Learn the signs and physiological effects of stress and anxiety. Discover evidence-based approaches, including cognitive behavioral therapy and other techniques that help reduce anxiety and stress. This two-part program will provide a new understanding and awareness of practical skills that can increase your energy and improve daily well-being. Presented by James Korman, PsyD, ACT; Michael Likier, PhD; and Jamie Schwartz, LCSW
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
Having a good mental health is very important for everyone holistic well-being. This document contains the information about how to cope with it and when to ask for professional health. If you want to maintain healthy brain health try Neurodrine dietary supplements. neurodrineonline.co
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
Having a good mental health is very important for everyone holistic well-being. This document contains the information about how to cope with it and when to ask for professional health. If you want to maintain healthy brain health try Neurodrine dietary supplements. neurodrineonline.co
Definition of Mental Health, Early sign of Negative Mental Health, Factors affecting Mental Health, Power of Mental Health,Facts about Mental Health, how to maintain Mental Health. Real example of Mental Health.
Learn about adolescent anxiety, including risks, warning signs, how anxiety can affect the body and well-being, and how cognitive behavioral therapy (CBT) can help your child better cope with life's stresses.
Stress Management (causes of stress n how to manage them) by Sukant GUptaSukant Gupta
this is all for the stress management in which i have tried to cover all the topics n facts that causes for the stress and how to manage the stress. This ppt is for the engineering student as well as for the management student.Hope it may help you :)
Stress is a normal physical response to events that make you feel threatened or upset your balance in some way.
Stress is the “wear and tear” in our minds and bodies experience as we attempt to cope with our continually changing environment
Stress is your body's way of responding to any kind of demand.
It can be caused by both good and bad experiences. When people feel stressed by something going on around them, their bodies react by releasing chemicals into the blood. These chemicals give people more energy and strength,
which can be a good thing if their stress is caused by physical danger.
Definition of Mental Health, Early sign of Negative Mental Health, Factors affecting Mental Health, Power of Mental Health,Facts about Mental Health, how to maintain Mental Health. Real example of Mental Health.
Learn about adolescent anxiety, including risks, warning signs, how anxiety can affect the body and well-being, and how cognitive behavioral therapy (CBT) can help your child better cope with life's stresses.
Stress Management (causes of stress n how to manage them) by Sukant GUptaSukant Gupta
this is all for the stress management in which i have tried to cover all the topics n facts that causes for the stress and how to manage the stress. This ppt is for the engineering student as well as for the management student.Hope it may help you :)
Stress is a normal physical response to events that make you feel threatened or upset your balance in some way.
Stress is the “wear and tear” in our minds and bodies experience as we attempt to cope with our continually changing environment
Stress is your body's way of responding to any kind of demand.
It can be caused by both good and bad experiences. When people feel stressed by something going on around them, their bodies react by releasing chemicals into the blood. These chemicals give people more energy and strength,
which can be a good thing if their stress is caused by physical danger.
Presentation delivered at Women in Transition: a weekly support group offered at Kaiser Permanente Adult Psychiatry. Cupertino, California. Presented by Lucia Merino, LCSW.
Pyschotherapist.
'Wabi-sabi: the beauty of imperfection' introduces the core tenants behind wabi-sabi, the Japanese concept of beauty in a transient world, and how it applies to your work flow.
Anxiety in Adolescents - Symptoms and TreatmentLloyd Takao
Lloyd Takao, MD, a privately practicing pediatrician in Orinda, California, offers 24-hour contact availability and extended office visits to provide families with consistent care. Concerned with each patient's overall health, Dr. Lloyd Takao frequently offers counseling to adolescents who are dealing with anxiety or minor depression.
The biophilia hypothesis suggests that there is an instinctive bond between human beings and other living systems.
Edward O. Wilson introduced and popularized the hypothesis in his book, Biophilia (1984). He defines biophilia as "the connections that human beings subconsciously seek with the rest of life.”
