Anxiety Disorders

    Accommodating Social Anxiety Disorder (Social Phobia) in the workplace

    6/3/18
    "Social anxiety or social phobia is one of the most common mental health issues in America today. The cognitive/neurological team at JAN receives a number of calls concerning anxiety disorders, many specifically relating to the difficulties people have with being around and interacting with others in the workplace."
    Click this go to the page.

    NY Times: Why are more American Teenagers than ever suffering from severe anxiety

    10/24/17
    "Parents, therapists and schools are struggling to figure out whether helping anxious teenagers means protecting them or pushing them to face their fears. By BENOIT DENIZET-LEWISOCT. 11, 2017
    Click this link to read the article.

    Possible genetic cause of Social Phobia identified

    3/18/17
    People with social anxiety avoid situations in which they are exposed to judgment by others. Those affected also lead a withdrawn life. Researchers have now found evidence for a gene that is believed to be linked to the illness. It encodes a serotonin transporter in the brain. Interestingly, this messenger suppresses feelings of anxiety and depressiveness.
    Click this link to read "With Anxiety, Are Your Thoughts Trustworthy?".

    Social Anxiety Disorder

    2/21/17
    Social anxiety disorder (also called social phobia) is a mental health condition. It is an intense, persistent fear of being watched and judged by others. This fear can affect work, school, and your other day-to-day activities. It can even make it hard to make and keep friends. But social anxiety disorder doesn’t have to stop you from reaching your potential. Treatment can help you overcome your symptoms.
    Click this link to read "With Anxiety, Are Your Thoughts Trustworthy?".

    Blog Post: Insights into the Anxious Mind

    3/29/14
    Tanya Peterson wrote this very nice piece on her blog about Anxiety. Her article "With Anxiety, Are Your Thoughts Trustworthy>" does an excellent job laying out some of the circular thinking and anxiety thinking that will be very familiar to individuals who struggle with anxiety.
    Click this link to read "With Anxiety, Are Your Thoughts Trustworthy?".

    Adding Psychotherapy to Medication Treatment Improves Outcomes in Pediatric OCD

    1/3/12
    Youth with obsessive compulsive disorder (OCD) who are already taking antidepressant medication benefit by adding a type of psychotherapy called cognitive behavior therapy (CBT), according to an NIMH-funded study published September 21, 2011, in the Journal of the American Medical Association.
    To read more click on this link.

    Teen brains have more difficulties understanding true threats and are more vulnerable to stress

    11/5/11
    Teen brains rely on early-maturing brain structures that process fear differently than adult brains, according to an NIMH-funded study. As a result, teens may have more difficulty than adults in differentiating between danger and safety, leading to more pervasive stress and anxiety. The study was published online ahead of print on February 23, 2011, in the Proceedings of the National Academy of Sciences.
    Click this link to read the study.
    To read more click on this link.

    Brain Activity Patterns in Anxiety-Prone People Suggest Deficits in Handling Fear

    8/16/11
    Anxiety as a personality trait appears to be linked to the functioning of two key brain regions involved in fear and its suppression, according to an NIMH-funded study. Differences in how these two regions function and interact may help explain the wide range of symptoms seen in people who have anxiety disorders. The study was published February 10, 2011 in the journal, Neuron.
    read the study here.

    NIMH Radio: Anxiety Disorders in Children

    5/11/10
    NIMH Radio: Anxiety Disorders in Children

    People with anxiety disorder less able to regulate response to negative emotions, study shows

    2/19/10
    New research suggests that individuals with General Anxiety Disorder process negative emotions differently in the brain than individuals without an Anxiety Disorder. The research more specifically found that individuals with General Anxiety Disorders process emotions differently than their nonanxiety disordered peers.
    New research suggests that individuals with General Anxiety Disorder process negative emotions differently in the brain than individuals without an Anxiety Disorder.

    FDA Approves Cymbalta(R) For Treatment Of Generalized Anxiety Disorder

    12/9/09
    FDA approves Cymbalta(duloxetine HCl)for the treatment of Generalized Anxiety Disorder in Adults.

    Understanding the Anxious Mind

    10/11/09
    NY Times Article on Understanding the Anxious Mind

    NIMH Booklet on Anxiety Disorders

    7/18/09
    NIMH Booklet on Anxiety Disorders: Anxiety Disorders, A detailed booklet that describes the symptoms, causes, and treatments of the major anxiety disorders, with information on getting help and coping.
    Booklet on Anxiety Disorders: Anxiety Disorders, A detailed booklet that describes the symptoms, causes, and treatments of the major anxiety disorders, with information on getting help and coping

    Runaway Vigilance Hormone Linked to Panic Attacks

    1/3/09
    New research suggests that panic attacks are due to a high level of a wayward hormone in a brain circuit that regulates vigilance. While too little of the hormone, called orexin, is known to underlie narcolepsy, the new study suggests that too much of it may lead to panic attacks that afflict 6 million American adults.
    New research

Obsessive-Compulsive Disorder

Obsessive/Compulsive Disorder (OCD) is characterized by obsessions (which cause marked anxiety or distress) and/or by compulsions (which serve to neutralize anxiety).
Information on the OCD can be found at the National institute of Mental Health.

