Depression & Anxiety

You are currently browsing the archive for the Depression & Anxiety category.

Do you suffer from Obsessive Compulsive Disorder (OCD)? Do finances or lack of insurance prevent you from getting therapy? Well, the casting director of A&E is looking for people with OCD in the Orlando area to be on their intervention show “Obsessed”.  For twelve weeks you will receive therapy multiple times per week free, though you will be videotaped. 18 of the 22 people who participated in last seasons show showed marked improvement and all agreed that it was a positive experience.

If you would like to be interviewed for the show, contact Evelyn Wenzel, LCSW, CAP for more information (407) 375-1214.

Tags: , , , ,

For many people, “Happy Holidays” and “Merry Christmas” don’t esist.  , Whether they are lonely and without family, grief-stricken from a recent loss, associate the holidays with bad memories, many people’s depression deepens or they begin their annual depression associated with the holidays.

There are many ways to combat this depression. Increasing exercise, looking to see if there are nutritional issues, engaging in social interactions with safe people, and taking dietary supplements are just a few ways to help improve your outlook.

Depression is a serious disorder, though there are many uninformed people who believe that someone can decide not to be depressed and they simply won’t be. Depression involves complicated neurochemical issues in the brain and won’t be resolved by simply “bucking up”.

In a November 2009 edition of Dr. Amen’s (a man famous for helping nonbiology majors understand the functions of the brain through brain scanning) newsletter stated that depression increased the risk of death as much as smoking. It also indicated that in studies on cancer patients, that those who were depressed had a 39% higher death rate than those patients without cancer.

Again, depression is very treatable and no one should have to suffer from this debilitating disorder. Cognitive therapy, medication, and addunjtive therapies all can help people live depression free.

Tags: , , , , ,

Acute Stress Disorder was introduced into the mental health community with the publication of the DSM-IV. Upon first examination of the symptoms for Acute Stress Disorder (ASD), the criteria seem very similar to Posttraumatic Stress Disorder (PTSD). The two major differences between ASD and PTSD seem to be one of duration and the emphasis on emotional numbing and dissociation. Indeed, if a person is assessed immediately following a traumatic stressor, a diagnosis of ASD will be assigned. However if the symptoms persist beyond a month, then the diagnosis becomes PTSD. It is interesting how intertwined the two diagnoses are.

Following a serious car accident, severe dog bite, assault, and other traumatic events, Acute Stress is used to describe how a person initially responds to that trauma. Unlike PTSD, how to treat ASD has not been throughly researched. It is knows that many people with ASD will recover without any treatment. However, some research indicates that 80% of those people receiving an ASD diagnosis will develop PTSD within 6 months. How to reduce the likelihood of someone developing PTSD has been the debate. Frequently the traumatized individual receives treatment along a PTSD protocol. But this has been shown to be ineffective and possibly re-traumatizing. Critical Incident Stress Debriefing (CISD) was used to treat the September 11, 2001 responders, thinking that it was the most effective intervention available. CISD, in the long run, did not prove itself as a viable intervention.

It is true that in many disasters, war, and mass crises, effective interventions are not as needed as food, shelter, and safety. But what is an effective way to deal with the traumatized assault victim, the survivor of a car accident, or witness to a school shooting? Are there ways to make the following days easier for them? Why don’t PTSD interventions work when so many ASD suffers will later suffer from PTSD? It may be too early yet to know all the answers about ASD since it has only been around as a diagnosis since 1994. Recent research seems to show that cognitive behavioral interventions are having positive outcomes.

For a more complete discussion on Acute Stress Disorder see Briere, J. (2006) Principles of Trauma Therapy. (pp 165-183) London: Sage Publications.

Tags: , , , , ,

Depressed? Lonely? Feeling like you could sit in a chair and let the world go by? One of the best books that I have read on the topic of depression is Depression: Challenge the beast within you. . . and win. When it comes to books written for depressed people, this book is unique. The pages are filled with pertinent pictures with little text. This is great because when you are really depressed, it is difficult to focus and concentrate. Understanding this, the author breaks the information down into easily read and understood sections.

This book teaches the depressed person how to fight against the “beast”. The pictures do such a good job illustrating depression, “the beast”, that the image of the beast remains long after the book is finished. This book is a must have if you have ever struggled with depression!

Tags: ,

Does it seem like an unseen monster lurks around the corner? Does fear and worry weigh you down? Frustrated because you feeling like nothing will ever change? Everyone experiences anxiety as it is a normal response to threatening situations; however, for some people it becomes a disabling response to life.

Irrational responses to everyday situations seem to cripple the 40 million Americans who suffer from anxiety disorder each year. In fact more people suffer from anxiety than depression!

What differentiates everyday anxiety from an anxiety disorder? The key words with everyday anxiety are appropriate and reasonable. “Butterflies” in the stomach is a common physiological response when someone experiences anxiety before giving a speech or entering a competition. If a burglar tries to break into your house, fear is a normal response to the situation. So challenges in life that involve lose or failure, and unexpected or unknown situations all cause normative anxiety responses. Anxiety disorders involve a much more intense response, last a lot longer after the stress situation concludes, and disrupts normal functioning. Anxiety disorders often lead to secondary issues such as low self-esteem, impaired relationships, substance abuse, and depression.

 Six anxiety disorders are as follows: Generalized Anxiety Disorder (GAD), Specific Phobia, Social Anxiety Disorder, Obsessive-Compulsive Disorder (OCD), Panic Disorder, and Post-Traumatic Stress Disorder (PTSD). Despite their different forms, these disorders all are neurobiological in nature. Anxiety negatively impacts lives and involves persistent, intense, all-consuming fears or worries. People who suffer from anxiety look for emotional escape and avoidance, which leads them to become observers of their existence rather than participants in life.