Ronna Sherman, MD, has expertise in weight management, women's health, and internal medicine. She is located in the 233 Millburn Avenue office of the Summit Medical Group, in Millburn, New Jersey. In this presentation, first given on our Berkeley Heights campus, Doctor Sherman discusses menopause
Helping Children Cope After Hurricane SandySummit Health
Natural disasters can be traumatic for children. Experiencing a dangerous or violent flood, storm, wildfire, or earthquake is frightening and the devastation to the familiar environment can be long lasting and distressing. Here are some common reactions in children and how you as a parent can help lessen the mental health impact felt.
Are you age 40 years or older and finding it difficult to lose weight? Learn how your age, menopause and hormones can affect weight loss. Find out about strategies that can help you maintain a healthy weight.
Mental health needs of looked after young people toolkitYoungMinds
An introduction to the mental health needs of Looked After Young People.
YoungMinds supports and informs professionals who work with children or young people, whether through paid employment or voluntary work. We are the UK’s leading provider of training on children’s mental health and wellbeing.
Find out more here: http://www.youngminds.org.uk/training_services
An overview of teen development and parenting today's adolescence. Brain and social development, as well as depression and general mental health issues.
Depression and anxiety are common in children and indicate a problem with mood or anxiety processing. Depression is mostly a problem of moods. Sadness and irritability are the core symptoms
Thriving in the face of adversity – responding to a bereaved childSACAP
When a child’s parent or primary caregiver dies, it can be difficult to know how to help the child cope with the loss. Just like adults, children need to be able to feel pain, mourn, and grow.
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...Summit Health
While holiday celebrations and activities are great fun, it’s also a disruptor to the daily routine. Our expert will share tips to help you navigate holiday season stressors to minimize your child’s risk of a potential flare-up. This virtual event is hosted by the Arthritis Foundation.
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...Summit Health
The Covid-19 Pandemic has been a health crises that we have been fighting for the last year and a half. Dr. Accurso’s presentation is focused on reviewing how far we have come as a society and to address the questions, health concerns, and important precautions we need to take as we integrate ourselves back into a healthy community.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options - And...Summit Health
If you are experiencing shoulder pain, a rotator cuff tear could be the issue. Learn about how, and why, rotator cuff tears happen, how the condition and severity is diagnosed, and the non-surgical and surgical treatment options available.
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021Summit Health
Is your child complaining of joint pain? Learn about concerning symptoms and when to seek medical advice. Our expert discusses the various causes of joint pains in children, how a pediatric rheumatologist evaluates musculoskeletal complaints, and available treatment options.
Mildred “Mitch” Bentler, MA, RD, CSP, CDE, presented a virtual lecture at on diabetes prevention. According to Ms. Bentler,
“A combination of small changes can really make an impact on lowering your blood sugar. Increasing physical activity and adopting healthier eating habits can go a long way to reducing your diabetes risk.”
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...Summit Health
Do you have stomach issues which are bothering you and you can't figure out why? Learn about conditions that could be causing abdominal pain or discomfort at this virtual program. Our expert will discuss different conditions such as: Irritable Bowel Syndrome; Inflammatory Bowel Disease; Celiac Disease and other conditions that require a gluten-free diet; and GERD (Reflux). He will explain the differences between these various conditions, how they are diagnosed, and treatment options available. Hosted by Morristown & Morris Township Public Library.
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...Summit Health
What does your blood pressure, BMI, cholesterol, blood sugar and vitamin levels tell you about your health? Our expert will discuss how these numbers tell a story, and why it’s important to understand what that story means to your overall health. Dr. Im-Imamura will also share tips for helping you get these numbers where they should be, and how increasing physical activity and improving nutrition are key factors that can impact those numbers in a good way.
Presented as part of the Madison Public Library Virtual Seminar Series.
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...Summit Health
Many people suffer from pain, swelling, stiffness, and loss of knee function as a result of knee arthritis. Our expert will discuss the causes, symptoms, and nonsurgical and surgical treatment options available. Hosted by Maurice M. Pine Free Public Library.
Pulmonologist, Jenny Kim, MD, FCCP of our Sleep Disorders Center partnered with the Livingston Health Department to present, Can’t Sleep? The ABCs of Your ZZZs to the community. During the session, Dr. Kim discussed tips for improving sleep and treatment options for common sleep disorders.
