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3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page i. information,Neil A Rector PhD,Danielle Bourdeau MD. Kate Kitchen MSW,Linda Joseph Massiah RN PhD, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page ii. Library and Archives Canada Cataloguing in Publication. Anxiety disorders an information guide a guide for people with anxiety. and their families Neil A Rector et al, 1 Anxiety Popular works 2 Anxiety Patients Family relationships. I Rector Neil A II Centre for Addiction and Mental Health. RC531 A634 2005 616 85 22 C2004 907081 9,isbn 978 1 77052 428 6 print. isbn 978 1 77052 429 3 pdf,isbn 978 1 77052 430 9 html.
isbn 978 1 77052 431 6 epub,Printed in Canada, Copyright 2005 2008 Centre for Addiction and Mental Health. No part of this work may be reproduced or transmitted in any form or. by any means electronic or mechanical including photocopying and recording. or by any information storage and retrieval system without written permission. from the publisher except for a brief quotation not to exceed 200 words in. a review or professional work, This publication may be available in other formats. For information about alternate formats or other, camh publications or to place an order please contact. Sales and Distribution,Toll free 1 800 661 1111,Toronto 416 595 6059. E mail publications camh net,Online store http store camh net.
Website www camh net,Disponible en fran ais sous le titre. Les troubles anxieux Guide d Information,This guide was produced by the following. Development Michelle Maynes camh, Editorial Diana Ballon Kelly Coleman Nick Gamble camh. Graphic design Nancy Leung Eva Katz camh,Print production Christine Harris camh. 3973 02 2011 pm041, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page iii.
v ACKNOWLEDGMENTS,vi INTRODUCTION,1 Anxiety and anxiety disorders 1. What is normal anxiety,How does anxiety affect us,When is anxiety a problem. What are the anxiety disorders,2 What causes anxiety disorders 14. Psychological factors,Biological factors,Other factors. 3 Treatments for anxiety disorders 21,Cognitive behavioural therapy.
Medication options,4 Recovery and relapse prevention 33. Preventing relapse and promoting wellness,Relationship with a partner. 5 Help for partners and families 37, What happens when someone you love has an anxiety disorder. When your relative is first diagnosed,How to relate to your family member. Partners and families need to take care of themselves. Explaining anxiety disorders to children, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page iv.
iv Anxiety disorders An information guide,REFERENCES 45. SUGGESTED READINGS 46,INTERNET RESOURCES 49, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page v. ACKNOWLEDGMENTS, We would like to thank the people who shared their personal. experiences with anxiety with us and the people with anxiety. disorders family members and mental health professionals who. reviewed earlier drafts Reviewers included Sheila Gamblen and. Veronica King professional reviewers were Sandie Leith msw. rsw Mary Lalonde ot and Donna Weick msw rsw, We would also like to thank past authors of other guides in this. series whose work provided a foundation for the information. presented here In particular we would like to thank Christina. Bartha Carol Parker and Cathy Thomson, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page vi.
INTRODUCTION, This guide is for people with anxiety disorders their families. partners friends and anyone else who might be interested. The many aspects of anxiety disorders discussed in this book. will answer some common questions and help readers discuss. anxiety disorders with treatment providers, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page 1. 1 Anxiety and,anxiety disorders, Everyone feels anxiety from time to time Few people get through. a week without some anxious tension or a feeling that something. is not going to go well We may feel anxiety when we re facing an. important event such as an exam or job interview or when we. perceive some threat or danger such as waking to strange sounds. in the night However such everyday anxiety is generally occa. sional mild and brief while the anxiety felt by the person with an. anxiety disorder occurs frequently is more intense and lasts. longer up to hours or even days, Unfortunately anxiety disorders are common Research shows. that up to one in four adults has an anxiety disorder sometime in. their life and that one person in 10 is likely to have had an anxi. ety disorder in the past year Anxiety disorders are the most com. mon mental health problem in women and are second only to. substance use disorders in men Anxiety disorders can make it. hard for people to work or study to manage daily tasks and to. relate well with others and often result in financial strain and. profound personal suffering, People often live with anxiety disorders for years before they are.
diagnosed and treated If you suspect that you have an anxiety dis. order it is important to seek professional treatment as soon as. possible Anxiety disorders are treatable and early treatment can. help to ensure treatment success, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page 2. 2 Anxiety disorders An information guide, The six main categories of anxiety disorders are phobias panic dis. order with or without agoraphobia generalized anxiety disorder. obsessive compulsive disorder acute stress disorder and posttraumatic. stress disorder American Psychiatric Association apa 2000. Each of these anxiety disorders is distinct in some ways but they. all share the same hallmark features,irrational and excessive fear. apprehensive and tense feelings, difficulty managing daily tasks and or distress related. to these tasks, In the following examples Susan John and Linda show these.
