SlideShare a Scribd company logo
Understanding and managing
anxiety
#ShineConnect2016
coachingemily.com
If you take nothing else
away…
Talk to
someone
Understand
anxiety better
Misunderstandings
and myths
How to get the
right support for
you/your friend
7 problems only anxious
An uncomfortable feeling of
nervousness or worry about
something that is happening
or might happen in the future
What’s normal?
Normal,
manageable,
beneficial
Longer duration and
Intensity/frequency
interferes with functioning
and overall wellbeing
What’s normal for cancer?
Manageable adjustment to
screening, tests, diagnosis,
treatment, re-occurrence
worry, life-long symptoms
Trouble with adjustment,
acceptance and compliance,
longer physical and emotional side
effects from treatment, other mental
health issues, trouble with activities
of daily living
What have we got to be
anxious about?
Life
Confidence
Self-esteem
Relationships
Communication
Work and career
Money
Housing
Health
Caring
Children and family
Cancer
Panic
Pain
Fear – re-occurrence or dying
Experiencing a new situation e.g. chemo for
the first time
Claustrophobia
Worries for others in our lives
Worries about going off the radar (a literal
FOMO)
Other health anxieties
Complacency in moving forward and
optimism i.e. if I feel ok I’m just going to be
let down
Encouraging signs for
understanding mental
health and cancer
But…
25%
Mental health
30%
Mental health
and cancer
MILLENNIALS
I’ve probably
always been
anxious to a
point but after
my experience
in hospital it sky-
rocketed.
Kate, 39
Just on edge a
lot, like I’m
always waiting
for the next bad
thing to
happen…it’s
exhausting.
Alex, 32
I couldn’t get my
feelings to
change, just
constantly on
difficult things
and wondering if
I’d been a good
friend, partner,
daughter,
colleague – it
just didn’t stop.
Sally, 26
Contributing factors
• Past or childhood experiences
• Genetics
• Diet
• Physical and mental health
• Drugs or medication you’re on
• Every day life
Symptoms and diagnosis
Responses
not at all =0
several days =1
more than half the
days =2
nearly every day =3
Total scores
mild =5
moderate =10
severe =15
A score of 10
warrants further
evaluation i.e.
referral/appropriate
support
Anxiety misunderstandings
It’s a mental health issue
PHYSICAL
Increased heart rate
Increased muscle tension
“Jelly legs”
Tingling in the hands and feet
Hyperventilation (over breathing)
Dizziness
Difficulty in breathing
Wanting to use the toilet more
often
Feeling sick
Tight band across the chest area
Tension headaches
Hot flushes
Increased perspiration
Dry mouth
Shaking
Palpitations
MENTAL
Thinking that you may lose control
and/or go “mad”
Feeling that people are looking at
you and observing your anxiety
Feeling as though things are
speeding up/slowing down
Feeling detached from your
environment and the people in it
Feeling like wanting to run
away/escape from the situation
Feeling on edge and alert to
everything around you
Thinking that you might die
Thinking that you may have a
heart attack/be sick/faint/have a
brain tumour
Anxiety misunderstandings
It’s just a panic attack
Anxiety disorders
Six major types of anxiety disorders, each with
their own distinct symptom profile: 
•panic disorder (anxiety attacks)
•phobia
•post-traumatic stress disorder (PTSD)
•generalized anxiety disorder
•obsessive-compulsive disorder (OCD)
•social anxiety disorder
…AND subclinical
Responses
not at all =0
several days =1
more than half the
days =2
nearly every day =3
Total scores
mild =5
moderate =10
severe =15
A score of 10
warrants further
evaluation i.e.
referral/appropriate
support
Panic diagnosis
Disorder diagnosed with
1.Recurrent and unexpected panic
attacks – often without obvious reason
2.Attacks followed by at least one
month of continuous worry or concern
about having further attacks.
PTSD diagnosis
Diagnosis of PTSD requires exposure to
an event that involved or held the
threat of death, violence or serious
injury and then you experience one or
more of the following signs or
symptoms after the traumatic event:
•You relive experiences of the
traumatic event, such as having
distressing images and memories.
•You have upsetting dreams about
the traumatic event.
•You experience flashbacks as if you
were experiencing the traumatic
event again.
•You experience on-going or severe
emotional distress or physical
symptoms if something reminds you of
the traumatic event.
In addition, for more than one month after the
traumatic event you may:
•Try to avoid situations or things that remind
you of the traumatic event
•Not remember important parts of the
traumatic event
•View yourself, others and the world in a
negative way
•Lose interest in activities you used to enjoy
and feel detached from family and friends
•Feel a sense of emotional numbness, feel
irritable or have angry or violent outbursts
•Engage in dangerous or self-destructive
behaviour
•Feel as if you're constantly on guard or alert
for signs of danger and startle easily
•Have trouble sleeping or concentrating
•Your symptoms cause significant distress in
your life or interfere with your ability to go
about your normal daily tasks.
The science and types of anx
Anxiety misunderstandings
It will just go away if I don’t think about it
But you’re fine/
all clear/
better now
Just breathe
Just think
about
something
else
Don’t worry,
it could be worse
Have you tried
mindfulness/yoga
/medication?
28%
Took over a year to tell
loved ones
Support
Get a clear understanding of what it is
Find the right techniques, support, treatment
There is work to be done - body AND mind
Support levels
• Self-help techniques
• Talking therapies
• Medication
• Access to other community mental
health team specialists
FROM:
NHS, private, charities
THE BASICS!
• Get outside when you can - walking or more
vigorous exercise
• Learn a relaxation technique that works for you
• Watch your alcohol and caffeine intake
• Have hobbies and good things in your life that
remind you you don't always feel like this
• Get good sleep for you where possible
• Talk to/be with people you trust and who make you
feel good
BODY Examples
Breathing techniques Example breathing technique
  Breathing technique for stress and anxiety
  Belly breathing
Drinking water Mild dehydration affects mental wellbeing
Write/Draw/Scribble Creativity in healing
Stretching Poses for anxiety
Body techniques e.g.
shaking, tapping,
anchor Trauma Release exercises (deliberate shaking)
MIND Examples
Talk (e.g. Trusted friend, GP,
Therapist/Counsellor, Anxiety
Coach) How to help a loved one with
  Talking with your GP about me
  Counselling to support anxiety
Meditation/Mindfulness Mindfulness for health
Supportive forums/groups Mind support forum
  Anxiety UK support groups
Cancer specific groups Breast Cancer Anxiety Suppor
  Lymphoma anxiety discussion
 
