Therapy That Works...

Anxiety - Symptoms of Anxiety Disorders - By Chris Gearing

Wednesday, May 08, 2013

Watch Dr. Sylvia Gearing describe some of the symptoms of anxiety disorders and when it may be time to seek out professional help - click here.

Most people experience some amount of anxiety every single day.

They feel tense and overwhelmed by racing to pick up a child from school, meeting a business deadline, or resolving an argument with their spouse. However, anxiety can redefine our thinking and can change how we view the world and one another.

When we cross the line from normal anxiety to an anxiety disorder, we anticipate the worst in every situation and live in a world of catastrophic thinking and dread.

Anxiety disorders can be highly persistent and difficult to overcome. They often take root in childhood and grow in size and intensity as the mind develops. Research indicates that most sufferers wait an average of 25 years before they seek out clinical treatment.

If you are concerned that you or someone you know may have an anxiety disorder, here are some symptoms to watch out for:

  • Pronounced and Overwhelming Fears
  • Rapid or Out of Control Heart Beat
  • Shortness of Breath
  • Trembling and Dizziness
  • Chest Pain
  • Sweating
  • Fear of Choking or Drowning
  • Feelings of Unreality or Being In A Dream

Anxiety can be a very serious condition. If you are worried that someone you know may be living with an anxiety disorder, please seek the assistance of a clinical psychologist.

Sources:

"The Anxiety and Phobia Workbook" by Edmund Bourne Ph.D.

The Anxiety and Depression Association of America, www.adaa.org

Anxiety - What Is Anxiety? - By Chris Gearing

Monday, May 06, 2013

Watch Dr. Sylvia Gearing describe what clinical anxiety is and how it can happen to you - click here.

Anxiety disorders are the number one diagnosed mental health disorder in America.

Forty million Americans regularly experience high levels of anxiety but only one third of sufferers ever receive treatment. Anxiety is extremely expensive for our country’s healthcare system and it accounts for close to one third of all mental health costs in the United States.

Anxiety causes us to feel high amounts of tension, uncertainty, and fear often without any specific threat or problem.

Anxious individuals feel like their mind cycles in a continuous loop of speculation, worry, and confusion about what is going to happen next. Despite their best efforts, they just cannot seem to give their mind a break. The endless nervous thoughts are disruptive to sleep, work, and their sense of wellbeing.

Anxiety disorders can develop for many reasons, but here are some of the most common:

In Your Genes:

Anxious thinking and anxiety disorders may run in the family. If you have an anxiety disorder, then one out of ten people in your family may also have anxiety issues.

Trauma Sequence:

Trauma is often deregulating and interrupts our ability to effectively manage our emotions, especially anxiety. Before trauma, we may have handled adversities with ease. However once our minds have been deregulated by the traumatic event, we may be waging constant battle against our anxious thoughts.

Begins In Childhood:

When there is child abuse, excessive uncertainty, change and struggle with difficult parents, or unpreventable trauma in childhood, anxiety may gain a foothold. Although most of us develop higher rates of anxiety in our twenties, many anxious adults began dealing with their anxious thoughts in childhood.

Loss of Relationships:

Traumatic breakups that leave us feeling confused, lost, and helpless can start the cycle of anxiety. Our positive beliefs about other people can be shattered and we may develop serious trust and anxiety issues.

Anxiety can be a very serious condition. If you are worried that someone you know may be living with an anxiety disorder, please seek the assistance of a clinical psychologist.

Sources:

"The Anxiety and Phobia Workbook" by Edmund Bourne Ph.D.

The Anxiety and Depression Association of America, www.adaa.org

The Rising Adult Suicide Rate - By Chris Gearing

Friday, May 03, 2013

Watch Dr. Sylvia Gearing discuss the rising adult suicide rate and what you can do to help - click here.

Teens and the elderly are no longer the most likely to commit suicide.

The Centers for Disease Control and Prevention recently issued a report that found an almost 30% increase in the suicide rate among middle-age adults (ages 35-64). The top three methods of committing suicide among adults were poisoning, suffocation or hanging, and firearm.

Over the last decade, the adult suicide rate has grown at an alarming rate.

Suicide rates spiked a few decades ago when the baby boomer generation hit their teenage years, and the suicide trend has followed the boomer generation as they have aged. As many boomers are being confronted by unique mid-life challenges like dual caregiving for children and their parents, their own health problems, and one of the toughest economic climates in decades, they may be more likely to commit suicide.

