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Wednesday, December 30, 2009
Most people who struggle with an anxiety disorder or OCD tend to be more sensitive than the rest. This is not a negative perspective nor does it have anything to do with weakness.
ANXIETY and OCD SUFFERER SENSITIVITY
As I see often at The April Center, it can be explained by a neurobiological sensitivity. For example, most with an anxiety disorder or OCD tend to have more sensitive systems. This seems to create a variety of experiences, such as frequently having little aches, pains or ailments, vulnerability to medication's side effects, struggles with certain sounds, noise and environmental over-stimulation, and excessive observation of bodily sensations.
This sensitivity can also effect the emotional side of experience. For example, individuals with an anxiety disorder or OCD tend to be more sensitive to their emotions, meaning that they sometimes seem to feel both joy and pain more intensely.
Being "sensitive" seems to come with society's strong negative connotation. And yet, this sensitivity offers the possibility of increased self-awareness enabling one to engage in self-care more easily. Being "sensitive" can also offer meaningful experiences in life. Plus, sensitive people can often detect other's feelings more easily, which can deepen the quality of relationships as they connect.
Part of the focus during effective OCD or anxiety treatment, called CBT (cognitive-behavioral therapy), is on addressing how neurobiological sensitivity impacts one's thoughts and then feelings. For example, a common struggle (not often mentioned in other literature) for those with OCD can be certain sounds, like someone's chewing or breathing. These can often send one with OCD "through the roof" of frustration and irritation. It is easy to personalize these experiences and get angry at the "noisy" perpetrator when awareness of this sensitivity is lacking. With this awareness can come greater self control - a first step in reducing anxiety-based conflicts in relationships.
So, if you struggle with anxiety or OCD and feel you're more sensitive than most, don't be ashamed or self-critical. Awareness and Acceptance of this neurobiological sensitivity can go a long way.
All the best,
P.S. Don't forget to subscribe to my blog in the box below!
Friday, December 25, 2009
OCD treatment is more than Behavior Therapy. It also includes a cognitive focus. This is the "C" in CBT (Cognitive-Behavioral Therapy).
When someone comes to my center for help, the cognitive side of OCD is often shared first. For example, although OCD comes with a host of behaviors that are ritualistic and compulsive, it is the thoughts that are often most disconcerting to sufferers.
These thoughts are generally "Obsessions" - One of the hallmarks of OCD, as I've discussed in several of my posts.
The most effective behavioral CBT treatment strategy (and a large part of treatment at The April Center For Anxiety Attack Management - Los Angeles) for obsessions and compulsions is called Exposure and Response Prevention.
However, outside of obsesions are the beliefs, perspectives and attitudes that maintain anxiety. This is where the cognitive focus of CBT lends a hand towards anxiety relief.
A FEW COMMON THINKING PATTERNS OF OCD AND ANXIETY DISORDER SUFFERERS:
With OCD (Obsessive-Compulsive Disorder) and many other anxiety disorders comes a tendency to engage in repeated patterns of thinking, beliefs and attitudes that serve to create more anxiety. Here are a few types:
1.) All or Nothing Thinking:
This type of thinking allows no gray area. It is either all this or all that - black or white, right or wrong. For example, "I was a bit anxious, so I am a total failure".
2.) Mind Reading:
This is most common for those with social phobia, but strikes those with other forms of anxiety, as well. This pattern views assumptions about what others are thinking as fact. For example, "Everyone thinks I ruined the party because I had a panic attack" or "They think I'm weak for being afraid".
3.) Fortune Telling:
This pattern of thinking focuses on predicting the future. For example, "I know I'm gong to freak out on the plane"
These 3 patterns of thinking, of which their are many more, are called cognitive distortions. They are not based on fact. They are based on assumption and habitual thinking that require restructuring with CBT in order to reduce anxiety.
Do you have any of these patterns of thinking?
Specialized OCD and anxiety treatment goes beyond behavior therapy by applying cognitive therapy focused on modifying false beliefs and anxiety producing thinking patterns. Just remember, changing the way you think helps you change the way you behave and respond.
