and functional (Vila, 1984). Moreover, since the personality psychology (Endler and Okada,
1975;) Eysenck, 1967, 1975; Gray, 1982; Sandin, 1990) is conceived in terms of State and trait
anxiety.
Historical evolution of the concept during the Decade: During the 1950s and 1960s,
psychological research was focused on the mental disorder of schizophrenia, whereas in the
1970s interest turned to the evaluation of moods, especially depression. However, in 1985 two
American psychologists, Husain and Jack Maser, assert that the Decade of the 1980s would go
down in history as the Decade of anxiety, and thereafter when the same happens to occupy a
preferential place that endures to the present day. At that time, anxiety neuroses are characterized
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Panic disorder and agoraphobia; panic disorder develops when people who are prone to panic
attacks develop a fear of having another one. A panic attack is a brief period of overwhelming
fear or terror that is accompanied by several different symptoms including increased heart rate,
sweating, shaking, chest pain, abdominal distress, feelings of losing control and dying, and chills
or hot flashes. Panic attacks typically begin suddenly and can peak in intensity within minutes
and can be last longer than that. The experience can be so intense that many people who have a
panic attack for the first time go to the hospital, believing they are having a heart attack.
A related condition is agoraphobia, which causes individuals to avoid certain situations where
they develops panic symptoms. People with agoraphobia might avoid using public
transportation, driving over bridges, going in shops and theatres, or being in crowds. Many of
them do not like to be alone in public and cling to people they consider “ safe” in order
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Treatments and Therapies
Anxiety disorders are generally treated with psychotherapy, medication, or both.
CBT is a type of psychotherapy that can help people with anxiety disorders. It teaches a person
different ways of thinking, behaving, and reacting to anxiety-producing and fearful situations.
CBT can also help people learn and practice social skills, which is vital for treating social
anxiety disorder. CBT is a type of psychotherapy that can help people with anxiety disorders. It
teaches a person different ways of thinking, behaving, and reacting to anxiety-producing and
fearful situations. CBT can also help people learn and practice social skills, which is vital for
treating social anxiety disorder.
Some people with anxiety disorders might benefit from joining a self-help or support group and
sharing their problems and achievements with others.
Stress management techniques and meditation can help people with anxiety disorders calm
themselves and may enhance the effects of therapy.
Medication
Medication does not cure anxiety disorders but help the symptoms. Medication can only
CBT has a number of strengths; first beginning with its capacity to yield empirical results as to its effectiveness. Countless studies have shown CBT to be the most effective treatment for anxiety and depression (e.g., Oei & McAlinden, 2014; Tolin, 2010); this is likely the result of a number of factors. CBT is a collaborative, educational, time-limited model that demystifies the therapy process; changes are made with clients, not to clients, the strategies learned equip clients to better navigate current and future difficulties, and the setting of goals allows clients to clearly see their progress (Corey, 2013; Skinner & Wrycraft, 2014). An additional strength of CBT for anxiety and depression is its applicability to both individuals and groups; group CBT has a number of auxiliary benefits including, vicarious learning, a sense of cohesiveness that can increase motivation, social interaction and the opportunity to help others (Oei & McAlinden, 2014).
Cognitive-Behavioral therapy (CBT) is an empirically supported treatment for a variety of disorder diagnoses. Although pharmacological treatments are the most widely used method of treatment in anxiety disorders in America, research has found that even though patients respond sufficiently to medication treatment initially some are unable
Agoraphobia is a strong fear and anxiety of being in places where it may be hard to escape or even where help may not be available (medlineplus.gov/ency/article). People that normally tend to have this fear try to avoid public places in that they may feel there would be a very difficult way in them trying to escape. In turn, this does make them have panic attacks
A phobic disorder is marked by a persistent and irrational fear of an object or situation that presents no realistic danger. Agoraphobia is an intense, irrational fear or anxiety occasioned by the prospect of having to enter certain outdoor locations or open spaces. For example, busy streets, busy stores, tunnels, bridges, public transportation and cars. Traditionally agoraphobia was solely classified as a phobic disorder. However, due to recent studies it is now also viewed as a panic disorder. Panic disorders are characterised by recurrent attacks of overwhelming anxiety that usually occur suddenly and unexpectedly (Weiten, 1998).
#*CBT is an intensive therapeutic approach that helps isolate thought patterns that contribute to anxiety. Over the course of therapy, you may learn to identify unhelpful thought patterns and learn techniques to change them.