If you are concerned about someone you know, here are some signs to watch out for:

  • Frequent thoughts about death and dying
  • Talking about committing suicide
  • Increased alcohol or drug use
  • Trouble with or uninterested in eating or sleeping
  • Suddenly making end of life arrangements
  • Drastic changes in behavior or daily activities
  • Withdrawal from friends, family, or social activities
  • Loss of interest in work or hobbies
  • Giving away prized possessions
  • Unnecessary risk taking
  • Loss of interest in their appearance
  • Previous suicide attempts

Suicide and suicidal thoughts are very serious issues. If you are worried about someone you know, please seek the assistance of a clinical psychologist.

Sources:

American Psychological Association, “Suicide Warning Signs”, (http://www.apa.org/topics/suicide/signs.aspx)

United States Centers for Disease Control and Prevention, “Suicide Among Adults Aged 35-64 Years – United States, 1999-2010”, (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6217a1.htm?s_cid=mm6217a1_w)

Violence Prediction and Narcissistic Decline - By Chris Gearing

Thursday, May 02, 2013

Watch Dr. Sylvia Gearing describe how certain perceptions of the world can push vulnerable minds to violence - click here.

The Internet is filled with theories about the recent Boston Marathon bombings.

Doctors, journalists, and bloggers are focusing on the psychology of terrorism or the role of siblings in violence. However, perpetrators of such violent crimes often come with unique warning signs. If we know what to look for, it may be possible to prevent future tragedies. Here are some of the reasons that someone you know may be prone to violence:

Inflated Self-Image

Many perpetrators have grandiose opinions of themselves. They expect the world to recognize how special they are and reward their talents and abilities at all times. They are shocked when they do not receive the acclaim that they expect and they struggle to understand the reasons for it.

“Me Against The World”

The trouble begins when the world regularly frustrates and deprives them of the recognition they feel entitled to receive. Due to their exceptionally high opinions of themselves, the perpetrator develops elaborate explanations and conspiracies for these setbacks. They find somewhere to place the blame for their negative feelings and they may begin to plan their revenge.

Losing Their Grip On Reality

Once their negative feelings reach a tipping point, their thinking may become actively delusional as they slip deeper into disappointment. They become convinced that they have been robbed of the rewards they justly deserve. They find evidence all around them of a person or force determined to suppress their greatness.

Breaking Point

This type of thinking can often provoke a more anti-social perspective that starts to incorporate desires for revenge and payback. Each mind has its own threshold for violence, but their thinking may begin to fragment and allow irrational thoughts and justifications for violence.

If you are worried about someone you know, please seek the assistance of a clinical psychologist to help you understand the signs of violence and what you can do to help.

Sources:

The work of Gavin de Becker

The work of Dr. John Exner

The Thousand Steps To Violence - By Chris Gearing

Wednesday, May 01, 2013

Watch Dr. Sylvia Gearing describe some pre-incident indicators of violence and how violence is caused by thousands of small decisions and actions - click here.

Most of us think that violence is unpredictable and that people “just snap.”

However, violence is a progressive action made up of hundreds of decisions and actions that climax in a violent act. There are often a series perceived slights, thoughts that they are not being properly recognized or praised, or the belief that someone or something is out to get them. Perpetrators tend to alternate between feelings of humiliation and righteous indignation. Slowly and steadily, they begin to find justifications for violence against others.

Here are some of the pre-incident indicators to watch out for:

Gathering Evidence

In the beginning, the troubled mind relentlessly seeks out and gathers the evidence to support their negative worldview. They will ignore or negate any evidence to the contrary and only focus on how they are the victim. At some point, frustration is replaced by total indignation and rage that pushes the person to begin to consider violence.

Planning The Act

At some point, retribution becomes the only solution. To them, thoughts of violence and retaliation are soothing and offer temporary relief from the tremendous rage that brews and festers. When they are around other people, they may act extremely cool and calm - even to the point of seeming robotic or cold. They are channeling all of their rage into planning their revenge.

Rehearsing Violence

Mental and even physical rehearsal of the violence begins to take center stage. Their revenge consumes all of their time and attention. They focus on the satisfaction they will feel from their revenge, the mental images and planning of the act, and the erosion of accurate judgment and self-control.

Friends and family often miss these pre-incident indicators, but in retrospect they are crystal clear.

If you are worried about someone you know, be on the lookout for the signs of the downward spiral of a vulnerable mind. Please seek the assistance of a clinical psychologist to help you understand the signs of violence and what you can do to help.

