What is your experience of anxiety?

Do you care too much about everything? Or just some things? Perhaps so much that you overthink everything? Or spend a lot of time getting things done until it feels right? Yet sometimes you may even feel down in the dumps too, so that you're not feeling motivated to do much about the things you care about? Or worry about not doing it exactly right, so it feels safer to just not do it? Do you find yourself lying in bed at night worrying about what you didn't get done and everything you need to do tomorrow? Or feel fearful of particular things, situations, or places so much that you work hard to avoid what makes you feel anxious, panicky, or nervous OR feel very fearful if avoidance is not possible? Does it feel like the world has been shrinking around you? Like you're not getting out to enjoy life because your fears are holding you back? These are just some of the many ways anxiety can get in the way of you living the life you want to live. Dr. Ellen offers help for you who are living with an anxiety disorder.

Are Dr. Ellen's services a good match for you?

Dr. Ellen offers comprehensive assessment and diagnosis, and individual therapy to older children, teenagers, and adults seeking treatment for an anxiety disorder who may also experience related conditions secondarily to the anxiety. Assessment and individual therapy is also offered to cancer patients and their family members experiencing anxiety and depression related to cancer diagnosis, treatment, and survivorship that impact on quality of life. You may contact us about your anxiety and depression related to living with other medical conditions as Dr. Jorstad-Stein considers treatment of anxiety and depression related to other medical conditions on a case by case basis. Additionally, for consulting requests, you may contact to make a specific inquiry about consultation services for mental health providers, psychology training programs, companies/corporations, and research.

What is Anxiety and the Anxiety Disorders?

The human experience of anxiety is normal and adaptive. We would not be adequately prepared for important challenges in life if we did not experience some anxiety and fear. Anxiety is not longer adaptive when it overpowers the person and creates obstacles and challenges that interfere with daily life. At this point, a diagnosable condition may have developed.

Generalized Anxiety Disorder (GAD)

Generalized Anxiety Disorder is characterized by worries about "everyday" things like work, school, finances, family and friends, health, and world events. Some people worry about holding themselves to high standards and find that their worries about being perfect have a negative impact on completing their work, school or college assignments, or daily tasks on time. Worries, regardless of their topic, are excessive and difficult to control as they take up significant time from other activities. People with Generalized Anxiety Disorder often experience physical symptoms that can include headaches, sleeplessness, muscle tension, stomachaches, tiredness or fatigue, restlessness, or irritability. Someone living with Generalized Anxiety Disorder may also have another anxiety disorder or mood disorder.

Social Anxiety Disorder

People with social anxiety disorder worry that others will think poorly of them, that they will be rejected, or will experience humiliation or embarrassment. This leads to anxiety about and often avoidance of situations that involve social interaction, performance, or the potential for scrutiny such as going to parties, speaking in meetings, making a speech, or going on dates.

Panic Disorder

A panic attack is a cluster of physical symptoms, such as a racing heart, sweating, dizziness, and shaking, that occur unexpectedly. Because people who have a panic attack fear the consequences of the symptoms they are experiencing, panic attacks are often interpreted by the people having them as if they are having a heart attack, beginning fainting, going "crazy," or going to die. Panic disorder is diagnosed when a person has had at least two unexpected panic attacks.

Agoraphobia

Agoraphobia may occur on its own, although it accompanies panic disorder more commonly when people people who have panic attacks avoid situations they believe will trigger a panic attack because it will be difficult to escape. Common situations that are avoided include driving on busy roads, going to the movies or concerts, eating in restaurants, exercise, or traveling outside the bounds of a general "safe zone."

Specific Phobias

Excessive fear and/or avoidance of a certain object or situation characterizes specific phobias. A person with a specific phobia will also go through great lengths to avoid the feared object or situation or the phobia causes great interference in the person's daily life. Common fears include fears of insects/animals, flying, heights, vomiting, enclosed spaces like elevators, and needles or other medical procedures.

Disorders on the Obsessive Compulsive Spectrum

Obsessive compulsive spectrum disorders (OCSDs) are characterized by obsessions and compulsions. A person living with one of the OCSDs may have their life severely impacted by the disorder in a debilitating way.

Obsessive-Compulsive Disorder (OCD)

OCD is characterized by repetitive thoughts that cause anxiety (obsessions) and compulsive behaviors meant to reduce anxiety or prevent feared outcomes (compulsions). Most people think of the hallmark of OCD as a fear of dirt and/or germs that lead to oneself or items becoming contaminated (obsession) as well as cleaning or washing excessively (compulsively). Yet OCD can present in many different ways, and may involve fear of making mistakes, fear of throwing things away, fear of acting immorally, fear of causing harm to oneself or others, or experiencing discomfort or distress with things "just not feeling right."

Other Obsessive Compulsive Spectrum Disorders

The OCSDs come with obsessive compulsive qualities. Some of the OCSDs are:

  • Trichotillomania (Hair pulling)
  • Dermotillomania (Skin picking)
  • Onychophagia (Nail biting)
  • Hypochodriasis/Health Anxiety (preoccupation about having a serious illness)
  • Body Dysmorphic Disorder (preoccupation about a part of the body being ugly and checking on it in the mirror, pictures, etc.)

Trauma- and Stressor-Related Disorders

Posttraumatic Stress Disorder (PTSD)

Adjustment Disorders

Other Specified Trauma- or Stressor-Related Disorder

  • Adjustment disorders with delayed onset or prolonged duration
  • Persistent response to trauma with subthreshold or PTSD-like symptoms
  • Persistent complex bereavement disorder
Anxiety and Depression Association of America ADAA Member

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