Disparities in Offered Anxiety Treatments Among Minorities

Purpose The primary purpose of this article was to determine if race and ethnicity played a role in if primary care physicians offered anxiety treatment in office visits by adult patients who were diagnosed with an anxiety disorder(s). Methods This study pooled data from the 2011 to 2018 National Ambulatory Medical Care Survey (NAMCS) that included adult patients with an anxiety disorder and the type of treatment offered to them. Logistic regressions were performed to examine the odds of offered anxiety treatment in office visits by non-Hispanic Black, Hispanic, and other race/ethnicity patients compared to office visits by non-Hispanic White patients. Results Physicians offered anxiety treatment in more than half of office visits where the patient was diagnosed with an anxiety disorder. Providers offered counseling or talk therapy in less than 13% of all office visits. Office visits by non-Hispanic Black patients had half the odds of being offered counseling/talk therapy ( P = .068) compared to those by non-Hispanic White patients. Conclusions These findings suggest that statistically significant differences in the offering of any anxiety treatments in office visits to minorities compared to non-Hispanic White patients do not exist; however, there are still differences in the rates of counseling/talk therapy offered in office visits by minorities versus non-minorities. Future studies may want to examine reasons for lower rates of counseling/talk therapy offered to minority and majority patients and the specific pharmacological or therapeutic treatments offered to different races.

How Do You Do Talk Therapy With Someone Who Can't Talk? Perspectives From Mental Health Providers on Delivering Services to Individuals With Aphasia

Purpose Aphasia is correlated with depression and anxiety, and it has a negative impact on quality of life. Aphasia is also frequently misunderstood among mental health care providers. The aim of this study was to explore the experiences of mental health providers who provide services to people living with aphasia. Method Interpretative phenomenological analysis was used to analyze interviews of six mental health providers who had some experience in providing services to people with aphasia. Results Three main themes among mental health care providers' experiences providing services to people with aphasia were identified: barriers, interprofessional collaboration, and therapy looks different. Subthemes associated with barriers included insufficient training and knowledge of aphasia, the stigma of receiving mental health services, and accessibility to services. Subthemes related to interdisciplinary collaboration included referrals, knowledge and awareness, and strategies and tools. Subthemes supporting therapy looks different included a new approach to therapy and challenges. Conclusions Mental health providers' experiences reveal the need for an action-oriented approach to overcome barriers, a nontraditional approach to talk therapy for people with aphasia, and increased collaboration with speech-language pathologists (SLPs). Future research should explore expanding the collaboration between SLPs and mental health providers to increase shared knowledge and skills in issues related to reducing depression and anxiety to support the well-being of people with aphasia.

How to manage emotional problems

It is important to address your loved one’s emotional problems. Learn to recognize the signs of depression and anxiety. Common symptoms of depression include feelings of sadness, worthlessness or guilt; fixating on past failures; being tearful; irritability or frustration, even over small matters; memory difficulties; trouble concentrating; sleep difficulties; daytime fatigue and lack of energy; changes in appetite; often wanting to stay home; physical slowing; physical aches or pains; loss of interest in activities; loss of interest in sex; loss of interest in living; hopelessness about the future; frequent thoughts of death. Help them to deal with the sadness and frustration that often come with declining abilities. Start by improving your loved one’s abilities and adjust tasks to make them easier. Treat depression and anxiety with aerobic exercise, meditation, relaxation, and talk therapy.

How to manage emotional problems

It is important to address your loved one’s emotional problems. Learn to recognize the signs of depression and anxiety. Common symptoms of depression include feelings of sadness, worthlessness or guilt; fixating on past failures; being tearful; irritability or frustration, even over small matters; memory difficulties; trouble concentrating; sleep difficulties; daytime fatigue and lack of energy; changes in appetite; often wanting to stay home; physical slowing; physical aches or pains; loss of interest in activities; loss of interest in sex; loss of interest in living; hopelessness about the future; frequent thoughts of death. Help them to deal with the sadness and frustration that often come with declining abilities. Start by improving your loved one’s abilities and adjust tasks to make them easier. Treat depression and anxiety with aerobic exercise, meditation, relaxation, and talk therapy.

