Generalized Anxiety Disorder Treatment Plan Example

Complementary Therapies For Anxiety Disorders

Generalized Anxiety Disorder | Diagnosis and Treatment

As you explore your anxiety disorder in therapy, you may also want to experiment with complementary therapies designed to bring your overall stress levels down and help you achieve emotional balance.

Exercise is a natural stress buster and anxiety reliever. Research shows that as little as 30 minutes of exercise three to five times a week can provide significant anxiety relief. To achieve the maximum benefit, aim for at least an hour of aerobic exercise on most days.

Relaxation techniques such as mindfulness meditation and progressive muscle relaxation, when practiced regularly, can reduce anxiety and increase feelings of emotional well-being.

Biofeedback uses sensors that measure specific physiological functionssuch as heart rate, breathing, and muscle tensionto teach you to recognize your bodys anxiety response and learn how to control it using relaxation techniques.

Hypnosis is sometimes used in combination with CBT for anxiety. While youre in a state of deep relaxation, the hypnotherapist uses different therapeutic techniques to help you face your fears and look at them in new ways.

What Can You Do Yourself

Many people with generalized anxiety disorder don’t even think of going to see a doctor. They try to manage their fears on their own, for example using books or information from the internet. Some learn relaxation techniques, such as progressive muscle relaxation, autogenic training or yoga. The effectiveness of these kinds of strategies for managing anxiety disorders on your own is not well studied in scientific studies. Relaxation techniques are often used in psychological treatments, but it isn’t known how effective they are when used alone.

Some people try herbal sedatives like valerian, lavender or passion flower. There hasn’t been much research on these products either. Many people assume that herbal remedies are better tolerated and safer than other kinds of medicine. But they can also have side effects and may influence the effects of other medication.

People who treat an anxiety disorder on their own may only seek professional help after a very long time. If an anxiety disorder is really affecting your everyday life, certain kinds of psychological treatment and medication can help.

Acceptance And Commitment Therapy

The second-line treatment for GAD is acceptance and commitment therapy.

In ACT, you learn to accept your thoughts without trying to alter or reduce them.

ACT also helps you focus on the present moment and your surroundings, as well as take action on your values, instead of letting your anxiety dictate your decisions and your days.

  • other medications used off-label, such as beta-blockers

These types of medications are described in more detail below.

Keep in mind that many people with GAD dont respond to the initial medications they try. The next treatment your healthcare provider prescribes will depend on your specific symptoms, treatment history, and preferences.

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Other Ways To Manage Your Anxiety

Taking medicine and going to talk therapy can get you started on the road to feeling better. Taking care of your body and relationships can help improve your condition. Here are some helpful tips:

  • Get enough sleep.
  • Keep a regular daily schedule.
  • Get out of the house every day.
  • Exercise every day. Even a little bit of exercise, such as a 15-minute walk, can help.
  • Stay away from alcohol and street drugs.
  • Talk with family or friends when you feel nervous or frightened.
  • Find out about different types of group activities you can join.

The Essay On The Most Effective Treatment For Anxiety Disorders

Care Plan For Anxiety

The Most Effective Treatment For Anxiety Disorders Anxiety disorders are becoming a widespread epidemic in America. Each year we spend more than $46 billion dollars, nearly one third of our total mental health bill, treating the almost 20 million Americans affected by anxiety disorders. With these staggering numbers, it is no surprise that researchers and experts are examining many different forms …

I will use psychoeducation, thought recoding, and cognitive exposure techniques problem solving and relaxation trainings in my treatment. First, psychoeducation is educating the clients about the roles of cognition in disorders, teaching the facts of their disorders, and making them collaborators. Second, thought recording is an activity in which clients fill out a table about unpleasant thoughts. When they experience an unpleasant situation, they write the event, what it makes feel, their explanations for it, most realistic explanation for it, and what this new explanation makes feel.

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Management As Per The Different Stages Of The Illness

The treatment recommendations for the different anxiety disorders are summarized in Table I. Some antianxiety drugs are effective in all anxiety disorders, whereas some drugs have only been studied in specific anxiety disorders and thus should be reserved for use in these particular disorders.

Panic disorder and agoraphobia. In acute panic attacks, mouth desolving short-acting benzodiazepines and reassurance to the patient may be sufficient. SSRIs SNRIs are first-line treatments for longterm management. Patients should be treated for atleast six to eight months or longer to prevent relapses.

A combination of CBT and anxiolytic medication has been shown to have the best treatment outcomes.

In GAD and Social anxiety disorder : Choice of Drugs for Management are SSRIs, SNRIs and pregabalin. Buspirone and hydroxyzine are second line treatment. Benzodiazepines should only be used for long-term treatment when other drugs or CBT have not shown results.

Specific phobia: Specific phobia should be treated with behaviour therapy including systematic desensatisation. SSRIs or short acting benzodiazepines should be tried in cases not responding to behaviour therapy.

OCD: Choice of treatments is the SSRIs and the TCA clomipramine. Cognitive behaviour therapy and exposure and response prevention are other proven techniques of management.