    Cognitive behavioral therapy for children and adolescents with OCD works in the long run

    12/20/17
    NASAT reports that "Some children and adolescents think that they will have an accident if they do not count all the lampposts on their way to school. Or cannot leave the house unless they have washed their hands precisely twenty-five times. They suffer from OCD, Obsessive Compulsive Disorder, which is an extremely stressful psychiatric disorder that affects between 0.25 and 4 per cent of all children. Fortunately, the treatment method -- cognitive behavioral therapy -- is both effective and well-documented. The hitherto largest research study of OCD treatment for children and adolescents aged 7-17 now shows that cognitive behavioral therapy also has a long-lasting effect. The Nordic research project, which involves researchers from Aarhus University and child and adolescent psychiatry clinics in Norway and Sweden, has shown that children and adolescents who benefited from the therapy were also free of patterns of compulsive behavior and compulsive thoughts one year after the treatment ended."
    Click this link to read more about the study.

    Adding Psychotherapy to Medication Treatment Improves Outcomes in Pediatric OCD

    9/24/11
    Youth with obsessive compulsive disorder (OCD) who are already taking antidepressant medication benefit by adding a type of psychotherapy called cognitive behavior therapy (CBT), according to an NIMH-funded study.
    Click this link to read more about the study.
    Click this link to read the abstract in the 9/11 issues of Journal of the American Medical Association.

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections (PANDAS)

    PANDAS:- Questions and Answers

    3/29/17
    PANDAS is short for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.
    Click this link to read more about PANDAS.

    PANDAS: Fact Sheet about Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections

    10/11/15
    A child may be diagnosed with PANDAS when: obsessive compulsive disorder and/or tic disorders suddenly appear following a strep infection or the symptoms of OCD or tic symptoms suddenly become worse following a strep infection.
    Click this link to read more about PANDAS.

    Information on PANDAS

    4/4/14
    PANDAS is an acronym for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections. These disorders involve the sudden onset of obsessive-compulsive disorder (OCD) or tics in children following a strep infection such as strep throat or scarlet fever.
    Click this link to read an interview about PANDAS.
    Click this link to read the NIHM information on PANDAS.

Trichotillomania

    Video on Trichotillomania

    10/19/14
    A first person account from a delightful 16 year old discussing her dealing with her Trichotillomania.

Anxiety Research

    Children with Autism and ADHD show higher rates of anxiety and mood disorders

    6/3/18
    This is not a surprise at DeMarle INC, and we often find high levels of comorbidity among our patients. That is why a thorough and complete educational evaluation is so important so that the treatment plan designed can address the whole child's needs and not just one problem area. "Children with a diagnosis of autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) had more than twice the risk of an anxiety or mood disorder in a new study published in Pediatrics."
    Click this link to read the material.

    More than 1 in 20 US children and teens have anxiety or depression

    5/15/18
    NASAT reports that "About 2.6 million American children and adolescents had diagnosed anxiety and/or depression in 2011-12, reports an analysis of nationwide data in the Journal of Developmental & Behavioral Pediatrics, the official journal of the Society for Developmental and Behavioral Pediatrics. The journal is published by Wolters Kluwer. The number of children with diagnosed anxiety -- but not depression -- has increased in recent years, according to the new report. The lead author was Rebecca H. Bitsko, PhD, of the National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention."
    Click this link to read the material.


Treatment for Anxiety Disorders

    Beyond Worry: How Psychologist Help with Anxiety Disorders

    10/11/18
    Anxiety disorders affect nearly one third of adults and adolescents, according to the National Institute of Mental Health, but psychologists can help people understand, reduce, & even eliminate their symptoms.
    Click this link to read the article.
    Click this link to read the pdf of the article.

    Less than a Quarter of American Youths Previously Treated for Anxiety Disorders Stay Anxiety-Free

    7/18/18
    For the majority of affected youth, anxiety disorders are chronic, even after a successful course of evidence-based treatments, reports a study published in the July 2018 issue of the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP). Pediatric anxiety disorders are common psychiatric illnesses, affecting approximately 10 percent of children. In one of the largest comparative treatment studies, researchers found that 12 weeks of sertraline and/or cognitive behavioral therapy (CBT) were effective in reducing anxiety and improving functioning. In the newly released follow-up study, researchers re-contacted these youths an average of six years later and then re-assessed them annually for up to four additional years. Researchers found that 22 percent of youth who received 12 weeks of treatment for an anxiety disorder stayed in remission over the long term, meaning they did not meet diagnostic criteria for any anxiety disorder (defined as any DSM-IV TR anxiety disorder, including post-traumatic stress disorder and obsessive-compulsive disorder)."
    Click this link to read the article.