Yoga as a Healing Modality of Trauma-Related Symptoms and Disorders

Healing after trauma is a long-lasting process involving the body and mind. The neurobiological foundation of trauma calls for more bodily and sensational, bottom-up regulatory approaches. Yoga has been proposed as a possible adjunctive treatment for trauma, and for more complex forms where talk-therapy have been proven insufficient. This chapter will give a theoretical and evidence-based summary of all (to our knowledge) relevant empirical data on yoga as a treatment for trauma-related disorders and symptoms.

Biofeedback Enriches the Counseling Experience

Counseling has been identified as an effective form of treatment, assisting individuals in dealing with stress, fulfilling their personal goals, and establishing healthy lifestyles. While talk therapy is effective, high noncompliance rates lead to further dysfunction and additional health conditions. Incorporating biofeedback with counseling may enrich the overall counseling experience, particularly when considering process variables, including the working alliance and treatment satisfaction, as a means to further reduce noncompliance rates.

Back Massage and Self-Talk Therapy on Anxiety and Breastfeeding Self-Efficacy in Postpartum Mother: Analytic Descriptive

The delivery of the placenta makes the steroid and oxytocin hormone in the mother's body unbalanced then increases the cortisol hormone which influences the recovery and breastfeeding process. Prevalences of anxiety in the postpartum period reach to 15-40% in some countries. This was qualitative research which was explained the effect of the combination of back massage and self-talk therapies on anxiety and breastfeeding self-efficacy which these therapies are psychology therapy and physically combined. The result showed that the combination of back massage and self-talk reduced their anxiety and increased their belief to breastfeed rather than given back massage only in the control group because back massage therapy recovers their bodies and self-talk using cards as a media therapy recovers their psychology given their mind power to enjoy their postpartum period. This combination therapy effective to decrease anxiety and to increase breastfeeding self-efficacy.

Gender Differentials in Intimate Partner Abuse and Therapeutic Effectiveness of Self-Talk Therapy in reducing Anxiety Induced Among Undergraduates of Obafemi Awolowo University, Ile-Ife, Nigeria.

ABSTRACT This study investigated the prevalence and determined forms of intimate partner abuse (IPA) common to undergraduates of Obafemi Awolowo University (OAU), Ile-Ife, Nigeria. It also investigated the gender differentials (Gender Symmetry and Asymmetry) in the perpetration of IPA among undergraduates and assessed the therapeutic effectiveness of self-talk therapy in reducing anxiety associated with IPA. The study adopted a mixed-method research design incorporating both descriptive survey and pretest-posttest control group experimental research designs. The sample for the descriptive survey was 1,448 undergraduates using the Sample Determination Table (Bartlett, II, Kotrlik & Haggins, 2001), which represents 6.5% of the total of undergraduates in OAU. The sample for the experimental stage of the study consisted of 32 undergraduates victims of IPA induced anxiety. Questionnaire on Prevalence and Types of Intimate Partner Abuse (QPTIPA) was used to collect data for the first stage of the study while the Beck Anxiety Inventory (BAI) was used to determine the levels of anxiety experienced by undergraduate victims of intimate partner abuse. Self-talk therapy was administered on the victims of IPA induced anxiety. The results showed that more females experienced intimate partner abuse of 74.76%, than male victims at 25.24%. The results also showed that “Stalking”, “Exploring partner's vulnerability/disability/status”, “Presenting false information with intent to exploit partner” were the first three in rank of the forms of IPA common among the undergraduates with RSI scores of 0.547, 0.529, and 0.527 respectively. The three least common forms were “beating”, “physically restraining Partner’s movement” and “forcing partner to have sex with someone else” with RSI scores of 0.475, 0.465, and 0.406 respectively. The study further revealed that Self-talk therapy has a significant effect (F (1, 64) = 63.360, p < 0.05) in reducing anxiety induced by IPA.Dr