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Living with Anxiety:
How to Move Ahead?
Jakov Shlik MD, PhD, FRCPC
Mood & Anxiety Program and OSI Clinic
Anxiety Disorders are Common


         
1 in 5 in lifetime; 1 in 10 in a given year
Born to be afraid
Fear is about survival
When you drop under that and experience
the fear without trying to change it, just
letting it be, then it becomes still. When
you open your heart to fear, rather than
trying to fight it or deny it or even
overcome it, then you find it is just energy.
Gangaji
The Two Faces of Anxiety
Illustration by Serge Bloch for TIME
It can paralyze you - or help you move faster.
The new worry epidemic
Experts now argue it can have devastating
effects on work, health and children
Anne Kingston
February 5, 2014
Multitude of Experiences
Manifold Diagnoses
Burden
• High prevalence
• Early onset
• Long-lasting or recurrent course
• Lost productivity and disability
• Cost to individual, family, society
Complexity
Barriers
• Self-stigma
• Public stigma
• Low detection rate
• Low treatment rate
• Limited access to treatment
• Limited treatment effectiveness
Causes
Brain
Personality
Threat
Environment
Genes
Anxiety Disorders and Functioning
Cognition:
understanding,
communicating
Mobility: moving
and getting around
Self-care:
hygiene, staying
alone, eating
Getting along:
interacting with
people
Life activities:
domestic, leisure,
work & school
Participation:
community activities
Anxiety occurs when perceived risk of threat
outweighs perceived resources for coping
Beck et al 1985
The Anxiety (Free) Rule Book
Leahy 2008
Help yourself?
Apps for Anxiety

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Living with Anxiety: How to move ahead

Notes de l'éditeur

  1. The work of Robert Leahy is very helpful to understand how CBT works. This is taken from his rulebook on how to be an anxious person. You can see that this is not difficult – take all threats seriously and try to avoid them by all means, patients with AD are certainly good at it.