You can contact Dr. Craig April at 310-429-1024 or email him at email@example.com
Tuesday, December 22, 2009
When is it time for anxiety treatment? In other words, what are some basic areas to help you determine when you've got a problem that requires specialized anxiety counseling?
I've thrown together a basic list that covers most anxiety disorders.
If you answer "yes" to any of these questions, it is time for anxiety treatment:
1.) Are your thoughts often focused on sensations in your body?
2.) Are you often concerned about your anxiety?
3.) Are the topics you worry about repetitive?
4.) Are you avoiding objects, places, events or situations due to your anxiety?
5.) Does your anxiety interfere with your relationships?
6.) Are people in your life making special accommodations for you based on your anxiety?
7.) Do you have panic attacks or panic when you approach your fear?
8.) Do you have unwanted thoughts that you cannot seem to stop?
9.) Does your anxiety effect your work or ability to focus at work?
10.) Is your anxiety presenting a barrier to achieving your goals?
11.) Do you often feel agitated?
12.) Are you often struck by scary, irrational or inappropriate thoughts or caught up in "what if . . ."?
13.) Do you perform rituals that make no sense, but you do them anyway to reduce anxiety?
14.) Do you have difficulty with sleeping?
15.) Has anyone suggested you seek therapy or counseling for your anxiety?
16.) Do you worry intensely about future events or plans long before they arrive?
17.) Do you think you have a "phobia" that interferes with your life?
18.) Have you ever suspected that you have an anxiety disorder?
19.) Do you prefer to stay at home or travel only in a "safe" distance around your area?
20.) Have symptoms increased over time or are they limiting your freedom in any way?
How many of these questions have you answered "Yes" to?
Although this is not an exhaustive list or one that leads to a diagnosis, these are common issues that cross most anxiety disorders that I treat at my center weekly.
Know that you can reduce your anxiety and decrease your suffering. It just takes motivation and a commitment to yourself to finally face that which has caused you to struggle.
So, one last question to ask yourself:
Is it time for anxiety treatment?
Sunday, December 20, 2009
Driving fear and freeway phobia in Los Angeles are issues I treat so frequently at my center that I lost count.
But how do you know if you've got a real problem that requires help in the form of specialized anxiety treatment?
Here is a list of phobia symptoms related to driving fear:
1.) You avoid driving to certain areas or on certain roads or freeways.
2.) When driving you feel extremely anxious with physical symptoms that may include difficulty breathing, dizziness, shaking and trembling, rapid heartbeat, tingling in your hands, nausea and so on.
3.) When driving you fear something terrible may happen like losing control of yourself or the car.
4.) You have panic attacks while driving that include feeling as if you are going to die or go crazy.
5.) You make up excuses to avoid certain events or situations in which you would be forced to drive.
6.) You are anxious days or weeks before a planned circumstance where you know you'll be required to drive.
These are just a few of the commonly seen symptoms of a driving phobia. Do any of them sound familiar?
Unfortunately, fear of driving does not go away on its own. The longer you avoid driving, the longer you'll fear it. It can also grow more intense over time.
So, how long have you suffered with this fear? Have you sought the proper anxiety treatment?
Sometimes, it takes being "sick and tired" of fear before you are ready to seek specialized therapy and finally begin to face that which haunts you.
Are you sick and tired of your driving fear?
Wednesday, December 16, 2009
Blood phobia, although common, is a little different from other phobias. The difference is in one's biology. Although there seems to be no easy medical explanation, there are a percentage of people who are genetically prone to faint at the sight of blood. This is based on an apparent biological tendency for their blood pressure to drop when faced with blood.
This is a serious condition for those who suffer with this anxiety and specialized anxiety treatment is required.
How can blood phobia be debilitating to the one who suffers with this particular anxiety? There are several areas of difficulty:
1.) The avoidance of having possibly necessary medical tests or blood tests done
2.) Fainting when seeing blood, having blood drawn and/or in emergency situations when a family member is injured
3.) Avoidance of certain environments or settings for fear of seeing blood
4.) Panic attacks can occur when faced with blood (panic attacks often accompany all phobias when a person is faced with their feared object, event or situation).
