands or gastrointestinal upset in response to particular workplace stressors.
Some might feel overwhelmed and show mood swings and greater irritability.
In explaining the physiology of anxiety and fear, Schwartz said: “they trigger a "fight or flight" mode in the brain. "If you perceive a threat, the body will move into fight or flight, what’s called sympathetic arousal. It'll mobilize you to act very quickly – if there’s a lion coming at you. The body makes no distinction between a lion and other factors that make you feel threatened."
He emphasised that environmental factors are sometimes difficult to change adding that the best way to respond is to “take control of what you can change — and that's how you think”.
Managing anxiety
Having an anxiety disorder can make a major impact in the workplace. People may turn down a promotion or other opportunity because it involves travel or public speaking; make excuses to get out of office parties, staff lunches, and other events or meetings with coworkers; or be unable to meet deadlines.

Given this scenario, health experts say people should focus on the positive side of life and their goals for the future rather than past disappointments or embarrassing situations.
“They should also make time for fun and relaxation outside of work, get regular exercise and eat a healthy diet. You shouldn’t agree to do things you feel you can’t manage. You should also learn to identify and control anxiety symptoms.
"Try meditation perhaps and muscle relaxation exercises. If necessary, some might need professional help in the form of counselling and psychotherapy,” says Leon Gettle.
Gettler explained further that “If anxiety is causing you to feel over-stressed and pre-occupied, you have to do something about it. The same goes for managers who find they have to deal with highly stressed staff. After all, a workplace with too much anxiety is neither happy, nor engaged, nor productive”.
According to Gettler in an article Managing Workplace Anxiety, “The Job Access website, which is part of the Department of Education, Employment and Workplace Relations, recommends that managers identify any triggers in the workplace.
Is it the environment or the nature of the job? It says they should allow for open and honest communication between employer and employee so both parties can express any concerns and, if appropriate, provide education to the individual who has anxiety.
It’s also a good idea to involve other employees in these sessions so that everyone has an understanding of how anxiety can affect people. And finally, managers should contact a doctor or hospital if there is a threat of harm”.
Moreso, Irene observed that anxiety can lead to excessive absenteeism and reduced productivity in the workplace and as such she advised supervisors to be alert to the signs by responding appropriately to requests for help.
“Of course, supervisors and advisers can help alleviate anxiety in the way they manage their laboratories and workplaces. One of the most important ways of minimizing anxiety is by providing guidance and support and setting short-term goals that are achievable," she stated.
Jonathan Berent and Amy Lemley, in a article on Five Ways to Beat Workplace Anxiety explained that avoiding the things that trigger anxiety is a common — and habit-forming — response to beat workplace anxiety. They noted that this, in the extreme, could indicate a phobia.
According to the article, everyone gets stressed at work sometimes but when daily stressors at work cause you to feel preoccupied, scared or even panicky, it’s time to confront your problem. Indeed, they pointed out that feeling anxious about work is not “just the way you are” adding that “it is a learned response to stress and luckily, what is learned can be unlearned."
They explained that avoiding the things that trigger anxiety is a common and habit-forming response that, in the extreme, could indicate a phobia. They were swift to add that avoidance does not work in the long term and could keep an employee from getting a raise or promotion, ruin the job interview process or even cost him his job.
“The key to managing and eventually overcoming workplace anxiety is to achieve balance among the various messages your inner voice conveys. When you experience anxiety, that inner voice reads from a 'critical script' that tells you things like: 'You have to be perfect, Everyone is watching, so don't mess up.'
"You're not good enough. You don't have anything to say. You truly can turn down those negative messages while still learning from them,” they advised.