Christina Lavner, RDN, Nutrition Services, presented Healthy Eating for Cancer Survivorship, as the second session of our Now What? A Cancer Survivorship Speaker Series for patients wanting to learn more about nutrition that will benefit them during and after treatment. Be sure to check out upcoming presenters in this series and pass the word on to any patients you think would be interested in the information. The next presentation in this series is November 16, Coping with Treatment Side Effects, presented by Constance Gore, RN-APN
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...Summit Health
An anti-inflammatory diet, along with exercise, can yield many health benefits, such as improved symptoms of many chronic conditions, reduced cancer risk, and a lower risk of obesity, heart disease, and diabetes. Learn more about this healthy way of eating and how to get started.
While most common in teens, the onset of acne can be troubling at any age. Depending on its severity, acne can cause emotional distress and scar the skin. The earlier you start treatment, the lower your risk of such problems. Learn about the causes of acne and effective treatment options for adolescents and adults.
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
Learn how to make healthy choices that impact heart health, the typical mistakes to avoid, and how to recognize the signs and symptoms of a heart attack.
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Summit Health
Heart disease is the leading killer of adults nationwide and it carries a significant morbidity for the population at risk. Learn about traditional and non-traditional risk factors associated with coronary artery disease, and how to modify your risk and prevent heart disease. Also, learn about how heart disease affects different ethnic backgrounds, particularly the high-risk groups, such as South Asians.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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1. Understand Stress and A i t
U d t d St d Anxiety
In Children, Teens and Adults
Presented by:
James Korman, PsyD, ACT
Michael Likier, PhD
Jamie Schwartz, LCSW
2. Caused or Exacerbated by Stress
Adults
• Heart disease
H t di Chronic i
Ch i pain
Diabetes Migraines
Asthma Ulcers
PMS Heartburn
Obesity High blood pressure
Infertility Skin problems
Autoimmune diseases Irritable bowel syndrome
3. Emotional Reactions
Adults
Feeling
F li angry, irritable or easily frustrated
i i bl il f d
Feeling overwhelmed
Feeling nervous or anxious
Feeling that you can’t overcome difficulties in your life
Having trouble functioning in y
g g your j or personal life
job p
Feeling afraid or worried
Feeling Helpless or Hopeless
Desire to hide or runaway
4. Cognitive Reactions
Adults
• Difficulty Making Decisions
• Confusion
• Difficulty Naming Familiar Items
• Poor Concentration
• Blaming Others
• Memory Problems
• Replaying Events Over & Over
• Thinking the Future is bad
5. Behavioral Reactions
Adults
• Difficulty functioning at work or home
• Withdrawal
• Isolation
• Suspiciousness
S i i
• Working more and being less productive
• Excessive Humor or Silence
• Increased Smoking, Alcohol or Food
• Change in Activity Level
g y
• Angry Outbursts
• Crying Spells
• Sleep
6. Reactions to Stress
Small Children (under 5)
Throwing temper tantrums
Yelling and pouting
Experiencing nightmares
wetting the bed
Clinging on to parents
Thumb sucking or sudden fear of the dark
Crying more than they usually do
Rocking from side to side and biting people
7. Reactions to Stress
5 – 9yrs of age
• Feel lightheaded • Aggressiveness and a
tendency to back answer
• Changes in appetite are
recorded • Having p
g panic attacks
• Stuttering • Not interested in the normal
day to day activities
• Complaining of stomach
problems and headaches • Crying
• Experience restlessness • Become accident prone
• Moody and withdrawn
8. Reactions to Stress
10 – 12yrs of age
• Biting nails, clenching fists, • Exhibit destructive behavior
hair twirling like bullying others
• Develop new fears and • They seem worried at all
worries
i times
ti
• Skipping school often • Having panic attacks
• Loss of concentration • They might seem lazy and
not interested in things
g
• School work starts to
deteriorate
9. Reactions to Stress
Teens
• The majority of their reactions are on an emotional level:
Worried and anxious
Depressed
Negative thoughts and feelings
Lose vitality and self-confidence
Argumentative
Fights against anything and anyone
Skip school
Drugs and alcohol
10. Objectives
j
• What is stress?
• How does it Manifest in Children teens
Children,
and young adults
• What is Anxiety?
