Why We Worry Understanding and Treating Anxiety and Related Disorders Presented by Martin M. Antony, PhD, ABPP Department of Psychology, Ryerson University Website: www.martinantony.com E-mail: [email protected] Handouts and slides from this presentation may not be reproduced without permission of the presenter. Sponsored by Institute for Brain Potential P.O. Box 2238 Los Banos, CA 93635 Disclosure Statement: Dr. Antony is the author of several leading books on the topic of anxiety and related problems. In this program, Dr. Antony will recommend a number of books related to anxiety disorders, including some of his own. COURSE OBJECTIVES Participants completing this program should be able to: 1. List the key features of panic disorder, phobias, social anxiety, obsessive-compulsive disorders, generalized anxiety, and posttraumatic stress. 2. Describe evidence-based psychological and pharmacological treatments for anxiety and related disorders. ©2014 Martin M. 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Antony, PhD, ABPP Professor of Psychology, Ryerson University, Toronto Director of Research, Anxiety Treatment and Research Centre, St. Joseph’s Healthcare, Hamilton www.martinantony.com Outline . Overview of Anxiety-Based Disorders . Causes of Anxiety-Based Disorders OVERVIEW OF . Medications for Anxiety–Based Disorders . Cognitive-Behavioral Therapy ANXIETY-RELATED . Cognitive Strategies . Exposure-Based Strategies DISORDERS . Acceptance and Mindfulness-Based Treatments . Other Strategies Recommended Readings Anxiety-Related Disorders . Antony, M.M., & Norton, P.J. (2009). The . Anxiety Disorders anti-anxiety workbook: Proven strategies . Obsessive-Compulsive and Related to overcome worry, panic, phobias, and Disorders obsessions. New York: Guilford Press. Trauma- and Stressor-Related Disorders . Antony, M.M., & Stein, M.B. (Eds.) . Somatic Symptom and Related Disorders (2009). Oxford handbook of anxiety and related disorders. New York, NY: Oxford University Press. 2 DSM-5 Anxiety Disorders Definition of Panic Attack . Panic Disorder . Agoraphobia . Period of intense fear or discomfort . Specific Phobia . Peaks within 10 minutes . Social Anxiety Disorder (Social Phobia) . 4 out of 13 symptoms: . Generalized Anxiety Disorder (1) racing or pounding heart, (2) sweating, (3) . Separation Anxiety Disorder trembling or shaking, (4) shortness of breath, (5) . Selective Mutism choking feeling, (6) chest pain or discomfort, (7) . Substance/Medication Induced Anxiety Disorder nausea or abdominal distress, (8) dizzy, unsteady . Anxiety Disorder Due to Another Medical Disorder or faint, (9) feeling unreal or detached, (10) numbness or tingling sensations, (11) chills or hot . Other Specified Anxiety Disorder flushes, (12) fear of dying, (13) fear of going crazy . Unspecified Anxiety Disorder or losing control DSM-5 Anxiety Disorders DSM-5 Agoraphobia Situations Panic Disorder Fear or avoidance of 2 or more of the following: . Recurrent unexpected panic attacks, associated with (1) . Using public transportation (e.g., cars, buses, worry about having more attacks or about their trains, ships, planes) consequences, or (2) maladaptive changes in behavior related to the attacks . Being in open spaces (e.g., parking lots, market places, bridges) Agoraphobia . Being in enclosed places (e.g., shops, theaters, . Excessive fear of situations from two of the following cinemas) clusters: (1) public transportation, (2) open spaces, (3) . Standing in line or being in a crowd enclosed places, (4) standing in lines or crowds, (5) . Being outside of the home alone Being outside of the home alone . Fear is related to concern about experiencing panic-like symptoms or other incapacitating symptoms Recommended Readings DSM-5 Anxiety Disorders . Taylor, S. (2000). Understanding and treating panic disorder: Cognitive and behavioral Specific Phobia approaches. Chichester, UK: Wiley. Fear and avoidance of specific objects or situations (e.g., animals, heights, blood/needles, driving, enclosed . Antony, M.M., & McCabe, R.E. (2004). 10 simple places), associated with significant distress/impairment solutions to panic: How to overcome panic . Typically lasting 6 months or longer attacks, calm physical symptoms, and reclaim your life. Oakland, CA: New Harbinger Publications. Barlow, D.H., & Craske, M.G. (2007). Mastery of your anxiety and panic, 4th ed. workbook). New York, NY: Oxford University Press. 3 Recommended Readings Recommended Readings Free download at http://www.martinantony.com/downloads. .Antony, M.M., & McCabe, R.E. (2005). Overcoming animal . Antony, M.M., Craske, M.G., & Barlow, D.H. (2006). and insect phobias: How to conquer fear of dogs, snakes, Mastering your Fears and Phobias (client rodents, bees, spiders, and more. Oakland, CA: New workbook), second edition. New York, NY: Oxford Harbinger. University Press. .Antony, M.M., & Rowa, K. (2007). Overcoming fear of . Craske, M.G., Antony, M.M., & Barlow, D.H. (2006). heights: How to conquer acrophobia and live a life without limits. Oakland, CA: New Harbinger. Mastering your Fears and Phobias (therapist guide), second edition. New York, NY: Oxford University .Antony, M.M., & Watling, M. (2006). Overcoming medical phobias: How to conquer fear of blood, needles, doctors, and Press. dentists. Oakland, CA: New Harbinger. Davis, T.E. Ollendick, T.H., & Öst, L.-G. (Eds.) (2012), Intensive one-session treatment of specific phobias. New York, NY: Springer. DSM-5 Anxiety Disorders Feared Performance Situations Social Anxiety Disorder . Fear and avoidance of situations involving possible of . Public speaking scrutiny by others (e.g., social interactions, being observed, performing), associated with significant . Performing (e.g., sports, music) distress/impairment . Eating or drinking in front of others . Typically lasting 6 months or longer . Using public restrooms . Crowded places (e.g., malls, subways) . Writing in front of others Feared Interpersonal Situations Recommended Readings . Antony, M.M., & Rowa, K. (2008). Social anxiety . Initiating or maintaining conversations