The Many Faces and Challenges of Treating The Anxious Patient

•Happy and Willing •Agitated and Resistant

•Tired and Hopeless•Manic and Unpredictable•Depressed and Anxious

•Angry and Blaming

2. Biological Anxiety

• Medical Exam

• Medications

• Family History

• Steve Pringle

3. Psychological Anxiety

• Trauma

• Stress

• Fatigue

• Fear

• Guilt

• Phobias

• Perfectionism

4. Complicated Anxiety

• Medical Problems

• Cognitive Disharmony

• Family of Origin

• Unresolved Issues

• Unreconciled Feelings

• Unfulfilled Dreams

5. Strategy

• Build Connection

• Med. Exam Referral

• PMHI

• Genogram or PHP

• Testing

6. Treatment

• EMDR

• CBT

• CID

• AAR

• 4 Basic Resiliency Skills

• 7 Common Resiliency Tasks

7. The Final Word

• Anxiety at its best is easily diagnosed, treated and managed.• Anxiety at its worst is complicated, resistant, difficult to

diagnose and treat.• The attitude and compliance level of the patient has direct

correlation with successful treatment of their anxiety.• We need to take a power projection approach and attitude

toward anxiety and the anxious patient.

– Medical Therapy– Support Groups Process Groups– Psycho Educational Programs Support Systems