Bowel Cancer anxiety
information
Short-term
BODY Examples
Writing Thought diary for anxiety
  Journaling for anxiety
Drawing 3 types of art therapy for anxiety
Exercise Exercise for anxiety and stress evidence
  Exercise on prescription
Body therapies
Acupuncture access for
anxiety
  EFT for anxiety
  Massage for anxiety
Medication Anxiety medications
MIND Examples
Meditation/Mindfulness Mindfulness for health
Visualisations Visualisations for anxiety
Talk (GP,
Therapist/Counsellor, Anxiety
Coach)
Challenging our beliefs
about anxiety
 
Self-help therapies for
anxiety
  CBT for anxiety
Other mind-based therapies
Hypnosis/hypnotherapy
for anxiety
Medication Anxiety medications
Anxiety Apps and podcasts Anxiety coaches podcast
Charities
Cancer Research UK -
fear anxiety and panic
Longer-term
A panic attack…
• SLOW DOWN
• Remind yourself you’re OK, it’s OK to be feel like this
and it passes – you know this because experience
tells you so
• Get your tool box out, take ONE ACTION AT A TIME
• Ask a friend to help you in the way you need them
to i.e. NOT lots of questions
• When over – review what worked and didn’t work
If you take nothing else
away…
Talk to
someone
Supporting a friend
• Listen and ask
• Be patient
• Learn more about anxiety
• Hear when they’re ready for more support
and help them find it
• Manage your expectations
• Get support yourself
Questions?
coaching, therapy and support
for people going through challenges
in health, life and self
coachingemily.com

More Related Content

What's hot

Social phobia (social anxiety disorder)
Social phobia (social anxiety disorder)Social phobia (social anxiety disorder)
Social phobia (social anxiety disorder)
Col Mukteshwar Prasad
 
Coping with Stress
Coping with StressCoping with Stress
Coping with Stress
Prachi Sanghvi
 
Ptsd in the inner city
Ptsd in the inner cityPtsd in the inner city
Ptsd in the inner cityM Stevens
 
What are anxiety disorders 1
What are anxiety disorders 1What are anxiety disorders 1
What are anxiety disorders 1
shivangijaiswal27
 
Understanding and Overcoming Panic
Understanding and Overcoming PanicUnderstanding and Overcoming Panic
Understanding and Overcoming Panic
Summit Health
 