I treat many at my center who struggle with blood phobia. Although it may have severely effected one's life prior to getting help, it is highly treatable and can be overcome.
Blood is not in and of itself dangerous. It is the nature of an injury or medical problem that can truly be of concern. So, if you have a blood phobia seek treatment. Don't let it get in your way!
Friday, December 11, 2009
by Dr. Craig April, Director of The April Center for Anxiety Attack Management - Los Angeles
Fear of driving is a more common phobia than some might think! Although it might be more prevalent in the big cities where there are a lot of highways and freeways (like my city Los Angeles), it can strike anyone from anywhere.
Here are some common ways in which a fear of driving develops:
- A panic attack that occurred while driving, then leads to a fear of having more panic attacks while driving, along with a quickly developing driving anxiety (this is called a panic-induced phobia)
- A traffic accident can lead to a driving phobia due to the nature of the trauma. A phobia can develop following a scary or threatening experience where one felt endangered.
- An experience in a car where one felt out of control or uncomfortable. Most who struggle with anxiety can have an underlying difficulty in dealing with uncertainty or lack of control.
So, if you have a fear of driving, know that you are not alone. And thankfully, it can be treated effectively with cognitive-behavioral therapy provided by an expert anxiety treatment therapist!
Stay tuned for my next post on symptoms that arise with a fear of driving.
Monday, December 7, 2009
For the individual with OCD, obsesions can contain just about any subject matter. However, take a cross-section throughout this country and you'll find that no matter what ethnicity, culture, socioeconomic status and/or history, there are common obsessions shared by most.
As a reminder, an obsession is an intrusive, recurring thought, image or impulse considered to be inappropriate and/or irrational while most likely causing some degree of suffering. Obsessions are not typical concerns over stress in relationships or career.
Here is a list of the 10 most common OCD obsessions addressed in anxiety treatment (not in any order):
- Concern with dirt, germs, contaminants, cleaning products, bodily waste
- Concern around contracting an illness
- Fear of saying or doing something wrong that will lead to punishment or harm
- Fear of impulsively harming another (stabbing someone, hitting someone with car)
- Violent or inappropriate images
- Inappropriate sexual thoughts
- Difficulty with certain sounds that are found irritating
-Doubts and concern over locks and items being turned off in home
- Superstitious thoughts
-Fears of being gay
This is in no way an exhaustive list, just a list of common obsessions seen frequently in anxiety treatment.
Of course, the mechanics of OCD are all the same, it is the content that can vary.
Thankfully for the OCD sufferer, there is anxiety relief to be found in CBT, the only empirically proven form of therapy to reduce obsessions.
Follow this link for more on Obsessions, OCD and Anxiety Treatment
Friday, December 4, 2009
Take the Disorder out of OCD, Panic Disorder and Anxiety.
Yes, your anxiety most likely has genetic and/or neurobiological roots. For example, many people that I treat at my center tend to be more prone to anxiety based on their wiring than others. This propensity is generally based on the above factors. Coming to terms with this is an important part of anxiety reduction.
And yes, in order to diagnose and categorize anxiety symptoms, the medical and psychological fields long ago addressed this by labeling each host of symptoms with the term Disorder based on how they interfere with one's life and other factors.
And yes, the labels can be helpful because awareness of one's particular "anxiety disorder" allows them to receive proper anxiety treatment and to depersonalize symptoms.
But, if you suffer with anxiety, once you are obtaining the proper anxiety therapy or counseling with CBT, you have got to accept that anxiety is about fear. Don't dismiss the reality of your neurobiology and genetics. But, once clear, you've got to face fear if you want to make progress.
You must look your fear in the eye and accept that this is what's holding you back.
When we focus too much on "Anxiety Disorder" (as many of us doctors and therapists tend to do) it can cloud the main issue. Not to mention, make you feel like you're just a label.
You're more than an anxiety disorder, no matter if you're suffering with panic attacks, obsessions, compulsions or some other anxiety issue.
With the specific tools and techniques of specialized anxiety therapy (CBT) you can overcome fear. And it just might be the most important, meaningful experience of your life. Facing fear empowers us, enlightens us and inspires us.
