1. Presented by Sue Milne, Registered Psychologist
Presented by Sue Milne
Registered Psychologis
Disarming Anxiety
2. WHAT’S AHEAD…..
• What is anxiety
• Difference between useful anxiety and anxiety
disorders
• How can CBT help
• Taste test of CBT strategies
• Connections between biblical and
psychological wisdom
• Biblical wisdom about anxiety
• Anxiety and relationship with God
6. ANXIETY IS USEFUL WHEN….
• It helps us to survive
• It’s proportional to the threat
posed
• It triggers responses that are
consistent with the demands
of the situation
8. USEFUL SHORT TERM RESPONSES TO
TRUE DANGER
• Focus on the threat
• Increase alertness
• Increase muscle tension and blood flow to the heart
• Prepare the body for fight, flight or freeze
9. ANXIETY - SENSITIVITY TO THREAT
(NOT USEFUL)
Overestimates the degree of threat
Overestimates the significance of threat
Anxious brain asks…...What if…........?
Is it possible….?
Rational brain asks…...How dangerous is that really?
How likely is it that this bad thing will actually
happen?
All things considered, probable is that?
11. PROBLEMS ASSOCIATED WITH ANXIETY
CHANGED THINKING
• Focus on possibility of “threat”
• likelihood and significance overestimated
• ”What if….”
• Loss of broad perspective
• Difficulty concentrating and remembering
• Jammed/going blank
• Other thinking distortions
12. PROBLEMS ASSOCIATED WITH ANXIETY
CHANGED BODILY RESPONSES and BEHAVIOUR
• Increased heart rate
• Increased muscle tension
• Increased breathing rate
• Blood flow away from the digestive system
• Sweating
• Urge to escape
• Avoidance
• Sleep disruption
13. PROBLEMS ASSOCIATED WITH ANXITY
CHANGED EMOTIONS
Overwhelm
Keyed up
Detached
Irritable
Heightened emotional sensitivity
Loss of self-confidence
15. INCIDENCE
(ABS 2007- MOOD ANXIETY AND SUBSTANCE USE
DISORDERS)
• 11.17 PROPORTION OF PEOPLE AGED 16-85 WITH A MENTAL DISORDER(a) 2007
•
15
16. INCIDENCE OF MENTAL HEALTH
CONDITIONS (AUSTRALIA)
• 9% Mood disorders
• 11% Anxiety disorders
• 13% Personality Disorder
• 6.5% Alcohol use disorder
• 2.2% Substance use disorder other than alcohol
• 0.4% Psychotic illness
• A high level of co-morbidity exists
16
17. DISORDER NAME
Panic Disorder 2% Worry that panic will result in physical or mental collapse
Agoraphobia 1.7% Fear of situations where in the event of a panic, it may be
difficult to leave or access help
Social Phobia 2.8% Fear of evaluation/scrutiny; fear of being
shamed/rejected
Generalized Anxiety
Disorder
4.1% Persistent worry that disaster will occur (across various
domains of life)
Obsessive Compulsive
Disorder
.8% Worry that fears of self-caused harm to self or loved
ones will come true
Specific Phobia 8% Fear of personal harm occurring if exposed to a situation
or thing
Posttraumatic Stress 1.7% Fear of the intrusive memories of past harm or threats of
ANXIETY DISORDERS
23. FROM AVOIDANCE TO APPROACH
• Planned
• Graded
• Repeated
Guided by “habituation”
24. MINDFUL OBSERVATION (ACT)
• Intentional focused awareness
of the present
• Observation without
judgement
• Focus on physical senses (or
thought/emotions/surroundin
gs)
25. FRIENDS AND FAMILY
• RECOGNISE IMPACT- STATE WHAT YOU NOTICED
• APPROPRIATE SUPPORT- ASK, DON’T TELL
• WORK WITH THEIR PLAN
• SUPPORT THEIR EFFORTS
• GO AT THEIR PACE
• OFFER PRACTICAL OPTIMISM
26. THE FLIP SIDE OF ANXIETY MANAGEMENT-
STRENGTHEN WELLBEING!
