Cary, Illinois: Anxiety Disorders in Long Term Care: The Role of Psychotherapy
Cary, Illinois: Anxiety Disorders in Long Term Care: The Role of Psychotherapy
Anyone in northern Illinois experienced in long term care management knows that everyone feels anxious and under stress from time to time. Situations such as conflict-laden relationships, difficulty in performing important obligations or frustrating cognitive tasks, often bring about anxious feelings.
Mild anxiety may help make a person become alert and focused while facing threatening or challenging circumstances, while severe anxiety is very debilitating.
Anxiety disorders cause severe distress over a period of time and disrupt the lives of individuals suffering from them. The frequency and intensity of anxiety involved in these disorders severely compromises quality of life. But fortunately, with proper and effective treatment, residents suffering from anxiety disorders can lead normal lives.
What are the major kinds of anxiety disorders?
It is important for those in long term care management to understand that there are several major types of anxiety disorders, each with its own characteristics.
People with generalized anxiety disorder have recurring fears or worries, about health or finances etc, and they often have a persistent sense that something bad is just about to happen. The reason for the intense feelings may be difficult to identify. But the fears and worries are very real and often keep individuals from concentrating on daily tasks.
Panic disorder involves sudden, intense and unprovoked feelings of terror and dread. Residents who suffer from this disorder generally develop strong fears about when and where their next panic attack will occur, and they often restrict their activities.
A related disorder involves phobias, or intense fears, about certain objects or situations. Specific phobias may involve things such as encountering certain animals or flying in airplanes, whereas social phobias involve fear of social settings or public places.
Obsessive-compulsive disorder is characterized by persistent, uncontrollable and unwanted feelings or thoughts (obsessions) and routines or rituals in which individuals engage to try to prevent or rid themselves of these thoughts (compulsions). Examples of common compulsions include washing hands or cleaning house excessively for fear of germs, or checking over something repeatedly for errors.
Someone who suffers severe physical or emotional trauma, such as from a natural disaster or serious accident or crime, may experience post-traumatic stress disorder. With this problem, thoughts, feelings and behavior patterns become seriously affected by reminders of the event, sometimes months or even years after the traumatic experience.
Symptoms such as shortness of breath, racing heartbeat, trembling and dizziness often accompany these disorders. Although they may begin at any time, anxiety disorders often surface in adolescence or early adulthood. There is some evidence of a genetic or family predisposition to them.
Why is it important to seek treatment for these disorders?
If left untreated, anxiety disorders can have severe consequences. For example, some residents who suffer from recurring panic attacks avoid, at all costs, putting themselves in situations that they fear may trigger an attack. Such avoidance may create problems by conflicting with family obligations and basic activities in the facility.
Many residents who suffer from an untreated anxiety disorder are prone to other psychological disorders, such as depression, and they have a greater tendency to abuse alcohol and pain medications. Their relationships with family members and friends may become very strained.
Are there effective treatments available for anxiety disorders?
Absolutely. Most cases can be treated successfully by mental health care professionals.
Those in long term care management should realize that, according to the National Institute of Mental Health, research has demonstrated that both ‘behavioral therapy’ and ‘cognitive therapy’ can be highly effective in treating anxiety disorders. Behavioral therapy involves using techniques to reduce or stop the undesired behavior.
For example, one approach involves training patients in relaxation and deep breathing techniques to counteract the agitation and hyperventilation (rapid, shallow breathing) that accompany certain anxiety disorders.
Through cognitive therapy, residents learn to understand how their thoughts contribute to their symptoms and how to change them to reduce the likelihood of occurrence and the intensity of reaction.
The patient’s increased cognitive awareness is often combined with behavioral techniques to help the resident gradually confront and tolerate fearful situations in the controlled, safe environment of the facility.
Proper and effective medications may have a role in treatment along with psychotherapy. In cases where medications are used,
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