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Anxiety

anxiety, sadness and depression

Individual counseling with adults struggling with anxiety and depression is a mainstay of our practice and accounts for approximately a quarter of our work in a given week. Most adults we see individually are struggling with some form of anxiety or depression resulting from a change in life whether at work, in physical health, or in the family.


Generalized Anxiety Disorder (GAD)

The Worrier  - Be Vigilant!

Core Diagnostic Criteria

  • Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance, finances, relationships, children).
  • The person finds the worry difficult to control.
  • The anxiety and worry are associated with three or more of the following six symptoms (with at least some symptoms present for more days than not for the past 6 months).
  • Restlessness or feeling keyed up or on edge
  • Being easily fatigued
  • Difficulty concentrating or mind going blank
  • Irritability
  • Muscle tension
  • Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)

Map to the GAD Worldview

View of Self:  I am responsible to see trouble coming so I can avoid chaos or hurt, including hurt or hardship to those I love.

View of Others: They are either vulnerable and need my help, or are potentially unpredictable or hurtful.

View of Life: Life can be precarious, even dangerous. Things can easily go out of control.

Self Directives: Therefore, I must think ahead and see problems before they arise. I’m responsible. I must be good and controlled, keeping myself disciplined to be alert for problems. Resting and trusting that I can take life as it comes might be irresponsible. Don’t do it.

Distress manifests as: worry, trouble initiating sleep or maintaining sleep, orienting toward things unsettled, fatigue, in high stress one has trouble with concentration. Elusive happiness. Feeling alone with emotional burdens.


All Anxiety Posts
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How does Generalized Anxiety Disorder (GAD) develop?

We who are generally anxious often have developed a posture of alertness, even vigilance for what might become, or already is, out of control...

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Treatment for Generalized Anxiety Disorder – GAD

Treatments for Generalized Anxiety Disorder include:Counseling for self or relationship to help cultivate trust, rest, and safety...

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Aftershocks of COVID crisis lead to dramatic spike in anxiety, depression in kids

 View original story on WNDU: Local experts see dramatic spike in anxiety, depression in kidsIn March and April, we had many media inquiries about a presumed increase in mental health needs as a result of the...