Anxiety: How much is too much?

[Pages:23]Anxiety: How much is too much?

Kyle T. Ganson, MSW, LCSW, LICSW Christine V. Rogerson, MSW, LCSW

Purpose

This interactive presentation is focused on understanding adolescent anxiety. Attention will be given to understanding what is "normal" and what is "too much". Caregiver strategies supporting adolescent anxiety management, as well as promoting resiliency will be shared.

Progressive Muscle Relaxation

Activity

Anxiety Definition

A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance). B. The individual finds it difficult to control the worry.

APA, 2013

Anxiety Definition

C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months): Note: Only one item is required in children.

1. Restlessness or feeling keyed up or on edge. 2. Being easily fatigued. 3. Difficulty concentrating or mind going blank. 4. Irritability. 5. Muscle tension. 6. Sleep disturbance (difficulty falling or staying asleep, or

restless, unsatisfying sleep).

APA, 2013

Anxiety Definition

D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

There are other anxiety disorders:

Panic Disorder Phobia-Related Disorders Social Anxiety Disorder* Separation Anxiety* Obsessive-Compulsive Disorder*

APA, 2013

Statistics

15-20% of children and adolescents experience an anxiety disorder (Kessler et al., 2012; Merikangas et al., 2010) - Most common mental illness

Females: 2x more likely to develop an anxiety disorder (Beesdo et al., 2009)

Commonly associated with:

Depression Behavioral Disorders (Lewinsohn et al., 1997) Substance Use (Ohannessian, 2014)

Predicts adulthood anxiety, depression, and substance use (Beesdo-Baum et al. 2012)

Impact of Anxiety

Avoidance

Poor Listening

Skills

Irrational Thinking

Impact of Anxiety

Anger Frustration

Low SelfEsteem

Difficulty Concentrating

Decreased academic achievement (Van Ameringen, 2003)

Difficulty with friendships and family relationships

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