Tag: psychiatrist

Understanding Anxiety – A Psychiatrist Explains Symptoms, Medication Options and Therapy

Fear is something that everybody experiences. We all have fear, and fear is a normal response to a threat. The difference with anxiety is that anxiety is more diffuse. It’s not specific to a threat. It’s more global and it’s more vague and general. A fear of elevators could be rational if you know that the elevator reached the maximum capacity or you know for sure that it’s been failing or is shaking strangely, that’s rational, and avoiding that is normal. But anxiety would be for someone to be afraid of elevators, even though it’s a perfectly functioning elevator you know has been recently installed and checked and technically is flawless, and you still have anxiety about that.Anxiety disorders are a large family with several individual disorders, but it’s important to know that sometimes they happen together or you may have one and a little bit of another one. But the most common are panic disorder, social anxiety disorder, we have also generalized anxiety disorder, separation anxiety disorder, and the last one is selective mutism. It’s a rare disorder that is mostly seen in children. In psychiatry, probably the most successful group of illnesses or disorders that we can treat successfully are anxiety disorders. The treatment of choice is therapy. Multiple therapies are validated by research that can be effective. In addition to that, we can use medications that are just as needed, for example, panic attacks.Many people use a type of medication called benzodiazepine. There’s a family of anti-anxiety medications. They can work for someone who has only sporadic attacks, but not for someone who has chronic, what is called generalized anxiety disorder, because it’s easy to become dependent on those medications. The other mainstay type of treatment in terms of medications is antidepressants, specifically the so-called serotonergic antidepressants. Some of them, for example, are sertraline or paroxetine and these medications increase the transmission of serotonin in the brain and can alleviate some of the symptoms of anxiety. When we are thinking of treatment for anxiety disorders without medication, we have therapy, but also we have self-help. So we can do a lot with self-help. Probably the most effective are all kinds of activities that tend to reduce the activation of the stress response system in the body. So the stress response system releases several chemicals, like cortisol and adrenaline, but also changes the heart rate, breathing, and so forth. And so there are many activities, including meditation, yoga, tai chi, and sports in general, aerobic exercise, that can down-regulate the activation of the stress response system.In addition to self-help, another type of non-medication, non-pharmacological treatment for anxiety disorders is therapy. Counseling. And several types are specific for anxiety and they’re being developed through research and they are highly effective. One of the most common and most well-known is cognitive behavioral therapy, which is a systematic training of the patient to identify certain thoughts and beliefs that can be challenged, and the challenging of switching reframing, and changing those thoughts can alleviate anxiety. The main coping skill for anxiety is avoidance. Unfortunately, avoidance is the worst thing that we can do because it will perpetrate and make it chronic.The more we avoid something, the more powerful that fear becomes, or that anxiety. Therefore, one of the treatments for anxiety is to try not to avoid the triggers, is to expose ourselves as much as we can tolerate that. For example, if public speaking is a source of anxiety, some of us can get trained and go to Toastmasters, and go to a setting where we feel safer and slowly and progressively expose ourselves. Because the brain learns not to react. With more practice, we lose that fear. If you believe that you have an anxiety disorder, I would say the first thing to do could be a screening for that. That could be done by your primary care physician or yourself. One of the most common tools to screen for anxiety disorder is called General Anxiety Disorder-7.GAD-7. And that’s widely available in the public domain on the Internet. And if you have a suspicion of an anxiety disorder, I would go to your primary care doctor. Alternatively, you can go to a therapist because this, can be very effective and the therapist would be prepared to tell you, “I think you need medication in addition to therapy.”.

