Anxiety Therapy Edmonton

Counselling for anxiety disorders

What is Anxiety

Anxiety consists of the thoughts, sensations, emotions, and behaviours in response to a perceived threat. Importantly, anxiety tends to focus on outcomes in the future and overestimates the risk of threat. For example, anxiety and worry thoughts can sound like “what if I get in a car accident” or “what if I fail that exam”.

Real threats versus perceived threats

It is important to differentiate the ‘perceived threat’ of anxiety from actual threat or danger. Examples of real threat could include:

  • Running into a bear in the forest
  • Coming across a shark on a swim

 

Examples of perceived threat could include:

  • Fear of coming across a shark while swimming
  • Fear that others will find you as embarrassing 

Anxiety signs and symptoms

Anxiety disorder symptoms can include feelings of anxiety such as worry thoughts or beliefs, physical body sensations, emotional experiences, and behaviours.

Thoughts

Anxious thoughts can include things such as  excessive worries, racing thoughts, intrusive and obsessive thoughts. Worry thoughts are a common symptom of anxiety disorders. For example, “what if I am late” or “what if I don’t pass the exam”. Obsessive thoughts are “sticky” recurring thoughts that include a fixation with something in particular. 

Sensations

Physical sensations of anxiety can include things such as a racing heart rate, shortness of breath, chest pains, heart pounding or palpitations, dizziness, and upset stomach. 

Emotions

Emotions associated with anxiety can include panic, fear, dread, and nervousness.

Behaviours 

Anxiety can be related to behaviours such as :

  • avoidance of people, places, or situations
  • compulsions (the urge to act on a behaviour to reduce feelings of anxiety)
  • repetitive checking
  • perfectionism
  • people-pleasing or difficulty with assertive communication
  • reassurance seeking
  • difficulty falling asleep

Experiencing an ongoing untreated anxiety disorder can negatively impact your quality of life. In fact, people with untreated anxiety disorders often miss out on meaningful events and experiences or tolerate them with much distress.

Anxiety diagnosis

A diagnosis of anxiety is a medical or psychological condition based on having a number of symptoms present over a specific period of time. The symptoms and length of time depend on the specific type of anxiety disorder in particular. When diagnosing an anxiety disorder, most psychologists refer to the criteria in the diagnostic and statistical manual of mental disorders (DSM-5).

Indeed, anxiety disorders are among the most common mental health concerns. Fortunately, anxiety disorders are treatable and much research has studied a variety of evidence-based treatments.  

Risk factors for anxiety

Several risk factors that can contribute to the development of anxiety disorders.

Genetics

One of the main risk factors is genetics. If you have a family history of anxiety disorders of family members who experiences anxiety, you may be more likely to develop one yourself. Additionally, certain personality traits and temperaments may be prone to be more cautious or worry excessively.

Environment and learning

Environmental factors can also play a role in the development of anxiety disorders. While anxiety disorders tend to run in families, this can also be from learning anxious behaviours. Traumatic events, such as abuse or the loss of a loved one, can trigger the onset of anxiety symptoms. Chronic stress, such as financial difficulties or a demanding job, can also contribute to the development of anxiety.

Medical conditions

Other medical conditions can sometimes be linked to anxiety disorders as well. For example, individuals with certain chronic illnesses, such as heart disease or diabetes, may be more prone to experiencing anxiety. Substance abuse can also increase the risk of developing an anxiety disorder.

Having risk factors doesn’t guarantee developing anxiety disorder. However, being aware of these factors can help you take steps to manage your anxiety and seek treatment if necessary.

Anxiety symptoms do not always indicate an anxiety disorder

Not everything that makes you feel anxious is truly anxiety. For instance, feeling anxious in a situation that is objectively risky or unsafe is more likely a normal (and healthy) fear response. If the emotion of fear makes sense given the situation it is important to focus on addressing the risk in that case, rather than reduce “anxiety”.

Furthermore, body sensations of anxiety are also tricky to untangle. For example, sensations commonly experienced as anxious are not exclusive to anxiety disorders. Feeling dizziness, faint, shortness of breath, or chest tightness could have a number of underlying causes for instance. It is important to work with a medical provider to determine what is causing your symptoms.

Anxiety and depression

More than one mental health condition can occur at the same time. This is referred to as “co-occurring conditions” or “co-morbid”. People with anxiety disorders frequently experience anxiety and depression occurring together. A variety of explanations for this exist.

One reason that anxiety and depression often co-exist is that anxiety symptoms tend to limit how people spend their time and make decisions. When people avoid people or things they previously enjoyed because of anxiety, this may cause them to have a low mood.

Types of anxiety disorders

There are many different types of anxiety disorders, each with certain unique features. Some anxiety disordered commonly experienced by adults include (but are not limited to):

Generalized Anxiety Disorder (GAD)

As the name implies, Generalized Anxiety Disorder (also known as GAD) is characterized by worry thoughts and feeling anxious across a range of concerns, most of the time and over a lengthy period of time. In particular, people with GAD are often self-described ‘worriers’ and tend to over-estimate the possibility of a worst case scenario occurring.

