Treatment For Anxiety and OCD

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New York psychologist Dr. Edward M. Petrosky describes the symptoms and treatment for Obsessive-Compulsive Disorder (OCD).

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Treatment For Anxiety and OCD

  1. 1. Treatment for Anxiety & OCD Dr. Edward M. Petrosky Board Certified & Licensed Psychologist Forest Hills, Queens, NY (917) 520 – 4444 (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  2. 2. A Word on Dr. Petrosky <ul><li>Board Certified & Licensed psychologist </li></ul><ul><li>Specializations include: </li></ul><ul><ul><li>Treatment for anxiety disorders, including Obsessive – Compulsive Disorder (OCD) </li></ul></ul><ul><ul><li>Therapy for anger management </li></ul></ul><ul><ul><li>Dyslexia, Learning Disability, & ADHD Testing </li></ul></ul><ul><ul><li>Evaluations of Behavioral and Emotional Problems </li></ul></ul><ul><li>Give clients evidence-based strategies for reducing distress and leading more satisfying lives. </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  3. 3. This presentation covers <ul><li>What anxiety and anxiety disorders are </li></ul><ul><li>Obsessive – Compulsive Disorder (OCD) </li></ul><ul><li>How Cognitive – Behavioral Therapy (CBT) can be used to treat OCD in children, adolescents, and adults </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  4. 4. Anxiety <ul><li>What is it? </li></ul><ul><ul><li>State of “arousal” – the body and mind have become “revved up” </li></ul></ul><ul><li>Why do we get it? </li></ul><ul><ul><li>To prepare ourselves to deal with something we perceive as threatening </li></ul></ul><ul><ul><ul><li>Physically threatening (e.g. a strange dogs starts snarling at you) </li></ul></ul></ul><ul><ul><ul><li>Psychologically threatening (e.g. a job interview) </li></ul></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  5. 5. What is anxiety? A Closer Look <ul><li>Anxiety has 3 components - 3 ways in which it affects us </li></ul><ul><ul><li>Physiological (Bodily changes) </li></ul></ul><ul><ul><ul><li>Knot in your stomach </li></ul></ul></ul><ul><ul><ul><li>Heart races or palpitates </li></ul></ul></ul><ul><ul><ul><li>Sweating </li></ul></ul></ul><ul><ul><ul><li>Nausea </li></ul></ul></ul><ul><ul><ul><li>Many others </li></ul></ul></ul><ul><ul><li>Cognitive: (Thoughts) </li></ul></ul><ul><ul><ul><li>Worry and doubt </li></ul></ul></ul><ul><ul><ul><li>Doom (“Something terrible is going to happen”) </li></ul></ul></ul><ul><ul><ul><li>Incompetence (“I can’t handle this”) </li></ul></ul></ul><ul><ul><ul><li>Others </li></ul></ul></ul><ul><ul><li>Behavioral (Things you do) </li></ul></ul><ul><ul><ul><li>Avoidance </li></ul></ul></ul><ul><ul><ul><li>Pacing </li></ul></ul></ul><ul><ul><ul><li>Snapping at others </li></ul></ul></ul><ul><ul><ul><li>Many others </li></ul></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  6. 6. Important <ul><li>Some of the symptoms discussed above can be symptoms of medical conditions. Therefore, if you are concerned that you may have an anxiety disorder, in addition to any mental health services you may seek out, you should also consult with a physician to rule out a medical condition. </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  7. 7. We all get anxiety. What makes it a “Disorder?” <ul><li>It’s causing you a lot of emotional pain </li></ul><ul><li>It’s bothering you frequently </li></ul><ul><li>It limits your life (e.g. there are things you would like to do but don’t because of it) </li></ul><ul><li>It gets in the way of </li></ul><ul><ul><li>Relaxing and having fun </li></ul></ul><ul><ul><li>Your relationships </li></ul></ul><ul><ul><li>Your job </li></ul></ul><ul><ul><li>Your school work </li></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  8. 8. Types of Anxiety Disorders <ul><li>Generalized Anxiety Disorder </li></ul><ul><ul><li>Uncontrollable worry </li></ul></ul><ul><li>Panic Disorder </li></ul><ul><ul><li>Panic attacks, frequently causes the person to avoid leaving the house by him or herself </li></ul></ul><ul><li>Social Phobia </li></ul><ul><ul><li>Fear of “looking bad” or being embarrassed in front of others </li></ul></ul><ul><li>Posttraumatic Stress Disorder </li></ul><ul><ul><li>The after effects of an unresolved past traumatic event </li></ul></ul><ul><li>Obsessive-Compulsive Disorder </li></ul><ul><ul><li>Uncontrollable thoughts and behaviors </li></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  9. 9. A Focus on Obsessive – Compulsive Disorder (OCD) (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  10. 10. Obsessive – Compulsive Disorder (OCD) <ul><li>Two types of symptoms </li></ul><ul><ul><li>Obsessions </li></ul></ul><ul><ul><li>Compulsions </li></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  11. 11. Obsessions (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  12. 12. Definition <ul><li>Unwanted, disturbing, and unpleasant thoughts that pop into the person’s mind against the person’s will. Sometimes obsessions take the form of urges to do things the person definitely does not want to do. </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  13. 13. Examples <ul><li>Thoughts of being contaminated, infected, or having germs </li></ul><ul><li>Thoughts about belongings being out of order, messy, or not in their proper place </li></ul><ul><li>Preoccupation about imperfection </li></ul><ul><li>Taboo sexual thoughts </li></ul><ul><li>Grotesque mental images </li></ul><ul><li>Thoughts the person feels are “dirty,” “gross,” or “immoral” </li></ul><ul><li>Thoughts of aggression towards beloved family members </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  14. 