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Understanding Anxiety – A Psychiatrist Explains Symptoms, Medication Options and Therapy

Fear is something that everybody experiences. We all have fear, and fear is a normal response to a threat. The difference with anxiety is that anxiety is more diffuse. It’s not specific to a threat. It’s more global and it’s more vague and general. A fear of elevators could be rational if you know that the elevator reached the maximum capacity or you know for sure that it’s been failing or is shaking strangely, that’s rational, and avoiding that is normal. But anxiety would be for someone to be afraid of elevators, even though it’s a perfectly functioning elevator you know has been recently installed and checked and technically is flawless, and you still have anxiety about that. Anxiety disorders are a large family with several individual disorders, but it’s important to know that sometimes they happen together or you may have one and a little bit of another one.But the most common are panic disorder, social anxiety disorder, we have also generalized anxiety disorder, separation anxiety disorder, and the last one is selective mutism. It’s a rare disorder that is mostly seen in children. In psychiatry, probably the most successful group of illnesses or disorders that we can treat successfully are anxiety disorders. The treatment of choice is therapy. Multiple therapies are validated by research that can be effective. In addition to that, we can use medications that are just as needed, for example, panic attacks. Many people use a type of medication called benzodiazepine. There’s a family of anti-anxiety medications. They can work for someone who has only sporadic attacks, but not for someone who has chronic, what is called generalized anxiety disorder, because it’s easy to become dependent on those medications. The other mainstay type of treatment in terms of medications is antidepressants, specifically the so-called serotonergic antidepressants.Some of them, for example, are sertraline or paroxetine and these medications increase the transmission of serotonin in the brain and can alleviate some of the symptoms of anxiety. When we are thinking of treatment for anxiety disorders without medication, we have therapy, but also we have self-help. So we can do a lot with self-help. Probably the most effective are all kinds of activities that tend to reduce the activation of the stress response system in the body. So the stress response system releases several chemicals, like cortisol and adrenaline, but also changes the heart rate, breathing, and so forth. And so there are many activities, including meditation, yoga, tai chi, and sports in general, aerobic exercise, that can down-regulate the activation of the stress response system. In addition to self-help, another type of non-medication, non-pharmacological treatment for anxiety disorders is therapy. Counseling. And several types are specific for anxiety and they’re being developed through research and they are highly effective.One of the most common and most well-known is cognitive behavioral therapy, which is a systematic training of the patient to identify certain thoughts and beliefs that can be challenged, and the challenge of switching reframing, and changing those thoughts can alleviate anxiety. The main coping skill for anxiety is avoidance. Unfortunately, avoidance is the worst thing that we can do because it will perpetrate and make it chronic. The more we avoid something, the more powerful that fear becomes, or that anxiety. Therefore, one of the treatments for anxiety is to try not to avoid the triggers, is to expose ourselves as much as we can tolerate that. For example, if public speaking is a source of anxiety, some of us can get trained and go to Toastmasters, and go to a setting where we feel safer and slowly and progressively expose ourselves.Because the brain learns not to react. With more practice, we lose that fear. If you believe that you have an anxiety disorder, I would say the first thing to do could be a screening for that. That could be done by your primary care physician or yourself. One of the most common tools to screen for anxiety disorder is called General Anxiety Disorder-7. GAD-7. And that’s widely available in the public domain on the Internet.And if you have a suspicion of an anxiety disorder, I would go to your primary care doctor. Alternatively, you can go to a therapist because this, can be very effective and the therapist would be prepared to tell you, “I think you need medication in addition to therapy.”.
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The one factor causing depression and anxiety in the workplace | Johann Hari | Big Think