Follow this link for more on OCD, Panic Disorder, and Anxiety
You can contact Dr. Craig April at 310-429-1024
Monday, November 30, 2009
Just click this link: http://www.youtube.com/watch?v=2AtSzM7X57w&feature=related
The TV series OBSESSED shares real stories of struggle and courage featuring individuals plagued by OCD and other anxiety disorders. The main treatment strategy utilized is Cognitive-Behavioral Therapy or CBT - the only anxiety treatment strategy empirically proven to be effective.
At The April Center for Anxiety Attack Management - Los Angeles, Dr. April offers individual, group and family therapy with anxiety treatment plans uniquely designed to make progress as quickly as possible. Dr. April helps anxiety sufferers daily and says, “It’s incredibly inspiring. Everyone can learn how to face what scares them”.
Follow this link for more on OCD and anxiety disorders treatment
You can contact Dr. April at 310-429-1024
Sunday, November 29, 2009
"Red Carpet" phobia plagues famous singer Norah Jones?
Apparently she has attended only one big celebratory event since her debut in 2002 due to a fear of being labeled a "fashion victim" by the press. It seems her underlying fear is one of being criticized and judged based on the clothing she chooses to wear. This is a common area of anxiety for those struggling with social phobia, but also can exist as a separate, distinct phobia.
Check out the short article here: http://www.contactmusic.com/news.nsf/story/jones-trips-over-red-carpet-fashion_1123394
Clearly avoiding these events has not helped her overcome this "phobia". And this is not a surprise.
Avoidance is the hallmark of a phobia. The more one avoids that which causes anxiety, the greater the chance that a true diagnosable phobia will develop (to be diagnosed with an anxiety disorder, symptoms must significantly interfere with one's life).
Of course, it is our human inclination to run from fear. But fear is what must be faced to overcome a phobia.
I found it interesting that the article states that Norah Jones is desperate to overcome this, but she is quoted saying that "Maybe I'll get over it soon".
Unfortunately, a phobia doesn't go away on its own. In fact, it grows the more you avoid it. What you resist, persists. But . . .
There is hope for Norah and anyone who has a phobia.
The hope lies in seeking proven treatment for phobia and all other anxiety disorders. This proven treatment is called cognitive-behavioral therapy or CBT, which teaches specific skills and techniques for reducing anxiety symptoms and fear.
Hopefully, Norah Jones won't continue to avoid her fear, which is clearly limiting her freedom. All it takes is a first step and then gradual work with the help of an expert anxiety treatment therapist.
Follow this link for more on phobia and anxiety
Saturday, November 28, 2009
Who truly understands panic attacks and anxiety?
Only those who have experienced them first hand. It's just one of those things.
If you have never had a panic attack, you are just not going to understand how terrifying they are to someone experiencing them.
I guess it's a little like pregnancy. Men can sympathize and possibly imagine what it might be like, but they'll never truly understand.
If you struggle with panic attacks and anxiety, it's important and useful to be aware of this reality. Then, you're less likely to be resentful of those in your family who don't understand. You're also less likely to take it personally when they don't offer support. It's difficult to be supportive around something that you have no understanding of.
If you are struggling with panic attacks and anxiety, it's vital to get the support, validation and assistance you need. And you can receive these from . . .
An anxiety treatment expert - a therapist specializing in the treatment of anxiety disorders.
I'm often asked if I've ever had a panic attack. This often makes me chuckle because it is my own past struggle with anxiety disorder symptoms and breakthrough that led me down the path to specializing in anxiety treatment and then later creating The April Center for Anxiety Attack Management - Los Angeles.
So, when struggling with any form of anxiety disorder, including panic attacks or panic disorder, phobia, OCD, social anxiety or general anxiety, contact an expert who can provide you with support, validation and, most importantly, relief.
Follow this link for more on panic attacks and anxiety treatment
Wednesday, November 18, 2009
Howie Mandel has long been known for his OCD, as well as his comedy. I've often seen him in the media sharing his struggles with OCD in an honest and humorous way.
