https://www.youtube.com/watch?v=Y-d66DiFwvc
Hi everyone. I’m Emma McAdam, and I’m a licensed marriage and family therapist. And I make mental-health education videos. And I’ve made a lot of videos about trauma and trauma treatment. And so I get asked in a lot of emails this question: How can I find a 00:00:16
therapist who does trauma treatment like you? And it’s a great question, not because I’m the world’s best trauma therapist, that is not the case, but because when it comes to therapy, it’s really good to be an informed consumer. There are hundreds of different types of therapy, and every therapist is
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different in how they approach issues. So whether you’ve never tried therapy before or you’ve worked with other therapists in the past and you want something different, learning about different treatment modalities can be really helpful.
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So first, what is trauma? Trauma is any experience that was overwhelming, threatening, that caused pain, distress, or fear to the point where you felt helpless. It can include assault and abuse and witnessing tragedy. It could include frightening medical
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experiences, near-death experiences, or a severe loss. But basically when your response to these situations interferes with your life, you might receive a diagnosis of PTSD. Or, if the abuse was ongoing for long periods of time, you might get a diagnosis of complex PTSD.
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And symptoms include nightmares; feeling tense or anxious all the time; being jumpy; feeling numb or detached; feeling exhausted and depressed; struggling in relationships, sleep, and and work. So while almost all therapists have some skills in treating depression, anxiety, and trauma,
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because these are such universal problems, not all therapists specialize in trauma treatment. So that means that most therapists have at least a handful of tools to treat trauma, but some therapists have a lot of skills and interventions and resources and experience to
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help you out. And that’s not exclusive to trauma. The more specific you can get with your diagnosis, the more specific you can get in finding a therapist who has interventions tailored to your needs. Okay. So what are the trauma treatment options out there, and how do you find a therapist
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who uses them? There’s a gazillion ways to do therapy, but I’m going to highlight the ways that are research-backed, meaning they have a strong body of consistent evidence that these treatments are effective. So the first approach to treating PTSD is cognitive therapy. And this is called
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a top-down approach. So it includes cognitive behavior therapy, cognitive processing therapy, and prolonged exposure. Cognitive approaches focus on talking about your trauma, changing how you think about it, and changing behaviors that might be making it worse. So for example, you would
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tell your trauma story, and your therapist would notice that you blame yourself for your abuse, and then they would help you to challenge that type of thinking and replace it with something healthier, like placing the responsibility on the abuser and forgiving yourself. Now, CBT has a lot
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of research for a couple of reasons: it’s been around for a long time and it can be standardized. They can, they can put it in a manual and say, “Oh, in session one, do this. In session two, do this. And then they can measure outcomes. Most therapists include some form of talking
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and examining thinking patterns as a part of therapy, but with a CBT therapist they may have a very clear set of instructions for you. Prolonged exposure is another type of cognitive therapy. It’s essentially exposure therapy. You talk about your trauma over and over until it’s no longer as
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scary for you. Essentially, you teach your brain that you can face your trauma and be okay. Now, cognitive approaches have been around for a long time, and they have a lot of research behind them. One study at Kaiser showed that even just the simple act of a doctor saying,
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“I see that you have a history of trauma or abuse. I’m sorry that happened to you. Would you like to talk about it?” and then just listening – just that simple act of addressing trauma without any specific interventions – this decreased the physical symptoms of trauma in a significant
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way. So I I don’t mean to minimize the effectiveness of talk therapy with trauma, but I think that I and many other therapists find that trauma treatment benefits from a really well-rounded approach. And cognitive therapies focus on thoughts and memories,
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but they don’t do much to address the physical reactions of trauma. Cognitive therapy can also be really uncomfortable, and in some cases, you know, re-traumatize the participant by having them talk about trauma without the skills to calm their body down. Now, that being said, cognitive therapy
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is still an effective approach. According to the VA, around 53% of people who do cognitive therapy no longer have PTSD after three months of treatment. EMDR is another great approach to treating trauma. It’s got a lot of research behind it. It incorporates body-based soothing with
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cognitive work while also including eye movement and bilateral movement as a part of the treatment. EMDR stands for eye movement desensitization and reprocessing. So basically, scientists found out that when we have bilateral movement – so that’s moving your eyes back and forth
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or patting your legs one and then the other – that it stimulates the part of the brain that processes memories. And this is similar to what happens in REM sleep, rapid eye movement sleep, because when you dream, your eyes move back and forth. And this is a critical time
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when your brain processes memories without too much emotion so that it can file them away. So with EMDR and somatic approaches there isn’t nearly as much of a focus on retelling the trauma story or challenging thoughts or homework assignments. And according to the VA, around 53%
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of people who do EMDR no longer have PTSD after three months of treatment. Okay. The next type of therapy, this next group of therapies incorporates a much more body-based approach or a bottom-up approach to healing trauma, and it includes somatic experiencing, sensory motor therapy,
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and polyvagal approaches to trauma treatment. So these approaches focus on the body and the nervous system and how they get stuck in a trauma response, and they teach people skills to soothe the body and turn off the fight/flight/freeze response and to activate their nervous system and
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work through the physical tension of trauma. And it’s based off of the work of Bessel van der Kolk, Peter Levine, Stephen Porges, Pat Ogden, Deb Dana, and others. And it’s gaining a lot of momentum, and the research behind its effectiveness is growing. Interventions include things like yoga,
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learning nervous system calming skills, gaining a greater awareness of your body’s reactions, and working with your body to restore a sense of calm. And I teach a bunch of these skills in my free course, Grounding Skills for Anxiety, Stress, and PTSD. So if you’d like to learn some of them,
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just check out the link in the description. When someone asks me how to find a trauma therapist who does trauma work the way I do, this approach is one that I’m drawn to the most. Now, I understand a lot of cognitive work. I’ve read books or attended trainings on most of the approaches.
