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Impact of Anxiety and
Interventions
Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC
Executive Director, AllCEUs
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 1
Objectives
 Review the symptoms of anxiety in adults and
children
 Explore the impacts of anxiety
 Identify strategies for prevention and intervention
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 2
Why I Care/How It Impacts Recovery
 Anxiety can be debilitating
 In many cases neurotransmitter imbalances not the initial
cause of anxiety, but a symptom
 Low-grade chronic stress/anxiety erodes your energy and
ability to concentrate
 Anxiety is a major trigger for:
 Addiction relapse
 Depression
 Increased physical pain
 Worsening of physical illnesses
 Chronic anxiety can make people more vulnerable to PTSD
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 3
What is Anxiety
 Anxiety is half of the “Fight or Flight Response”
 It is an excitatory response
 It’s function is to protect you from possible danger (Thank you!)
 It can become a problem when it is overly intense/uncontrollable
because of
 Overgeneralization
 Poor coping skills
 Emotional reasoning and cognitive distortions
 Biochemical issues (nutrition, hormones, sleep deprivation)
 It can be caused by excess serotonin, norepinepherine or glutamate
or too little GABA (est. 80% adults have neurochemical imbalance)
 What is causing the neurochemical imbalance (water heater)
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 4
Serotonin: A Common
Neurobiologic Substrate in
Anxiety and Depression. EISON,
MICHAEL S. PhD
Symptoms of Generalized Anxiety
 Generalized anxiety disorder symptoms can vary. They may
include:
 Persistent worrying or obsession about small or large concerns that's
out of proportion to the impact of the event
 Inability to set aside or let go of a worry
 Inability to relax, restlessness, and feeling keyed up or on edge
 Difficulty concentrating, or the feeling that your mind "goes blank"
 Distress about making decisions for fear of making the wrong decision
 Carrying every option in a situation all the way out to its possible
negative conclusion
 Difficulty handling uncertainty or indecisiveness
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 5
Symptoms of Generalized Anxiety
 Generalized anxiety disorder may include:
 Physical signs and symptoms may include:
 Fatigue
 Irritability
 Muscle tension or muscle aches
 Trembling, feeling twitchy
 Being easily startled
 Trouble sleeping
 Sweating
 Nausea, diarrhea or irritable bowel syndrome
 Headaches
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
6
Symptoms of Generalized Anxiety (Kids)
 Excessive worry about:
 Performance at school or sporting events
 Being on time (punctuality)
 Earthquakes, nuclear war or other catastrophic events
 A child or teen with GAD may also:
 Feel overly anxious to fit in
 Be a perfectionist
 Lack confidence
 Strive for approval
 Require a lot of reassurance about performance
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 7
Physical Impacts
 HPA-Axis
overstimulation /
excess cortisol
 Metabolic syndrome
 High blood pressure
 High blood sugar
 GI disturbances and
ulcers
 Sleep disturbances
 Increased aging
 Headaches
 Infertility
 Sexual dysfunction
 Weakened immune
system
 Fatigue
 Restlessness
 Hair loss
 Autoimmune issues
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 8
Cognitive & Emotional Impacts
 Difficulty taking perspectives
 Difficulty concentrating
 Becoming easily confused
 Having memory problems
 Negative self-talk
 Having marked mood swings (emotional
dysregulation)
 Finding it hard to make decisions
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 9
Social Impacts
 Social withdrawal
 Reduced support system
 Difficulty taking perspectives
 Reduction in leisure activities
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 10
Biological Interventions
 Your body thinks there is a threat. Help it restore
itself so it is ready to fight the lion
 Supportive Care
 Create a sleep routine
Helps the brain and body rebalance and restore HPA-Axis
functioning
Improves energy level through removal of adenosine and
systemic repair
 Nutrition
Provides the building blocks
Provides sufficient energy
Helps set circadian rhythms
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
11
Biological Interventions
 Supportive Care
 Medication
 SSRIs/SNRIs
 Buspirone
 Exercise
 Exercising at a low intensity (40-50% of THRZ) has been shown
to reduce cortisol
 Yoga + Mindfulness
 Sunlight
 Vitamin D deficiency has been implicated in some mood issues
 Sunlight prompts the skin to tell the brain to produce
neurotransmitters
 Sunlight sets circadian rhythms which impact the release of
serotonin, melatonin and GABA
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
12
Psychological Interventions
 Mindfulness & Acceptance
 Identify a Rich and Meaningful Life and
 Observation | Acceptance | Labeling and Letting Go
 Identify trigger thoughts
 Differentiate between expectations and current reality
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
Activities
Contributing
Comparisons
Emotions (opposite)
Pushing Away (Thought
stopping)
Thoughts (cognitive
distractions)
Sensations
Imagery
Meaning
Prayer
Relaxation
One thing in the moment
Vacation
Encouragement
13
Psychological Interventions
 Distress Tolerance: It isn’t always about
controlling your anxiety
 Distract don’t react
 Ride the wave
 Use distancing techniques–
I am having the thought that….
