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12 Ways to Overcome Anxiety (2015 Rerun)

[Rerun] Dr. Kirk Honda talks about ways to overcome anxiety.

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May 11, 2016

The Psychology In Seattle Podcast ®

Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

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12 Ways to Overcome Anxiety (2015 Rerun)

Comments

Agree with comment from Elspeth, the benzo advice seems very out of date, would recommend revising that section

Lulu

I was wondering about BZD because my agency stopped prescribing them because they were too addictive. I wondered if an extremely small dose would help me. I have made progress on my anxiety about expressway driving. Gradual Exposure has been great. However, I have experienced my leg jerking as I am driving on the expressway 45 minutes from my house. I don't want to fall asleep at the wheel; but could a small dose of Xanax possibly help me?

Francares4u Therapist

Having to go through such extreme anxiety sounds very debilitating and stressful. And especially nothing has been effective for you. The nature of your anxiety not being able to put test for "exposure" reminded me of some discussions in OCD communities. Some OCD sufferers' intrusive thoughts are not often appropriate for exposure therapy. For example, the fear of contracting HIV. So the new line of research in OCD suggests that the traditional treatment for OCD, "exposure-response-prevention" may have too much focus on "exposure", when in fact, "response prevention" is the part that is actually effective. "Response prevention" is, in OCD world, not responding to your compulsions (e.g., compulsion would be - washing your hands because you have intrusvie thoughts about infection, response prevention would be - not washing your hands). More specifically, this new camp in OCD treatment focuses on "letting go of the thoughts". This sounds pretty dismissive for many OCD sufferes because like you said, we feel like we do not have any control over our thoughts. But this approach is not the same as "thought cessation", which is like what lay public say, "Just stop thinking about it!" when you just can't help thinking about it. The new approach focuses more about not giving any attention to the thought, or letting go of the thought. And their core focus is to empower the patients to think that they do have the agency of the thoughts. It's just very subtle difference and even among OCD community, this new camp of treatment has received mixed responses both from patients/therapists. And my guess is that OCD and generalized anxiety may be very different. But if this sounds applicable, Michale Greenberg is a leading scholar in OCD community to move away from the focus on the 'exposure' part of the therapy. Actually I was wondering what Dr Honda would think about this new line of research. But I'm guessing this is a very isolated discussion in OCD community.

moo

As a psychiatric prescriber, your information about BZD vs SSRIs is wrong. BZD are great in the right context, but they are much more dangerous than SSRIs, and the side effect profile is much greater. The reality is that they are indicated for different sets of symptoms, to elicit different outcomes. Please don’t give unqualified medication advice, because it reinforces stigma that ends up harming patients. Appreciate your personal experiences and encouraging people to consider psychotropics is helpful; giving specific advice about what to try, its side effect profile, and comparing it to other psychotropics is harmful without the proper education.

Elspeth Gunnoe

Dr. Honda, I love your content and have learned so much over the years. I am wondering, however, if this episode on anxiety applies to someone like me who suffers from chronic, generalized (I think) anxiety. For example, there is nothing for me to expose myself to, to lessen the anxiety. I will wake up in the morning with an overwhelming sense of fear and dread but about nothing in particular. Sometimes I have negative feelings about my lack of success or at other times worries about my health that accompanies anxiety, but my anxiety has a life of its own. It’s also always there. I don’t get a break. I’ve tried a lot of things including medication and various therapy modalities. I did have trauma (several surgeries) as a young child and my parents were both anxious people, too, so I’m not surprised that I suffer from anxiety. But I very often feel that most people, incl. health professionals, don’t understand that I don’t have something I can name that I’m anxious about. It’s extremely frustrating.

Margie Stewart

Ha!

Psychology In Seattle

This is so good! Thank you!!

La La

Looking forward to listening to this in a bit! By the way, have you ever looked into the topic of lolicon? There is a lot of discussion surrounding it right now, particularly in regard to streamers who are being shamed for their interest. At first, I was considerably disturbed by lolicon, but the more I look into the factors involved, I’m starting to grow concerned about how other streamers are discussing it and consequently influencing everyone’s views. (Example: Fans of lolicon are being labeled ped*s, and/or told that their interest will inevitably lead to ped* behavior in real life.)

Gina

I agree with everything you said about benzos. I don’t take them because when I use it once, it takes a couple of days for me to stop having intense cravings to use it again, even though I don’t need it any more. Also, I use coffee for depression the way people use benzos for anxiety. It gives me a feeling of comfort and euphoria instead of energizing me like most people. I try not to drink it more than two or three times a week so my body doesn’t get used to it.

Jennifer Klaiber

“The worst thing is I get an infection and could lose my face. I don’t even care about my face!” 🤣

Jennifer Klaiber


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