Specific phobias involve avoiding particular types of objects or situations. Heights, flying, driving, elevators, dental or medical procedures, and animals are all common objects or situations that can cause irrational fear and anxiety. OCD is characterized by obsessions and compulsions that interrupt normal routines, relationships, and daily functioning. Obsessions are unwanted thoughts, impulses, or ideas that intrude upon a person’s thinking and create increased worry or anxiety. Compulsions are responses to those obsessive thoughts and are done to relieve or prevent the anxiety. PTSD often develops after a traumatic event where a person’s safety or life is threatened or where he/she has witnessed a traumatic event. Even months after the event occurred, people experiencing PTSD have trouble coping with the disabling psychological symptoms created by the event.

Social anxiety is one of the most common types of anxiety and is marked by an extreme fear of being embarrassed in a social setting. People are often concerned with being judged or humiliated publicly. The most common type of social anxiety disorder is performance anxiety, such as public speaking. Panic disorder seems to occur without any apparent cause and is characterized by an episode of apprehension and intense fear. Often when someone first experiences Panic Disorder they believe that they are experiencing a heart attack! There physical response to fear is so intense that they experience chest pain, dizziness and shortness of breath. People who suffer from GAD worry excessively about everyday things, such as health issues, work, money, and relationship problems.

Many people suffer in silence from this unseen monster and never seek treatment because they don’t believe their live can be any different. Despite the toll it takes on your life, the good news is that anxiety disorders are highly treatable!

Effective treatment for anxiety disorders includes cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT) and exposure based behavioral therapy. Cognitive-behavioral therapy helps people change their thinking patterns and the way they react to anxiety provoking situations. DBT targets skills deficits as well as the cognitive beliefs that maintain the avoidance. The ultimate goal is for you to learn more strategic behavior skills that once acceptance of those feelings occur. Both CBT and DBT incorporate relaxation and stress reduction techniques into their treatment of anxiety. Often they both make use of exposure therapy. Exposure therapy gradually acclimates a person to situations that previously triggered anxiety. This desensitization process helps people confront their fears in a controlled environment. Once phobias are no longer “rewarded” by escape and avoidance, they tend to diminish and fade away.

Interestingly, twenty minutes of aerobic exercise per day is thought to be an effective weapon against anxiety. Good nutrition is essential and adding supplements such as B Vitamins, calcium, amino acids, and Vitamin C may be important. Caffeine and cigarettes aggravate anxiety and should be eliminated or decreased.

Don’t let anxiety rule your life. Get into therapy, exercise, eat right and experience life to its fullest!

NOTE: you can freely redistribute this resource, electronically or in print, provided you leave the authors contact information below intact.

About the Author: Evelyn Wenzel,MSW,LCSW,CAP enjoys working with children, adolescents, and adults. She specializes in PTSD, Depression, Anxiety, self-injurious behavior, and sexual abuse. She has a diverse background in counseling, which includes working in a hospital setting, drug rehab, school counseling, home health counseling, and private practice. Evelyn has spoken on a variety of topics all over the state. She has spoken at the National Association of Social Workers, Christian school regional conferences, School Social Work National Conference, and school in-services. Some of the topics she has spoken on include: Self-Injurious Behavior in Adolescents, Sexual Abuse, Mandated Reporting, Depression, Anxiety, and Eating Disorders. You may contact Evelyn Wenzel, LCSW, CAP at (407)375-1214

Tags: , , , , ,

Whether someone has lost a loved one, has a house in foreclosure, or gone through a divorce, Christmas is an especially difficult time of year. Loss, death, separation, and divorce issues seem especially painful during the holiday season. At a time when people focus on their family and relatives, it accentuates the depth of many people’s pain.

This year many people have lost their jobs and have the added stress of worrying about how they are going to keep food on the table and pay their mortgage. Depression, sadness, Remembering the “happy” times compared to the present can create depression, sadness, anxiety, and loneliness.

So knowing that this is a very difficult time, what are some steps that can help?

o Forget the expectation of what is “supposed” to happen and decide what you want to experience during the holiday season. Take charge of your life!
o Exploring past memories may create a spiral into depression. Both happy and sad memories can do this! If focusing on these memories trigger depression, focus on experiencing the moment and give yourself permission to feel a wide range of emotions.
o Create new traditions. Often expressions of holiday traditions involve painful connections to loss. Creating new ones can make the holidays tolerable. If a family member died, decide if it would be a positive move to include this person’s memory in some aspect of this new tradition.
o Volunteer time to help others. Oftentimes the loss causes so much pain that there is no desire whatsoever to celebrate the holidays. However, helping others may keep the focus off self and add meaning to this time in a new way.
o Reduce stress. This may mean examining your lifestyle and finding ways to reduce the demands on your life.
o Talk to a friend 
Sharing thoughts and feelings with a trusted friend often decreases the sense of loneliness.

About the Author: Evelyn Wenzel, MSW, LCSW, CAP enjoys working with children, adolescents, and adults. She specializes in PTSD, Depression, Addictions, Anxiety, self-injurious behavior, and sexual abuse. She has a diverse background in counseling, which includes working in a hospital setting, drug rehab, school counseling, home health counseling, and private practice. Evelyn has spoken on a variety of topics all over the state. She has spoken at the National Association of Social Workers, Christian school regional conferences, School Social Work National Conference, and school in-services. Some of the topics she has spoken on include: Self-Injurious Behavior in Adolescents, Sexual Abuse, Mandated Reporting, Depression, Anxiety, and Eating Disorders. NOTE: you can freely redistribute this resource, electronically or in print, provided you leave the author’s contact information below intact.

Tags: , , , ,