Generalized Anxiety Disorders: A Case Study

“Anxiety is the signal of danger which mobilizes the human organism’s resources at all levels of functioning in the interests of conservation, defense, and self- preservation.” (Anxiety 1) If a person suffers from anxiety there is a major loss of control and then an attempt to regain that control because of a fear that they have. Anxiety disorders are one of the most frequently occurring mental disorders in the United States. However, anxiety disorders are not only found in the United States. They are found throughout the world. They just happen to be most predominating in the United States. In this paper, I will be discussing the generalized anxiety disorder and how if effects society today.

Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friend problems, relationship problems or work difficulties.[1] They often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, trembling, twitching, irritability,

The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.

Even though there are no specific statistics showing geographically how many people in each country are affected, it is estimated that “5% - 6% of teens ages 13-18 are affected by this troubling disorder, not including the teens that receive no treatment,” (“Generalized”). Youth that receive no treatment could be considered are under privileged. Meaning that they do not have the resources or are very limited to resources that could help them get the proper treatment for their disorder. Many of those adolescents are children that come from low income families, single family homes, or foster care to name a few. Foster care children however, “Find themselves in a system that is ill-equipped to provide the services they need, and that can further impede their progress towards emotional well-being,” States Lisette Austin, author of “UNLOCKING: Mental Health Services for Youth in Care.” “According to the World Health Organization, nearly 20% of children and adolescents worldwide suffer from some type of emotional or behavioral problem. . .” (“Austin”) (“Mental”). “U.S. Surgeon General reports that roughly 1 in 10 American children experience a mental illness severe enough to cause significant impairment,” (“Austin”) (“Mental”). In her article she also states from another source, Steve Hornberger, Director of Behavioral Health for CWLA, “That anywhere ranging from 40% to 85% of kids in foster care have mental health disorders, depending on what reports you read,” (“Austin”)

Furthermore, the material collected throughout the assessment will depict detailed information about the client, and how it structure the course of treatment, which provides a goal towards determining the clients difficulties within the use of intervention typically utilized in the treatment of anxiety. This assignment will also demonstrate therapy sessions, and attentive

A couple of researchers at the Anxiety Disorders Research Center in the Department of Psychology at the University of California, Los Angeles (UCLA) examined weaknesses of CBT (Craske et al., 2014). Although CBT has been known for the most effective treatment for social phobia, not all patients show improvements after the treatment. Patients easily drop out during, or at the early stage of the treatment. Even patients who successfully finished the entire session tend to have a hard time continuing to use methods they learned and to maintain low level of anxiety, so the likelihood of reoccurrence exists. Therefore, alternative ways to solve these weaknesses are needed in order to develop the treatment itself and to provide the most matchable treatment method for each patient, according to the article by Craske et al. (2014).

The main feature of (GAD) is characterized by “excessive anxiety and worry (apprehensive expectation) about a number of events or activities” (American Psychiatric Association, 2013). Individuals, who are diagnosed with GAD, often have worrisome thoughts that are hard to control which inhibits them from concentrating on everyday tasks. To distinguish GAD from nonpathological anxiety, it is important to keep in mind several features. The worries associated with GAD are excessive and problematic for psychical functioning, more pervasive, pronounced and distressing, and are accompanied by physical symptoms (e.g., restlessness) (American Psychiatric Association, 2013). It is important to note that symptoms of GAD can be misunderstood for different reasons. Risk and prognostic factors can be temperamental, environmental, and genetic and physiological, additionally, cultural factors in the expression of GAD also need to be considered. Given the information above about GAD, it can be concluded that it is important to have treatment for such disorder in order to help individuals have

Social anxiety is a prevalent and common disorder amongst society. Social anxiety disorder is expressed as a fear in public and social situations for an individual (Kashdan, Farmer, Adams, Mcknight, Ferssizidis, Nezelf 2013). A person with social anxiety fears that a social appearance, outcome, or situation will lead a to negative response to their surrounding audience (Kashdan, Farmer, Adams, Mcknight, Ferssizidis, Nezelf 2013). However there are numerous treatments for social anxiety. Cognitive behavioral therapy is one of the most efficacious treatments that a patient may receive (Hambrick, Weeks, Harb, & Heimberg, 2003. Cognitive behavioral therapy has numerous techniques that can be used on patients. The result of using cognitive

