“I’ve seen many troubles in my time, only half of which ever came true.”

- Mark Twain, Author

 

Anxiety Therapy

Feel calm, peaceful and relaxed with therapy for the treatment of anxiety.

 
Jennifer's Story of Psychotherapy for Anxiety

Jennifer’s Story: An Example of Therapy for Anxiety Treatment

Jennifer worried - a lot. At work, she couldn’t concentrate. She was always on edge. She obsessed about the same problems over and over. Nights, she lay in bed worrying about the next catastrophe. She was exhausted.

Now that Jennifer’s in psychotherapy she worries less often. The Happiness Psychologist taught her how to relax. With therapy for anxiety, she learned what causes anxiety and how to let it go. Her thoughts are calm and clear, and she no longer wastes energy worrying. It’s been a great relief. When she goes to bed now, she drifts off to sleep peacefully.

The only thing that Jennifer regrets is that she didn’t seek professional help for mental health treatment of anxiety earlier. She would have saved herself many sleepless nights. She is so glad that she took the first step to getting better by calling The Happiness Psychologist.

 

What is Generalized Anxiety Disorder?

Is worrying the same as generalized anxiety disorder?

Everyone feels worried, stressed, or anxious sometimes. Occasional worry, stress, or anxiety is not the same as clinical anxiety or generalized anxiety disorder. Anxiety only becomes a mental health concern when it reaches the level of clinical anxiety or generalized anxiety disorder. For the remainder of this article we will refer to anxiety interchangeably as clinical anxiety or generalized anxiety disorder. For anxiety to be considered generalized anxiety disorder you have to meet several of the following symptoms.

What is generalized anxiety disorder?

For anxiety to rise to the level of generalized anxiety disorder you need to have been feeling anxious or worried for at least 6 months. You would need to feel anxious most days of the week. And you would need to be worried about more than one issue. For example, you might be worried about various issues in your career, your relationship with someone, or your schooling. You might be worried about your health or the well-being of your family.

The anxiety would need to cause distress or impairment socially, at work, school, or in other important areas of your life.

What are other causes of anxiety?

If your anxiety is being caused by substance use, drug use, medication, or a medical condition (for example, hyperthyroidism) you do not have generalized anxiety disorder.

Other mental health disorders can cause symptoms that appear to be generalized anxiety disorder. When another mental health condition offers a better explanation for your anxiety you would not be diagnosed with generalized anxiety disorder. For example, panic disorder, trauma, obsessive-compulsive disorder, and social anxiety (among others) all may cause symptoms similar to generalized anxiety disorder. If you have any of these disorders, you would not be diagnosed with a generalized anxiety disorder but would instead be diagnosed with one of those mental health issues.

What does generalized anxiety disorder feel like?

You may be wondering if the emotion you are feeling is generalized anxiety disorder or some other emotion. Typically generalized anxiety disorder causes several of the following feelings:

  • Feeling “wound up” or “on edge.”

  • Becoming easily fatigued.

  • Having difficulty concentrating.

  • Feeling that your mind has “gone blank.”

  • Feeling irritable.

  • Feeling that your muscles are tense.

  • Trouble with sleep such as difficulty falling asleep, staying asleep, dissatisfaction with sleep, or restless sleep.

Treatment of Generalized Anxiety Disorder

Is medication an effective treatment for generalized anxiety disorder?

Psychiatric medication is often sought as a treatment for generalized anxiety disorder. Medication can often effectively lower anxiety. For very short term, situation specific anxiety, medication may be an acceptable treatment. However, even in these situations it is important to be aware of the drawbacks of using psychiatric medication to treat anxiety. Medication for anxiety may cause side effects such as impaired reaction times, lethargy, sleepiness, impaired memory, impaired thinking, and numbed emotions. Medication may cause many unwanted physical side effects. Medication for anxiety has the potential to cause dangerous interactions with other medications that are being taken concurrently or may impair their effectiveness. They may cause dangerous interactions with common foods. Because of the possibility of undesirable side effects therapy is a better treatment for generalized anxiety disorder.

Psychiatric medication is only effective as a short term treatment for generalized anxiety disorder. With longer treatments, even a few weeks, patients may become psychologically and physically addicted to the medications. They can become dependent on them and fearful of being without them. Many medications for anxiety begin to lose their effectiveness over time and require larger and larger doses as the patient habituates to them.

