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Anxiety and Depression Treatment Specialists

Anxiety and Depression Treatment Specialists,

A Psychotherapy P.C.

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"Where Science and Compassion Guide Therapy"

What I Help With
(Using Intuitive Words)

Most of us have felt anxious, sad, or stressed at some point in our lives. They're common human experiences. We don't always need to change those feelings; sometimes, they're normal responses to things that happen in life, so it might help to just talk about and process them. Other times, those feelings seem overwhelming - they last for a long time, feel intense, or get in the way of us living life the way we envision.

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As a psychologist, I want to help people with the struggle that comes with anxiety and depression. The help I provide might come in the form of listening, understanding, and validating; it may come in the form of honoring and empowering the skills you already have inside of you and encouraging you to listen to your intuition; it may come in the form of learning new things or doing things differently; or it may come in the form of discovering deeply meaningful insights that change the way you look at your life or the world around you.

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There's a lot of ways that we can work together to help you, just like there's a lot of ways anxiety and depression can show up.

 

I am here to help you with many things life throws your way - whether it's anxiety, sadness, or stress about relationships, finances, health, aspirations, personal interests, self-esteem, confidence, or many other things.

 

Together, we can help you work through things that have been bothering you, things that make you feel stuck, or things that make it hard to live life to the fullest. Maybe you're at a low point in your life, or maybe you're able to maintain a high level of functioning and achievement despite the difficulty you're experiencing. Either way, I would like to help.

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That's the intuitive description of what I help with. Below, we provide some more jargony clinical language, which is also valuable. Please feel free to peruse that to see if any of those diagnoses resonate with you. Even if they don't, that's ok. I am well-versed in helping people with anxiety, depression, stress, or other problems - even if they don't neatly fit into one of those categories below.

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If you think I might be able to help, please feel free to contact me. We can discuss whether we are the right fit for each other. If so, great! If not, I know a lot of great psychologists and will do my best best to connect you with someone else who might be a better fit.

What I Help With
(Using Psychological Words)

Summary

Anxiety and Related Disorders

Examples include:

  • Social anxiety disorder

  • Generalized anxiety disorder

  • Panic disorder

  • Agoraphobia

  • Specific phobia

 

Depressive Disorders:

Examples include:

  • Major depressive disorder

Details

Anxiety and Depression (More Broadly)

Anxiety involves worries about negative or threatening things that could happen; avoidance of situations, objects, people, or behaviors that we think will result in negative or threatening experiences; and unpleasant emotions, such as anxiety, fear, distress, or irritability.

Depression can involve feeling sad, down, or low; losing interest, enjoyment, or motivation to do things; or both. It can also involve a variety of other difficulties, such as feelings of worthlessness or guilt; difficulty sleeping or sleeping too much; withdrawing from social interactions or activities; change in appetite or weight; feeling restless or fatigued; or thoughts of being better off dead.

~42% of people will have an anxiety disorder at some point in their lives (Kessler, et al., 2012). ~30% of people will have major depressive disorder at some point in their lives (Kessler, et al., 2012). ~60-80% of people with an anxiety disorder also have a depressive disorder (or vice versa) (Lamers, et al., 2011).

Social Anxiety Disorder

~13% of people will have social anxiety disorder at some point in their lives (Kessler, et al., 2012).

Some examples of social anxiety disorder include fear, anxiety, or worries about:

  1. What other people think of you (e.g., that people will dislike you, criticize you, or reject you).

  2. Public speaking, initiating conversations, meeting new people, performing in front of people, or many other social situations.

  3. Making requests of others or declining requests others make of you.

  4. Being "awkward" or experiencing "awkwardness" in social interactions (e.g., "awkward" silences).


Social anxiety disorder also includes avoidance of certain social situations; or, if you're already in a social situation, engaging in specific behaviors to avoid social rejection (e.g., spending most of your time with known, trusted, comfortable people to reduce anxiety or avoid potential rejection).

Agoraphobia

~4% of people will have agoraphobia at some point in their lives (Kessler, et al., 2012).

Agoraphobia involves fear, anxiety, or avoidance of situations that are difficult to escape or help might not be available in the event of a panic attack, incapacitation (e.g., seriously injuring oneself), or embarrassment (e.g., incontinence). Situations include:

  1. Using public transportation (e.g., automobiles, trains, airplanes, boats/ships, buses).

  2. Being in open spaces (e.g., parking lots, markets)
  3. Being in enclosed spaces (stores, restaurants, movie theaters).
  4. Standing in line or being in a crowd.
  5. Being outside the home alone.


Agoraphobia often occurs with panic disorder but not always. It can be a stand-alone diagnosis and centers on fear/avoidance of difficult-to-escape situations in the event a personally limiting event occurs (e.g., panic, incapacitation, embarrassing symptoms).

Generalized Anxiety Disorder

~9% of people will have generalized anxiety disorder at some point in their lives (Kessler, et al., 2012).
 
Generalized anxiety disorder involves anxiety, worry, or avoidance regarding a variety of topics. These topics can be anything but might include finances, work, school, health, relationships, personal aspirations, hobbies, and spirituality.
 
Generalized anxiety disorder can include recurring worry about various topics, difficulty concentrating or making decisions, difficulty with uncertainty, muscle tension, difficulty sleeping, and irritability. (see the Director's publication on generalized anxiety disorder and depression here).

Specific Phobia

~18% of people will have specific phobia at some point in their lives (Kessler, et al., 2012).

Specific phobia involves elevated fear or anxiety of situations/members of one of five categories:

  1. Animals or insects (e.g., dogs, spiders)

  2. Natural environment (e.g., heights, storms, water)

  3. Blood-injection-injury (e.g., needles, invasive medical procedures)

  4. Situational (e.g., airplanes, elevators, enclosed spaces)

  5. Others (e.g., choking, vomiting, clowns or costumed characters)


Specific phobia involves fear or anxiety when encountering the feared organism, object, or situation or efforts to avoid them (e.g., for dog phobia, not going to a friend's home if they have a dog; not going in elevators if afraid of enclosed spaces).

Panic Disorder

~7% of people will have panic disorder at some point in their lives (Kessler, et al., 2012).
 
Panic disorder involves feeling intense anxiety or fear that usually ramps up and peaks within around 10 minutes (i.e., a panic attack). These feelings are usually physical - like a racing heart, light-headedness, dizziness, trembling, sweating, tingling - or can also be cognitive, like feeling unreal or outside of one's body. The aftermath of a panic attack can result in continued anxiety for minutes or hours. Panic attacks are sometimes predictable or other times out-of-the-blue.
 
Panic disorder involves worry/anxiety about having another panic attack or avoidance of specific places, behaviors, or feelings in an effort to prevent panic attacks.

Major Depressive Disorder

~30% of people will have major depressive disorder at some point in their lives (Kessler, et al., 2012).

Major depressive disorder involves at least one major depressive episode (defined below). Major depressive disorder can sometimes be continuous (one long episode), recurring (multiple episodes with times of "feeling good" in between), or singular (just one episode). A major depressive episode involves at least five of the following:

  1. Depressed mood.

  2. Loss of interest or pleasure in most activities.

  3. Change in weight or appetite.

  4. Increased or decreased sleep.

  5. Feeling restless or moving slowly.

  6. Fatigue, low energy, or decreased efficiency with routine tasks.

  7. Feeling worthlessness or guilt.

  8. Difficulty thinking, concentrating, or making decisions.

  9. Recurrent thoughts of death, dying, thoughts of suicide, or suicide attempts.

Anxiety

"My life has been full of terrible misfortunes - most of which never happened."

- Michel de Montaigne

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