Anxiety Disorders

Fear of Flying

Addictive Behaviors

Office Location & Parking

 

My Overall Approach to Helping You
My main treatment approach is Acceptance and Commitment Therapy, a scientifically-supported cognitive behavioral therapy developed by Dr. Steven Hayes and colleagues (Hayes, Strosahl, & Wilson, 1999; Hayes & Smith, 2005). This approach focuses on: (1) developing a willingness to have your emotions (e.g., anxiety), physical sensations (e.g., urges), and thoughts ("I cant handle this") rather than struggle with it, (2) changing the way you react to your sensations emotions. Developing skills in these areas frees you up to taking actions to live the life you value.

Together we assess what a behavior is doing for you, or, what function it is having in your life. Based on this assessment, we collaborate to come up with a treatment plan that we revisit as therapy progresses. My role throughout is one of a collaborator or coach.

Frequenlty I would have you try out behavior exercises to help you face your fears. Since I believe that some of the best learning experiences occur outside the therapy office, during sessions, depending on the problem you are working on, I may also go outside with you to practice new behaviors.


What are Anxiety Disorders?

Taken together, the anxiety disorders are the most common type of mental disorders. Treatments tend to be very helpful, yet only a third of people suffering them actually seek help.

Here are the anxiety disorders that I can help you deal with. Read about them just to get a sense if they might describe you. And, of course, whether you actually have these disorders can be confirmed with a careful clinical assessment.

Do you have Panic Disorder?

If you have panic disorder then you experience severe and intense rushes of anxiety which frequently feel like you are having a heart attack or a stroke. Symptoms include heart racing, chest pain, sweating, trembling, tingling sensations, feeling of choking, fear of dying, and fear of losing control. You might also have agoraphobia, which is a fancy word for the fear of having a panic attack in a place from which escape would be difficult so you would tend to avoid these places. These places might be the supermarket, crowds, restaurants, or airplances. If this sounds like you, then it is possible you may panic disorder. Further assessment would help determine if you actually have this problem.

Do you have a Phobia?

Perhaps these symptoms describe you: a fear of specific animals (e.g., dogs, spiders) or situations (e.g., airplanes, closed in spaces). If you have this problem, your level of fear is usually inappropriate and you may know it is irrational. Frequently you might avoid the feared object or situation. A phobia I often help people with is the fear of flying.

Do you have Social Anxiety Disorder (Social Phobia)?

Perhaps you have an extreme anxiety about being judged by others or behaving in a way that might cause embarrassment or ridicule. This intense anxiety may lead you to avoid social situations like meeting new people, asking for directions, or going to a job interview. You may prefer to stay home alone then go out to spend time with other people for fear they may negatively evaluate you. You might have physical symptoms when in these social situations include heart racing, faintness, blushing and profuse sweating. If this sounds like you, would it be a good time to consider doing something about this behavior?

Do you have Obsessive-Compulsive Disorder (OCD)?

You may have recurrent unwanted thoughts (obsessions) that lead you experience intense fear. Some common obsessions include worry about being contaminated or fears of behaving improperly or acting violently. To reduce the anxiety caused by these obsessions, you may perform a ritual or routine (compulsions)-such as washing hands, repeating phrases or hoarding.

Do you have Generalized Anxiety Disorder (GAD)?

Are you a worrier? Is your worry uncontrollable? If you have Generalized Anxiety Disorder, then you experience unrealistic worry that lasts six months or more. This anxiety may focus on issues such as your health, money, or career. Symptoms also include trembling, muscular aches, insomnia, abdominal upsets, dizziness, and irritability.

Do you have Post-Traumatic Stress Disorder (PTSD)?

Perhaps you experienced a traumatic event such as a sexual or physical assault, witnessing a death, the unexpected death of a loved one, or natural disaster. At least four months after experiencing this traumatic event you may have and continue to experience three main types of symptoms: (1) "reliving" of the traumatic event (such as flashbacks and nightmares); (2) avoidance behaviors (such as avoiding places related to the trauma) and emotional numbing (detachment from others); (3) and physiological arousal such difficulty sleeping, irritability or poor concentration. If you are suffering from these problems, you may want to get an assessment to learn more about these problems.




How I Would Help You With Your Anxiety Disorder

Here is how I might be able to help you with an anxiety disorder.  As my approach to treating all anxiety disorders is similar, I am going to illustrate my approach with the example of panic disorder. 

If you have panic disorder, I would usually give you a five-part program for living beyond your panic attacks.  Keep in mind that, since everyone's panic disorder is different, there is likely to be variation in how this program will be delivered.

First, you will be keeping track of your triggers for panic attacks: the situations, sensations, and thoughts that bring on panic.

Second, I will show you why panic attacks are actually part of a natural and normal system in your body that is actually meant to protect you from danger--not to harm you!

Third, I will assist you in creating new ways to look at the scary thoughts that you might have before or during a panic attack.

Fourth, I will invite you to gradually and systematically face your scary panic attack symptoms.  In the therapy office, together we will have you do some exercises that will bring on some of your panic symptoms.  And I will help you make it through these symptoms in a safe and manageable way.  Between the sessions you will be practicing these exercises, until you become more and more comfortable with them. In this fourth part of therapy, you will be combining all the skills you will have learned in the the prior stages of the program.

And finally, in the fifth part, I will help you develop a plan to move you closer to things you have wanted in life but that panic was keeping you from having. For example, suppose you've always wanted to take a long rode trip to somewhere special but were afraid to because of panic. At this point in our work together, we'll set up a plan to help make that a reality for you. In short, we'll set you on the road to the life you've always wanted.