Once a patient’s psychiatric medication wears off generalized anxiety disorder usually returns. Thus, an endless cycle of medication is required to keep anxiety at bay.

For all these reasons, psychiatric medication is not recommended for the long term treatment of generalized anxiety disorder and therapy is a much better option.

What is the best treatment for generalized anxiety disorder?

Therapy is the best treatment for generalized anxiety disorder. The results are long lasting and effective. Clients gain confidence from learning to understand and control their generalized anxiety disorder. With therapy, clients learn the causes of their generalized anxiety disorder, what maintains it, and effective strategies for coping with it. Psychotherapy can help reduce and eliminate generalized anxiety disorder.

What is the best type of therapy for generalized anxiety disorder?

A variety of psychotherapies exist for the treatment of generalized anxiety disorder. Here are some of the most common types as well as newer therapies.

Cognitive Behavioral Therapies: CBT includes elements of cognitive therapy and behavioral therapy for the treatment of generalized anxiety disorder. CBT uses talk therapy to teach clients how to change the thoughts and behaviors believed to be causing their anxiety.

Psychodynamic Therapies: Uses psychotherapy techniques that date back all the way to Sigmund Freud. Many of the techniques of psychodynamic therapy originated in psychoanalysis. These techniques focus on unconscious mental dynamics such as defense mechanisms and internal representations of interpersonal relationships.

Sensorimotor / Somatic Therapies: A newer type of trauma informed therapy that focuses on therapy for both halves of the brain (the logical left side and the emotional right side) and the awareness of the sensations of emotions in the body.

Internal Family Systems Therapy: Another recent form of trauma informed therapy that focuses on consciously creating healing conversations between the different parts of our personality.

Eye Movement Desensitization Therapy: A newer form of therapy that was specifically created to heal PTSD and trauma. It’s most distinguishing feature is the use of bilateral movements of the body and eyes to heal traumatic memories.

How can The Happiness Psychologist help me with generalized anxiety disorder?

The Happiness Psychologist uses a positive, effective, client-friendly approach to therapy. He believes that therapy should be empowering and that you should feel good about your therapy. It should help you live a happier, more joyful life, It should enhance your natural resilience, inner strength, and ability to heal. It should be customized to be comfortable and effective for you. It should focus on you, not your diagnosis. He believes his clients are not broken and that they can overcome any challenge with the right guidance.

The Happiness Psychologist believes that clients are unique, therefore, no one type of therapy for generalized anxiety disorder is best for everyone. The Happiness Psychologist integrates the therapies described above, as well as other types of therapy, to customize psychotherapy to each individual client. This flexible approach to therapy is known as eclectic or integrative therapy and is very effective.

For the treatment of anxiety specifically, The Happiness Psychologist will work with you to identify your type of anxiety. He will help you understand the causes of your anxiety and the effects it has on your thoughts, emotions, behaviors, and body. He will teach you strategies to cope with anxiety when it occurs and to reduce its frequency. If you’d like to heal your generalized anxiety disorder call The Happiness Psychologist today!

What will happen if I don’t get treatment for generalized anxiety disorder?

Generalized anxiety disorder has multiple negative effects on one’s life. It results in excessive worry and stress. It results in unpleasant physical symptoms such as restlessness, muscle tension, and poor sleep. And it results in impairment in important areas of one’s life such as family, relationships, career, and education. Without treatment, generalized anxiety disorder tends to be lifelong.

Free Anxiety Test

The Generalized Anxiety Disorder Scale (GAD-7)

The Generalized Anxiety Disorder Scale (GAD-7) is a valid and reliable screening tool for the presence of generalized anxiety disorder. However, your results indicate only the probability that you may have GAD. This self-test is not diagnostic nor intended to provide healthcare. An accurate diagnosis requires assessment by an appropriately trained therapist. If you want to know if you have generalized anxiety disorder you should seek a professional assessment from a therapist.

No email or personally identifying information is collected by this test.

 

How to interpret your results from the Generalized Anxiety Disorder Scale (GAD-7) screening test.

Total Generalized Anxiety Disorder Score

Severity Scale

1-4 points: Minimal symptoms

5-9 points: Mild symptoms

10-14 points: Moderate symptoms

15-21 points: Severe symptoms

Acknowledgements

The GAD-7 was developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc.

Sources

  1. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166:1092-7.

  2. Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016;39:24-31.

  3. Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146:317-25.