Click on the link below to read a short article about his upcoming book:
I found it interesting that the process of writing the book encouraged him to confront his OCD. Confronting OCD and coming to terms with the nature of this syndrome is a vital step in reducing symptoms.
He also mentions that he has received counseling. I would imagine this was key in assisting him in reducing his symptoms.
OCD and anxiety sufferers take note! It certainly doesn't seem like he has allowed OCD symptoms to get in the way of his goals and work life.
I'm interested in reading his soon to be released book. I'll let you know what I think after taking a look.
Until then, you can use him as inspiration to confront your own OCD and anxiety with humor while seeking treatment.
Taking one's thoughts too seriously generally increases anxiety. Humor has been beneficial to many that I have treated at my center.
Follow this link for more on OCD and counseling.
Monday, November 16, 2009
Anxiety and Panic Attacks around Thanksgiving are a common phenomenon for many.
Why would this be?
Well, aside from the lovely aspects of Thanksgiving, there are also pressures that many can experience. I've come up with a short list of the . . .
"Top Anxiety-related Thanksgiving themes":
1.) Conflict with RELATIVES including parents, siblings, etc.
2.) Flying and other forms of travel
4.) Returning to locations with a lot of past memories
5.) Planning to visit only significant other's family
6.) Diet (or a soon lack thereof)
7.) Time off work
8.) Assigning a lot of value and meaning to the experience
How's that for a comprehensive list? If you can think of others, feel free to share.
One aspect of anxiety and panic attacks around Thanksgiving is related to a desire for a specific experience. For example, a need for everything to run smoothly, or for everyone to get along, or for others to enjoy the day, or needing the meal to be special, or simply a need to avoid having anxiety.
When we need to have a specific experience, we are attempting to control a situation that is more than likely not under our complete control. This can lead to anxiety and panic attacks.
This Thanksgiving, focus on being in the moment - Have the experience you're having. Catch yourself trapped in future-oriented thinking and refocus on the present.
And, of course, take solace in the fact that Thanksgiving will soon pass and fade in memory - no matter if it is a wonderful day or one you deem a horror.
But most importantly, consider this Thanksgiving a time to practice studying and dealing with your anxiety.
Follow this link for more on how to handle anxiety and panic attacks
Friday, November 13, 2009
A young boy with a needle phobia is using a behavior therapy strategy to beat his needle phobia to help his sister.
Check out the article by clicking on the link below:
Kids can be so creative! And Brave! He had a great idea to work with his phobia by using song (The Beatles "Help") and accepting the anxiety. Rather than fighting the anxiety which led to his avoidance of needles, he started to work towards facing it.
He also found the motivation to do it - helping his sister stay alive!
Sometimes to beat anxiety and phobia, you've got to find the will and be extremely motivated. It's not easy facing fear. But it is extremely achievable.
So what is your motivation for facing fear? You don't need a potentially life-threatening experience to give you that kick to face what you fear. You just need some clarity.
So, how much is your anxiety limiting your life?
How about the lack of freedom you experience? How about all that you're missing based on this fear? How about its effect on your relationships and general happiness?
Follow this link to learn more about facing anxiety and phobia with behavior therapy.
Monday, November 9, 2009
OCD treatment can be boosted by support groups.
Why is this so? A couple of reasons:
1.) OCD sufferers often experience a lot of shame.
2.) OCD sufferers often experience a lot of loneliness.
Support groups focused on OCD treatment offer a non-judgmental place where people can share their obsesions and compulsions as they work on reducing symptoms.
One very frequent topic in my OCD support groups is the neurobiology of the disorder and how shame, based on this reality, is unreasonable. Because OCD is a neurobiological disorder (part of one's brain), it is not as if an individual chooses OCD or has some weakness that creates it. To feel a lot of shame over OCD is like the diabetic feeling ashamed for having diabetes, or the handicapped person being ashamed over an inability to walk. Hearing these examples, it is easy to point out that one shouldn't feel shame in these contexts. And yet, shame is common.
Groups offer a place to work through that shame while getting support and help moving toward anxiety relief.
