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MENTAL HEALTH MOMENT

MENTAL HEALTH MOMENT February 16, 2001

"Enjoy the little things, for one day you may look back and realize they were the big things." - Robert Brault ********************************************************************** REPRODUCTIVE HEALTH OUTLOOK http://www.rho.org Visitors to this site will find reviews on clinical guidelines, research summaries and program information about 11 reproductive health topics, including infertility, men and reproductive health, HIV/AIDS, and cervical cancer. The site also provides online resources to news services, conference updates, online reproductive health journals and major bibliographic databases. * * * * * * * * * * APRIL 18, 2001: SOCIETY FOR RESEARCH IN CHILD DEVELOPMENT PEER RELATIONS PRECONFERENCE, Minneapolis, MN Researchers, postdoctoral fellows and advanced graduate students who have begun a program of research in peer relations are invited to attend this full-day conference. The registration deadline is MARCH 1. CONTACT: Deborah Lowe Vandell, Department of Educational Psychology, Room 467, 1025 W. Johnson St., Madison, WI 53706; Email: dvandell@facstaff.wisc.edu; WEB SITE: http://alsek.la.psu.edu/peers ********************************************************************** ANXIETY DISORDERS Anxiety disorders are the most common - and most treatable- type of mental health problem. We all feel anxious now and then. Anxiety prepares the body to meet a challenge, danger or an unfamiliar situation. However, there is a difference between everyday anxiety and having an anxiety disorder. People with anxiety disorders: * feel overwhelming tension when there is no real danger * take extreme action to avoid the source of their anxiety. Anxiety disorders can severely disrupt a person's work, social and family life. Millions of people have anxiety disorders. It is often difficult to pinpoint the exact cause of a disorder. However, proper treatment can help most people overcome anxiety disorders. Phobias Phobias are irrational fears of certain objects or situations. There are three main types of phobias: Simple (or single) Phobias These are fears of specific objects or situations, for example: * flying * snakes or insects * dogs or other animals * elevators or other closed spaces * heights Social Phobias These are fears of being judged by others or doing something that is embarrassing. Some common social phobias include fear of: * meeting new people * public speaking * using public restrooms Agoraphobia This is the fear of places or situations that do not feel safe. For example, a person may fear: * going anywhere without a spouse or friend * being inside a building with a crowd Phobias have certain characteristics. People with phobias are: Overcome With Feelings of Terror This occurs when there is no actual threat to their health or safety. When they encounter their feared object or situation: * their heart races * breathing is difficult * they tremble or sweat Determined to Avoid Their Fear This happens even though it may disrupt their daily life. For example, they may: * drive only on little-used roads * leave home only to go to work * refuse a promotion because it involves traveling or meeting new people Panic Disorders Panic disorders involve repeated panic attacks or the persistent fear of having panic attacks. Panic Attacks Are Frightening During an attack, the person experiences: * a sense of terror or doom * physical signs, such as rapid heartbeat, sweating, dizziness, nausea and shallow breathing * feelings of approaching death, losing control or "going crazy" Panic Attacks Occur Unexpectedly There is no way to predict when a panic attack will happen. However, the person may think the situation or place where the first attack occurred will immediately trigger another attack. To avoid this possibility, he/she avoids the place or situation. A Panic Disorder May Lead to Agoraphobia For example: * A person may have a panic attack in a store. As a result, he/she may begin to avoid shopping. * Another attack may strike while driving or riding on the highway. As a result, the person may also try to avoid the highway as well. * If panic attacks continue, the person may become unable to leave his/her own home, a room, or even a single bed or chair. Other Types of Anxiety Disorders General Anxiety This is excessive and lasting anxiety about 2 or more things, for no rational reason. For example, the person may worry about money and work, even though his/her financial situation and job are secure. As a result, the person may feel keyed up, have trouble sleeping, be irritable, etc. Posttraumatic Stress Disorder (PTSD) PTSD is a delayed reaction to a traumatic event, such as a war experience, car crash, or violent attack. The person may re-experience the event through: * flashbacks in which the person relives or "sees" the event again * nightmares * sudden, intense emotions Obsessive-compulsive Disorders These involve: * OBSESSIONS - repeated, unwanted thoughts (for example, worrying constantly about picking up germs and getting sick as a result). * COMPULSIONS - repeated actions to relieve the tension caused by the obsession (for example, washing hands after every contact with a possible source of germs. TREATMENT Regardless of the type of anxiety disorder, it can be successfully treated. Treatment may include: Cognitive/Behavior Therapy This involves: * learning to replace negative thoughts and behaviors with positive ones * gradually learning new coping skills like controlled breathing and other relaxation exercises Psychotherapy This type of counseling can be helpful when used with cognitive/behavior therapy. Through discussions with a therapist (and, in some cases, a group of people with similar problems), the person can work on: * resolving conflicts associated with his/her anxiety disorder * reducing general anxiety * expressing feelings Medications Drugs may be used with other forms of treatment to help reduce the symptoms of anxiety disorders. It may take time to find the most effective medication and dosage. Other Treatments A healthy lifestyle can help a person manage stress. Changes in nutrition, exercise, relaxation, and alcohol and drug use can also make a difference. Can anxiety disorders lead to other mental health problems? Yes, it is possible. Among the problems associated with untreated anxiety disorders are: * depression * alcohol or other drug abuse Does having an anxiety disorder mean that I am "crazy"? No. It means you have a very common condition which is potentially disabling without proper treatment. Can my heart stop during a panic attack? Not likely. Many people having their first panic attack think they are having a heart attack. Some go to the emergency room of the hospital and find out that there is nothing wrong with their heart. What can I do if a family member has an anxiety disorder? Learn more about anxiety disorders and how they affect families. if possible, get involved in your loved one's treatment program. How long does treatment take? It varies by individual. Any successful treatment takes time and effort. However, the results are worth it. Where to get help: * local mental health center * mental health departments of local hospitals or clinics * anxiety disorder clinics * psychiatrists, psychologists and counselors You can get help or referral to a specialist through: * your physician or HMO * your Employee Assistance Program * your state social services or mental health department * mental health associations ********************************************************************** For further information on this topic and to search for and purchase books about this and other topics online, go to the search engine below and begin by trying the following descriptors: Anxiety, Anxiety disorders, stress, Anxiety and work, phobias, anxiety and treatment, anxiety and medications, anxiety and panic attacks, obsessive-compulsive disorders, anxiety and cognitive-behavioral treatment, anxiety and relaxation, agoraphobia, social phobias, tension, etc https://www.angelfire.com/biz/odochartaigh/searchbooks.html ********************************************************************** Contact your local Mental Health Center or check the yellow pages for counselors, psychologists, therapists, and other Mental health Professionals in your area for further information. ********************************************************************** George W. Doherty O'Dochartaigh Associates Box 786 Laramie, WY 82073-0786 MENTAL HEALTH MOMENT online: https://www.angelfire.com/biz3/news