Panic disorder
Panic disorderPanic disorder
Panic disorder
Queeny1984
 
Social phobia
Social phobiaSocial phobia
Social phobia
Queeny1984
 
Lovesickness
LovesicknessLovesickness
Lovesickness
Prachi Sanghvi
 
social anxiety disorder
social anxiety disordersocial anxiety disorder
social anxiety disorder
Hafiz Usman
 
Anxiety is Killing Us
Anxiety is Killing UsAnxiety is Killing Us
Anxiety is Killing Us
The Presentation Designer
 
Depression
DepressionDepression
Managing anxiety
Managing anxietyManaging anxiety
Social anxiety disorder
Social anxiety disorderSocial anxiety disorder
Social anxiety disorder
spscc
 
Panic disorder with agoraphobia
Panic disorder with agoraphobiaPanic disorder with agoraphobia
Panic disorder with agoraphobia
Anxietyannie
 
Introduction to depression
Introduction to depressionIntroduction to depression
Introduction to depressionSuramya10
 
Cbt -Ocd
Cbt -OcdCbt -Ocd
Cbt -Ocd
IMH chennai
 
Anxiety in teenagers for educators
Anxiety in teenagers for educatorsAnxiety in teenagers for educators
Anxiety in teenagers for educators
Dr. Armaan Singh
 
Panic disorder
Panic disorderPanic disorder
Panic disorder
Sam Kyley
 
Social Anxiety presentation
Social Anxiety presentationSocial Anxiety presentation
Social Anxiety presentationJennifer Hedin
 

What's hot (20)

Social phobia (social anxiety disorder)
Social phobia (social anxiety disorder)Social phobia (social anxiety disorder)
Social phobia (social anxiety disorder)
 
Coping with Stress
Coping with StressCoping with Stress
Coping with Stress
 
Ptsd in the inner city
Ptsd in the inner cityPtsd in the inner city
Ptsd in the inner city
 
What are anxiety disorders 1
What are anxiety disorders 1What are anxiety disorders 1
What are anxiety disorders 1
 
Understanding and Overcoming Panic
Understanding and Overcoming PanicUnderstanding and Overcoming Panic
Understanding and Overcoming Panic
 
Panic disorder
Panic disorderPanic disorder
Panic disorder
 
Social phobia
Social phobiaSocial phobia
Social phobia
 
Lovesickness
LovesicknessLovesickness
Lovesickness
 
social anxiety disorder
social anxiety disordersocial anxiety disorder
social anxiety disorder
 
Anxiety is Killing Us
Anxiety is Killing UsAnxiety is Killing Us
Anxiety is Killing Us
 
Depression
DepressionDepression
Depression
 
Managing anxiety
Managing anxietyManaging anxiety
Managing anxiety
 
Social anxiety disorder
Social anxiety disorderSocial anxiety disorder
Social anxiety disorder
 
Panic disorder with agoraphobia
Panic disorder with agoraphobiaPanic disorder with agoraphobia
Panic disorder with agoraphobia
 
Introduction to depression
Introduction to depressionIntroduction to depression
Introduction to depression
 
Cbt -Ocd
Cbt -OcdCbt -Ocd
Cbt -Ocd
 
Anxiety in teenagers for educators
Anxiety in teenagers for educatorsAnxiety in teenagers for educators
Anxiety in teenagers for educators
 
Anxiety disorders
Anxiety disordersAnxiety disorders
Anxiety disorders
 
Panic disorder
Panic disorderPanic disorder
Panic disorder
 
Social Anxiety presentation
Social Anxiety presentationSocial Anxiety presentation
Social Anxiety presentation
 

Similar to Shine Connect Conference - Understanding and Managing Anxiety workshop

Stress and its impact on health.pptx
Stress and its impact on health.pptxStress and its impact on health.pptx
Stress and its impact on health.pptx
Dr. Ankit Gaur
 
Depression and anxiety
Depression and anxietyDepression and anxiety
Depression and anxiety
healthywikihowhealth
 
Coping after a Cancer Diagnosis Sept 2014 Webinar
Coping after a Cancer Diagnosis Sept 2014 WebinarCoping after a Cancer Diagnosis Sept 2014 Webinar
Coping after a Cancer Diagnosis Sept 2014 Webinar
Fight Colorectal Cancer
 
Stress & Resilience
Stress & ResilienceStress & Resilience
Stress & Resilience
Teresa Chahine
 