I learned about nine causes of depression and anxiety, for which there’s scientific evidence with different sets of solutions. But I’ll just give you a very quick example of one. I noticed that lots of people I know who were depressed and anxious. Their depression and anxiety focus on their work. So I started looking at, well, how do people feel about their work? What’s going on here? Gallup did the most detailed study that’s ever been done on this. They found that 13 percent of us like our work most of the time. Sixty-three percent of us are what they call “sleepwalking” throughout work. We don’t like it. We don’t hate it. We tolerate it. Twenty-four percent of us hate our jobs. If you think about that 87 percent of people in our culture don’t like the thing they’re doing most of the time. They did send their first work email at 7:48 a.m. and clock off at 7:15 p.m. on average. Most of us don’t want to be doing it. Could this have a relationship with our mental health? I started looking for the best evidence, and I discovered an amazing Australian social scientist called Michael Marmot who I got to know, the story of how he discovered it is amazing, but I’ll give you the headline.He discovered the key factor that makes us depressed and anxious at work: If you go to work and you feel controlled, you feel you have few or limited choices you are significantly more likely to become depressed or even more likely to have a stress-related heart attack. And this is because of one of the things that connects so many of the causes of depression and anxiety I learned about. Everyone watching this knows that you have natural physical needs, right? You need food. You need water. You need shelter. You need clean air. If I took them away from you, you would be in trouble real fast, right?There’s equally strong evidence that we have natural psychological needs. You’ve got to feel you belong; You’ve got to feel your life has meaning and purpose; You’ve got to feel that people see you and value you; You’ve got to feel you’ve got a future that makes sense. And if human beings are deprived of those psychological needs they will experience extreme forms of distress. Our culture is good at lots of things.We’re getting less and less good at meeting people’s deep underlying psychological needs. And this is one of the key factors why depression is rising. And that opens, just to finish the point about what that opens up, a very different way of thinking about how we solve these problems, right? So if control at work is one of the drivers of this depression and anxiety epidemic I think well what would be an antidepressant for that, right? What would solve that? In Baltimore, I met a woman called Meredith Keogh as part of an amazing transformation. Meredith used to go to bed every Sunday night just sick with anxiety. She had an office job. It wasn’t the worst office job in the world, she wasn’t being bullied, but she couldn’t bear the thought that this monotony was going to be the next 40 years of her life, most of her life.And one day Meredith experimented with her husband Josh. Josh had worked in bike stores since he was a teenager. Again, it’s insecure, controlled work, as you can imagine. And one day Josh and his friends in the bike store just asked themselves: what does our boss do? They liked that boss. He wasn’t a bad guy, but they thought, “Well, we fix all the bikes.” They didn’t like this feeling of having a boss.They decided to do something different. So Meredith quit her job. Josh and his friends quit their jobs. They set up a bike store that works on a different, older principle. It’s a democratic cooperative, not a corporation. So the way it works is there is no boss. They make the decisions together democratically by voting. They share the good tasks and the bad tasks. They share the profits. One of the things that was so interesting to me going there which is completely in line with Professor Marmot’s findings is how many of them talked about how depressed and anxious they’d been when they worked in a controlled environment and they weren’t depressed and anxious now. Now it’s important to say: it’s not like they quit their jobs fixing bikes and went to become like Beyoncé’s backup singers, right? They fixed bikes before, they fixed bikes now. But they dealt with the factor that causes depression and anxiety. As Josh put it to me, there’s no reason why any business should be run in this top-down, depressogenic, humiliating way, right? The modern corporation is a very recent invention.Think about how many people you know who feel terrible today if they were going to work tomorrow at a workplace that they controlled with their colleagues. If there had to be a boss, they elected the boss and the boss was accountable to them. Where they chose the priorities for their workplace. A lot of people would feel very differently. Now that is an antidepressant, right?Chemical antidepressants should remain on the menu. They give some relief to some people. That’s valuable. But we need to look for antidepressants that deal with the reasons why we’re depressed. So I was able to identify nine causes of depression and anxiety and seven antidepressants like this which are actually about dealing with the reasons why we feel this way and not just blunting the symptoms.
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Treating Generalized Anxiety Disorder (GAD #2)

Ten million Americans suffer from GAD. Luckily, there is help for this widespread condition. Watch More Health Videos at Health Guru: http://www.healthguru.com/?YT