14. Examples (Continued) <ul><li>An urge to shout obscenities when it would be extremely improper to do so, such as when speaking with one’s boss, on a first date, or in a court room (In contrast to Tourette Syndrome, the person with OCD does not actually shout the obscenities, but just has a fear s/he will). </li></ul><ul><li>An urge to say something extremely embarrassing about oneself in public, such as a high school teacher telling the class s/he doesn’t know what s/he is talking about </li></ul><ul><li>Sacrilegious thoughts </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  15. 15. <ul><li>In OCD it’s as if the mind serves up the exact opposite of what the person thinks s/he “should” be thinking about. This is one reason why OCD causes so much anxiety, is so frustrating, and can lead people to think they must be “going crazy” (which they are NOT). </li></ul><ul><ul><li>E.g. A deeply religious person with OCD might have an obsession about cursing at God – the last thing s/he would want to do. It is specifically because God is important to him or her that s/he would have this obsession. On the other hand, a person for whom thoughts of God are not particularly important would not have this type of obsession. </li></ul></ul>Characteristic of Obsessions (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  16. 16. Compulsions (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  17. 17. Definition <ul><li>Repetitive actions and “meaningless” rituals the person feels driven to do to “counter-act” an obsession or because of a sense that something terrible will happen if s/he does not perform the compulsion. </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  18. 18. Examples <ul><li>Excessive washing or cleaning to combat an obsession over germs or contamination. </li></ul><ul><li>Spending an inordinate amount of time ensuring that belongings are arranged perfectly neatly to combat an obsession about things being messy or in disarray. </li></ul><ul><li>Checking (e.g. making sure 100 times that the stove is turned off or the front door is locked) </li></ul><ul><li>Counting </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  19. 19. Examples (Continued) <ul><li>Mentally reviewing certain events or scenarios over and over (e.g. replaying in one’s mind a conversation with a friend) </li></ul><ul><li>Other ritualistic behavior </li></ul><ul><ul><li>Touching certain objects, including in a specific sequence </li></ul></ul><ul><ul><li>Repeating the same phrase over and over, either out loud or in one’s mind </li></ul></ul><ul><ul><li>Repetitive actions (e.g. turning on and off a light switch over and over) </li></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  20. 20. Treatment for Anxiety Disorders Focus on Obsessive – Compulsive Disorder (OCD) (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  21. 21. What is Cognitive – Behavioral Therapy or “CBT”? <ul><li>An evidence-based form of psychotherapy that helps clients with a range of concerns, including anxiety, stress, depression, and life fulfillment issues. </li></ul><ul><li>CBT for anxiety emphasizes: </li></ul><ul><ul><li>Understanding what anxiety is, how it works, and how to beat it </li></ul></ul><ul><ul><li>Learning how our thoughts, interpretations, expectations, and assumptions often drive unpleasant feelings </li></ul></ul><ul><ul><li>Learning practical skills and tools for reducing symptoms and accomplishing goals </li></ul></ul><ul><li>Learn practical skills for reducing anxiety and live a more freeing lifestyle. </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  22. 22. CBT for OCD <ul><li>CBT for OCD is an evidence-based type of psychotherapy that provides clients with specific techniques for reducing obsessions and compulsions. </li></ul><ul><li>In short, CBT for OCD helps clients get their life back. </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  23. 23. Who is this treatment for? <ul><li>Children, adolescents, and adults can benefit. </li></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  24. 24. Characteristics of CBT for OCD <ul><li>Structured </li></ul><ul><ul><li>Based on the individual needs of the client, Dr. Petrosky develops a specific “game plan” to treat OCD. </li></ul></ul><ul><ul><li>Treatment has specific goals and objectives . This is not the type of therapy that drifts along, with clients talking about whatever comes to mind, with no clear goal in sight. </li></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  25. 25. Characteristics of CBT for OCD <ul><li>Feedback </li></ul><ul><ul><li>Dr. Petrosky provides clients with detailed feedback so they can understand their symptoms. </li></ul></ul><ul><li>Tools </li></ul><ul><ul><li>Dr. Petrosky teaches clients specific tools and strategies for overcoming distressing symptoms. </li></ul></ul>(C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  26. 26. For more information or to make an appointment… Call Dr. Petrosky at: (917) 520 - 4444 You can also become a “fan” of “Dr. Edward M. Petrosky” on Facebook (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD
  27. 27. Thank You! (C) Dr. Edward M. Petrosky, 2010. Forest Hills, Queens, New York. Treatment for Anxiety & OCD

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