The Anxiety Disorders

2018 ◽  
Author(s):  
Sabina E. Preter ◽  
Theodore Shapiro ◽  
Barbara Milrod
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Psychodynamic Psychotherapy ◽  
Stress Disorder ◽  
Separation Anxiety ◽  
Treatment Strategies ◽  
Separation Anxiety Disorder ◽  
Adolescent Anxiety ◽  
Clinical Vignettes ◽  
Treatment Considerations

Chapter 6 consists of six subsections, describing the anxiety disorders treated with child and adolescent anxiety psychodynamic psychotherapy (CAPP). These include generalized anxiety disorder, social anxiety disorder, separation anxiety disorder, panic disorder, agoraphobia and phobic avoidance, and (comorbid) posttraumatic stress disorder. Each section is organized as follows: the authors describe the phenomenology and diagnostic criteria, followed by the salient psychodynamic factors and conflicts. Each section concludes with treatment considerations, addressing transdiagnostic techniques, which apply to all anxiety disorders, and diagnosis-specific adaptations. Clinical vignettes are given for each anxiety disorder. A detailed table summarizes psychodynamic theory, target symptoms, and treatment strategies, followed by specific clinical approaches, rounding out variations of core fantasies and changes in techniques expected for each variant of the anxiety disorders.

Overview of Anxiety Disorders

2018 ◽  
Author(s):  
Jon E Grant
Keyword(s):  
United States ◽  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
The United States ◽  
Specific Phobia ◽  
Separation Anxiety Disorder ◽  
Generalized Anxiety ◽  
Psychosocial Impairment

Anxiety disorders are the most common psychiatric disorders among adults in the United States. Although anxiety disorders generally result in significant psychosocial impairment, most adults do not seek treatment until many years after the onset of the anxiety disorder. The treatment literature for anxiety disorder has grown tremendously since the 1980s, and both psychotherapy and medications may prove beneficial for people with anxiety disorders. This review presents a general overview of the anxiety disorders. This review contains 7 tables, and 33 references. Key words: agoraphobia, anxiety disorder, generalized anxiety disorder, panic disorder, separation anxiety disorder, social anxiety disorder, specific phobia, treatment of anxiety

Epidemiology of anxiety disorders

2020 ◽  
pp. 917-927
Author(s):  
Hans-Ulrich Wittchen ◽  
Katja Beesdo-Baum
Keyword(s):  
Risk Factors ◽  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Early Years ◽  
Targeted Prevention ◽  
Psychological Mechanisms ◽  
The Life Course ◽  
Pathological Anxiety

This chapter describes the prevalence, onset, course, persistence, comorbidity, and outcome, as well as correlates and risk factors of anxiety disorders, namely separation anxiety disorder, specific phobia, social anxiety disorder, agoraphobia, panic disorder, and generalized anxiety disorder. The focus is laid upon the early years of life (childhood, adolescence, and young adulthood), given that most anxiety disorders have their onset at this time, typically persisting over the life course, and thus representing powerful risk factors for the onset of subsequent mental disorders such as depression and substance use disorders. Despite progress, continued research efforts are needed towards identifying which vulnerability and risk factors play a causal role for the onset and persistence of pathological anxiety. An improved understanding of the complex underlying biological and psychological mechanisms and interactions is crucial to facilitate more effective targeted prevention research and treatment.

Course of Marie’s Treatment

2018 ◽  
Author(s):  
Sabina E. Preter ◽  
Theodore Shapiro ◽  
Barbara Milrod
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Anxiety Disorder ◽  
Turning Point ◽  
Stress Disorder ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Case Presentation ◽  
Ninth Grader ◽  
History Of ◽  
Being Bullied

Chapter 7 concludes the manual with the case presentation of Marie’s treatment. Marie, who was introduced at the beginning of the manual, is a 14-year-old ninth-grader with anxious inhibitions arising from her history of being bullied. She presented with a two-and-a-half-year history of severe primary social anxiety disorder, with comorbid posttraumatic stress disorder, agoraphobia, and separation anxiety disorder, with episodes of dizziness and crying and inability to speak in any situation outside of her home or school classes. The authors describe how Marie’s treatment unfolded, the salient developments during the three phases of treatment, and how the particular use of understanding recurrent nightmares became a turning point in her treatment.

