Treatments for Anxiety.pptx

Treatments for AnxietyStacy Shaw Welch, PhDAnxiety and Stress Reduction Center (ASRC) of SeattleJune 2, 2010FCAP Seminar Series / Partners for our ChildrenOverviewPart 1 – Understanding anxiety Part 2 – Treating anxiety: First line treatment approaches for anxietyPart 3 – Concepts of Modular Treatment (moving from Evidence Based Treatment to Evidence Based Practice) Part 4 - Introduction to Modules for Anxiety Treatment Fear, Anxiety, and Anxiety DisordersWhat is anxiety? Fear: focused response to a known or definite threat Fight or flight response Necessary for survival Anxiety: fear response in the absence of clear danger (anticipation or possibility)Universal experience / wide range of normalCan be useful/ functional What is an anxiety disorder? Persistent anxiety over time around situations that are not objectively dangerous / anxiety not appropriate to developmental levelCausesMarked distressImpairment in functioning Note: this can be obvious or more subtle in children (e.g., family system is organized around child’s anxiety)Anxiety vs. Anxiety Disorder More a matter of degrees Example of separation anxiety: Normal / functional at specific developmental stages Some children show increased S.A. as a result of traumatic conditioning Some children show increased S.A. with no traumatic conditioning Some children would have such severe or longlasting symptoms that it would meet criteria for a disorder Anxiety disordersSeparation anxiety disorderSpecific phobiaSocial phobia Panic disorder/agoraphobiaGeneralized anxiety disorder (GAD)Posttraumatic stress disorder (PTSD)/ Acute stress disorder (ASD)Obsessive compulsive disorder (OCD)Development of AnxietyBiology + learning Genetics, temperament clearly influence who becomes anxious Environment powerful source of learning and continued “wiring” of the brain to either anticipatelack of control and danger or safety and resources to cope Transaction between the two continues over the lifespan –this is the tragedy and gr