A couple of researchers at the Anxiety Disorders Research Center in the Department of Psychology at the University of California, Los Angeles (UCLA) examined weaknesses of CBT (Craske et al., 2014). Although CBT has been known for the most effective treatment for social phobia, not all patients show improvements after the treatment. Patients easily drop out during, or at the early stage of the treatment. Even patients who successfully finished the entire session tend to have a hard time continuing to use methods they learned and to maintain low level of anxiety, so the likelihood of reoccurrence exists. Therefore, alternative ways to solve these weaknesses are needed in order to develop the treatment itself and to provide the most matchable treatment method for each patient, according to the article by Craske et al. (2014).
There are two routes available to treat anxiety and other mental health disorders; one being the therapy route for example CBT, mindfulness and applied relaxation and the other being the pharmacological route where drugs such as benzodiazepines, anti-depressants and anti-convulsants can be prescribed.
Based on research, CBT is one of the successful therapeutic actions that have demonstrated usefulness to provide a measure to a wide variety of mental illnesses (Basco & Rush, 2007). Major benefiters of Cognitive Behavioral Therapy include patients with depression, mood disorders, and personality disorders. CBT has proved to be as useful as an antidepressant to some individuals with depression in addition to superiority in relapsing prevailing mood swings. Cognitive Behavioral Therapy is also applicable in treating anxiety disorders. Among the patients in this category of the disorder include those who experience persistent panic attacks. Through therapy, these people are encouraged to take tests of beliefs they have concerning such attacks
In recent years, mental illness has been more recognised and treated as a true medical condition. Some treatments of anxiety include: Cognitive behaviour therapy, Behaviour therapy, E-therapy , Antidepressant medication,
This paper provides a brief overview of evidence based psychological treatments for anxiety disorders. It addresses the following questions:
The counseling intervention selected for the patient situation is Cognitive Behavior Therapy (CBT). Hofmann & Smits (2008) defines CBT as therapy based upon the notion that all anxiety disorders are cognitive based, and that cognitive restructuring and behavioral techniques can be effective treatment tools. In Richards (2014), CBT is described as therapy that must be focused on three main areas: cognitive, behavioral, and emotional.
Panic disorder and agoraphobia are two separate disorders that often go hand in hand with each other. An individual can be diagnosed with panic disorder, but a diagnosis without agoraphobia can often take place as well. Some individuals develop symptoms of agoraphobia, but do not have the classic panic disorder symptoms, hence the reason they are both listed as separate disorders in the DSM-5. Panic disorder can be identified as “recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time four or more physical and cognitive characteristics take place (Hooley, J. 2017, pg.188).” When dealing with panic disorder it can often become debilitating, due to the fact that the individual does not know when the onset of an attack will occur. Individuals with panic disorder more commonly develop agoraphobia as a comorbid disorder, and if left untreated, can have a difficult time even leaving their home. Agoraphobia can be defined as “the individual fears or avoids
Along with CBT, an additional evidence based treatment is relaxation training. According to Wicks-Nelson and Israel (2015), relaxation training is a method that “teaches individuals to be aware of their physiological and muscular reactions to anxiety and provide them with skills to control these reactions” (p. 136). Due to individuals learning their physiological and muscular reactions to anxiety they can sense the early signs or anxiety and relax before they panic. As said by Wicks-Nelson & Israel (2015) individuals will go through muscle relaxation training and they will learn a cue word such as “calm”.
Anxiety is treated with cognitive behavioral therapy. Cognitive behavioral therapy (CBT) is the most used for anxiety.Cognitive behavioral therapy helps with negativity and “bad” feelings. Cognitive behavioral therapy has two main components these include : “Cognitive therapy examines how negative thoughts, or cognitions, contribute to anxiety.Behavior therapy examines how you behave and react in situations that trigger anxiety.The basis of cognitive behavioral therapy is that our thoughts—not external events—affect the way we feel”(Arbor,2011,p.12). In other words, different situations can have different reactions and vise versa. Each clinical area focuses on different parts of the brain that may trigger anxiety and it 's symptoms.
It teaches the individual how to behave and learn how to handle anxiety towards stress and fearful situations. Cognitive Behavior Therapy is conducted by individual or group therapy. Treatments for anxiety disorder are generally treated with psychotherapy (talk therapy) and medications. It is necessary to make this study to see how people best benefit from this therapy, whether it is in group or individual therapy. Although there is a lot of literature on group therapy, there is not as much that compares the benefits of group therapy vs individual therapy.