Management of Anxiety Disorders in Special Population

Management Of Side Effects Of Medication

Diffrent side effects will emerge with different category of antianxiety medication. They should be carefully observed and addressed to. Side effects of medication can be drug related or dose related. If it is drug, related, alternative class of drug should be tried for adequate length of time. If it is dose related then the dose of the drug has to be reduced.

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Official Criteria For Gad

Based on criteria from the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders

  • Excessive or unrealistic anxiety and worry about a number of events or activities. The anxiety and worry occurs more days than not and has lasted at least six months.
  • The person finds it difficult to control or turn off the worry.
  • The worry is associated with at least three of the following six symptoms, more days than not, for at least six months:
  • feeling restless, keyed up, or on edge
  • feeling tired frequently
  • difficulty concentrating or mind going blank
  • irritability
  • muscle tension
  • difficulty falling or staying asleep
    • The worry is not exclusively related to another psychological problem . If another psychological problem is present, there must be significant worry about things unrelated to the other problem.
    • The individuals worry or anxiety causes significant distress or significant interference in the persons day-to-day life. For example, the worry may make it difficult for the person to perform important tasks at work, interfere with relationships, or get in the way of sleep.
    • The worry and anxiety are not simply due to a substance or medical condition .

    Anxiety Disorders Treated By Therapy

    Generalized anxiety disorder (GAD) – causes, symptoms & treatment

    Anxiety is a complicated mental health condition that covers a broad set of symptoms. In general, anxiety itself is the bodys response to stress and fear. It is the catalyst for the human bodys fight-or-flight response. A small amount of anxiety is normal, but for some they can experience extreme bouts of anxiety for a continuous amount of time. Individuals suffering from extreme anxiety related symptoms are more likely to be suffering from an anxiety disorder. Generalized anxiety disorder is a common anxiety disorder and with this disorder, people can feel extreme levels of anxiety in a number of situations, like work, school, social outings, etc. It is termed generalized because it does not have to be anything specific that triggers symptoms. Generalized anxiety disorder is not the only condition in terms of anxiety that people can have and there is a wide range of disorders that falls under this category. Some of the different anxiety disorders include:

    The classification of anxiety disorders matters in relation to therapy. How your therapist goes about designing a treatment plan for you and setting goals for anxiety therapy will be different based on what disorder you have. Although there are many forms of therapy to treat anxiety, cognitive behavioral therapy and exposure therapy are typically the most effect approaches

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    Other Psychological Treatment Approaches

    Other types of psychological treatment focus more on trying to find the possible causes of the anxiety, such as traumatic childhood events. There hasn’t been much good research on the effectiveness of these approaches in people with generalized anxiety disorder. The few studies that have compared them with cognitive behavioral therapy suggest that these psychodynamic therapies aren’t as helpful as cognitive behavioral therapy.

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    Third, she will take relaxation training to learn relaxing herself and lowering her arousal. In this training, she will learn tense and relax various muscle groups, how anxiety works, and how to cope with it. Fourth, after she learns relaxation training, I will use exposure technique. We will record a video while she telling her worst scenario in her mind. Then, she will watch it every day until she doesnt feel anxiety. At the end of 14 weeks, I expect that Susan is more relax and has less physical complains.

    Which Treatment Is Most Suitable

    When deciding whether to have psychological treatment or use medication, your personal preference and individual needs will play a big role. The right kind of psychological treatment can be very effective and help you to overcome your anxiety. But it takes a lot of motivation and determination, and you often have to wait a long time to get an appointment. Depending on a persons individual situation and the severity of their disorder, it might therefore be a good idea to start taking medication first. Sometimes it isn’t really possible to begin psychological therapy until medication has been used to at least partially relieve the symptoms.

    Some people don’t want to start taking antidepressants because they are afraid they might end up becoming dependent on them. But unlike some painkillers, sedatives and sleeping pills antidepressants do not lead to dependency. Others see taking tablets to cope with their problems as a sign of weakness. But there’s no reason to feel ashamed of taking medication to treat a mental illness. Medicine can be helpful, and in some cases even necessary, when trying to overcome anxiety.

    Regardless of what decision you make, there are medications and psychological treatments that can help you cope with generalized anxiety disorder and start living a normal life again.

    Therapy Goals For Anxiety

    Sample Treatment Plan Anxiety Objectives Interventions

    As stated above, the specific goals that you have will depend on the type of anxiety you experience and will be established between you and your therapist. Some general example goals for anxiety could be:

    -A client wants to be less isolated and will initiate at least one social contact per week for the month.

    -A client wants to better manage anxiety during the week and will reduce panic attacks from the current 7 times a week to 4 times or fewer in the next three months and will track the number of panic attacks they have in this time period.

    -Client wants to correct distorted, spiraling thoughts that trigger anxiety and will practice challenging those thoughts with realistic thoughts and breathing techniques when they occur over the next two weeks and will journal about their thoughts.

    Therapy Goals for Depression

    Depression treatment goals can address a range of symptoms. If you do not know what goals you want to set then your therapist can help you decide what is important to work on for you.