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And for me, the body-based approach really adds a lot to the cognitive work that many people have already tried. Somatic experiencing is also a newer approach, so there’s less research behind it, but studies are promising. Some smaller studies have found
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that 67% of people experience a reduction of PTSD symptoms, and a meta-analysis of 16 studies found overall positive effects of somatic experiencing therapy on PTSD symptoms. Okay. Another type of therapy is narrative therapy. And this is often used in
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a small-group setting. It’s another approach that has been used with good results. And basically you just get a group of people together to talk about and work through their experiences. People explore their narrative or their interpretation of traumatic events with
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other people, and they create a new story around their humanity. And it has a lot of good evidence. Medication is another option to treat PTSD, and it can be combined with therapy. Antidepressants like Prozac, Paxil, Effexor, and Zoloft can be helpful at treating overall symptoms. And basically,
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medication helps to quiet the alarm system that seems to be constantly stuck in the on position. According to the VA, medication is effective for 42% percent of people. Also, prazosin can help with nightmares, and anxiety medications can help with the anxiety symptoms.
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Medication does come with the possibility of side effects, and the benefits may go away if you stop taking the medication. Now, I don’t think that there is one approach to trauma treatment that is best for everyone, so you may need to try a few different things to find out what works for
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you. Also, a combination of approaches may be best. Many therapists will integrate a cognitive approach with body-soothing skills while also encouraging you to work with a doctor to explore medical treatments as well. Regardless of which approach you want to try, it’s important to find
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a therapist who is experienced. So let me show you one way I recommend doing that. So if you go to psychologytoday.com (not a sponsor), their therapist finder tool has some great filters. So you just start by entering your location, and then you can select trauma-focused EMDR or somatic, and
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then you can see a list of the providers in your area. You can also filter by gender, religion, by the insurance they take, and a bunch of other characteristics. Now, just because someone says they’re trauma-informed or they practice a certain modality doesn’t mean they’re certified in it.
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So for someone to be EMDR certified, they need to have done something like 40 hours of training and 50 plus hours of supervised practice. So look for a certified provider whenever possible. To become a certified somatic experiencing practitioner you have to do eight training
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modules of four to six days in length spaced out over two and a half to three years, so this is really different from someone who’s just trauma informed or has a different certificate. There are a ton of other approaches to trauma treatment that are gaining popularity,
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but they they just don’t have as much research behind them. These include brain spotting, neurofeedback, mindfulness, acceptance and commitment therapy, tapping. And there’s a lot of other things that you can try that may help, but they don’t have as
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much evidence behind them. And so other other interventions include things like journaling, dancing, exercise, improving your overall mental health, certain nutritional approaches, and sharing your story with compassionate people. All these things can be really helpful;
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they’re just not necessarily meeting that gold standard of evidence-based treatment. Now, for all we know, these may work. But the further you get away from research, the less we know about how the treatment will affect you. I’m pretty cautious about recommending treatment without rigorous
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evidence, but I do encourage people to try a few things until they find something that works for them. So there you have it: a handful of different approaches to treating trauma. I hope this helps you choose a treatment option that works for you. Thank you for watching, and take care.