common features although the precise nature of their fears differ. Susan has had recurrent and unexpected panic attacks for the past. five years, It started on a night when I was driving home in the rain I. began to feel shaky and dizzy and had trouble focusing At. first I thought it was something that I had eaten earlier but. then my mind started to drift and I thought What if I pass. out and What if I m dying I started to shake all over. and it was as if my entire body was wired I quickly pulled the. car over and called my daughter to come and get me Since. then I ve had dozens and dozens of these attacks At first the. attacks occurred just when I was driving but now I experience. them in shopping malls standing in line ups and even on. the bus It seems as if I spend most of my day worrying and. waiting for the next attack, John describes a lifelong pattern of being excessively shy and fear. ing embarrassment in social situations, For as long as I can remember and as far back as when I was. All names and identifying details have been changed. 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page 3. Anxiety and anxiety disorders 3, seven years old I hated being the centre of attention In class. I tried to remain as invisible as possible praying that the. teacher would not call upon me to answer a question When it. was my turn to make presentations I wouldn t sleep for a. week worrying that I would forget what I was supposed to say. stumble over my words and look completely stupid It s as if. nothing s changed now at work I dread having to attend. meetings meet with the boss have lunch with colleagues and. the worst give monthly reports to the team I m pretty sure. everyone knows how uncomfortable I am and they all proba. bly think I look weird and sound stupid, Linda a 34 year old married woman has struggled with doubting.
obsessions and checking compulsions since she was 15 She. describes her current problems, I am worried that unless I take every precaution necessary to. prevent harm I am going to be responsible for something terri. ble happening I have to check recheck check again return to. check continue checking the kitchen stove the lights the. iron my curling iron the TV cable to ensure that I don t. cause a fire Then when I m about to leave the house it starts. with the door locks check once check twice check again. maybe leave get halfway to work and return to check again to. be 100 per cent sure that I did not leave the door open At. work I can start correct and restart a simple e mail to the. boss 20 times to make sure that I don t say the wrong thing. To better understand the nature of anxiety disorders such as those. experienced by Susan John and Linda we need to first explore. the nature of normal anxiety Later in this chapter we ll describe. the key fears and components of each major anxiety disorder. 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page 4. 4 Anxiety disorders An information guide,What is normal anxiety. A certain amount of anxiety is normal and necessary it can lead. you to act on your concerns and protect you from harm In some. situations anxiety can even be essential to your survival If you. were standing at the edge of a curb for example and a car. swerved toward you you would immediately perceive danger feel. alarm and jump back to avoid the car This normal anxiety. response called the fight or flight response is what prompts. you to either fight or flee from danger, When we feel danger or think that danger is about to occur the. brain sends a message to the nervous system which responds by. releasing adrenaline Increased adrenaline causes us to feel alert. and energetic and gives us a spurt of strength preparing us to. attack fight or escape to safety flight Increased adrenaline can. also have unpleasant side effects These can include feeling ner. vous tense dizzy sweaty shaky or breathless Such effects can be. disturbing but they are not harmful to the body and generally do. not last long,How does anxiety affect us, Whenever the fight or flight response is activated by danger. either real or imagined it leads to changes in three systems of. functioning the way you think cognitive the way your body. feels and works physical and the way you act behavioural. How much these three systems change varies depending on the. person and the context, 1 cognitive Attention shifts immediately and automatically to the.
potential threat The effect on a person s thinking can range. from mild worry to extreme terror, 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page 5. Anxiety and anxiety disorders 5, 2 physical Effects include heart palpitations or increased heart. rate shallow breathing trembling or shaking sweating dizzi. ness or lightheadedness feeling weak in the knees freezing. muscle tension shortness of breath and nausea, 3 behavioural People engage in certain behaviours and refrain. from others as a way to protect themselves from anxiety e g. taking self defence classes or avoiding certain streets after dark. It is important to recognize that the cognitive physical and behav. ioural response systems of anxiety often change together For. instance if you are spending a lot of time worrying about your. finances cognitive you are likely to feel physically on edge and. nervous physical and may spend quite a bit of time checking. your household budget and investments behavioural Or if. you re preparing for an important exam you may worry about. doing your best cognitive feel tense and maybe even have but. terflies physical and initially avoid studying and then cram at. the last minute behavioural, The key points to remember about anxiety are that it is. normal and experienced by every living organism,necessary for survival and adaptation.
not harmful or dangerous,typically short lived, sometimes useful for performance at low or moderate levels. When is anxiety a problem, Everyone experiences symptoms of anxiety but they are generally. occasional and short lived and do not cause problems But when. the cognitive physical and behavioural symptoms of anxiety are. 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page 6. 6 Anxiety disorders An information guide, persistent and severe and anxiety causes distress in a person s. life to the point that it negatively affects his or her ability to. work or study socialize and manage daily tasks it may be beyond. normal range, The following examples of anxiety symptoms may indicate an. anxiety disorder, 1 cognitive anxious thoughts e g I m losing control.
anxious predictions e g I m going to fumble my words and. humiliate myself and anxious beliefs e g Only weak people. get anxious, 2 physical excessive physical reactions relative to the context e g. heart racing and feeling short of breath in response to being at. the mall The physical symptoms of anxiety may be mistaken. for symptoms of a physical illness such as a heart attack. 3 behavioural avoidance of feared situations e g driving avoid. ance of activities that elicit sensations similar to those experienced. when anxious e g exercise subtle avoidances behaviours that. aim to distract the person e g talking more during periods. of anxiety and safety behaviours habits to minimize anxiety. Anxiety disorders An information guide Neil A Rector PhD Danielle Bourdeau MD Kate Kitchen MSW Linda Joseph Massiah RN PhD 3973 MHB AnxietyINS ENG qxd 3973 MHB Anxiety eng 3 1 11 12 31 PM Page i

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