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AnxietyDisorders

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TypesOfDisordersChildren:v Separa'onAnxietyDisorderv Selec'veMu'smv PanicDisorderv Phobiasv ObsessiveCompulsiveDisorder(OCD)v Post-Trauma'cStressDisorder(PTSD)v SocialAnxietyDisorders

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TypesofDisordersAdults:v  GeneralizedAnxietyDisorderv  SocialAnxietyv  Phobiasv  PanicDisordersv  AcuteStressDisordersv  ObsessiveCompulsiveDisorder(OCD)v  Post-Trauma'cStressDisorder(PTSD)v  Hoardingv  BodyDysmorphicDisorderv  Tricho'llomania

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Frequencyv 10%ofTeensv 40%ofAdultsv 2/3ofAdultsdonotreceivetreatment

(Source:NIMHSta's'cs2013)v Only1/5ofteensuffererspresentfor

treatmentv 6-13and60+areequallyrepresentedv 14-18,19-40,41-60equallyrepresented

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AdultsWomenare60%morelikelythanmentoexperienceananxietydisorderovertheirlife'me.Only36.9%werereceivingtreatment.

63%donotgettreatment.(Source:NIMH,2005)

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ChildrenandAdolescentsAverageOnsetAge:11yearsold(Source:NIMH,2005)25.1%of13-18yearoldsexperienceananxietydisorder.

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WhyIsThisHappening?

Themostcommontraitofanxietyis:

FalseEvidenceAppearsReal

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WhyIsThisHappening?

Threecomponentstobe]erunderstandAnxiety:1.  Physiological2.  Cogni've3.  Behavioral

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PHYSICALSENSATIONS

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PhysiologicalSensaOons

Rapidheartbeat,difficultybreathing,perspira'on,ji]eriness,numbness,feelinglightheaded,dizzy,disconnec'ngfromthebody,stomachdistress(nausea,diarrhea),headache,sleepproblems,irritability

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PhysiologicalSensaOons

Thesereac'onsareaGOODTHING.Thiswhatthebodyissupposedtodo.However,thefeelingofdangerisalie(probably).

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PhysiologicalSensaOons

THEBODYDOESNOTKNOWTHEDIFFERENCEBETWEENAREALANDANIMAGINEDTHREAT.Apanica]ackisaFALSEALARM.Thebodyisreac'ngtoadangerwhichdoesnotexist.

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PhysiologicalSensaOons

PanicAPacksymptoms:1.  Rapidheartbeat2.  Difficultybreathing3.  Swea'ng4.  Tremblingorshaking5.  Feelingdizzyorfaint

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PhysiologicalSensaOons

6.Tinglingornumbnessinextremi'es7.Diges'vedistress8.Fearofdying9.Fearofgoingcrazyorlosingcontrol10.Cogni've:RacingthoughtsUnwantedthoughtsFeelingsofdisconnectedness

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PhysiologicalSensaOons

Thesesensa'onsarenotharmfulordangerous.Thesesensa'onsare'melimited.However,youcankeepthepanicgoingbyhowyouthinkaboutit.

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CogniOve

Lifeishard,butthewaywethinkaboutitcanmakeitworse.Whatwehavedoneorthoughtalong'mecomesnatural.

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CogniOve

Changeourthinking=Changeourfeelings=Changeourresponses.

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CogniOveDistorOonPaPernsv  FortuneTellingv  Catastrophicthinkingv Mindreadingv Allornothingthinkingv Overgeneraliza'onv MentalFilterv  "Should"thoughtsv  Labelingv Discounttheposi'vev  Emo'onalReasoning

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FourCogniOveBiasesofAnxiety

1.  Overes'matethelikelihoodthatbadthingwillhappen.

2.  Overes'matetheconsequencesshouldthebadthinghappen.

3.  Underes'mateourabilitytocopeshouldthebadthinghappen.

4.  Prophecythatwemighthavegreatdifficultyaccep'ngtheuncertainty.

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CommonCogniOveDistorOons

1.  ThingsmustturnoutthewayIwant.2.  Peopleshouldmeetmyexpecta'ons.3.  It’salwaysmyfaultORit’snevermyfault,

it’salwaysyourfault.4.  Peopleareagainstme.5.  Anyfailureisasignofmyinadequacy.6.  I’mnotasgoodasotherpeopleORI’m

be]erthanothers.

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CommonCogniOveDistorOons

7.Ican’tstandthis.Thisisawful.8.Ihavetopleaseeverybodyelse.Thismustbefirst.9.Otherpeopleareallcri'calorjudgmental.10.Badthoughtsmakemeabadperson.11.IfIdon’tworry,somethingbadwillhappen.12.Ignoranceisbliss.

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Behavioral

1.  Wholebody:Fa'gue,restlessness,swea'ng.

2.  Hypervigilanceorirritability.3.  Anxiety,fear,feelingofimpendingdoom,

insomnia,nausea,sensa'onofanabnormalheartbeat,trembling.