    For Anxiety - A single treatment is not enough

    6/26/18
    "No matter which treatment they get, only 20 percent of young people diagnosed with anxiety will stay well over the long term, UConn Health researchers report in the Journal of the American Academy of Child and Adolescent Psychiatry. "When you see so few kids stay non-symptomatic after receiving the best treatments we have, that's discouraging," says UConn Health psychologist Golda Ginsburg. She suggests that regular mental health checkups may be a better way to treat anxiety than the current model. The study followed 319 young people aged 10 to 25 who had been diagnosed with separation, social, or general anxiety disorders at sites in California, North Carolina, Maryland, and Pennsylvania. They received evidence-based treatment with either sertraline (the generic form of Zoloft) or cognitive behavioral therapy or a combination of these two, and then had follow-ups with the researchers every year for four years. The follow-ups assessed anxiety levels but did not provide treatment. Other studies have done a single follow-up at one, two, five, or 10 years out, but those were essentially snapshots in time. This is the first study to reassess youth treated for anxiety every year for four years."
    Click this link to read the article.

    Fear of Losing Control and its Role in Anxiety Disorders

    1/6/18
    NASAT reports that "Did you lock the front door? Did you double-check? Are you sure? If this sounds familiar, perhaps you can relate to people with obsessive-compulsive disorder (OCD). Help may be on the way. New Concordia research sheds light on how the fear of losing control over thoughts and actions impacts OCD-related behavior, including checking. Although more traditional types of fear -- think snakes, spiders, dogs, etc. -- have been well investigated, this is one of the few studies to focus primarily on the fear of losing control. "We've shown that people who believe they're going to lose control are significantly more likely to exhibit checking behavior with greater frequency," says Adam Radomsky, a psychology researcher in the Faculty of Arts and Science. "So, when we treat OCD in the clinic, we can try to reduce their beliefs about losing control and that should reduce their symptoms." "
    Click this link to read the material.

    List of Anxiety Medications

    11/5/14
    A list of anxiety medications includes several types of medication including antidepressants, antipsychotics, beta blockers and benzodiazepines. The antianxiety medication list below includes all drugs approved by the FDA for the treatment of anxiety disorders as well as those commonly prescribed off-label.
    Click this link to read the material.

    Video: Helping your Anxious Child: What it looks like and what parents can do

    Published on Apr 3, 2014 - Presented in partnership with AnxietyBC and The FORCE Society For Kids' Mental Health
    Video Description: Anxiety is the most commonly diagnosed mental health condition in children and youth. 1 in 4 children experience significant anxiety at some point in their lives. This video explores common childhood fears and how parents can respond with empathy, and coach children to think helpful thoughts and gradually face their fears.
    Presenters:
    Christine Yu, M.A., R.C.C.: Christine has worked extensively in the field of anxiety, both as a researcher and a practitioner. In addition to individual and family therapy, Christine conducts workshops and presentations about childhood anxiety for schools and parent groups around the Lower Mainland.
    Victoria Keddis, PiR: A Parent in Residence with The F.O.R.C.E. Society for Kids' Mental Health is a parent with lived experience. Victoria is a certified FRIENDS for Life and FUN Friends Parent Trainer which has reinforced the learning along the way.

    New Research: Parent Delivered CBT reduces anxiety in children

    1/25/14
    Parent-delivered cognitive-behavioral therapy (CBT) guided by therapists is effective in treating child anxiety disorders, new research suggests. A randomized study of almost 200 children between the ages of 7 and 12 years in the United Kingdom showed that 50% of those in the full guided group recovered from their clinically diagnosed anxiety disorder after treatment vs 39% of those in the brief guided group. The full guided group was also 85% more likely to recover than those assigned to a treatment wait list.
    Click this link to read the abstract of the paper.

    Cognitive Behavioral Therapy more effective than Intensive Medical Management for functional Stomach Pain

    11/22/13
    New research found that for children with Functional Stomach Pain 6 sessions of Cognitive Behavioral Therapy provided by trained graduate students was just as or more effective than 6 sessions of intensive medical management with either a pediatrician or gastroenterologist in the treatment of functional stomach pain.
    Click this link to read the abstract of the paper.

    Severity of OCD in Childhood Predicts Outcomes in Adulthood

    10/2/09
    A new study suggests that roughly half of children with OCD will outgrow these traits by early adulthood.
    Click this link to read the study.

Anxiety Disorders

The essential features of Anxiety Disorders are excessive anxiety and worry (apprehension, expectation) that occur more days than not, that the individual finds difficult to control, and that causes them significant stress. Resources on Anxiety Disorder include Helping your Anxious Child: A Step-by-Step Guide for Parents by S. Spence, V. Cobham, A. Wignall, and R. Rapee, Nurturing Resilience in Our Children: Answers to the Most Important Parenting Questions by R. Brooks and S. Goldstein, and Seven Steps to Help Your Child Worry Less: A Family Guide (2003) by S. Goldstein, K. Haagar, and R. Brooks. Information on the internet can be found by following the link for anxiety disorders at Medline



Anxiety Disorder Resources

The Child Anxiety Network

The Child Anxiety Network provides a range of information and resources for parents and care givers of children dealing with anxiety issues. The website provide information on different types of anxiety and helpful resources.
Click this link to go to the Child Anxiety Network



© Copyright, all rights reserved Daniel J. DeMarle, Ph.D. 2014