Source : Youtube
Often anxiety is diagnosed or correctly identified after unnecessary assessment and diagnostic evaluation. This is due to the elevated level of somatic symptoms of anxiety disorder. Research has shown that untreated elevated levels of anxiety predispose people to other serious health problems. Therefore, with that said, the first step to seeking treatment is to talk to your medical provider to make sure that your symptoms are not due to other physical problems. Of course, If anxiety is diagnosed, a mental health professional can work with you to design the best treatment plan for you. Sadly, many people with anxiety disorder do not seek treatment because they are unaware that anxiety is treatable. As stated earlier, anxiety is among the most common psychiatric illnesses. It is distinguished by the degree of anxiety experienced by the client, the duration of the anxiety, the severity of the anxiety, and the behavioral manifestation seen in the client experiencing the anxiety. It is important, especially important to know that Anxiety ranges from acute state to chronic disorders and they are often associated with physical symptoms such as chest, pain, chest, tightness, weakness, and shortness of breath. In the future, we will explore the diverse types of anxieties that exist, which will include panic, disorder, Agoraphobia, Specific Phobia, Social Anxiety, and Generalized Anxiety Disorder. If you or someone you know is experiencing a medical or mental health emergency, please call 911. You can also call the crisis line number 866, 903 3787, or go to the nearest emergency room for treatment. Our email address is located in the description. Please feel free to send us your broad questions. We will randomly select questions to be addressed in our future videos. Please, like comment subscribe, and share this video with your friends and families. Thank you for reading. I am Dr Ogochukwu Ojiaku. Thank you.
Is one more likely than
the other to take place? Number four, you have no clue if others can sense your anxiety. Do you worry about whether
Or can no other people tell when you’re feeling anxious? And then are you doubly
worried about how someone will react if they do find out
you’re having a panic attack? Since no people experience
anxiety the same way nor are any two situations the same, there’s no tangible way to tell
unless you tell someone that you’re not feeling well. If anything, your anxiety
is not as noticeable as you fear it to be. There are so many other restless, sweaty, awkward people in the world and everyone else is probably
too worried about themselves that they’re less likely to notice if you look a little
flushed or acted a little odd. Five, you can literally
worry yourself sick. Have you ever been so stressed
and worried that you felt like you might throw up or pass out? When you suffer from anxiety,
These severe reactions become normal which can put immense stress on your body over time. Mayo Clinic states that
symptoms such as headaches, heart palpitations, and
Gastrointestinal issues are common expressions of anxiety. Dealing with these over
an extended period of time can lead to complications such
as irritable bowel syndrome and other chronic disruptions
in the nervous system. Six, self-doubt slows you down socially. Do you long to be out and
about with your friends but your anxiety and doubt convince you to stay home instead? Socializing can be incredibly stressful for someone with anxiety, especially if you have
social anxiety disorder which is specific to
public or group settings. Between physical symptoms
and a racing mind, keeping up a conversation with
your friends can be tricky. Your brain interrupts with
intrusive thoughts and questions and you wonder if you’re doing it right. If you notice that you’re worrying about whether your anxiety makes
you come across as awkward or quiet, that’s okay. It’s good to be aware
of your effect on others but make sure you’re trying your best to be genuine and be you. Living in today’s society is
a lot of pressure already, so there’s no need to
double down on yourself. Seven, you find it hard to stay focused, you find
It is hard to stay focused. When your anxiety is bad, do
you struggle to concentrate? Like, when you must
reread a page in a book a couple of times over before you finally comprehend what you’re reading. Recent BBC research cites a 2011 study from the University of Notre Dame, which confirms that the
brain is designed to hold only so much information at once. If you’re taking up that
space with tons of what-ifs and worries, there won’t be much room left for anything else. Changing your thought patterns
won’t happen overnight but it’s certainly possible. It will likely take some trial and error to find what works for you
but practicing mindfulness, getting exercise, and avoiding multitasking are a few good places to start. And number eight, yes, you can have anxiety
about your anxiety. Have you ever heard of agoraphobia? The UK National Health
Service defines agoraphobia as a fear of being in
situations where escape might be difficult or that
help wouldn’t be available if things go wrong. Most people who suffer from this condition practice avoidance. Some might refuse to take
public transportation or be in crowded or open spaces, while others may not
leave their house at all. Avoidance aims to protect you from danger, panic, and even embarrassment. Did you relate to any of these scenarios? Tell us about it in the comments below. Anxiety is tough but so are you. If you have any other tips that
help you with your anxiety, share them in the comments below. If you found this video
helpful, please like and share this video with someone who can benefit from it too. The studies and references used are listed in the description below. Don’t forget to hit the subscribe button and the notification bell icon
for more psych2 go videos. Thank you for watching and
We’ll see you next time.