Vacation
 Thought stopping
 Imagery
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
Activities
Contributing
Comparisons
Emotions (opposite)
Pushing Away (Thought
stopping)
Thoughts (cognitive
distractions)
Sensations
Imagery
Meaning
Prayer
Relaxation
One thing in the moment
Vacation
Encouragement
14
Psychological Interventions
 Basic Fears
 Failure
Explore the dialectics
Encouragement
 Rejection/Isolation
De-personalize
Explore the dialectics
 Loss of Control & The Unknown
Focus on one thing in the moment
Think of prior experiences
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
Activities
Contributing
Comparisons
Emotions (opposite)
Pushing Away (Thought
stopping)
Thoughts (cognitive
distractions)
Sensations
Imagery
Meaning
Prayer
Relaxation
One thing in the moment
Vacation
Encouragement
15
Psychological Interventions
 Relaxation Skills
 What is relaxation…
 Diaphragmatic breathing
 Combat breathing
 Meditation
 Cued Progressive Muscular Relaxation
 Self-Esteem
 Real vs. Ideal Self
 Compassionate self talk
 Don’t reject yourself
 Silence the inner critic
 Spotlighting strengths & acceptance of imperfections
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
Activities
Contributing
Comparisons
Emotions (opposite)
Pushing Away (Thought
stopping)
Thoughts (cognitive
distractions)
Sensations
Imagery
Meaning
Prayer
Relaxation
One thing in the moment
Vacation
Encouragement
16
Psychological Interventions
 Cognitive Restructuring
 Address cognitive distortions
 Reframe challenges in terms of current strengths
(not past weaknesses)
 Create an attitude of gratitude and optimism
 Acceptance and Commitment Therapy
 What is truly important?
 What are you thinking  what thoughts can help
you move toward what is important
 What are you experiencing
(seeing/hearing/feeling/smelling)?  What can you
do, say, listen/stop listening to etc. that can help
you move closer to what is important
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 17
Psychological/Social Interventions
 Recreation
 There will always be stuff you could do…
 Sometimes a break is what you need to get a
breakthrough
 Make a list of fun things (opposite emotions)
Activities
Contributing
Sensations
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
Activities
Contributing
Comparisons
Emotions (opposite)
Pushing Away (Thought
stopping)
Thoughts (cognitive
distractions)
Sensations
Imagery
Meaning
Prayer
Relaxation
One thing in the moment
Vacation
Encouragement
18
Social Interventions
 Improve your relationship with yourself
 Identify your needs and wants
 Be your own best friend
 Internal vs. external validation
 Be compassionate
 Develop healthy, supportive relationships
 Learn about boundaries
 Develop assertiveness skills
 Describe the ideal healthy, supportive relationship
 Separate the ideals from the reals
 Identify who that is, or where that could be found
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 19
Summary
 Anxiety is a natural emotion that serves a survival function
 Excess anxiety can develop from:
 Lack of sleep
 Nutritional problems
 Neurochemical imbalances
 Failure to develop adequate copings skills
 Cognitive distortions
 Low self-esteem/a need for external validation
 Recovery involves reducing physical and psychological vulnerabilities
 Improving health behaviors
 Identifying and building on current coping strategies
 Addressing cognitive distortions
 Developing a healthy, supportive relationship with self and others
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
20
Resources from New Harbinger
Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149
These books represent a wide array of ways to deal with anxiety.