Anxiety
AnxietyAnxiety
Anxiety
KhatunaJavari
 
February 2019 – Compassion Fatigue Webinar
February 2019 – Compassion Fatigue WebinarFebruary 2019 – Compassion Fatigue Webinar
February 2019 – Compassion Fatigue Webinar
Fight Colorectal Cancer
 
Gambling Co-existing Problems (CEP)
Gambling Co-existing Problems (CEP)Gambling Co-existing Problems (CEP)
Gambling Co-existing Problems (CEP)
actsconz
 
Living with Chronic Illness or Pain: Happiness Isn't Brain Surgery
Living with Chronic Illness or Pain: Happiness Isn't Brain SurgeryLiving with Chronic Illness or Pain: Happiness Isn't Brain Surgery
Living with Chronic Illness or Pain: Happiness Isn't Brain Surgery
Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training
 
Abnormal psychology's anxiety disorder slides
Abnormal psychology's anxiety disorder slidesAbnormal psychology's anxiety disorder slides
Abnormal psychology's anxiety disorder slides
Muhammad Ahmad Badar
 
Living successfully with bipolar disorder
Living successfully with bipolar disorderLiving successfully with bipolar disorder
Living successfully with bipolar disorder
Vijay Nallawala
 
Depression in older adults presentation by Lauren Olaiz, MPH
Depression in older adults presentation by Lauren Olaiz, MPH Depression in older adults presentation by Lauren Olaiz, MPH
Depression in older adults presentation by Lauren Olaiz, MPH
Lynne Watanabe-MacFarlane
 
Depression
DepressionDepression
Depression
GarimaBhati5
 
Dealing with post traumatic experience during covid 19
Dealing with post traumatic experience during covid 19Dealing with post traumatic experience during covid 19
Dealing with post traumatic experience during covid 19
sojan47
 
Mental Health Issues for Middle Schoolers: Demystifying Depression & Anxiety...
Mental Health Issues for Middle Schoolers:  Demystifying Depression & Anxiety...Mental Health Issues for Middle Schoolers:  Demystifying Depression & Anxiety...
Mental Health Issues for Middle Schoolers: Demystifying Depression & Anxiety...
Katherine Noble
 
Coping with Grief
Coping with GriefCoping with Grief
Do you know the difference between panic and anxiety understanding the differ...
Do you know the difference between panic and anxiety understanding the differ...Do you know the difference between panic and anxiety understanding the differ...
Do you know the difference between panic and anxiety understanding the differ...
Mrsunny4
 
PTSD
PTSDPTSD
PTSD
PTSDPTSD
PTSD
Rebma S
 

Similar to Shine Connect Conference - Understanding and Managing Anxiety workshop (20)

Stress and its impact on health.pptx
Stress and its impact on health.pptxStress and its impact on health.pptx
Stress and its impact on health.pptx
 
Depression and anxiety
Depression and anxietyDepression and anxiety
Depression and anxiety
 
Anxiety
AnxietyAnxiety
Anxiety
 
Coping after a Cancer Diagnosis Sept 2014 Webinar
Coping after a Cancer Diagnosis Sept 2014 WebinarCoping after a Cancer Diagnosis Sept 2014 Webinar
Coping after a Cancer Diagnosis Sept 2014 Webinar
 
Stress & Resilience
Stress & ResilienceStress & Resilience
Stress & Resilience
 
Anxiety
AnxietyAnxiety
Anxiety
 
February 2019 – Compassion Fatigue Webinar
February 2019 – Compassion Fatigue WebinarFebruary 2019 – Compassion Fatigue Webinar
February 2019 – Compassion Fatigue Webinar
 
Gambling Co-existing Problems (CEP)
Gambling Co-existing Problems (CEP)Gambling Co-existing Problems (CEP)
Gambling Co-existing Problems (CEP)
 
Living with Chronic Illness or Pain: Happiness Isn't Brain Surgery
Living with Chronic Illness or Pain: Happiness Isn't Brain SurgeryLiving with Chronic Illness or Pain: Happiness Isn't Brain Surgery
Living with Chronic Illness or Pain: Happiness Isn't Brain Surgery
 
Abnormal psychology's anxiety disorder slides
Abnormal psychology's anxiety disorder slidesAbnormal psychology's anxiety disorder slides
Abnormal psychology's anxiety disorder slides
 
