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Showing posts with label fears. Show all posts
Showing posts with label fears. Show all posts

Saturday, November 3, 2012

Children's Phobias

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My Own Daughter suffered from a phobia of 'Throwing Up'.  It was a very difficult situation for her throughout her formative years and continues to today perhaps in a lessoned degree.  All I can offer you is empathy if you are dealing with a child suffering from a phobia.  The adivice I can offer seems simplistic but can be very difficult.  Please never dismiss her fears (at least in front of the child), and keep a calm and calming demeanor at all times when dealing with these fears.  Getting upset or flustered yourself only makes the phobia worse on the child and ultimately yourself!  On the light side I really never had to worry about my daughter becoming bulimic for sure!  Unfortunately, the exposure therapy didn't really work - how often does one really throw up during a life-time?  So that was not an option for me to work on with her.  I feared for her when she became pregnant however she lucked out and didn't have morning sickness.  However I really thought that might be my chance to help her through exposure therapy normalizing throwing up a bit!  After all who likes having the flu or throwing up anyway?
Have patience with yourself and your child.  Speak calmly when dealing with the phobia.  Never dismiss her concerns but try and minimize the fears through normalization.  Be there  to calm and support - now at 30 she generally just needs to hear my voice and her fears begin to subside.  I hope this information is helpful.
More Info?  www.addictions.net

"Come on, Marisa!" all of the fifth graders yelled from inside the big elevators. "Hurry up, don't you want to get to the top?
Marisa looked glum and thought to herself, "Of course I want to get to the top — that's why I came on this field trip." But when she glanced back at her friends, she felt jealous — how come none of them were terrified of riding in the elevator?
"I'm OK," she said as brightly as she could. "I'll take the stairs and meet you there." When she realized how many stairs that would be, Marisa wasn't too happy. But she breathed a sigh of relief knowing that she wouldn't have to take that scary elevator ride.

What's a Phobia?

A phobia (say: fo-bee-uh) is the fancy name for a fear. But a phobia isn't just any kind of fear. It's normal for kids to be afraidof things — like taking a hard test at school, passing a growling dog on the street, or hearing a huge clap of thunder.
A phobia is different because it is an extremely strong fear of a situation or thing. It is also a kind of fear that doesn't go away. Kids who have a phobia will be afraid of something every time they see or experience it. They won't just be afraid once or twice. Kids who have phobias often go out of their way to avoid the situation or thing that scares them.
That's why Marisa had to take the stairs. She has a phobia of being in closed-in spaces and was too scared to take the elevator. Sometimes, when forced to face what's scary, a kid with a phobia might get very nervous and have a panic attack.

What's a Panic Attack Like?

Panic attacks can be really scary and may make someone shake, sweat, and breathe quickly. Some people who have panic attacks might have chest pains, feel dizzy, or feel like their hearts are pounding and they can't breathe.
A panic attack can cause a kid to think something awful is going to happen, that he or she can't escape or might lose control. Some kids who have panic attacks say that when the attacks are happening, they feel like they can't think straight or that they're "going crazy."
Panic attacks only last a short time. But to somebody who is having one, they can feel much longer. Sometimes, even a kid who knows that the phobia doesn't make sense may not be able to stop the mind and body from reacting and having a panic attack.

Different Kinds of Phobias

There are many different kinds of phobias. The most common kind is a social phobia, which can make someone feel scared of being embarrassed in front of other people.
A kid with a social phobia might feel scared of talking to a teacher or a coach or might be afraid of walking in front of the whole classroom when he or she needs to go to the restroom.
A social phobia can make it nearly impossible for a kid to stand up and give a book report or even enjoy a birthday party. Although most kids might be a little afraid of giving a book report to a big group of kids or talking to a teacher, kids with a social phobia become so afraid that they can't fully enjoy life or function the way other kids do.
Sometimes people may think that a kid with a social phobia is justshy, but it isn't the same thing. A kid with a social phobia may want to go out and have lots of friends, but just can't control the fear of being with others.
Agoraphobia (say: ah-guh-ruh-fo-bee-uh) is another kind of phobia. This causes someone to worry about having a panic attack in a place where leaving would be hard or embarrassing. The fear of the panic is so strong that they often avoid places (like crowds, highways, or a busy store) where they might have a panic attack.
Marisa's fear of riding in the elevator was caused byclaustrophobia (say: klos-truh-fo-bee-uh). Claustrophobia is the fear of being in an enclosed space, like an elevator, a tunnel, or an airplane.
There are almost as many phobias as there are things and situations: arachnophobia (say: uh-rak-nuh-fo-bee-uh) is a fear of spiders, whereas ablutophobia (say: uh-bloo-tuh-fo-bee-uh) is a fear of washing yourself or taking a bath or shower.