My favorite authors are Matthew McKay and Edmund Bourne, but I tend to be
more cognitive behavioral in my approach
Use promo code 1168SNIPES at checkout to receive 25% off your entire order
21

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biopsychosocial impact of anxiety

  • 1. Impact of Anxiety and Interventions Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 1
  • 2. Objectives  Review the symptoms of anxiety in adults and children  Explore the impacts of anxiety  Identify strategies for prevention and intervention Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 2
  • 3. Why I Care/How It Impacts Recovery  Anxiety can be debilitating  In many cases neurotransmitter imbalances not the initial cause of anxiety, but a symptom  Low-grade chronic stress/anxiety erodes your energy and ability to concentrate  Anxiety is a major trigger for:  Addiction relapse  Depression  Increased physical pain  Worsening of physical illnesses  Chronic anxiety can make people more vulnerable to PTSD Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 3
  • 4. What is Anxiety  Anxiety is half of the “Fight or Flight Response”  It is an excitatory response  It’s function is to protect you from possible danger (Thank you!)  It can become a problem when it is overly intense/uncontrollable because of  Overgeneralization  Poor coping skills  Emotional reasoning and cognitive distortions  Biochemical issues (nutrition, hormones, sleep deprivation)  It can be caused by excess serotonin, norepinepherine or glutamate or too little GABA (est. 80% adults have neurochemical imbalance)  What is causing the neurochemical imbalance (water heater) Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 4 Serotonin: A Common Neurobiologic Substrate in Anxiety and Depression. EISON, MICHAEL S. PhD
  • 5. Symptoms of Generalized Anxiety  Generalized anxiety disorder symptoms can vary. They may include:  Persistent worrying or obsession about small or large concerns that's out of proportion to the impact of the event  Inability to set aside or let go of a worry  Inability to relax, restlessness, and feeling keyed up or on edge  Difficulty concentrating, or the feeling that your mind "goes blank"  Distress about making decisions for fear of making the wrong decision  Carrying every option in a situation all the way out to its possible negative conclusion  Difficulty handling uncertainty or indecisiveness Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 5
  • 6. Symptoms of Generalized Anxiety  Generalized anxiety disorder may include:  Physical signs and symptoms may include:  Fatigue  Irritability  Muscle tension or muscle aches  Trembling, feeling twitchy  Being easily startled  Trouble sleeping  Sweating  Nausea, diarrhea or irritable bowel syndrome  Headaches Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 6
  • 7. Symptoms of Generalized Anxiety (Kids)  Excessive worry about:  Performance at school or sporting events  Being on time (punctuality)  Earthquakes, nuclear war or other catastrophic events  A child or teen with GAD may also:  Feel overly anxious to fit in  Be a perfectionist  Lack confidence  Strive for approval  Require a lot of reassurance about performance Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 7
  • 8. Physical Impacts  HPA-Axis overstimulation / excess cortisol  Metabolic syndrome  High blood pressure  High blood sugar  GI disturbances and ulcers  Sleep disturbances  Increased aging  Headaches  Infertility  Sexual dysfunction  Weakened immune system  Fatigue  Restlessness  Hair loss  Autoimmune issues Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 8
  • 9. Cognitive & Emotional Impacts  Difficulty taking perspectives  Difficulty concentrating  Becoming easily confused  Having memory problems  Negative self-talk  Having marked mood swings (emotional dysregulation)  Finding it hard to make decisions Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 9
  • 10. Social Impacts  Social withdrawal  Reduced support system  Difficulty taking perspectives  Reduction in leisure activities Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 10
  • 11. Biological Interventions  Your body thinks there is a threat. Help it restore itself so it is ready to fight the lion  Supportive Care  Create a sleep routine Helps the brain and body rebalance and restore HPA-Axis functioning Improves energy level through removal of adenosine and systemic repair  Nutrition Provides the building blocks Provides sufficient energy Helps set circadian rhythms Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 11
  • 12. Biological Interventions  Supportive Care  Medication  SSRIs/SNRIs  Buspirone  Exercise  Exercising at a low intensity (40-50% of THRZ) has been shown to reduce cortisol  Yoga + Mindfulness  Sunlight  Vitamin D deficiency has been implicated in some mood issues  Sunlight prompts the skin to tell the brain to produce neurotransmitters  Sunlight sets circadian rhythms which impact the release of serotonin, melatonin and GABA Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 12