• What can be done about stress and
anxiety
11. What is Stress?
Stress is a normal component of the body’s response
body s
to demands that are placed on it.
When demands are in balance with your coping
abilities and resources you do not feel stressed.
When demands are greater than your coping abilities
you feel stressed.
12. Sources of Stress
The Good The Ugly
Family verbal/physical
Promotion to next
violence
grade
The Bad Sexual Abuse
Graduation
Overscheduled Death of family
Getting in to the
g
Tough classes member
musical
Moving Divorce
Meeting new friends
Sibling Ri l
Sibli Rivalry Bullied
Having a new
girl/boyfriend Peer Pressure
Bad Teacher
15. Fight or Flight Reaction
• Productive if you were in a situation where you need
to protect yourself
16. It is a Matter of Perception
Stress and its associated physical reactions is your
body preparing itself for a threatening situation
Wh we perceive Th t we prepare ourselves f
When i Threat l for
action
Very rarely a ac ed by Bears so threat is now:
e y a e y attacked ea s ea s o
Social
Emotional
Financial
Work related
17. Stress is Good in Small Doses
Gives you a burst of energy when you need it
I
Increases your motivation to complete tasks
ti ti t l t t k
Protects you from harm
Prevents you from walking down a dark alley way at
night
19. Anxiety?
• A Fight or Flight Reaction
• Worry or Concern
Often concern about the physical reaction
or its meaning (Perception)
Fear
F
Panic
• Avoidance
20. Understand Stress and A i t
U d t d St d Anxiety
In Children
Presented by:
Jamie Schwartz, LCSW
21. What is Stress vs Anxiety
y
All children experience anxiety when faced with an
unfamiliar or stressful situation such as:
• Illness
• Death
• Parental Separation
• Divorce
Di
• School Issues
• Social Issues
22. Developmentally Appropriate Stress and
Anxiety
• Infancy 0-2 years
Separation Anxiety
S ti A i t
Stranger Anxiety
• Early Childhood 3-6 years
Ghosts and monsters
Darkness
Doctors and Hospitals
Sleeping Al
Sl i Alone
24. Types of Childhood Anxiety Disorders
• Generalized Anxiety Disorder (GAD)- Affects 3 to 4
percent of children. E
t f hild Excessive worry and anxiety th t
i d i t that
lasts at least 6 months.
• Social Phobia-Subtype of specific Phobia. Child is
extremely shy or uncomfortable around people or
situations where performance is the focus.
25. Types of Childhood Anxiety Disorders
• Separation Anxiety Disorder (SAD)-
Having difficulty separating from caregivers or home.
Those with SAD have this problem for at least 4 weeks.
• Obsessive Compulsive Disorder-
Display recurrent obsessions or compulsions that are
severe enough to be time consuming and interfere with
their daily living.
26. What are the signs of anxiety in children?
• Distress out of proportion to the situation
Crying, sadness, anger, frustration, hopelessness,
embarrassment especially in stressful situations
p y
• Repetitive reassurance questions
• Physical complaints (headache, stomachache, too sick
to go to school)
• Anticipatory anxiety
• Difficulty with sleep
27. Signs of Anxiety
• Perfectionism
• Overly responsible, unnecessary apologizing
• Excessive avoidance
• Disruptions of child or family functioning
• Excessive time spent consoling child about distress with
ordinary situations
28. Parental Intervention
• Understand the Illness
• Listen to your child’s feelings
• Redirectingg
• Be careful how you describe
• Set up Worry Time
p y
• Relaxation Techniques
30. Understand Stress and A i t
U d t d St d Anxiety
Teens and Adults
Presented by:
Michael Likier, PhD
31. Adolescence
• Begins at p
g puberty, ends with
y
assumption of adult roles.
• Physical, Cognitive, Social/Emotional
Development.
• Stress and anxiety can be problematic
on each of these domains.
32. Physical Challenges
y g
• Puberty onset age 10-12 girls,13 boys.
y g g y
• Early onset boys > girls.
• Idealized body image
image.
• Emerging sexuality.
• Awkward development.
