Contact Us

We offer both in person services based in Mission Valley as well as telehealth services via video-conferencing platforms to patients located in California.

We do not accept walk-ins. You must contact our Clinic Coordinator at 858-354-4077 or info@csamsandiego.com before visiting us on site.

CONTACT US

IF YOU WOULD LIKE TO INQUIRE ABOUT TREATMENT AT CSAM, PLEASE FILL OUT THE FORM AND A THERAPIST WILL CONTACT YOU TO MAKE AN APPOINTMENT.

You may also contact us via phone or email:

Phone: 858-354-4077

Email: info@csamsandiego.com

7860 Mission Center Ct, Suite 209
San Diego, CA, 92108

858.354.4077

At The Center for Stress and Anxiety Management, our psychologists have years of experience. Unlike many other providers, our clinicians truly specialize in the diagnosis and treatment of anxiety and related problems. Our mission is to apply only the most effective short-term psychological treatments supported by extensive scientific research. We are located in Rancho Bernardo, Carlsbad, and Mission Valley.

full banner.jpg

Blog

Read our award-winning blogs for useful information and tips about anxiety, stress, and related disorders.

 

10 Tips to Stop Sleep Anxiety: More Rest, Less Stress (Part 2 of 3)

Jill Stoddard

by Lucas Myers

With people juggling work, school, friends, families, and the 1,001 other things we've got to do everyday, Americans are not getting enough sleep. This week we continue our 3 part series 10 Tips to Stop Sleep Anxiety: More Rest, Less Stress.

4. Practice good habits

Having the same bedtime ritual night after night teaches your body when to expect sleep and eases the transition into a drowsy, bed-ready state. Bright lights, especially those from TV's computers and other electronics promote alertness, so try to avoid them before bedtime. Instead, try reading a book, taking a soothing bath or shower, listening to relaxing music and dimming the lights as you get ready for bed.

5. Eliminate distractions

The bedroom should be your sanctuary for sleep, so avoid watching TV in bed, bringing the laptop to bed, or engaging in any other activities. You want your mind to associate this setting with relaxation and rest rather than stimulating daytime activities. Consider setting limits on children or pets sleeping in your bed with you.

6. Get comfortable

Find bedding that feels comfortable to you. If you share your bed, make sure it is large enough for both of you to sleep comfortably. Most mattresses last 9-10 years; make sure to replace them when they exceed their life expectancy because a good mattress should be comfortable and supportive. Your pillow should support your head without straining your neck. Make sure your bedding is allergen free.

7. Set the mood

Dark curtains can help prevent light from inadvertently resetting your internal clock. Even the tiny light from an alarm clock can be disruptive so seek ways of limiting light pollution. Even small noises can interrupt sleep. Earplugs are helpful for some. A fan, or a free white noise app on your phone can help cover the sounds of noisy neighbors, car alarms, traffic and other disruptive nighttime noises. To keep your bedroom from becoming too hot or dry for comfort consider a fan, air conditioner, or humidifier.

REMEMBER: Having an occasional sleepless night is normal, but if you are experiencing a pattern of restless or sleepless nights, don't hesitate to seek an expert, especially if lack of sleep is beginning to interfere with your normal daytime functioning. Contact your doctor to determine whether physical causes may be contributing to sleep problems. If your physical health is sound, contact a psychologist with experience treating sleep problems. Cognitive behavioral therapy and other evidence-based treatments are highly effective for improving sleep. If you are in the San Diego area and you would like to speak with one of our other qualified therapists, you may contact the Center for Stress and Anxiety Management at 858-354-4077 or csamsandiego@gmail.com.

Want more tips? Subscribe to the CSAM RSS feed, and follow us on Facebook or Twitter (@CSAMSanDiego) so you don't miss Parts 2 and 3 of our 10 Tips to Improve Your Sleep and articles on other hot topics such as stress, anxiety, depression, OCD, PTSD, and more. 