  • 13. Psychological Interventions  Mindfulness & Acceptance  Identify a Rich and Meaningful Life and  Observation | Acceptance | Labeling and Letting Go  Identify trigger thoughts  Differentiate between expectations and current reality Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 Activities Contributing Comparisons Emotions (opposite) Pushing Away (Thought stopping) Thoughts (cognitive distractions) Sensations Imagery Meaning Prayer Relaxation One thing in the moment Vacation Encouragement 13
  • 14. Psychological Interventions  Distress Tolerance: It isn’t always about controlling your anxiety  Distract don’t react  Ride the wave  Use distancing techniques– I am having the thought that…. Vacation  Thought stopping  Imagery Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 Activities Contributing Comparisons Emotions (opposite) Pushing Away (Thought stopping) Thoughts (cognitive distractions) Sensations Imagery Meaning Prayer Relaxation One thing in the moment Vacation Encouragement 14
  • 15. Psychological Interventions  Basic Fears  Failure Explore the dialectics Encouragement  Rejection/Isolation De-personalize Explore the dialectics  Loss of Control & The Unknown Focus on one thing in the moment Think of prior experiences Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 Activities Contributing Comparisons Emotions (opposite) Pushing Away (Thought stopping) Thoughts (cognitive distractions) Sensations Imagery Meaning Prayer Relaxation One thing in the moment Vacation Encouragement 15
  • 16. Psychological Interventions  Relaxation Skills  What is relaxation…  Diaphragmatic breathing  Combat breathing  Meditation  Cued Progressive Muscular Relaxation  Self-Esteem  Real vs. Ideal Self  Compassionate self talk  Don’t reject yourself  Silence the inner critic  Spotlighting strengths & acceptance of imperfections Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 Activities Contributing Comparisons Emotions (opposite) Pushing Away (Thought stopping) Thoughts (cognitive distractions) Sensations Imagery Meaning Prayer Relaxation One thing in the moment Vacation Encouragement 16
  • 17. Psychological Interventions  Cognitive Restructuring  Address cognitive distortions  Reframe challenges in terms of current strengths (not past weaknesses)  Create an attitude of gratitude and optimism  Acceptance and Commitment Therapy  What is truly important?  What are you thinking  what thoughts can help you move toward what is important  What are you experiencing (seeing/hearing/feeling/smelling)?  What can you do, say, listen/stop listening to etc. that can help you move closer to what is important Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 17
  • 18. Psychological/Social Interventions  Recreation  There will always be stuff you could do…  Sometimes a break is what you need to get a breakthrough  Make a list of fun things (opposite emotions) Activities Contributing Sensations Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 Activities Contributing Comparisons Emotions (opposite) Pushing Away (Thought stopping) Thoughts (cognitive distractions) Sensations Imagery Meaning Prayer Relaxation One thing in the moment Vacation Encouragement 18
  • 19. Social Interventions  Improve your relationship with yourself  Identify your needs and wants  Be your own best friend  Internal vs. external validation  Be compassionate  Develop healthy, supportive relationships  Learn about boundaries  Develop assertiveness skills  Describe the ideal healthy, supportive relationship  Separate the ideals from the reals  Identify who that is, or where that could be found Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 19
  • 20. Summary  Anxiety is a natural emotion that serves a survival function  Excess anxiety can develop from:  Lack of sleep  Nutritional problems  Neurochemical imbalances  Failure to develop adequate copings skills  Cognitive distortions  Low self-esteem/a need for external validation  Recovery involves reducing physical and psychological vulnerabilities  Improving health behaviors  Identifying and building on current coping strategies  Addressing cognitive distortions  Developing a healthy, supportive relationship with self and others Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 20
  • 21. Resources from New Harbinger Unlimited CEUs $59 | Specialty Certificates $89 | Live Webinars $5 | Addiction Counselor Certification training $149 These books represent a wide array of ways to deal with anxiety. My favorite authors are Matthew McKay and Edmund Bourne, but I tend to be more cognitive behavioral in my approach Use promo code 1168SNIPES at checkout to receive 25% off your entire order 21