Depression
DepressionDepression
Depression
 
Living successfully with bipolar disorder
Living successfully with bipolar disorderLiving successfully with bipolar disorder
Living successfully with bipolar disorder
 
Depression in older adults presentation by Lauren Olaiz, MPH
Depression in older adults presentation by Lauren Olaiz, MPH Depression in older adults presentation by Lauren Olaiz, MPH
Depression in older adults presentation by Lauren Olaiz, MPH
 
Depression
DepressionDepression
Depression
 
Dealing with post traumatic experience during covid 19
Dealing with post traumatic experience during covid 19Dealing with post traumatic experience during covid 19
Dealing with post traumatic experience during covid 19
 
Mental Health Issues for Middle Schoolers: Demystifying Depression & Anxiety...
Mental Health Issues for Middle Schoolers:  Demystifying Depression & Anxiety...Mental Health Issues for Middle Schoolers:  Demystifying Depression & Anxiety...
Mental Health Issues for Middle Schoolers: Demystifying Depression & Anxiety...
 
Coping with Grief
Coping with GriefCoping with Grief
Coping with Grief
 
Do you know the difference between panic and anxiety understanding the differ...
Do you know the difference between panic and anxiety understanding the differ...Do you know the difference between panic and anxiety understanding the differ...
Do you know the difference between panic and anxiety understanding the differ...
 
PTSD
PTSDPTSD
PTSD
 
PTSD
PTSDPTSD
PTSD
 

Recently uploaded

Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
ranishasharma67
 
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
ranishasharma67
 
Health Education on prevention of hypertension
Health Education on prevention of hypertensionHealth Education on prevention of hypertension
Health Education on prevention of hypertension
Radhika kulvi
 
Introduction to Forensic Pathology course
Introduction to Forensic Pathology courseIntroduction to Forensic Pathology course
Introduction to Forensic Pathology course
fprxsqvnz5
 
ABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROMEABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROME
Rommel Luis III Israel
 
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
ILC- UK
 
The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........
TheDocs
 
Antibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptxAntibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptx
AnushriSrivastav
 
GLOBAL WARMING BY PRIYA BHOJWANI @..pptx
GLOBAL WARMING BY PRIYA BHOJWANI @..pptxGLOBAL WARMING BY PRIYA BHOJWANI @..pptx
GLOBAL WARMING BY PRIYA BHOJWANI @..pptx
priyabhojwani1200
 
Artificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular TherapyArtificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular Therapy
Iris Thiele Isip-Tan
 
The Impact of Meeting: How It Can Change Your Life
The Impact of Meeting: How It Can Change Your LifeThe Impact of Meeting: How It Can Change Your Life
The Impact of Meeting: How It Can Change Your Life
ranishasharma67
 
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Dr. David Greene Arizona
 
10 Ideas for Enhancing Your Meeting Experience
10 Ideas for Enhancing Your Meeting Experience10 Ideas for Enhancing Your Meeting Experience
10 Ideas for Enhancing Your Meeting Experience
ranishasharma67
 
Roti bank chennai PPT [Autosaved].pptx1
Roti bank  chennai PPT [Autosaved].pptx1Roti bank  chennai PPT [Autosaved].pptx1
Roti bank chennai PPT [Autosaved].pptx1
roti bank
 
Navigating Healthcare with Telemedicine
Navigating Healthcare with  TelemedicineNavigating Healthcare with  Telemedicine
Navigating Healthcare with Telemedicine
Iris Thiele Isip-Tan
 
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
ranishasharma67
 
Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...
Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...
Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...
ranishasharma67
 
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
pchutichetpong
 
ICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdfICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdf
NEHA GUPTA
 
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
The Lifesciences Magazine
 

Recently uploaded (20)

Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
 
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
 
Health Education on prevention of hypertension
Health Education on prevention of hypertensionHealth Education on prevention of hypertension
Health Education on prevention of hypertension
 
Introduction to Forensic Pathology course
Introduction to Forensic Pathology courseIntroduction to Forensic Pathology course
Introduction to Forensic Pathology course
 
ABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROMEABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROME
 
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
 
The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........
 
Antibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptxAntibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptx
 
GLOBAL WARMING BY PRIYA BHOJWANI @..pptx
GLOBAL WARMING BY PRIYA BHOJWANI @..pptxGLOBAL WARMING BY PRIYA BHOJWANI @..pptx
GLOBAL WARMING BY PRIYA BHOJWANI @..pptx
 
Artificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular TherapyArtificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular Therapy
 
The Impact of Meeting: How It Can Change Your Life
The Impact of Meeting: How It Can Change Your LifeThe Impact of Meeting: How It Can Change Your Life
The Impact of Meeting: How It Can Change Your Life
 
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
 
10 Ideas for Enhancing Your Meeting Experience
10 Ideas for Enhancing Your Meeting Experience10 Ideas for Enhancing Your Meeting Experience
10 Ideas for Enhancing Your Meeting Experience
 
Roti bank chennai PPT [Autosaved].pptx1
Roti bank  chennai PPT [Autosaved].pptx1Roti bank  chennai PPT [Autosaved].pptx1
Roti bank chennai PPT [Autosaved].pptx1
 
Navigating Healthcare with Telemedicine
Navigating Healthcare with  TelemedicineNavigating Healthcare with  Telemedicine
Navigating Healthcare with Telemedicine
 
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
 
Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...
Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...
Contact ME {89011**83002} Haridwar ℂall Girls By Full Service Call Girl In Ha...
 
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
 
ICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdfICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdf
 
