INSIGHTS QUESTIONS to ask before your teen goes to college TIPS FOR EASING separation anxiety COMMON SUBSTANCES that can trigger anxiety How to recognize an anxiety disorder in older adults Normal anxiety or anxiety disorder? INSIGHTS I Anxiety 1 INSIGHTS magazine is a publication of Pine Rest Christian Mental Health Services and CONTENTS is reviewed by Pine Rest clinical and Anxiety Disorders .....................................................................3 medical staff. INSIGHTS is produced by the Pine Rest Marketing and Types of Anxiety Disorders ...................................................................... 4 Communications Department. Generalized Anxiety Disorder ............................................................. 4 To learn more about anxiety, visit Panic Disorder (Panic Attack) .............................................................. 5 pinerest.org/anxiety. Phobia .................................................................................................. 6 SERVICES Agoraphobia ......................................................................................... 6 Pine Rest provides treatment for anxiety to people of all ages from young children Social Anxiety Disorder (Social Phobia) .............................................. 7 to older adults and at all levels of need. Substance/Medication-induced Anxiety Disorder .............................. 8 Outpatient Anxiety Induced by Medical Conditions .............................................. 9 Counseling, therapy, psychiatry, Treatment Options for Anxiety Disorders ............................................. 10 psychological assessment & testing. [Iowa & Michigan] Psychotherapy ................................................................................... 10 866.852.4001 Medications ........................................................................................ 11 Teletherapy Complementary Treatments ............................................................. 11 [Iowa & Michigan] Supportive Environment ................................................................... 11 pinerest.org/teletherapy Anxiety in Children & Teens ..................................................... 12 Inpatient & Partial Hospitalization [Michigan] Separation Anxiety Disorder ................................................................. 12 616.455.9200 Selective Mutism ................................................................................... 13 800.678.5500 TTY 616.281.6446 Treating Children ................................................................................... 13 How Parents Can Help .......................................................................... 13 Psychiatric Urgent Care Center Same-day psychiatric evaluation When Kids Won’t Go To School ............................................................ 14 and treatment for ages 18-65. Coping Strategies for School Anxieties ................................................ 14 [Michigan] 616.455.9200 800.678.5500 Anxiety and College Students .................................................. 15 TTY 616.281.6446 Women and Anxiety ............................................................... 16 Postpartum Anxiety............................................................................... 16 How to Recognize an Anxiety Disorder in an Older Adult ............ 17 Treating Older Adults ............................................................................ 18 Obsessive-Compulsive Disorder .............................................. 19 Signs of OCD in Children ....................................................................... 19 Pine Rest is an Associate member of the National Network of Depression Centers, nndc.org. Mailing Address Pine Rest Christian Mental Health Services 300 68th Street SE Grand Rapids, MI 49548 2 INSIGHTS I Anxiety Anxiety Disorders Anxiety disorders are the most common psychiatric While the exact cause illnesses in the United States for both children and of anxiety disorders is adults. not known, they—like other forms of mental We’ve all felt nervous or anxious at times—before taking illness—are not the a test, before a job interview, making an important result of a character decision or preparing for a speech. Anxiety is a normal flaw or personal reaction to stress. It helps us prepare for significant weakness or poor events or warns us to get out of harm’s way or take parenting. Scientists action. But, unlike the relatively mild and brief anxiety are learning that we might experience in these situations, anxiety anxiety disorders disorders are much different. have a biological basis and are At some point in their lives caused by a an estimated 31% of adults combination of factors including and 32% of teens (ages brain chemistry, genetics, environmental factors, 13 to 18) have an anxiety personality characteristics and life events. Most often, anxiety disorders begin in childhood, adolescence disorder causing such or early adulthood. distress that it interferes The good news is that anxiety disorders are highly with day-to-day living.* treatable, and the vast majority of people with an anxiety disorder can be helped with professional care. Several recent studies have shown that the chance of Although treatment must be tailored specifically for having at least one anxiety disorder during childhood each individual, the most successful treatments include ranges from 26.1% for boys and 38.0% for girls.* People a combination of therapy and medication. with anxiety disorders suffer constant and overwhelming worry and fear. Unfortunately, only about one-third of adults and less than one-fifth of children and teens with an anxiety disorder receive treatment. Everyday Anxiety Anxiety Disorder Feeling nervous before a job interview Turning down promotion because it involves public or major presentation speaking Feeling shy or awkward when entering Refusing to attend the office holiday party a room full of strangers Feeling nervous, uncomfortable or awkward Refusing a social invitation for fear of being judged, social situation humiliated or embarrassing yourself Realistic fear of a dangerous object, Irrational fear or avoidance of an object, place or place or situation situation that poses little or no threat of danger * Source: National Institute of Mental Health INSIGHTS I Anxiety 3 Generalized Anxiety Disorder Generalized anxiety disorder (GAD) is a common condition characterized by constant worry and tension that persists for several months, even when there is little or no cause. This ongoing, severe tension interferes with day-to-day life as people worry constantly and feel helpless to control these worries. People with GAD anticipate disaster and are overly concerned about health issues, money problems, family dynamics and work difficulties. Sometimes they can barely get through the day because of their heightened anxiety. GAD affects about 6.8 million adults or 3.1% of the population. In children and adolescents, GAD (and other anxiety disorders) can be particularly disabling, with children at times refusing to go to school or participate in other activities that are essential to their growth and learning. Frequently, younger children will Types of Anxiety complain of symptoms that are more of a somatic nature—with Disorders common complaints of tummy aches and headaches. GAD is mentally and physically exhausting, making normal life difficult There are nine major types of and relaxation impossible. Physical symptoms can include: fatigue, anxiety disorders, each with headaches, muscle tension and aches, difficulty swallowing, trembling, distinct symptoms: twitching, irritability, sweating, nausea, lightheadedness, breathlessness • Generalized anxiety disorder and hot flashes. Sufferers also may have trouble concentrating, relaxing, falling asleep or staying asleep. (GAD) GAD usually develops gradually and may begin at any time, although • Panic disorder (panic attack) the risk is highest between childhood and middle age. Those suffering • Specific phobia with GAD don’t know how to stop the worry cycle and feel it is beyond their control. In many cases it occurs along with other anxiety or mood • Agoraphobia disorders. • Social anxiety disorder (social phobia) Symptoms of GAD • Substance/medication induced • Excessive worry about everyday things anxiety disorder • Trouble controlling constant worries • Anxiety due to a medical • Feel tired all the time condition • Have trouble relaxing • Separation anxiety disorder • Headaches, muscle aches, stomach aches • Selective mutism • Restless, difficulty concentrating • Irritable, hot flashes, lightheaded • Trouble falling sleep or staying asleep 4 INSIGHTS I Anxiety Panic Disorder (Panic Attack) In any given year, about six million American adults experience a panic disorder. A sudden surge of overwhelming anxiety and fear, panic attacks often occur in familiar places where there is seemingly nothing threatening the individual. During an attack, several of the symptoms occur simultaneously. People who have panic attacks often fear their own physical symptoms which can become overwhelming. They cannot predict when or where an attack will occur, and, between the attacks, they become preoccupied with worry or dread of the next occurrence. Panic attacks can occur at any time, even when someone is asleep. They usually last Symptoms of a Panic Attack about ten minutes but some of the symptoms may • Sweating, shortness of breath or hyperventilation last longer. • Racing heart,