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ANXIETY DISORDERS EDUCATIONAL FORUM ON BIPOLAR DISORDER AND ANXIETY DISORDERS. DR. ROBIN REESAL Medical Director Centre for Depression and Anxiety Adjunct Associate Professor Queen’s University. ANXIETY DISORDERS. INTRODUCTION STRESS NORMAL ANXIETY ANXIETY DISORDERS
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ANXIETY DISORDERSEDUCATIONAL FORUM ON BIPOLAR DISORDER AND ANXIETY DISORDERS DR. ROBIN REESAL Medical Director Centre for Depression and Anxiety Adjunct Associate Professor Queen’s University
ANXIETY DISORDERS • INTRODUCTION • STRESS • NORMAL ANXIETY • ANXIETY DISORDERS • MEDICAL CUSES OF ANXIETY • TREATMENTS • SUMMARY
Why Discuss Anxiety Disorders? • It is the most common mental illness in the U.S. with 19 million (13%) adults between ages 18 – 54 affected • In Canada anxiety disorders are one of the top three disorders, mood and substance abuse disorders being common
Cost to U.S. economy $42 billion • People with anxiety disorders seek relief for symptoms that mimic physical illnesses • 3 – 5 times more likely to go to the doctor; one of the commonest reasons for Albertans to go to the doctor
WHAT IS STRESS? • WHAT IS POSITIVE STRESS? • WHAT IS NEGATIVE STRESS?
WHAT IS ANXIETY? “FIGHT OR FLIGHT RESPONSE”
WHAT IS NORMAL ANXIETY? Feeling of Alarm, “Worry” Specific Non-specific Short Period of Time Does not Cause Impairment in Social or Occupational Functioning
WHAT CAUSES ANXIETY? • PSYCHOLOGICAL • External Cues • Internal Cues • PHYSICAL • External Cues • Internal Cues
HOW DOES ANXIETY OCCUR? electrical changes Cue Brain psychological physical behavioural chemical changes hormones
WHAT IS ABNORMAL ANXIETY? • PROLONGED ANXIETY • THAT AFFECTS SOCIAL LIFE • THAT AFFECTS WORK LIFE
ABNORMAL ANXIETY EQUALS ANXIETY DISORDER
WHO GETS ANXIETY DISORDERS? • All Ages • Both Sexes
TYPES OF ANXIETY DISORDERS • SPECIFIC PHOBIA 4.5% • PANIC DISORDER ± AGORAPHOBIA 2% • SOCIAL ANXIETY DISORDER 4% • POST TRAUMATIC STRESS DISORDER 3.5% • OBSESSIVE COMPULSIVE DISORDER 2.5% • GENERALIZED ANXIETY DISORDER 3%
MEDICAL CAUSES OF ANXIETY
MEDICAL CAUSES OF ANXIETY MEDICAL CONDITIONS FOODS BEVERAGES HERBAL TREATMENTS PRESCRIPTION DRUGS STREET DRUGS
TYPES OF TREATMENTS • COUNSELLING / PSYCHOTHERAPY • Cognitive • Behaviour • Interpersonal • DRUG THERAPIES • Minor Tranquilizers • Antidepressant / Anti anxiety
LENGTH OF TREATMENT • SHORT TERM • LONG TERM
SUMMARY STRESS NORMAL ANXIETY ANXIETY DISORDERS MEDICAL CAUSES OF ANXIETY