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Counseling_Anxiety

A group presentation on how to counsel someone with anxiety.
by

Darren Lo

on 10 May 2013

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Transcript of Counseling_Anxiety

ANXIETY Definition Anxiety is an inner feeling of apprehension, uneasiness, worry, and/or dread that is
accompanied by a heightened physical arousal. CAUSES OF ANXIETY Threat
Conflict
Fear
Unmet Needs
Physiology
Individual Differences
ANXIETY DISORDERS ARE THE
MOST COMMON MENTAL ILLNESS
IN THE UNITED STATES EFFECTS OF ANXIETY Not too much and not too little, or life may wind up being either frightening or boring. Normal Anxiety Comes to us all the time
Usually during a threat of situational danger
Proportion to the danger
Can be recognized, managed, and reduced Neurotic Anxiety Intense, exaggerated feelings of helplessness and dread even when danger is mild or nonexistent
Cannot be faced directly or dealt with rationally
Arise from inner conflicts that are not conscious TYPES OF
ANXIETY MODERATE
ANXIETY INTENSE
ANXIETY STATE
ANXIETY TRAIT
ANXIETY Serious types
of anxiety Panic Attacks Post-traumatic
Stress Disorder Sudden, often unexpected, rushes of
intense fear accompanied by rapid
heartbeat, trembling, shortness of
breath, dizziness, chest pain, or
feelings of losing control Arises following intense stress,
such as observing or experiencing
events involving death or great
danger--can leave a lifelong
legacy of anxiety. FACT #1 FACT #2 ANXIETY AFFECTS 40 MILLION
ADULTS IN THE UNITED
STATES AGE 18 AND OLDER
(18% OF U.S. POPULATION) FACT #3 ANXIETY IS
HIGHLY TREATABLE BUT ONLY ONE OUT OF
THREE SUFFERING
RECEIVE TREATMENT FACT #4 IT IS NOT UNCOMMON FOR SOMEONE WITH ANXIETY DISORDER TO ALSO SUFFER FROM DEPRESSION OR VICE VERSA NEARLY HALF OF THOSE DIAGNOSED WITH DEPRESSION ARE ALSO DIAGNOSED WITH ANXIETY DISORDER U.S. STATISTICS 6.8 MIL (3.1%)