Why Do Kids Get Phobias?

No one really knows exactly why certain kids get phobias. Some scientists think that a person's genes may have something to do with it, and that a kid who has a social phobia might have a parent with one, too. Sometimes a traumatic thing in a kid's life — like the death of a parent, dealing with a divorce, or a big move — can cause a phobia to start.
Scientists do know some things about phobias, though. They know that about 5 out of 100 people in the United States have one or more phobias. Women are slightly more likely to have phobias than men. Most social phobias start when a person is a teenager, although this and other kinds of phobias can also start when a kid is younger.

How Are Phobias Treated?

Kids who have phobias often start by seeing their doctors. In many cases, the doctor will suggest that the kid visit apsychologist, psychiatrist, or therapist. If a kid is diagnosed with a phobia, one of these specialists can help.
Some kids will take medications that help them better handle their phobias. Sometimes a kid can learn new ways of dealing with the phobia. This could include relaxation exercises that help the kid feel more in control. Part of handling the phobia may be facing it head on.
For instance, part of Marisa's treatment might be riding on an elevator, though she might start slowly by just watching other people get on an elevator or just stepping inside with the doors open.
Depending on the kid and how severe the phobia is, treatment can take weeks, months, or longer. In the meantime, the important thing to remember is that phobias can be treated, and kids can learn to deal with them and feel more in control of their lives. 
Everybody worries. Grown-ups do it and kids do it, too. But what should you do about it? Whether your worries are big or small, you can take these 3 steps:
  1. Try to figure out what you're worried about.
  2. Think about ways to make the situation better.
  3. Ask for help.

1. Figure it out.

Sometimes, you will know exactly what you're worried about. Other times, you might not know exactly what's bugging you. Let's say you're worried about a teacher who seems mean. But maybe what's really bothering you is that you're having trouble with math. If you get some help with math, that teacher might seem just fine.
Some problems, like family problems, are big and have a lot of parts. That can make it tough to zero in what the problem is or to pick one part of the problem to try to solve. But being able to focus on your problem — or at least part of it — is the first step to taking action. If you're having trouble figuring out what worries you, skip to Step 3 and get some help from a parent or another person you trust.

2. Think of ways to make it better.

There is almost always something you can do to help you feel less worried. Sitting there worrying is no fun and it probably won't solve your problem. But switching to an action mode can help you feel more hopeful.
Grades at school are often a top worry for kids. If that's your concern, ask yourself these questions:
  • Why are grades important? What do they mean to me?
  • How do I prepare for class? Do I review my notes even when there isn't a test the next day?
  • Do I have a good place to do my homework?
  • Have I tried different ways of studying, such as rewriting notes, using flashcards, and working with a study buddy?
If your worry is about a fight you had with a friend, you might write down all the actions you could take — from writing the friend a note to inviting him or her over for a game of basketball. Should you apologize for whatever happened between the two of you? Once you have a list of possible actions, you can select the one you think is most likely to get your friendship back on track.
But what if you can't think of anything to do to make your particular problem better? Then it's time to jump to Step 3 (it's the next step anyway) and ask someone for help.

3. Ask for help.

Worrying can make you feel lonely. When you're worried, it can help to find someone to talk to. Sometimes people say, "Why should I bother? He/she can't do anything about it." But here are two reasons to give it a shot anyway:
  • You don't know for sure that no one can help until you share your feelings and let the person try to help.
  • Just the act of telling someone what's bothering you can make you feel a little better. Afterward, you are no longer alone with your worries and whomever you told (parent, sister, brother, friend, counselor) is now is thinking about ways to help you.

A Final Word About Worry

Did you know worry is not all bad? If you weren't worried (at least a little) about that test, you might not study for it. And if you weren't worried about getting sunburned, you might not wear your sunscreen.
But some kids worry so much that it keeps them from doing the stuff they need and want to do. If that sounds like you, you know what to do by now: Turn to good old Step 3 and ask someone for help.
More Info?  www.addictions.net

Wednesday, January 5, 2011

Generalized Anxiety Disorder

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Introduction to Anxiety

Generalized anxiety disorder (or GAD) is characterized by excessive, exaggerated anxiety and worry about everyday life events with no obvious reasons for worry. People with symptoms of generalized anxiety disorder tend to always expect disaster and can't stop worrying about health, money, family, work, or school. In people with GAD, the worry often is unrealistic or out of proportion for the situation. Daily life becomes a constant state of worry, fear, and dread. Eventually, the anxiety so dominates the person's thinking that it interferes with daily functioning, including work, school, social activities, and relationships.

What Are the Symptoms of GAD?