What is the link between joint hypermobility and anxiety? | Dr Jessica Eccles

In this short interview, Dr Jessica Eccles explains her research into the connection between joint hypermobility and anxiety.People with joint hypermobility are much more likely to suffer from anxiety and enhanced ‘fight or flight’ responses. Dr Eccles was the first person to connect this knowledge to structural changes in the brain, showing that the amygdala, associated with emotional processing, is larger in people with joint hypermobility. By clarifying the nature of this connection, she hopes to help develop more personalised and effective treatments.Dr Eccles is a psychiatrist and clinical research training fellow at Brighton and Sussex Medical School.This clip was filmed as part of the Academy of Medical Sciences Spring Meeting, 2016. To read more about the Spring Meeting, visit https://acmedsci.ac.uk/grants-and-schemes/events/spring-meeting/competitions/past-spring-meetingsWe are the independent body in the UK representing the diversity of medical science. Our mission is to advance biomedical and health research and its translation into benefits for society.Find the Academy of Medical Sciences online: Website: http://acmedsci.ac.uk/ Twitter: http://twitter.com/AcMedSci Facebook: http://www.facebook.com/acmedsci Instagram: http://www.instagram.com/acmedsci/

Bipolar Disorder (Health Guru Short)

Terribly blue one moment, unable to sit still the next? You may have bipolar disorder. See More Mental Health Videos: http://www.healthguru.com

These Are the Signs of Anxiety During Pregnancy & Postpartum

Access more mental health video series like this one HERE: http://bit.ly/2B1jPQwIn this video, reproductive psychiatrist Dr. Sarah Oreck explains the signs of an anxiety disorder during pregnancy & why new & expectant mothers might experience them.Make sure you subscribe to MedCircle so you don’t miss our new mental health educational videos every week.Reproductive psychiatrist Dr. Sarah Oreck sits down with MedCircle to discuss all things pregnancy and mental health. In our latest series, she sits down for an interview on anxiety during pregnancy. Dr. Oreck covers… – The types of clinical anxiety disorders during pregnancy and postpartum – The signs of generalized anxiety disorder during pregnancy or postpartum – The signs of post-traumatic stress disorder (PTSD) from birth trauma – The signs of obsessive-compulsive disorder (OCD) during pregnancy or postpartum – The signs of panic disorder or panic attacks during pregnancy and postpartum – How each disorder manifests differently during pregnancy than it would during any other time period in lifeThanks for watching our youtube video! Now, follow MedCircle for more videos: FACEBOOK: https://www.facebook.com/MedCircleOfficial INSTAGRAM: https://www.instagram.com/medcircleofficial TWITTER: https://www.twitter.com/medcircleFollow our host, Kyle Kittleson: FACEBOOK: https://www.facebook.com/KyleKittleson/ TWITTER: https://twitter.com/kylekittleson INSTAGRAM: https://www.instagram.com/kylekittleson

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Anxiety: Stop Negative Thoughts

We all have negative thoughts sometimes. However, when they cycle through your mind over and over, negative thoughts can cause problems and can be a sign that you have a more fundamental problem. Recurring negative thoughts can be a symptom of anxiety. At this seminar, learn about the warning signs and strategies for coping with anxiety.Presented By:Seema Sehgal, MD PsychiatristSeema Sehgal’s WTMF Physician Page: https://tinyurl.com/to34q53Original Date: 11/12/19****SOURCES AND LINKS****Learn more about Washington Hospital visit: https://www.whhs.com/Watch more Health & Wellness videos on InHealth’s Channel: https://www.youtube.com/whhsinhealth#InHealth #WashingtonHospital #Anxiety

What is Depression? (Depression #1)

People sometimes have a hard time understanding the difference between depression and normal sadness. Dr. Eredlyi discusses the different kinds of depression, and how to recognize them. Watch More Health Videos at Health Guru: http://www.healthguru.com/?YT
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Psychiatrist vs Psychologist (Mental Health Guru)

A psychiatrist is concerned with prescribing medication for mental illnesses, while a psychologist provides therapy only. Learn more about psychology doctors. http://mental.healthguru.com/