4.  Wearingamask.5.  Lowselfimage.

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Behavioral

6.Peoplepleasing.7.Over-analyzing.8.Perfec'onism.9.AbnormalfearsofdeathandHell.10.Cogni'vedistor'onsofGod.11.Changeinbehaviortoavoida]acks.

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HealthyStressResponseSympatheOc

TigerAnalogy

ParasympatheOc80-20%rule ***InTheZone***

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DoYouHaveAnANTProblem?

AutomaOc

NegaOve

Thoughts

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QuesOonsWhichChallengeANTS

1.  WhatANTSdoyourecognizeinyourthoughts?

2.  Apartfromhowyoufeel,whatistheevidenceyourthoughtisaccurate?Whatistheevidenceitisinaccurate?

3.  Areyou100%convincedyourthoughtisaccurate?

4.  Whatistheworstthingthatcouldhappen?Ifithappens,whatwoulds'llbegoodinyourlife?

5.  Arethereotheroutcomespossible?

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QuesOonsWhichChallengeANTS

6.Whatareotherpossibleexplana'onsforwhathappened?7.Whatwouldyoutellavaluedfriendwhothoughtthisway?8.Whatmightotherpeoplethinkaboutthis?9.Whatpartofthisdoyouhavecontrolover?10.Whataretheadvantagesofthinkingthisway?Whatarethedisadvantages?

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ANTColony

ANTColoniesareunderlying/undergroundnetworks/hiddenassump'ons

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ANTColonyCatastrophicthoughts

Morephysicaldiscomfort

Morecatastrophicthoughts

Andsoon…

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AddiOonalThoughts

1.  Gene'cpredisposi'ontoanxiety.2.  Nega'vereac'ontomedica'on.3.  Foodallergiesorfoodpoisoning.4.  Combina'ons:warmroom,badfood,

stressfulsitua'on,troublecatchingbreath/coldsweats,handsshaking.

5.  Persistentworryaboutmorea]acks.6.  Worryabouttheimplica'onsofthe

a]acks.

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Commandments

Ma]hew6:25–whoisincontrol?Whosejob?Philippians4:6–cleanyourthoughts1Peter5:7–“cas'ngyourcares”2Corinthians10:5–Strongholds,cap'vity,renewyourmind

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WhereIsThePower?

Mostanxietyresultsfromthinking.Example:Rapesurvivor–tookjob,assaultedonthejob.“Imadethewrongdecisioncominghere.”“Ishouldhavewornsomethingdifferent.”“Ishouldhavefoughtback.”Exacerbatedby,“paybackforthethingsI’vedone.”“I’mworthless.”“I’mdefec've.”“I’munlovable.”“I’mdirty.”

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TheRoleofMedica'ons1.  Truth:medica'oncanproveeffec'vefor

manyanxietysufferers.2.  Medica'onisNOTacure.3.  Actsasaninhibitor,notanan'bio'c.4.  Enormousnega'vesideeffects:Ø  DepressionØ  SeizuresØ  ChangesinsexdriveØ  DeepdepressionØ  Suicide

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OtherProvenMethods

1.  Reduceordeletecaffeineandnico'ne.

2.  Reducestress.

3.  Naturalsupplementsandvitamins.

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ThoughtsJournal

1.  Tocounter,keepa“thoughtsjournal”whichemphasizedyourANTs.

2.  Whatalternatethoughtsdoyouwant?v  Itisnotthegoalforthepersontofeel

good.v Lifeistoughandnega'vefeelingswill

comeandgo.

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TestYourFearsDuringAPanicAPack

1.  Breathingissue–Breatheheavier,holdyourbreath,recitethepledgetotheflag.

2.  Confrontthefear–Completethesentence:IfI____,then____,andthen____,andthen____,etc.tocorefear.

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NineStrategies

1.  No'ceandname.2.  Developaplan.3.  Move.4.  Breathe.5.  Nurturethespirit.6.  Reframeyourthoughts.7.  Watchthetoxins.8.  Don’twatchthenews.9.  Don’tworryalone.

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RoleOfTheChurch

Threeques'onseverycongrega'onshouldaskofitself?1.  Isthechurchpullingharderthanthe

world?2.  Dowereallyknoweachother?3.  Dopeoplefeelaliveordeadinthis

congrega'on?

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RoleOfTheChurch

Whenweunderstandtheunderlyingissuesof:FearLonelinessDespairSuicidalityWeunderstandthatourbrethrenneedusandweneedthem.

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RecommendedReadings

WhenPanicA]acks,DavidD.Burns,M.D.ThreeRiversPress,NY.2006EmbracingtheFEAR,JudithBemis,AmrBarrda,PhD.Hazelden.1994AnxietyTreatmentTechniquesThatReallyWork,StanleyHibbs,PhD.PESIPublishing,EauClaire,WI.2013

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RecommendedReadings

BrainBasedTherapyforAnxiety,JohnB.Arden,PhD.PESIPublishing,EauClaire,WI.2014TenDaystoSelf-Esteem,DavidD.Burns,M.D.Harper,NY.1999TheSelf-EsteemWorkbook,GlennR.Schiraldi,PhD.NewHarbingerPress,Oakland,CA.2001