Science with all its marvels and wonders continues to press forward making extraordinary breakthroughs. Psychology plays a key role in many of sciences steps forward, each branch of psychology focusing on a specific techniques and theories. In the document the center of attention is surrounding the application of clinical psychology, this branch of psychology is unique as it all realms of an individual’s issue. Specifically speaking, anxiety is the psychological disorder that is under review through the processes of a clinical

Generalized Anxiety disorder is a highly prevalent, chronic, costly and disabling mental disorder (Tyrer & Baldwin, 2006). This disorder is defined by excessive and persistent worry and anxiety about everyday internal and external events. Other symptoms can be restlessness, fatigue, problems concentrating, irritability, and sleep issues. This journal article describes anxiety disorder and different types of treatments used to help patients with anxiety disorder.This research is primarily on the effects of psychological treatments of GAD (Generalized Anxiety Disorder). In the trial study, they compared psychotherapy with untreated controls and others psychotherapies they used pharmacotherapy. They did this to see if they could understand the overall effects of psychotherapy in GAD. They also wanted to take a closer look at long term effects. The study also wanted to include something that was not like the face to face studies of the past. They wanted to look at internet-based CBT and pharmacological treatment. They took 41 of the previous studies and examined them between their

The research question for this paper is: what are possible origins of or influences contributing to anxiety? Anxiety is a disorder where the individual experiences fear greater than what the situation warrants, and is currently the third largest psychiatric disorder in the United States (Schneier, 2003). However, the origins of anxiety is not entirely clear yet, and different schools of thought have formed different theories and explanations for this disorder. Knowing and understanding the possible origins of anxiety can assist in the development of treatments.

Additionally, there is the option for Interpersonal Psychotherapy. Interpersonal therapy is a type of treatment that focuses on underlying mental problems including depression or anxiety. This therapy may not always specifically focus on weight, food, or body image, but instead helps determine outside social factors that influence eating behavior. There is evidence that interpersonal therapy is effective for bulimia nervosa and binge eating disorder (Champion & Power, 2012).

Hedman et al. (2013) have written article “Shame and Guilt in Social Anxiety Disorder: Effects of Cognitive Behavior Therapy and Association with Social Anxiety and Depressive Symptoms” about how research on whether or not cognitive behavior therapy, CBT, can reduce internal shame in patients with social anxiety disorder, SAD. The authors attempt to convince the audience that this research is important by explainig the seriousness of this disease, the complexity of the treatment, and by using a few adapting strategies. This article appears in PLOS magazine which is the largest journal in the world for scientific articles (Media kit). Hedman et al. (2013) make a convincing argument that previous studies, while quite good, have failed to

Al. (2014), researched the effects of ACT on individuals suffering from social phobia. Their study found that those with social phobia will respond as well to ACT as they do to CBT. The reason for this may be the similar procedures and processes between these approaches. This study shows that ACT is an effective treatment for social phobia, though it does not have any perceivable advantage over CBT. The study was focused on exposure to theses anxious thoughts by forcing participants to experience their feared experiences. With CBT working with the goal of gaining control over their fear while ACT worked toward the goal of the participant expressing response that correlates with their core values. (Craske, Burklund, Wolitzky-Taylor, Vilardaga, et. Al. 2014). This study while not showing ACT as being superior to other treatments it helps to show the effectiveness ACT in its effect on Social Phobia. CBT was compared to ACT again in a study conducted by Davies, Niles, Pittig, Arch, and Craske. They found that ACT outperformed CBT for participants that avoided hyperventilation more than the other participants. The participants levels of anxiety during tasks conducted in the laboratory did not predict or moderate the outcome. The findings demonstrated that pre-treatment physiological and behavioral variables are important targets for guiding future treatment-matching efforts. (Davies, Niles, Pittig, Arch,

Among all anxiety problems, social anxiety disorder is most common anxiety issue and third most common problem in all mental complications (American Psychiatric Association, 2000; Hofmann & Bogels, 2006). SAD is a mental disorder which has a tendency to become chronic and badly disturbs normal functions of life if not diagnosed and treated in time (Beesdo-Baum, et al., 2012; Garcia-Lopez, Piqueras, Diaz-Castela, & Ingles, 2008). It is also among the most prevailing mental disorders and is described in Criterion A of DSM-V as “Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Examples include social interactions (e.g., having a conversation, meeting unfamiliar people), being observed (e.g., eating or drinking), and performing in front of others (e.g., giving a speech)” (American Psychiatric Association, 2013). A specific amount of anxiety is always anticipated socially and helps an individual managing future threats (American Psychiatric Association, 2000). But having social anxiety means that anxiety is too much for normal functioning during social situations and often interferes with