2.2 MIL (1.0%)

6 MIL (2.7%)

7.7 MIL (3.5%)

15 MIL (6.8%)

19 MIL (8.7%) GENERALIZED ANXIETY DISORDER

OBSESSIVE-COMPULSIVE DISORDER

PANIC DISORDER

POSTTRAUMATIC STRESS DISORDER

SOCIAL ANXIETY DISORDER

SPECIFIC PHOBIAS PHYSICAL
REACTIONS Some short term issues can be considered good in that they show that a person is beginning to suffer form too much anxiety. SYMPTOMS MORE OBVIOUS
Ulcers
Headaches
Shortness of breath
Increased fatigue
Loss of appetite
Frequent desire to urinate LESS OBVIOUS
Changes in blood pressure
Increased muscle tension
A slowing digestion
Chemical changes in blood PSYCHOLOGICAL REACTIONS Can reduce productivity
Harm relationships
Affects personality
Interferes with the ability to think or remember DEFENSIVE
REACTIONS Relying on behavior and thinking that dull the pain of anxiety: Ignoring the feelings
Pretending that it doesn't exist
"Nothing to worry about"
Focusing on the illness only
Alcohol, drugs, hyperactivity, etc Stress can and does lead to short term and long term physical issues. But if the problems persist over time the body will begin to wear down causing sickness, tiredness, and the inability to sleep. SPIRITUAL
REACTIONS Some look to God when anxious
Some people push away from God, blaming Him for their problems THE BIBLE & ANXIETY But whatever anyone else dares to boast of—I am speaking as a fool—I also dare to boast of that. Are they Hebrews? So am I. Are they Israelites? So am I. Are they offspring of Abraham? So am I. Are they servants of Christ? I am a better one—I am talking like a madman—with far greater labors, far more imprisonments, with countless beatings, and often near death. Five times I received at the hands of the Jews the forty lashes less one. Three times I was beaten with rods. Once I was stoned. Three times I was shipwrecked; a night and a day I was adrift at sea; on frequent journeys, in danger from rivers, danger from robbers, danger from my own people, danger from Gentiles, danger in the city, danger in the wilderness, danger at sea, danger from false brothers; in toil and hardship, through many a sleepless night, in hunger and thirst, often without food, in cold and exposure. And, apart from other things, there is the daily pressure on me of my anxiety for all the churches. 2 COR 11:21b-28 AS FRET & WORRY Anxiety as fret and worry comes when we turn from God, shift the burdens of life on to ourselves, and show by our attitudes and actions that we alone are taking responsibility for handling problems.
Instead of acknowledging God’s sovereignty and power, or determining to live for him and make his kingdom our primary concern.
Sinful Self-reliance THE BIBLE & ANXIETY THE BIBLE & ANXIETY AS FRET & WORRY Humble yourselves, therefore, under the mighty hand of God so that at the proper time he may exalt you, casting all your anxieties on him, because he cares for you. 1 Peter 5:6-7
Therefore do not be anxious, saying, ‘What shall we eat?’ or ‘What shall we drink?’ or ‘What shall we wear?’ For the Gentiles seek after all these things, and your heavenly Father knows that you need them all. But seek first the kingdom of God and his righteousness, and all these things will be added to you. Matt 6:31-33
“Therefore do not be anxious about tomorrow, for tomorrow will be anxious for itself. Sufficient for the day is its own trouble. Matt. 6:34 THE BIBLE & ANXIETY WHAT DOES THE BIBLE SAY? We have the ability to think and handle anxiety ourselves within our means. To ignore danger or worry and expect it to just go away would be foolish.
We should never let anxiety paralyze us through excessive worry.
Christians can be confident in moving forward, even with common or great anxieties, with the knowledge and comfort that we can rely on God to guide and comfort us through life. RECOGNIZING
YOUR OWN
ANXIETY Anxiety is contagious
By considering your own anxiety you may gain insight into the anxiety of the counselee as well as avoid confusing who is anxious about what.
Ask yourself these questions:
What about this situation is making me anxious?
Is the counselee anxious about something that makes me anxious too?
What does my anxiety tell me about the counselee and about myself? COUNSELING
AND ANXIETY CALMING
THE TENSION Calming the tension in the counselee is important for the counseling process to have any effectiveness.
The counselor should be calm, sensitive, caring, and reasoning
Try calming techniques before counseling sessions
The techniques will not cure the anxiety but will help subdue the symptoms so that effective counseling may take place
Tips for calming the tension Sitting quietly
Breathing Deeply
Relaxing the Muscles
Imagine a Peaceful Place
Assign Calming Homework:
Listening to Music
Reading
Getting Away to a Private Place
Showing love Demonstrating Christian love and understanding in the counseling relationship will help to dispel anxiety in the counselee
This may help show the counselee that it is ok to open up and allow others to love them and cause them to reach out and love others
IDENTIFYING THE SOURCES OF ANXIETY Anxiety and fear are God-created emotions
Warning of danger or internal conflict
Avoid saying “cheer up” or “anxiety is a sin”
Do not push too hard as an anxious person is already prone to self defense
Try asking:
Where is it coming from?
What purpose is it serving?
What is causing it to persist?
Anxiety from the counselor?
Be aware of your own feelings.
If anxious ask yourself what is being discussed at the time.
The anxiety in you may be a clue to the anxiety in the counselee.
OBSERVATION When does the counselee show evidence of anxiety?
Shifting position,
Shortness of breath,
Perspiration,
Change in voice pitch & speed?
What is being discussed when these things appear?
Can the counselee suggest circumstances that have raised or currently raise anxiety?
“When are you most anxious?”
“When are you not anxious?”
“What was happening in your life at that time?”
REFLECTION Think back to the causes of anxiety and compare them to what you have learned from the counselee.