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
 

Shine Connect Conference - Understanding and Managing Anxiety workshop

  • 2. If you take nothing else away… Talk to someone
  • 3. Understand anxiety better Misunderstandings and myths How to get the right support for you/your friend
  • 4. 7 problems only anxious
  • 5. An uncomfortable feeling of nervousness or worry about something that is happening or might happen in the future
  • 6. What’s normal? Normal, manageable, beneficial Longer duration and Intensity/frequency interferes with functioning and overall wellbeing
  • 7. What’s normal for cancer? Manageable adjustment to screening, tests, diagnosis, treatment, re-occurrence worry, life-long symptoms Trouble with adjustment, acceptance and compliance, longer physical and emotional side effects from treatment, other mental health issues, trouble with activities of daily living
  • 8. What have we got to be anxious about? Life Confidence Self-esteem Relationships Communication Work and career Money Housing Health Caring Children and family Cancer Panic Pain Fear – re-occurrence or dying Experiencing a new situation e.g. chemo for the first time Claustrophobia Worries for others in our lives Worries about going off the radar (a literal FOMO) Other health anxieties Complacency in moving forward and optimism i.e. if I feel ok I’m just going to be let down
  • 9. Encouraging signs for understanding mental health and cancer But…
  • 13.
  • 14. I’ve probably always been anxious to a point but after my experience in hospital it sky- rocketed. Kate, 39 Just on edge a lot, like I’m always waiting for the next bad thing to happen…it’s exhausting. Alex, 32 I couldn’t get my feelings to change, just constantly on difficult things and wondering if I’d been a good friend, partner, daughter, colleague – it just didn’t stop. Sally, 26
  • 15. Contributing factors • Past or childhood experiences • Genetics • Diet • Physical and mental health • Drugs or medication you’re on • Every day life
  • 16.
  • 18. Responses not at all =0 several days =1 more than half the days =2 nearly every day =3 Total scores mild =5 moderate =10 severe =15 A score of 10 warrants further evaluation i.e. referral/appropriate support
  • 19. Anxiety misunderstandings It’s a mental health issue
  • 20. PHYSICAL Increased heart rate Increased muscle tension “Jelly legs” Tingling in the hands and feet Hyperventilation (over breathing) Dizziness Difficulty in breathing Wanting to use the toilet more often Feeling sick Tight band across the chest area Tension headaches Hot flushes Increased perspiration Dry mouth Shaking Palpitations MENTAL Thinking that you may lose control and/or go “mad” Feeling that people are looking at you and observing your anxiety Feeling as though things are speeding up/slowing down Feeling detached from your environment and the people in it Feeling like wanting to run away/escape from the situation Feeling on edge and alert to everything around you Thinking that you might die Thinking that you may have a heart attack/be sick/faint/have a brain tumour
  • 22. Anxiety disorders Six major types of anxiety disorders, each with their own distinct symptom profile:  •panic disorder (anxiety attacks) •phobia •post-traumatic stress disorder (PTSD) •generalized anxiety disorder •obsessive-compulsive disorder (OCD) •social anxiety disorder …AND subclinical
  • 23.
  • 24. Responses not at all =0 several days =1 more than half the days =2 nearly every day =3 Total scores mild =5 moderate =10 severe =15 A score of 10 warrants further evaluation i.e. referral/appropriate support
  • 25. Panic diagnosis Disorder diagnosed with 1.Recurrent and unexpected panic attacks – often without obvious reason 2.Attacks followed by at least one month of continuous worry or concern about having further attacks.
  • 26. PTSD diagnosis Diagnosis of PTSD requires exposure to an event that involved or held the threat of death, violence or serious injury and then you experience one or more of the following signs or symptoms after the traumatic event: •You relive experiences of the traumatic event, such as having distressing images and memories. •You have upsetting dreams about the traumatic event. •You experience flashbacks as if you were experiencing the traumatic event again. •You experience on-going or severe emotional distress or physical symptoms if something reminds you of the traumatic event. In addition, for more than one month after the traumatic event you may: •Try to avoid situations or things that remind you of the traumatic event •Not remember important parts of the traumatic event •View yourself, others and the world in a negative way •Lose interest in activities you used to enjoy and feel detached from family and friends •Feel a sense of emotional numbness, feel irritable or have angry or violent outbursts •Engage in dangerous or self-destructive behaviour •Feel as if you're constantly on guard or alert for signs of danger and startle easily •Have trouble sleeping or concentrating •Your symptoms cause significant distress in your life or interfere with your ability to go about your normal daily tasks.
  • 27. The science and types of anx
  • 28. Anxiety misunderstandings It will just go away if I don’t think about it
  • 29.
  • 30. But you’re fine/ all clear/ better now
  • 35.
  • 36. 28% Took over a year to tell loved ones
  • 37. Support Get a clear understanding of what it is Find the right techniques, support, treatment There is work to be done - body AND mind
  • 38. Support levels • Self-help techniques • Talking therapies • Medication • Access to other community mental health team specialists FROM: NHS, private, charities
  • 39. THE BASICS! • Get outside when you can - walking or more vigorous exercise • Learn a relaxation technique that works for you • Watch your alcohol and caffeine intake • Have hobbies and good things in your life that remind you you don't always feel like this • Get good sleep for you where possible • Talk to/be with people you trust and who make you feel good
  • 40. BODY Examples Breathing techniques Example breathing technique   Breathing technique for stress and anxiety   Belly breathing Drinking water Mild dehydration affects mental wellbeing Write/Draw/Scribble Creativity in healing Stretching Poses for anxiety Body techniques e.g. shaking, tapping, anchor Trauma Release exercises (deliberate shaking) MIND Examples Talk (e.g. Trusted friend, GP, Therapist/Counsellor, Anxiety Coach) How to help a loved one with   Talking with your GP about me   Counselling to support anxiety Meditation/Mindfulness Mindfulness for health Supportive forums/groups Mind support forum   Anxiety UK support groups Cancer specific groups Breast Cancer Anxiety Suppor   Lymphoma anxiety discussion   Bowel Cancer anxiety information Short-term
  • 41. BODY Examples Writing Thought diary for anxiety   Journaling for anxiety Drawing 3 types of art therapy for anxiety Exercise Exercise for anxiety and stress evidence   Exercise on prescription Body therapies Acupuncture access for anxiety   EFT for anxiety   Massage for anxiety Medication Anxiety medications MIND Examples Meditation/Mindfulness Mindfulness for health Visualisations Visualisations for anxiety Talk (GP, Therapist/Counsellor, Anxiety Coach) Challenging our beliefs about anxiety   Self-help therapies for anxiety   CBT for anxiety Other mind-based therapies Hypnosis/hypnotherapy for anxiety Medication Anxiety medications Anxiety Apps and podcasts Anxiety coaches podcast Charities Cancer Research UK - fear anxiety and panic Longer-term
  • 42. A panic attack… • SLOW DOWN • Remind yourself you’re OK, it’s OK to be feel like this and it passes – you know this because experience tells you so • Get your tool box out, take ONE ACTION AT A TIME • Ask a friend to help you in the way you need them to i.e. NOT lots of questions • When over – review what worked and didn’t work
  • 43. If you take nothing else away… Talk to someone
  • 44. Supporting a friend • Listen and ask • Be patient • Learn more about anxiety • Hear when they’re ready for more support and help them find it • Manage your expectations • Get support yourself
  • 45.
  • 47. coaching, therapy and support for people going through challenges in health, life and self coachingemily.com