The Three Phases of CAPP

2018 ◽  
Author(s):  
Sabina E. Preter ◽  
Theodore Shapiro ◽  
Barbara Milrod
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Separation Anxiety ◽  
Reflective Functioning ◽  
Anxiety Symptoms ◽  
Sexual Fantasies ◽  
Middle Phase ◽  
Adolescent Anxiety ◽  
Clinical Vignettes ◽  
Termination Phase ◽  
Opening Phase

Chapter 4 describes how to perform child and adolescent anxiety psychodynamic psychotherapy (CAPP) and includes clinical vignettes. Each phase is followed by a delineation of Tom’s treatment. The opening phase describes how the therapist’s listening and assessment of the material lead to a provisional psychodynamic formulation, which is verbalized to the youth. Typical dynamisms are separation anxiety; difficulties tolerating angry, aggressive, and ambivalent feelings; conflicted sexual fantasies; guilt; and ambivalence regarding independence. During the middle phase, therapist and patient collaboratively understand the central psychological conflicts identified and make adjustments to this formulation as needed. The goal is a deepening understanding of the meaning of the anxiety symptoms, with improvement in reflective functioning. The termination phase serves to review the recent changes and to revisit earlier symptoms, particularly if there is a rearousal of symptoms in which separation conflicts are experienced with the therapist. Adaptive and sensible autonomy-seeking is encouraged.

Dependent personality, separation anxiety disorder and other anxiety disorders in OCD

2015 ◽  
Vol 10 (1) ◽  
pp. 22-28 ◽  
Author(s):  
M. M. Mroczkowski ◽  
F. S. Goes ◽  
M. A. Riddle ◽  
M. A. Grados ◽  
O. J. Bienvenu ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Dependent Personality

scholarly journals The multidimensional evaluation and treatment of anxiety in children and adolescents: rationale, design, methods and preliminary findings

2011 ◽  
Vol 33 (2) ◽  
pp. 181-195 ◽  
Author(s):  
Giovanni Abrahão Salum ◽  
Luciano Rassier Isolan ◽  
Vera Lúcia Bosa ◽  
Andrea Goya Tocchetto ◽  
Stefania Pigatto Teche ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Children And Adolescents ◽  
Separation Anxiety ◽  
Treatment Phase ◽  
Diagnostic Interview ◽  
Separation Anxiety Disorder ◽  
Design Methods ◽  
Community Screening ◽  
Multidimensional Evaluation

OBJECTIVE: This study aims to describe the design, methods and sample characteristics of the Multidimensional Evaluation and Treatment of Anxiety in Children and Adolescents - the PROTAIA Project. METHOD: Students between 10 and 17 years old from all six schools belonging to the catchment area of the Primary Care Unit of Hospital de Clínicas de Porto Alegre were included in the project. It comprises five phases: (1) a community screening phase; (2) a psychiatric diagnostic phase; (3) a multidimensional assessment phase evaluating environmental, neuropsychological, nutritional, and biological factors; (4) a treatment phase, and (5) a translational phase. RESULTS: A total of 2,457 subjects from the community were screened for anxiety disorders. From those who attended the diagnostic interview, we identified 138 individuals with at least one anxiety disorder (apart from specific phobia) and 102 individuals without any anxiety disorder. Among the anxiety cases, generalized anxiety disorder (n = 95; 68.8%), social anxiety disorder (n = 57; 41.3%) and separation anxiety disorder (n = 49; 35.5%) were the most frequent disorders. CONCLUSION: The PROTAIA Project is a promising research project that can contribute to the knowledge of the relationship between anxiety disorders and anxiety-related phenotypes with several genetic and environmental risk factors.