Ask how they feel about a situation and look for signs of anxiety during their response. CONTEMPLATION MAKING
INTERVENTIONS Everybody is different and anxiety varies from person to person.
Each person will have a unique set of symptoms that will require a unique approach in counseling.
Some interventions can be adapted for all individuals.
COGNITIVE-
BEHAVIORAL
INTERVENTIONS The focus here is on changing the way the counselee thinks and/or their behavior.
The goal is to get people to face their anxieties.
Anxiety responses are usually learned.
Attempt to teach people how to relax in anxiety-producing situations.
Calming exercises
Then expose them slowly to the feared objects.
Demonstrates that they do not be afraid of what they fear.
Medical treatment may be beneficial in cases involving people who have chemical imbalances etc.
Some counselors ignore the benefits of medication completely while some physicians jump too quickly to prescribing something to cure the counselee.
The best way to utilize medication is to determine if it is needed and then use it in conjunction with counseling.
The medication can calm a counselee down enough to allow effective counseling to take place.
BIOLOGICAL
INTERVENTIONS ENCOURAGING ACTION The goal is to assist counselees in discovering the sources of their anxiety.
They must learn how to cope and be encouraged to take action.
In this capacity the counselor serves as a guide or a coach.
Setting goals
Walking along side them
GIVING SUPPORT Try to be patient with anxious counselees
Sometimes they can not change their circumstances
Whatever their outward circumstances they can still control:
Attitudes
Personal values
ENCOURAGING A
CHRISTIAN RESPONSE It is practically impossible to stop worrying by an act of the will
Draws attention to the problem and increases anxiety instead of decreasing it.
Instead focus on activities and thoughts that reduce anxiety indirectly:
REJOICE! Philippians 4.4
Rejoice in the Lord always; again I will say, rejoice. Be full of joy in the Lord! The counselee can focus on Jesus Christ and the hope that is found in him. Rejoice in the promise of his return, in salvation, in the presence of the Holy Spirit! Rejoice!
BE CONSIDERATE Philippians 4.5
Let your reasonableness be known to everyone. The Lord is at hand;
Let everybody see your kind, gentle, caring, gracious attitude.
These are qualities that do not come naturally but are obtainable to the work of God and serve to reduce anxiety.
PRAY Philippians 4.6
Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God.
Pray about everything, making clear your requests and give thanks for all God has done! THINK POSITIVE Philippians 4:8
Finally, brothers, whatever is true, whatever is honorable, whatever is just, whatever is pure, whatever is lovely, whatever is commendable, if there is any excellence, if there is anything worthy of praise, think about these things.
The scriptures are giving evidence for the power and calming influence of positive, biblically based thinking.
TAKE ACTION Philippians 4.9
What you have learned and received and heard and seen in me--practice these things, and the God of peace will be with you.
The Christian’s task is to do what the Bible teaches and not simply to sit listening.
Anxiety reduction involves obedience and godly behavior even in the midst of anxiety.
TRUST IN GOD The core to overcoming anxiety.
Learning to walk with the Lord
The Bible encourages realistic confrontation with problems and flexible decision making.
Allows for adaptation in the face of change
Maintains an underlying confidence in the sovereignty and wisdom of an all-powerful God.
LEARN TO COPE Learning to cope with the causes of anxiety, when and before they arise, can prevent the development of anxiety.

KEEP THINGS IN
PERSPECTIVE It is better to ponder the circumstances and try to determine the best ways to cope.

Cognitive appraisal helps to explain why two people may look at the same situation but respond in very different ways.

To help prevent anxiety we can encourage people to keep a realistic perspective that does not always make immediate assumptions that the worst is likely to happen. REACH OUT TO
OTHERS Caring and reaching out to others is a very effective way to treat anxiety.

Helps to show how others deal with the struggles of life and gets the counselee out of their comfort zone. PREVENTING ANXIETY
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