GAD affects the way a person thinks, but the anxiety can lead to physical symptoms, as well. Symptoms of GAD can include:
  • Excessive, ongoing worry and tension
  • An unrealistic view of problems
  • Restlessness or a feeling of being "edgy"
  • Irritability
  • Muscle tension
  • Headaches
  • Sweating
  • Difficulty concentrating
  • Nausea
  • The need to go to the bathroom frequently
  • Tiredness
  • Trouble falling or staying asleep
  • Trembling
  • Being easily startled
In addition, people with GAD often have other anxiety disorders (such as panic disorder, obsessive-compulsive disorder, and phobias), suffer from depression, and/or abuse drugs or alcohol.

What Causes GAD?

The exact cause of GAD is not fully known, but a number of factors -- including genetics, brain chemistry and environmental stresses -- appear to contribute to its development.
  • Genetics: Some research suggests that family history plays a part in increasing the likelihood that a person will develop GAD. This means that the tendency to develop GAD may be passed on in families.
  • Brain chemistry: GAD has been associated with abnormal levels of certain neurotransmitters in the brain. Neurotransmitters are special chemical messengers that help move information from nerve cell to nerve cell. If the neurotransmitters are out of balance, messages cannot get through the brain properly. This can alter the way the brain reacts in certain situations, leading to anxiety.
  • Environmental factors: Trauma and stressful events, such as abuse, the death of a loved one, divorce, changing jobs or schools, may lead to GAD. GAD also may become worse during periods of stress. The use of and withdrawal from addictive substances, including alcohol, caffeine, and nicotine, can also worsen anxiety.

How Common Is GAD?

About 4 million adult Americans suffer from GAD during the course of a year. It most often begins in childhood or adolescence, but can begin in adulthood. It is more common in women than in men.

How Is GAD Diagnosed?

If symptoms of GAD are present, the doctor will begin an evaluation by asking questions about your medical history and performing a physical examination. Although there are no laboratory tests to specifically diagnose anxiety disorders, the doctor may use various tests to look for physical illness as the cause of the symptoms.
The doctor bases his or her diagnosis of GAD on reports of the intensity and duration of symptoms -- including any problems with functioning caused by the symptoms. The doctor then determines if the symptoms and degree of dysfunction indicate a specific anxiety disorder. GAD is diagnosed if symptoms are present for more days than not during a period of at least six months. The symptoms also must interfere with daily living, such as causing you to miss work or school.

How Is GAD Treated?

If no physical illness is found, you may be referred to a psychiatrist or psychologist, mental health professionals who are specially trained to diagnose and treat mental illnesses like GAD. Treatment for GAD most often includes a combination of medication and cognitive-behavioral therapy.
  • Medication: Drugs are available to treat GAD and may be especially helpful for people whose anxiety is interfering with daily functioning. The medications most often used to treat GAD in the short-term are from a class of drugs called benzodiazepines. These medications are sometimes referred to as "tranquilizers," because they leave you feeling calm and relaxed. They work by decreasing the physical symptoms of GAD, such as muscle tension and restlessness. Common benzodiazepines include Xanax, Librium, Valium and Ativan. Antidepressants, such as Paxil, Effexor, Prozac, Lexapro, and Zoloft, are also being used to treat GAD. These antidepressants may take a few weeks to start working but they're more appropriate for long-term treatment of GAD.
  • Cognitive-behavioral therapy: People suffering from anxiety disorders often participate in this type of therapy, in which you learn to recognize and change thought patterns and behaviors that lead to anxious feelings. This type of therapy helps limit distorted thinking by looking at worries more realistically.
In addition, relaxation techniques, such as deep breathing and biofeedback, may help to control the muscle tension that often accompanies GAD.

Are There Side Effects of GAD Treatment?

Dependency on anti-anxiety medications (benzodiazepines) is a potential complication of treatment. Side effects of antidepressants vary by specific drug and the person taking them. Common side effects can include sleepiness, weight gain, and sexual problems.

What Is the Outlook for People With GAD?

Although many people with GAD cannot be cured and symptoms can return from time to time, most people gain substantial relief from their symptoms with proper treatment.

Can GAD Be Prevented?

Anxiety disorders like GAD cannot be prevented. However, there are some things that you can do to control or lessen symptoms, including:
  • Stop or reduce your consumption of products that contain caffeine, such as coffee, tea, cola and chocolate.
  • Ask your doctor or pharmacist before taking any over-the-counter medicines or herbal remedies. Many contain chemicals that can increase anxiety symptoms.
  • Exercise daily and eat a healthy, balanced diet.
  • Seek counseling and support after a traumatic or disturbing experience.
  • Practice stress management techniques like yoga or meditation.
WebMD Medical Reference