References

Dement, William C; Vaughan, Christopher (1999). The promise of sleep: a pioneer in sleep medicine explores the vital connection between health, happiness, and a good night's sleep. New York: Delacorte Press. ISBN 0-385-32008-6.

Dement, WC (2005). "Sleep extension: getting as much extra sleep as possible". Clinics in Sports Medicine 24 (2): 251–268, viii. doi:10.1016/j.csm.2004.12.014PMID 15892922.

Kryger, Meir H; Roth, Thomas; Dement, William C (2011). Principles and practice of sleep medicine (5th ed.). Philadelphia, PA: Saunders/Elsevier. ISBN 978-1-4160-6645-3.

Sleep Tips: Seven steps for better sleep. Mayo Clinic Staff. Retreived on November 25th, 2013 from: http://www.mayoclinic.com/health/sleep/HQ01387


 

Tags: anxietycognitive behavioral thearpyCBTanxiety therapy san diegoanxiety therapytherapySan Diegopsychologist in san diegoCognitive Behavioral TherapyCBT San Diego,anxiety therapy for elderspsychotherapyChristmas stressmental healthanxiety disorder in childrencognitive behavioral therapy for children in san dpsychologypsychologistSan Diego Therapysleepinsomniainsomnia san diegosan diego insomniainsomnia cureinsomnia therapistinsomnia doctortherapist insomniaHanukkah stresschild anxietydepression

 

 

10 Tips to Stop Sleep Anxiety: More Rest, Less Stress (Part 1 of 3)

Jill Stoddard

by Lucas Myers

 

 

Feeling cranky or run down lately? With days getting shorter and the holidays around the corner many of us may feel that we are always running behind. The solution may be more rest through better sleep. In fact, any number of things might be interfering with a good night's sleep. The pressures of family responsabilities and work, unexpected illnesses, relationship issues, or economic hardships can impact anyone. Although many situational factors may be outside your ability to control, there are a few habits that can be adopted which encourage better sleep. By some estimates you may spend as much as a third of your life sleeping. Here are ten simple tips you can start with to make sure you're making the most of it:

 

  1. Timing is everything

Try to go to bed and wake up around the same time every day. Having a consistent schedule reinforces the natural sleeping and waking cycle called the “circadian rhythm” that our bodies have evolved to regulate a good night sleep. Even though it may be tempting, try to maintain your schedule even on weekends and holidays so you don't disrupt that natural pattern. 

  1. Don't try to force it

Do something relaxing before bed – if you lay in bed for more than 15 minutes and do not drift off, rise and repeat – agonizing over sleeplessness will only exacerbate the problem. 

  1. Eating and drinking shouldn't mix with bedtime

Being too hungry, or too full, can create discomfort that keeps you awake. Wait at least 2-3 hours after dinner before bed. Spicy food can cause heartburn. Pay special attention to use of nicotine, caffeine and alcohol before bed. They contain chemicals which can ruin the quality of your sleep. Limit what you drink before bedtime to prevent disruptive late night trips to the restroom. An exception may be non-caffeinated herbal tea or milk; these are soothing for some. 

Stay tuned for parts 2 and 3 of our 10 Tips to Improve Your Sleep. 

REMEMBER: Having an occasional sleepless night is normal, but if you are experiencing a pattern of restless or sleepless nights, don't hesitate to seek an expert, especially if lack of sleep is beginning to interfere with your normal daytime functioning. Contact your doctor to determine whether physical causes may be contributing to sleep problems. If your physical health is sound, contact a psychologist with experience treating sleep problems. Cognitive behavioral therapy and other evidence-based treatments are highly effective for improving sleep. If you are in the San Diego area and you would like to speak with one of our other qualified therapists, you may contact the Center for Stress and Anxiety Management at 858-354-4077 or csamsandiego@gmail.com.