Read more about Generalized Anxiety Disorder

Social Anxiety Disorder (Social Phobia)

Social Anxiety Disorder, sometimes also called Social Phobia, is a type of anxiety disorder that is specific to anxiety or fear within social settings. Shyness or introversion, on the other hand, is different from social anxiety disorder. Individuals with social anxiety experience significant distress specifically when in the feared social setting or interaction or significant efforts to avoid it due to the distress.

Read more about Social Anxiety and Social Phobia 

Panic Attacks and Panic Disorder

Panic disorder is a diagnosis for when a panic attack develops into fear of having repeated panic attacks. A panic attack is a brief but extremely intense cluster of anxiety symptoms. Panic attacks have a sudden onset seeming to come out of nowhere, and for the most part peak within 10 minutes. Panic disorder involves frequently worrying about having recurrent attacks and for this reason making changes to avoid potential triggers as a result of this fear. 

Read more about panic attacks and Panic Disorder

Obsessive-Compulsive Disorder (OCD)

Obsessive Compulsive Disorder (OCD) is a form of anxiety which includes unwanted and distressing intrusive thoughts coupled with compulsions. Compulsions are behaviours or other rituals intended to address the unwanted thought and indeed, temporarily reduce the anxiety. Overall OCD is frequently misunderstood and depicted in media in ways that do not accurately reflect the experience of most individuals with this diagnosis. 

Read more about Obsessive-Compulsive Disorder

Health Anxiety

Obsessive Compulsive Disorder (OCD) is a form of anxiety which includes unwanted and distressing intrusive thoughts coupled with compulsions. Compulsions are behaviours or other rituals intended to address the unwanted thought and indeed, temporarily reduce the anxiety. Overall OCD is frequently misunderstood and depicted in media in ways that do not accurately reflect the experience of most individuals with this diagnosis. 

Read more about Obsessive-Compulsive Disorder

Specific Phobias

Obsessive Compulsive Disorder (OCD) is a form of anxiety which includes unwanted and distressing intrusive thoughts coupled with compulsions. Compulsions are behaviours or other rituals intended to address the unwanted thought and indeed, temporarily reduce the anxiety. Overall OCD is frequently misunderstood and depicted in media in ways that do not accurately reflect the experience of most individuals with this diagnosis. 

Read more about Obsessive-Compulsive Disorder

Anxiety Therapy Edmonton

Counselling for Anxiety in Edmonton: Anxiety disorder treatment and seeking professional help

Seeking treatment for anxiety is an important step in improving your mental health. In short, treating anxiety can help you to function better personally and professionally. Additionally, treating your anxiety can support you to live more fully in the present moment, and enjoy engaging in life with less distress. 

There are several types of evidenced-based therapy approaches to treat anxiety disorders.

 

Cognitive Behavioural Therapy

Cognitive behavioural therapy (CBT) is commonly used as a first line treatment for different types of anxiety disorders.

 

Acceptance and Commitment Therapy

Acceptance and Commitment Therapy (ACT) is a treatment approach that is effective in treating anxiety. 

 

Exposure and Response Prevention

There are also specialized ODC therapy treatment options, most commonly used is Exposure and Response Prevention Therapy (EX/RP). Generally, therapy works to treat anxiety though exposure (ie. practicing with the distress of the anxiety) along with addressing or changing the relationship to thoughts that may be unhelpful.

 

Medications to treat anxiety

Medications are also commonly prescribed to treat anxiety disorders. While psychologists in Canada do not prescribe medications, a psychologist or mental health therapist can help to work alongside with your doctor in treating your anxiety. Selective serotonin reuptake inhibitors (SSRIs) are a class of medication that are approved for the treatment of different types of anxiety and depression and commonly prescribed to treat anxiety disorders. 

Self-help strategies for anxiety management

In general, the foundations for overall good mental health start with physical activity, social support, sleep, and nutrition.

Relaxation Techniques

By the same token, being able to increase relaxation in your body and mind is an important part of anxiety management.

Challenging Anxious Thoughts

Indeed, a critical part of managing anxiety is changing the relationship you have with the thoughts that are causing you distress. To improve the anxiety, firstly, there must be an awareness of the thoughts associated with the anxiety. Self-help strategies include ways of identifying thoughts that are either unhelpful, untrue, or both. Changing the relationship to these thoughts can include developing a replacement thought with one that is more true and helpful or creating space and distance from the thought altogether.

Anxiety Resources

Anxiety Canada

Anxiety Canada is a website with comprehensive educational information and coping strategies for all types of anxiety disorders across all ages

Mood Gym

Mood gym is an online interactive CBT program based out of Australia intended for older teens and adults. The programs focus on treating depression and anxiety.

MindShift CBT App

MindShift is a CBT based app created through Anxiety Canada that can help to educate and cope with symptoms of anxiety

Furthermore, there are many additional excellent self-help resources available for anxiety management listed on our resources page.

Anxiety Counselling Therapists at Mendable

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