Sources:

The work of Gavin de Becker

The work of Dr. John Exner

The Violent Influence of Siblings - By Chris Gearing

Monday, April 29, 2013

Watch Dr. Sylvia Gearing describe how siblings can make each other more extreme in their views and more violent toward the world - click here.

Two brothers planned, built, and detonated multiple bombs at the 2013 Boston Marathon.

Many people are wondering how one brother with a promising future could allow himself to be lead astray by his troubled and angry older brother. What would lead him to abandon and attack the city that had celebrated and rewarded him?

Absent Parents

Parental absence in late adolescence can be highly damaging with certain children. Without their parents around, they may have no one to keep them in line and remain a positive influence. A teenager can become involved in social movements and militant causes without fully understanding the motivations and implications of such activities. It is easy to overestimate the maturity of a late teen or early twenties child who is still mentally developing and defining who they are.

A Convincing Sibling

An older sibling who champions extreme or militant causes may be impossible to resist. They can be a strong influence on an insecure younger sibling who lacks immediate parental guidance and insight into the older sibling’s troubles. The younger teenager may be mesmerized and convinced by a sibling out of control.

Tests of Love and Loyalty

Particularly when there is a specific cause or injustice to be avenged, a trusting and naïve teenager can be convinced by the irresistible arguments of their older, more experienced sibling. Older siblings often frame the cause as a test of the younger sibling’s love and loyalty.

The Bond of Violence

Violence can be an alluring bond for young men who are lost. Anger and violence are unfortunately a legitimate way to connect for boys and men. If there is a common goal to avenge a perceived injustice, any prohibitions against violence or murder may diminish and fade away.

A Developing Mind

In late adolescence, many adolescents still lack consistent, critical thinking skills necessary to reason their way through an ambiguous situation. They simply may not understand how irrational and extreme ideas can sound plausible and logical at first. Faulty, paranoid assumptions can sound reasonable to an inexperienced mind that is impressionable and naïve. Our fully developed frontal lobes and our critical thinking skills restore reality by reminding us of alternative explanations that are more realistic and often more accurate.

In the end, sibling bonds often last a lifetime and most of the time only lead to benefits for both parties. The crimes in Boston teach us once more that misplaced loyalty can be one of life’s greatest mistakes.

Sources:

The work of Gavin de Becker

The work of Dr. James Masterson

The work of Dr. John Exner

Trauma - Long Lasting Effects of Childhood Trauma - By Chris Gearing

Thursday, April 25, 2013

Watch Dr. Sylvia Gearing describe how an early childhood trauma could derail your own child's future - click here.

Traumatic events can be devastating especially if they occur in childhood.

Many children who experience trauma early in life develop what psychologists call implicit memories—memories that are nonverbal or difficult to put into words. They exist in the mind more as a feeling than as a series of descriptive words. Trauma is encoded at a deep level that is especially destabilizing emotionally. Children lack the more sophisticated coping skills of adults and cannot defend themselves psychologically against traumatic events beyond their control.

A trauma condition can shape the entire character of a child’s personality.

He may view the world as a frightening place where danger is inevitable. Vital psychological energy that is needed for normal developmental tasks is drained by their efforts to deal with the trauma. The child’s mind is de-regulated at an early age. When a child’s developing mind is deregulated, they may be more prone to anxiety, depression, and continued trauma throughout their lives.

Left untreated, childhood trauma can become a defining event.

Traumatized children regularly experience anxiety and panic and the attacks can come out of nowhere and reduce their self-confidence. They lose confidence in their ability to control themselves and their emotions.

Many survivors of childhood trauma have difficulty regulating their emotions later in life. They have devastating emotional pain but they lack the skills to deal with the tsunami of emotions that can quickly overwhelm them. Triggers begin the downward cascade of emotions and can compromise their attention and concentration. They can make permanent negative conclusions about themselves that have nothing to do with reality.

Trauma is a very serious issue. If you think your child may be experiencing trauma, please seek the assistance of a clinical psychologist.

Source:

“Principles of Trauma Therapy” by John Briere, Ph.D. and Catherine Scott, M.D.

Trauma - Secondary Trauma - By Chris Gearing

Tuesday, April 23, 2013

Watch Dr. Sylvia Gearing describe how first responders and even those watching the news can develop symptoms of psychological trauma - click here.

Secondary trauma is a special risk for professionals involved in responding first to the scene of violence and destruction.

Despite their focus on managing the scene and assisting those in need, they also become participants in the events leaving them uniquely exposed to trauma. While they witness firsthand the consequences of tragic events such as terrorist attacks, industrial accidents, and deliberate acts of violence, their brains begin to absorb and record the tragedy in front of them.