(POSITIVE PSYCHOLOGY)
Positive emotions
Engagement
Relationship
Meaning
Achievement
Flourishing
Sound evidence that resilience skills support mental health
29. COMMON RECOMMENDATIONS
Mind your thinking
Distorted thinking
patterns trigger anxious
emotions and actions.
Thinking habits can be
changed in order to
reduce anxiety
Think about
“whatever is noble,
right, pure,
lovely, admirable,
excellent, praiseworthy’
30. COMMON RECOMMENDATIONS
Love one another
Bear one another’s
burdens but let each person carry their
own load
Can only grow to maturity in community
Social support and social connection help us to
buffer stress, broaden perspective and reduce
perceived threat
Interpersonal boundaries help us to be
appropriately responsible
31. COMMON RECOMMENDATIONS
Find a purpose for living that is
greater than self
As God’s dearly loved children, our
primary purpose is to love Him and
love others
32. ANXIETY AND BIBLICAL WISDOM
Worry - daily needs
- the future
Matthew
5:25-34
Matthew
6:34
Don’t worry
Recognize God’s care for creation
Pray and ask
Focus on a life that pleases God
One day at a time
Peace during anxiety Philippians
4:4-7
Praising God for his goodness
Giving thanks to him
Ask Him to help
Savor what’s good Philippians
4:8-9
Thinking about good things and putting
them into practice brings God’s peace
Our anxious hearts can falsely
“condemn us”
1 John 3:18 Test our own accusing thoughts; measuring
them against our actions. Be reassured that
God is greater than
34. GOD’S PEACE THROUGH CHRIST
Significance Security
Dearly Loved Children (1John3:1)
Made in God’s image (Genesis 1:27)
Assurance of his acceptance when
we receive the gift of eternal life
through Christ (1 John 5:13)
A Purpose-filled life “Blessed to be
a blessing” (Genesis 12:3)
Promised God’s presence always
(Matt 28:20); Grace strengthens us,
empty ritual does not (Heb 13:9)
Valued- no performance pressure
or image management needed (2
Cor 4:7)
No matter how great the anxiety, we
can’t be separated from God’s love
(Romans 8:39)
35. FINALLY
• There is hope
• Psychological strategies can help
• A fresh start with God can help
• Taking small steps of change can
lead to big changes
• Get a cheer team and begin!
36. “There is no fear in love, but perfect love
drives out fear”
1 John 4:18
Editor's Notes
Fear-specific immediate event; anxiety and excitement both arousal states; Anxiety- Vague, non-specific, distant
Anxiety move sand changes; Katsushika Hokusai 1760-1849
The artists wife, Ida.
Metaphor
(c) IOH 2003,
Genetics a strong genetic vulnerability, but not solely deterministic
Early experience- assumptions about harm and responsibility
In agoraphobia and social phobia alcohol problems follow from self-medication
Problematic alcohol consumption associated with triggering of panic and GAD
In the past 12 months 6.5% of Australian adults met criteria for an ICD-10 alcohol-use disorder and 2.2% had another ICD-10 drug-use disorder. Men were at higher risk than women of developing alcohol- and drug-use disorders and the prevalence of both disorders decreased with increasing age. There were high rates of co morbidity between alcohol- and other drug-use disorders and mental disorders and low rates of treatment seeking..2% The prevalence of 12-month DSM-IV independent mood and anxiety disorders in the US population were 9.21% (95% confidence interval [CI], 8.78%-9.64%) and 11.08% (95% CI, 10.43%-11.73%), respectively. The rate of substance use disorders was 9.35% (95% CI, 8.86%-9.84%).
% are estimated lifetime prevalence in Western countries;
Positivism states that positive knowledge is based on natural phenomena-information derived from sensory experience, interpreted through reason and logic, forms the exclusive source of all authoritative knowledge.
Humanism emphasizes the value and agency of human beings, individually and collectively, and generally elevates critical thinking and evidence (rationalism, empiricism) over religious truth claims
Existentialism Proposes that each individual—not society or religion—is solely responsible for giving meaning to life and living it passionately and sincerely, or "authentically."[13][14]
James 1:15; Philippians 4:8 –whatever is…think about