Loneliness is also a common experience with OCD. Groups offer the opportunity to connect with others who share similar experiences of anxiety and OCD.
Based on the nature of obsessions which are generally dark, catastrophic and/or perceived as inappropriate, shame and loneliness are common. However, support groups can make a huge difference for those struggling.
Follow this link for more on OCD treatment and support groups
Thursday, November 5, 2009
Many college students need to be seeking counseling for anxiety disorder,panic attacks , phobia, etc.
College can be a fun, exciting time for many young adults. However, it can also be a time of intense anxiety due to the demands of being newly independent, expectations and the perceived pressure around academic performance and tests.
A key theme underlying anxiety is struggle with uncertainty and lack of control. Those who struggle with anxiety often try to obtain total certainty or control when it is impossible to do so.
For those struggling with anxiety disorders,panic attacks, phobia, etc., expert anxiety counseling is essential for learning how to handle uncertainty and work with life's unpredictable nature.
Follow this link for more on anxiety counseling and symptoms of panic attacks, OCD, phobias and more.
Tuesday, November 3, 2009
Thursday, October 29, 2009
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Friday, October 16, 2009
No one, she claims, ever seemed to want to talk about it. "I battled that for years, and nobody ever knew it.""
For the full interview, copy and paste the link below:
A couple of interesting points related to Joan Baez' disclosure:
1.) Although you might think everyone can tell that you are anxious, it is often not the case.
2.) Your anxiety doesn't have to stop you from taking action.
It appears Joan Baez' struggles with anxiety occurred back in the '60's when Cognitive-Behavioral Therapy for anxiety wasn't readily available.
Luckily now, whether you're suffering publicly or privately, you can seek the right anxiety treatment to move past your anxiety and panic attacks. There is no shame in anxiety disorders or panic attacks - even legendary singers can struggle with them.
The key is in making the choice to get help so you can learn strategies and techniques to resolve your anxiety symptoms.
Follow this link for more on anxiety disorder,panic attacks
Wednesday, October 14, 2009
Tuesday, October 13, 2009
Wednesday, October 7, 2009
Wednesday, September 30, 2009
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Friday, September 4, 2009
Monday, August 31, 2009
Unfortunately, for most panic attack and panic disorder sufferers, this is not common knowledge. This explains the panic disorder sufferers history, recent or longstanding, of trips to emergency rooms and to doctors trying to determine the physical/medical problem creating these symptoms. The general result of these hospital or medical doctor trips include lack of help, leaving even more perplexed than upon arrival, followed by frustration because the symptoms just won't go away.
And because panic attack symptoms tend to mimic real medical problems, the confusion continues. For example, chest pain, stomach problems, difficulty breathing, tingling hands, rapid heartbeat, dizziness, chills or sweating, etc. can all be associated with a number of medical issues and ailments.
Once determined that there is no medical condition, it is the time to get immediate help. Panic Disorder can be resolved!
Your panic attacks do not have to continue. In fact, progress with CBT can often be made in just a couple of sessions.
Follow this link for more on Panic Attack and Panic Disorder help
Sunday, August 30, 2009
Monday, August 24, 2009
Wednesday, August 19, 2009
Are you struggling with a phobia? If so, how is it disrupting your life? In what way has it interfered with your freedom? What would you do if you didn't suffer with this particular phobia?
The nature of a phobia is avoiding that which you fear. For some inspiration click on this link to read an article about a mother who was motivated to overcome her needle phobia in order to give blood:
Tuesday, August 18, 2009
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Thursday, August 13, 2009
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Wednesday, August 5, 2009
Friday, July 31, 2009
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1.) They offer proof that you are not alone in your anxiety struggles, which can go a long way in reducing shame over your symptoms.
2.) They offer encouragement and support.
3.) Discussion in group can set you on the path towards freedom from your anxiety as you begin to face your fears.
4.) For some, group therapy can bring more commitment to completing anxiety reduction homework assignments.
Anxiety support groups can be a powerful and effective way to reduce your anxiety so consider joining one to make great progress!
Follow this link for more info on support groups
Thursday, July 16, 2009
Sunday, July 12, 2009
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