• Curiosity of alcohol and other drugs.
y g
33. Physical Challenges
Healthy Stress/Concern Unhealthy Stress/Anxiety
• Thoughts, expressions of • Chronic self-critical
concern about bodyy thoughts regarding
g g g
type/shape/size, physical physical appearance.
features. • Interference with
• Desire taking steps to
Desire, social/academic life
life.
improve physique, eating • Extreme, abrupt changes
habits. in eating/exercise habits.
g
• Sudden weight loss/gain.
• Diet pills, steroids.
35. Sex and Drugs
Healthy Stress/Concern Unhealthy Stress/Anxiety
• Curiosity • Interfering with social or
• Exploratory thoughts and academic performance
p
behaviors • Risky sexual behavior
• Struggles around • Any use of cigarettes,
cigarette, alcohol and
i tt l h l d alcohol, other d
l h l th drugs? ?
other drug use • Use that interferes with,
• Struggles around sexual causes negative changes
behaviors in functioning
• Questioning one’s sexual • Fear of sexual orientation
orientation • Bullying
36. Cognitive Development
g
• Imaginary audience: “everyone’s
g y y
watching me”
• Personal Fable: “nobody feels like I do”
nobody do
• Idealism
• A
Argumentativeness
t ti
• Over/underachievement
37. Cognitive Development
Healthy Stress/Concern Unhealthy Stress/Anxiety
• “I can’t go outside with • Withdrawal from activities
this pimple”
p p & peers. ( y
p (Cyberspace)
p )
• “Nobody understands • Depressive symptoms
me” • Obsessive worrying
• “Y ’ such a h
“You’re h hypocrite”
it ” • Incessant arguing
• “I want to do my best at • “I must excel at
all things”
things everything and it’s awful if
it s
• “Why do I have to do my I don’t”
best at all things” • “I don’t care whether or
not I do well”
38.
39. Socioemotional Development
• More complex self understanding
p g
• Peer influence
• Self-esteem
Self esteem challenges
• Gaining skills for independence:
academic, career
d i
• Cultural Identities
40. Social/Emotional Development
p
Healthy Stress/Concern Unhealthy Stress/Anxiety
• Questioning: values, • Chronic arguing
career, religion • Pattern of risky, self-
y,
• Seeking peer over defeating behaviors
parental approval • Hopelessness around
• Concern over ability to adulthood
choose a career • Self downing
• Moodiness • Abrupt negative
• Changing friends, changes re: peers,
styles,
styles interests activities
41. Young Adulthood
The role of the parent is to
launch the child into
adulthood…
43. Challenges Entering College/World of Work
g g g
Healthy Stress/Concern Unhealthy Stress/Anxiety
• Expressions of doubt • Failing classes
• Adjustment struggles • Losing jobs
e.g., d
dorm, campus, • Increase in alcohol
workplace and/or other drug use
• Feeling overwhelmed • Obsessive thoughts
• Financial concerns • Social withdrawal
44. Tips for Parents
• Encourage independence/stay
connected
• Encourage p
g participation in
p
extracurricular activities
• “I” v “You” statements
I v. You
• Active listening
• E
Encourage freedom to disagree
f d t di
• Natural consequences
45. Cognitive Distortions
g
• ways that our mind convinces us of
something that isn’t really true.
• usually used to reinforce negative thinking or
emotions.
• EVERYBODY uses these at times.
• They become problematic when they lead to
depression, anxiety, etc.
• Parents and teens can learn to identify and
change them.
h h
46. Cognitive Distortions
Distortion Reasonable Thought
• All or N thi
Nothing • Sh d of G
Shades f Gray
“If you don’t get straight A’s “Strive to do the best you
your future will be bleak can,
can grades are not the
• Mind Reading sole determinant of your
“Jenny ignored me, she
y g future”
must be mad at me” • Get the Facts
• Overestimating Risk “I wonder why Jenny didn’t
“I’ll never b able t pass
be bl to say hi?
hi?”
that class” • Real Odds
“The only time I’ve failed a
y
class is when I didn’t do
the work”
47. A Word on Medication
• Cognitive Therapy (CT) is the recommended
treatment for anxiety.
• Medication may be helpful with CT.
• SSRI may be used for children and
adolescents.
• Benzodiazapines are not recommended for
children.
• Consult with a psychiatrist if child is not
responding to CT
di CT.