About 50% of those who are routinely exposed to traumatic events develop their own anxiety and trauma. Sometimes, they can develop symptoms similar to the original victims.

Some of the symptoms of secondary trauma include:

  • Emotional deregulation
  • Intrusive thoughts and memories about the event
  • Hyper-vigilance or constantly being on guard
  • Psychological numbing
  • A shift in their explanatory view toward more negative, pessimistic, and darker beliefs

Secondary trauma is more likely to occur in people who have experienced trauma before. In addition, the ill effects of secondary trauma may accumulate over time. If you think you or someone you know may be experiencing the effects of trauma, please seek the assistance of a clinical psychologist.

Source:

The work of Dr. John Briere

Trauma - Symptoms of Trauma - By Chris Gearing

Monday, April 22, 2013

Watch Dr. Sylvia Gearing describe some of the symptoms of trauma and how you may experience trauma just by watching the news! Click Here.

Random acts of violence are a tragic part of modern life.

These events can be traumatic to many of us even if we are not directly injured or involved. We live in a global, digitally connected community with 24-hour newscasts that relay events, both good and bad, to us in a flash. Not only do we witness tragedies quickly, we see every detail and hear every word of the unfolding drama.

Social media makes it real.

The result is that events that may be taking place thousands of miles away no longer feel like they are far away. They are happening in neighborhoods and towns just like ours with people that could be our neighbors.

This lack of psychological distance from traumatic events can increase anxiety and create a sense of dread in your daily life. The impact can be immediate and very personal. We start to lose our sense of safety in our environment and our routine.

If you have been exposed to recent trauma or are following events in the news, you should keep the following important points in mind:

Traumatic Shock:

Shell shock and denial are common reactions to trauma right after it happens. It is your mind’s way of putting itself on pause to allow the brain to slow down before the events are processed. You may experience disbelief, disconnection, and bewilderment in response to traumatic events.

Slow Motion Replay:

As the mind begins to process the trauma, it slows down to focus on the intense recollection of the event. Memories of the event are replayed as the mind begins to integrate the trauma into a preliminary narrative of what has occurred. At times the memories can be painful, uncontrolled, and intrusive. You may experience them as vivid or fuzzy, crystal clear or confusing, and sometimes your mind will switch the lens back and forth between clarity and clouded.

Always On Guard:

As these intrusive thoughts cycle in and out of your mind, you will be constantly on guard against the next trauma. Psychologists call this hyper-vigilance. Again, the mind is working hard to create a sense of safety and predictability after the trauma.

Numb To The Pain:

Any of these phases can be occasionally interrupted by states of psychological numbing. Our mind zones in and out and we are unable to feel anything emotionally. Our self activation is difficult, slow, and labored. Again, this numbing response is our mind’s effort to cope with the trauma and to regain a feeling of safety.

If you have experienced trauma in the past, please remember you may be more vulnerable to trauma in the present. If you think you or someone you know may be experiencing the effects of trauma, please seek the assistance of a clinical psychologist.

Source:

The work of Dr. John Briere

Growing Kids Strong - The Dangers of ADD & ADHD - By Chris Gearing

Wednesday, April 10, 2013

Watch Dr. Sylvia Gearing describes the dangers of ADD & ADHD for your child and the signs you can watch out for - click here.

Attention issues can compromise even the brightest children and sabotage the most promising of lives.

According to the CDC, eleven percent of elementary school children and nineteen percent of boys in high school have been diagnosed with ADD or ADHD. The New York Times reports that around six and a half million children have been diagnosed with ADHD at some point in their lives. That is a 53% increase over the past decade!

Since ADD and ADHD are so prevalent, it is important to have your child complete a thorough evaluation with an experienced psychologist. ADD and ADHD are very treatable with proper medicine and behavioral interventions.

But if the symptoms are not controlled, ADD and ADHD can have dramatic effects on your child’s life including:

  • Lower performance at school
  • Difficulty keeping a good job
  • Struggles with impulsivity and decision-making
  • Problems with concentration and performance
  • An inability to develop mature judgment and self-control
  • Higher rates of depression, anxiety, and bipolar disorder over the lifespan

Sources:

The U.S. Center for Disease Control

The Anxiety and Depression Association of America (www.ADAA.org)

“One in 10 U.S. Kids Diagnosed With ADHD” featured in US News and World Report (http://health.usnews.com/health-news/news/articles/2013/04/01/one-in-10-us-kids-diagnosed-with-adhd-report)


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