The last thing they want
is to come off as awkward, fumbling, or boring. You’ve likely felt this way at some point throughout your life, whether it’s the desire
to fit in with friends or make a good impression
on a potential employer, with social anxiety however, this pressure to perform
feels constantly heavy and can lead to full-blown panic attacks when in social or
performance-based situations. Number six is feeling lonely, even when you’re surrounded by people. People with social anxiety
can share this feeling with those who battle depression and other mental illnesses as well. So, unfortunately, a lot
of people can relate to this isolating feeling. When social anxiety keeps you
from being your true self, it can be difficult to
feel included at all. It’s frustrating to be close to others, but not be able to connect
with them comfortably. If you’re struggling
to properly communicate and are extremely hesitant
to even start a conversation, that adds to your feelings of loneliness, even when you’re surrounded by others. Number seven, clenching your teeth and other physical discomforts. You feel shaky or lightheaded when faced with a social situation. Does your heart rate speed
up, or do your hands tremble? The stress that comes with social anxiety can manifest through physical symptoms. Many of the symptoms are
signs of nervousness, such as sweating, flushing,
and feeling shaky. According to the Mayo Clinic, you might also be dealing
with muscle tension, feeling that your mind has gone blank, or having trouble catching your breath. Number eight, obsessing over how you look. When you’re constantly worried about how others perceive you, you’re likely to be concerned
with how you look as well. You might have a distorted body image and think that you’re less
physically attractive. Your thoughts can flit from
your hair to your clothes or flaws in your skin, thinking
that it’s just all wrong. In an attempt to feel
comfortable in your skin, you might spend an inappropriate
amount of time and money on fixing your appearance, such as shopping for better clothes, getting high-end beauty
products, or going on diets if you think you’re overweight. And number nine, you
feel more like yourself around the people you’re comfortable with. You think you’re picky about
who you spend time with and triumph over shyness, conquering social anxiety disorder, Dr. Marie B. Stein and John R. Walker discuss behavior in children
called selective mutism. This is when a child
speaks and acts normally around select individuals,
but is completely silent around everyone else, or when
placed in certain situations, this is a more extreme example, but it shows how those with social anxiety are more likely to relax and open up around people they already know and trust. Do you or anyone you know resonate with any of these points
mentioned in this video? If you’re concerned about
social anxiety disorder, we encourage you to speak with
a mental health professional, they can help you overcome any fears or debilitating problems you might have. If you enjoyed watching this
video, give us a thumbs up and share it with someone who
might find it helpful as well. The studies and references
used in this video are listed in the description below. Don’t forget to hit the subscribe button for more Psych2go videos and as always, thanks for watching, and we’ll see you next time.
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Conditioned by judgmental parents at an early age. You may struggle with worry and fear of what others think about you. Their emphasis is on the opinion of others instead of on social initiatives and family sociability. This may lead to social anxiety. #5 You are overly cautious. Did your parents tend to constantly check on you when you’re not around them? If you have overprotective parents,
there’s a chance that you may be overly cautious. This is because having overprotective parents may condition you at a young age to be wary of everything. It can lead to having a certain worry and fear of things that are unknown to you. Although it can be beneficial to be overly cautious at times. It can also lead to a lot of anxiety. #6 You fear relationships. Do you find yourself scared about forming relationships? This fear may have stemmed from growing up in a separated family. Since you may fear that your current relationships will end up with the same outcome. Having neglectful parents could also cause you to fear relationships… …because it could make you think that your partner will neglect you in the same way. And #7 You doubt yourself. Have you ever said to yourself… What if I’m doing it wrong? Or am I making a mistake? Your parents’ constant criticism of your ability…can result in you developing constant self-doubt as you grow up. This will also cause you to have a higher risk of developing anxiety disorders in childhood. Do you relate to any of these signs? Let us know in the comments below! If you find this video helpful… Be sure to like, subscribe, and share this video with those who might benefit from it. The references and studies used in this video are added in the description below. Thanks for reading and we’ll see you in the next video!
this could be a subtle sign you have anxiety as rumination is common in people with generalized anxiety disorder but it may have other causes because it’s not specific to early anxiety so did you relate to any of these points whether you have anxiety or not it can be beneficial to take note of these subtle signs and reflect on what may be causing them remember that feeling anxious is nothing to be ashamed of and you can always reach out for support when you feel you need it now we want to hear from you safe2goers have you experienced any of these signs of anxiety what’s your experience with anxiety share in the comments below as usual all references used are in the description below if you found this video helpful please leave a like and share it with a friend until next time
