Anxiety is a fairly common experience,
one that most people are able to manage and live with. Unfortunately, there
is a sizable number of people whose experiences of anxiety are severe enough
to interfere with their lives. Of the many topics of concern to mental
health providers, probably none has received the attention accorded to
anxiety and depression. By "attention" I mean there is a sizable body of
clinical research literature dealing with assessment and treatment of anxiety.
Probably the best news is that anxiety disorders
are treatable, and that generalized anxiety, panic, PTSD, social phobias,
and to a somewhat lesser extent, obsessive compulsive disorders,
are all amenable to reasonably short-term therapy. Among the more successful
treatments are those that emphasize cognitive-behavioral approaches (see
links below). Treatments for trauma, which is a special category of this
class of problems, are also actively researched and there are various approaches
that hold promise. (For the compete story about trauma see David Baldwin's
Trauma
Pages). Perhaps surprisingly (when compared with the benefits many
experience with medications for depression) medications for anxiety are
not usually the best course of action. In some instances they can worsen
the problem.
In my own practice I work with a number of anxiety
problems, generalized anxiety, social phobias, and panic attacks among
them. Unfortunately, the experience of anxiety --in its many forms-- seems
to take on a life of its own. People can become quite anxious about being
anxious! Therefore I view anxiety as a response to how one is coping broadly
in their adjustment to social living. Anxiety is not a "thing" that takes
hold of people: rather it is a signaling system that one is not coping
effectively given one's life style. Often times it is our focus on anxiety
itself that spirals into more anxiety: it can feed off itself. I am familiar
with the main stream approaches to the treatment of anxiety and offer these
as appropriate.