Dealing with Anxiety

Monday, 23 June 2014

Panic Disorder Treatment

                                                                         Introduction
Panic attacks and panic disorder can be very disabling conditions for the people who suffer from them. Sometimes they can lead to avoidance of any activity or environment which has been associated with feelings of panic in the past. This can in turn lead to more severe and disabling disorders such as agoraphobia.
Panic attacks typically begin in young adulthood, but can occur at any time during an adult's life. A panic episode usually begins abruptly, without warning, and peaks in about 10 minutes. It can last anywhere from a few minutes to a half hour or longer. Panic attacks are characterized by a rapid heart beat, sweating, trembling, and a shortness of breath. Other symptoms can include chills, hot flashes, nausea, cramps, chest pain, tightness in the throad, trouble swallowing and diziness.
Women are more likely than men to have panic attacks. Many researchers believe the body's natural fight-or-flight response to danger is involved. For example, if a grizzly bear came after you, your body would react instinctively. Your heart and breathing would speed up as your body readied itself for a life-threatening situation. Many of the same reactions occur in a panic attack. No obvious stressor is present, but something trips the body's alarm system.
Treatment emphasizing a three-pronged approach is most effective in helping people overcome this disorder: education, psychotherapy and medication.


Psychotherapy

Education is usually the first factor in psychotherapy treatment of this disorder. The patient can be instructed about the body's "fight-or-flight" response and the associated physiological sensations. Learning to recognize and identify such sensations is usually an important initial step toward treatment of panic disorder. Individual psychotherapy is usually the preferred modality and its length is generally short-term, under 12 sessions. An emphasis on education, support, and the teaching of more effective coping strategies are usually the primary foci of therapy. Family therapy is usually unnecessary and inappropriate.
Therapy can also teach relaxation and imagery techniques. These can be used during a panic attack to decrease immediate physiological distress and the accompanying emotional fears. Discussion of the client's irrational fears (usually of dying, passing out, becoming embarrassed) during an attack is appropriate and often beneficial in the context of a supportive therapeutic relationship. A cognitive or rational-emotive approach in this area is best. A behavioral approach emphasizing graduated exposure to panic-inducing situations is most-often associated with related anxiety disorders, such as agoraphobia or social phobia. It may or may not be appropriate as a treatment approach, depending upon the client's specific issues.
Group therapy can often be used just as effectively to teach relaxation and related skills. Psychoeducational groups in this area are often beneficial. Biofeedback, a specific technique which allows the client to receive either audio or visual feedback about their body's physiological responses while learning relaxation skills, is also an appropriate psychotherapeutic intervention.
All relaxation skills and assignments taught in therapy session must be reinforced by daily exercises on the patient's part. This cannot be emphasized enough. If the client is unable or unwilling to complete daily homework assignments in practicing specific relaxation or imagery skills, then therapy emphasizing such skill sets will likely be unsuccessful or less successful. This pro-active approach to change (and the expectations of the therapist that the client will agree to this approach) needs to be clearly explained at the onset of therapy. Discussing these expectations clearly up-front makes the success of such techniques much greater.


Medications

A lot of people who suffer from panic disorder can successfully be treated without resorting to the use of any medication. However, when medication is needed, the most commonly-prescribed class of drugs for panic disorders are the benzodiazepines (such as clonazepam and alprazolam) and the SSRI antidepressants. It is rarely appropriate to provide medication treatment alone, without the use of psychotherapy to help educate and change the patient's behaviors related to their association of certain physiological sensations with fear.
Phillip W. Long, M.D. notes that, "Clonazepam (Klonopin, Rivotril) and alprazolam (Xanax), are the treatment of choice in the treatment of Panic Disorder. Clonazepam and alprazolam are preferred to antidepressant drugs because of their less severe side effects." He also states that it is preferred to try the anti-anxiety agents before moving on to the antidepressants because of the increased side-effect profiles. Xanax can be addicting for individuals and should be used with care. Treatment with either clonazepam or alprazolam should be discontinued by tapering it off slowly, because of the possibility of seizures with abrupt discontinuation.


Self-Help

Self-help methods for the treatment of this disorder are often overlooked by the medical profession because very few professionals are involved in them. Many support groups exist within communities throughout the world which are devoted to helping individuals with this disorder share their commons experiences and feelings.
Patients can be encouraged to try out new coping skills and relaxation skills with people they meet within support groups. They can be an important part of expanding the individual's skill set and develop new, healthier social relationships.