Treating Socially Phobic Youth with CBT: Differential Outcomes and Treatment Considerations

2008 ◽  
Vol 36 (4) ◽  
pp. 379-389 ◽  
Author(s):  
Sarah A. Crawley ◽  
Rinad S. Beidas ◽  
Courtney L. Benjamin ◽  
Erin Martin ◽  
Philip C. Kendall
Keyword(s):  
Treatment Outcome ◽  
Anxiety Disorder ◽  
Affective Disorders ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Differential Treatment ◽  
Response To Treatment ◽  
Differential Outcomes ◽  
Treatment Considerations ◽  
Primary Separation

AbstractSocial phobia (SP) is characterized by a fear of one or more social or performance situations. Studies of comorbidity in SP youth find anxiety and affective disorders co-occurring. The present study examined children with primary SP and compared them to children with primary Separation Anxiety Disorder (SAD) or Generalized Anxiety Disorder (GAD) prior to treatment and in response to treatment. The groups differed significantly on self-, parent- and teacher-rated pretreatment measures. Additionally, the two groups showed differential treatment outcomes. When the SP youth with comorbid Affective Disorder were excluded in treatment outcome analyses, there were non significant differences, indicating that comorbid affective disorders likely contributed to differential treatment outcome. Results are discussed in terms of treatment recommendations for socially phobic youth.

Anxiety disorders in anorexia nervosa and bulimia nervosa: co-morbidity and chronology of appearance

2000 ◽  
Vol 15 (1) ◽  
pp. 38-45 ◽  
Author(s):  
N.T. Godart ◽  
M.F. Flament ◽  
Y. Lecrubier ◽  
P. Jeammet
Keyword(s):  
Anorexia Nervosa ◽  
Anxiety Disorder ◽  
Bulimia Nervosa ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
Age Of Onset ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Separation Anxiety Disorder ◽  
Co Morbidity

SummaryThe objectives of the study were to assess lifetime prevalence of specific anxiety disorders, and their age of onset relative to that of eating disorders (ED), in a French sample of patients with anorexia nervosa (AN) or bulimia nervosa (BN). We assessed frequencies of seven anxiety disorders and childhood histories of separation anxiety disorder among 63 subjects with a current DSM-IV diagnosis of an ED, using the Composite International Diagnostic Interview (CIDI). Eighty-three percent of subjects with AN and 71% of those with BN had at least one lifetime diagnosis of an anxiety disorder. By far, the most frequent was social phobia (55% of the anorexics and 59% of the bulimics). When present, the co-morbid anxiety disorder had predated the onset of the ED in 75% of subjects with AN, and 88% of subjects with BN. Our results are consistent with those of studies conducted in other countries, and show that an anxiety disorder frequently exists before an ED. This has to be taken in consideration for successful treatment of patients with AN or BN.

scholarly journals The Relationship Between Worry and Dimensions of Anxiety Symptoms in Children and Adolescents

2016 ◽  
Vol 45 (2) ◽  
pp. 124-138 ◽  
Author(s):  
Jonathan Rabner ◽  
Nicholas D. Mian ◽  
David A. Langer ◽  
Jonathan S. Comer ◽  
Donna Pincus
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Regression Model ◽  
Children And Adolescents ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Age Groups ◽  
Separation Anxiety Disorder ◽  
Older Children ◽  
The Relationship

Background: Worry is a common feature across many anxiety disorders. It is important to understand how and when worry presents from childhood to adolescence to prevent long-term negative outcomes. However, most of the existing studies that examine the relationship between worry and anxiety disorders utilize adult samples. Aims: The present study aimed to assess the level of worry in children and adolescents and how relationships between worry and symptoms of separation anxiety disorder (SAD) and social anxiety disorder (Soc) may present differently at different ages. Method: 127 children (age 8–12 years) and adolescents (age 13–18 years), diagnosed with any anxiety disorder, presenting at a child anxiety out-patient clinic, completed measures of worry, anxiety and depression. Results: Worry scores did not differ by age group. Soc symptoms were significantly correlated with worry in both age groups; however, SAD symptoms were only significantly correlated with worry in younger participants. After the inclusion of covariates, SAD symptoms but not Soc symptoms remained significant in the regression model with younger children, and Soc symptoms remained significant in the regression model with older children. Conclusions: The finding that worry was comparable in both groups lends support for worry as a stable construct associated with anxiety disorders throughout late childhood and early adolescence.

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