    Home Remedies And Lifestyle Changes For Gad

    Besides psychotherapy and medications, there are several home remedies and lifestyle changes you may want to try to help reduce your GAD symptoms.

    Many self-care and complementary strategies can be helpful in your overall treatment plan. Often, theyre combined with first-line treatments such as therapy and medications, but dont usually replace them.

    How To Use Treatment Plans With Your Ehr

    To create treatment plans with your EHR, you can either upload a template of your own, or follow the structure within your software. Most top-rated EHRs will have a dedicated section for notes and documentation, as well as a template library with easy-to-use templates that are built right into the platform.

    If youre looking for a fully integrated EHR that works for behavioral health practitioners like you, try SimplePractice for a free 30 days. SimplePractice makes it easy to streamline your notes and documentation, while also improving your clients experience.

    What Should A Counseling Treatment Plan Include

    A counseling treatment plan typically will include one or more goals, objectives, and interventions. It will also usually include space for your clients personal information, psychological history, and demographics, as well as a space for tracking progress. One goal may have multiple objectives and interventions if the clinician will be recommending more than one approach. This is important in culturally responsive therapy where collateral support may be needed such as inclusion of spiritual leaders, community partners, or family members.

    Here are the components of a treatment plan broken down with more specifics:

    Goal:The goal of your treatment plan should be a broad statement about what the client would like to accomplish in therapy. While its ultimately your job as the clinician to put the treatment plan together as part of clinical documentation, the plan can be designed in session in collaboration with the client to make sure theyre fully involved and invested in the process.

    You can ask your client what they hope to have achieved or accomplished by the time theyre done in therapy, or what theyd like to see be different in their life when theyre done. If this is too future-oriented for your client, or if theyre struggling to name any goals, you can share a few general ideas, and ask questions to help tailor the goals to fit their therapeutic needs.

    What Separates Anxiety From An Anxiety Disorder

    Evidence-Based Treatment Planning for Generalized Anxiety Disorder Video

    Though most people experience anxiety occasionally, this normal part of the human experience is not enough to warrant the diagnosis of an anxiety disorder. Rather, a disorder occurs when a patient’s anxiety spirals out of control into obsessive thoughts and worries or when compulsions to relieve the anxiety become a priority. If symptoms of anxiety control a patient’s daily life or are very difficult to regulate, that could be a sign of an anxiety disorder. It is important to seek help because anxiety can become worse over time if it is not treated.

    Need Help For Anxiety And Depression

    If you are looking for therapy services for mental health concerns, or if you have any questions regarding our services, call Gemini Health today! Our highly skilled mental health professionals are experienced in treating various mental and behavioral health concerns. They offer both individual and group therapy. Plus, there are no wait times to join groups. Call 363-1063 and speak to our staff to schedule your appointment today!


    Therapy for Anxiety, Therapy for Depression

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    Providing Education To The Patient And Family

    This seemingly unimportant aspect is most relevant to Indian settings where awareness of psychiatric illness and its realization and need for treatment with compliance is little. Many feel dejected, angry, isolated and may have suicidal ideas. Family and the patient need to be told that this is like any other illness that needs treatment and success depends on compliance.

    What Is General Anxiety Disorder With An Example

    Generalized anxiety disorder is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition as a mental illness. The Mayo Clinic characterizes GAD as severe ongoing anxiety that interferes with daily activities. Anxiety is a normal emotional reaction in response to stressful situations. The American Academy of Family Physicians explains that generalized anxiety disorder is one of the most common mental disorders in the United States, and can negatively impact a patients quality of life and disrupt important activities of daily living. An adolescent that struggles with GAD will likely experience a large percentage of his or her waking hours excessively worrying about something, even when there is no specific threat present. Reports have noted that GAD affects nearly eight percent of teenagers in America.

    Relative Efficacy Of Drugs

    Illness Anxiety Disorder Treatment Plan

    In a meta-analysis of all available drug studies in anxiety disorders,77 the pre -post effect sizes of the different drugs were determined. We simply looked at the absolute difference in anxiety scale scores before and after treatment, without regard to the relative efficacy compared with placebo. This approach makes it possible to include hundreds of studies in comparisons of differential efficacy of all available drugs and not only the few direct head-to-head comparisons. From the patients’ point of view, the improvement in anxiety symptoms as measured by the change from baseline to end point is more relevant than the difference from a control group.

    The available medications for anxiety disorders showed considerably large differences in pre-post effect sizes. For example, the improvement achieved with the most efficacious drug was almost three times higher than what was accomplished with the drug with the weakest efficacy . Quetiapine, however, is not licensed for the treatment of any anxiety disorder in most countries. Among the drugs showing high effect sizes and that are licensed for anxiety disorders and recommended by guidelines were the SSRIs escitalopram and paroxetine , and the SNRIs venlafaxine and pregabalin . Also, some benzodiazepines, eg, diazepam and lorazepam , showed high effect sizes. However, these drugs are not recommended for routine treatment.

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