Editor's Notes

  1. But what’s NORMAL anxiety? When does it become a disorder or clinical or more of a problem? How does cancer play a part?
  2. But what’s NORMAL anxiety? When does it become a disorder or clinical or more of a problem? How does cancer play a part? What’s the difference between FEAR and ANXIETY The most important distinction between fear and anxiety is the timeframe. Fear is the response to a danger that is currently detected in the immediate, present moment of time. In contrast, anxiety refers to the anticipation of some potential threat that may, or may not, happen in the future. In other words, fear is a response to an immediate danger in the present moment of time, while anxiety is associated with a threat that is anticipated in a future moment of time. As noted previously, normal anxiety is actually beneficial. However, anxiety becomes a problem when it overstays its welcome (duration), and/or is of an intensity or frequency which begins to interfere with a person's functioning and overall well-being. These three factors- duration, intensity, and frequency- distinguish normal, adaptive anxiety from abnormal, pathological anxiety. As such, abnormal anxiety is different from normal anxiety because it is disproportionate to the situation that elicited the anxious response. https://www.mentalhelp.net/articles/normal-and-abnormal-anxiety-what-s-the-difference/
  3. But what’s NORMAL anxiety? When does it become a disorder or clinical or more of a problem? How does cancer play a part? What’s the difference between FEAR and ANXIETY The most important distinction between fear and anxiety is the timeframe. Fear is the response to a danger that is currently detected in the immediate, present moment of time. In contrast, anxiety refers to the anticipation of some potential threat that may, or may not, happen in the future. In other words, fear is a response to an immediate danger in the present moment of time, while anxiety is associated with a threat that is anticipated in a future moment of time. As noted previously, normal anxiety is actually beneficial. However, anxiety becomes a problem when it overstays its welcome (duration), and/or is of an intensity or frequency which begins to interfere with a person's functioning and overall well-being. These three factors- duration, intensity, and frequency- distinguish normal, adaptive anxiety from abnormal, pathological anxiety. As such, abnormal anxiety is different from normal anxiety because it is disproportionate to the situation that elicited the anxious response. https://www.mentalhelp.net/articles/normal-and-abnormal-anxiety-what-s-the-difference/
  4. Much more is known about the emotional and mental health side effects and impact of cancer – where previously we tended to think and treat the physical impact alone we are finding more information, access to and guidance about mental health and cancer than ever before. It’s still not enough – at the Royal Surrey County Hospital my local hospital there is still only 1 psychologist for the whole oncology department which sees over 3000 patients a week! Physical side effects Emotional side effects
  5. http://www.macmillan.org.uk/documents/aboutus/research/keystats/statisticsfactsheet.pdf
  6. http://www.mind.org.uk/information-support/types-of-mental-health-problems/anxiety-and-panic-attacks/causes-of-anxiety/#.VxkdWCMrLZs
  7. http://www.mind.org.uk/information-support/types-of-mental-health-problems/anxiety-and-panic-attacks/causes-of-anxiety/#.VxkdWCMrLZs
  8. http://www.mind.org.uk/information-support/types-of-mental-health-problems/anxiety-and-panic-attacks/causes-of-anxiety/#.VxkdWCMrLZs
  9. Also the DSM 5 criteria – diagnostic and statistical manual of mental disorders which is used to diagnose all NICE guildelines NHS use range of techniques -
  10. PTSD http://www.cancer.net/survivorship/life-after-cancer/post-traumatic-stress-disorder-and-cancer MOST COMMON ANXIETY DISORDERS IN GENERAL  MOST COMMON ANXIETY DISORDERS IN CANCER POPULATION     GAD in general With cancer – PTSD and Panic
  11. PTSD http://www.cancer.net/survivorship/life-after-cancer/post-traumatic-stress-disorder-and-cancer MOST COMMON ANXIETY DISORDERS IN GENERAL  MOST COMMON ANXIETY DISORDERS IN CANCER POPULATION     GAD in general With cancer – PTSD and Panic
  12. Also the DSM 5 criteria – diagnostic and statistical manual of mental disorders which is used to diagnose all NICE guildelines NHS use range of techniques -
  13. http://www.nhs.uk/Conditions/Panic-disorder/Pages/Diagnosis.aspx
  14. PTSD http://www.cancer.net/survivorship/life-after-cancer/post-traumatic-stress-disorder-and-cancer
  15. 28% people with mental health issue (not cancer specific)
  16. Depending on severity, your symptoms and a diagnosis if you have one
  17. http://www.mind.org.uk/information-support/types-of-mental-health-problems/anxiety-and-panic-attacks/for-friends-and-family/#.VxsKliMrLZs