Want more tips? Subscribe to the CSAM RSS feed, and follow us on Facebook or Twitter (@CSAMSanDiego) so you don't miss Parts 2 and 3 of our 10 Tips to Improve Your Sleep and articles on other hot topics such as stress, anxiety, depression, OCD, PTSD, and more. 

References

Dement, William C; Vaughan, Christopher (1999). The promise of sleep: a pioneer in sleep medicine explores the vital connection between health, happiness, and a good night's sleep. New York: Delacorte Press. ISBN 0-385-32008-6.

Dement, WC (2005). "Sleep extension: getting as much extra sleep as possible". Clinics in Sports Medicine 24 (2): 251–268, viii. doi:10.1016/j.csm.2004.12.014PMID 15892922.

Kryger, Meir H; Roth, Thomas; Dement, William C (2011). Principles and practice of sleep medicine (5th ed.). Philadelphia, PA: Saunders/Elsevier. ISBN 978-1-4160-6645-3.

Sleep Tips: Seven steps for better sleep. Mayo Clinic Staff. Retreived on November 25th, 2013 from: http://www.mayoclinic.com/health/sleep/HQ01387

Tags: anxietyanxiety therapy san diegoanxiety therapySan Diegopsychologist in san diegoCognitive Behavioral TherapyCBT San Diegoanxiety therapy for elderspsychotherapy,holiday stressChristmas stressNew Years stressmental healthanxiety disorder in childrencognitive behavioral therapy for children in san dmental health tipspsychologypsychologist,San Diego TherapySan Diego phobiasleepinsomniainsomnia san diegosan diego insomniainsomnia therapyinsomnia cureinsomnia therapistinsomnia doctortherapist insomnia


Why Adult Learning Anxiety is like Learning to Fish in Phoenix:

Jill Stoddard

5 Tips and 6 Resources for Adult Students

by Lucas Myers

 

In difficult economic times, many adults are returning to school in order to seek out new opportunities or transition into a second career. This can prove to be a tremendous challenge. Have you ever heard the saying “You can’t teach an old dog new tricks”? There may be a grain of truth to the saying but take it with a grain of salt. In this case you might say two grains are better than one. Knowing about the challenges facing an adult learner and having a plan to overcome them is the ticket to success.

Yes, as we age learning becomes more difficult and can become more anxiety provoking. Adults may be even more sensitive to failure in learning situations than children. Often, previous negative experiences with education may contribute to self-doubt and fear surrounding ability. Adults returning to school or any in-depth learning project are likely to feel that they are in unfamiliar territory in spite of education level or socioeconomic status. Frequent sources of adult learning anxiety may include feeling intimidated by unfamiliar new technology, out of place in online learning environments, a lack of confidence in rusty study skills, and concerns related to how school will impact already hectic schedules and limited finances. Returning to school later in life can make an adult as nervous as a fish on Friday.

However, regardless of the challenges that face adult learners, their differences create areas of opportunity in which they excel. A key to success in learning is the source of motivation. It is widely believed that motivation that is inspired by external factors, or extrinsic motivation, is much less powerful than motivation that comes from someone’s internal needs and desires. This intrinsic motivation is particularly important to create the best results with adult learners. Experts believe that adults are strongly motivated to learn in areas that are relevant to their growth in society, social roles, addressing life crises, and managing transitional periods. What I'm telling you is this: no amount of nagging and cajoling will get an adult to hit the books, but if you have an iron clad argument for how education will help him get a raise, a promotion, a new career, a tax break, or a hot dinner, you may find yourself a star pupil.

Unlike young learners who are focused on a postponed application of knowledge (e.g. “I'm going to be an ocean explorer one day”), adults’ time perspective has changed to one of immediate applications (e.g. “I want fish for dinner tonight”). This involves a shift from subject-oriented learning (i.e. marine biology) to problem-oriented learning (i.e. feeding the kids). Research supports the perspective that adults undertaking an educational project hope to solve a problem rather than learn about a subject. Because adult learners will engage better with material that they can relate to their own experiences, they will also learn faster and better. If the educator and learner are able to integrate new and difficult concepts with helping present and future personal experiences, the learner will maximize her chances for success. During transitional periods of life, adults who find themselves in need of knowledge in service of family life or new job skills are triggered to initiate learning. In other words, adults ask of their education “Hey Bub, what have you done for me lately?” Does what you're learning apply to your life now? Learning to fish doesn't help you much in downtown Phoenix, but a hungry man on a lifeboat in the middle of the Pacific is a motivated fisherman.

As a rule, adults are inclined to devote energy and engagement to the quality and quantity of learning that they see as the most immediately beneficial to their future (after all, finding an air conditioner is probably more important than fishing if you live in Phoenix). Therefore, it is vital that an adult learner feel empowered in influencing learning goals to ensure that his or her goals meet specific needs in his or her life. Because adults tend to have a broad base of experience, they are usually well equipped to identify what they need to learn. For most, there are responsibilities that will compete for time and attention. Does the average person need to know the migration patterns of salmon? No. Do they need to know how to bait a hook? Maybe. Do they need to put dinner on the table for the kids tonight? Absolutely. Part of setting goals must then be balancing the expenditure of time with the importance of completing educational objectives.

What can you take away from this for those who are seeking out a new degree, certification or career training? 

  • Caution them that they may feel more challenged by learning than they once did and it is normal to feel anxiety about returning to school. Many adult students incorrectly believe that they do not have the study skills that are necessary to be successful. The truth is that most adults in their forties and fifties possess about the same level of learning ability as they did in their twenties and thirties. In fact experts agree that if there is an age limit on learning performance it is unlikely to be seen before the age of seventy-five. “Bill, you're never too old to learn to fish”.

  • Remind adult learners often to think about their motivation for seeking education and to focus on how it will have direct and immediate impacts on helping them to achieve their goals. Reflecting on what new knowledge will bring to a student’s life, particularly the hows and whys, is a great way to inspire dedication and focus. If the rewards are seen as valuable enough then sacrifices will be borne more willingly and easily. “Bill, your kids are gonna love them fishsticks and tonight we're gonna have the best darn Cajun-style Catfish you ever tasted!”

ADDITIONAL TIP: One way to stay motivated is to seek out a mentor, someone who is a little farther along the path to her educational and career goals that can share inspiration, advice, and support.

An adult learner must actively look for ways to manage stress. Going back to school, and learning new skills, especially when added to adult responsibilities like caring for a family and paying bills, can be a major source of stress. Like all stress, it is important to be aware of how going to school is going to impact your life, and to make a plan to maintain balance. 

  • Self care such as diet, exercise, and sleep are particularly important to achieving this balance. 

  • Making time to participate in activities that one enjoys is a great way to relieve tension (like fishing!).

  • Reconnecting with friends and family ensures that the busy schedule of an adult student doesn’t lead to isolation and becoming overwhelmed. 

With the many demands facing an adult learner it can be tempting to put his personal needs on the back burner and it is particularly important to remember that self care is not just a momentary impulse now but it part of the journey to a successful education experience and therefore it is an investment in the future.

So why IS adult learning anxiety like learning to fish in Phoenix? They both give you something to do but they don't put dinner on the table.

Adult students, remember: 

  1. Relate lessons to your life to remain motivated.

  2. Remember motivation to increase engagement and focus. 

  3. Maintain balance; take time to care for yourself now so you can be successful later. 

  4. If you are finding yourself feeling alone and overwhelmed reach out to a friend, teacher, adult family member or classmate. 

  5. If anxiety has become too overwhelming, don’t be afraid to ask for help.

If you are suffering from stress or anxiety and would like to speak with a professional, please contact us at the Center for Stress and Anxiety Management at CSAM.SanDiego@gmail.com or by dialing 858-


BONUS: Learning Resources for Mature Students

Learn 2 Type (http://www.learn2type.com) – In order to write, you must possess basic typing (or keyboarding) skills.  Learning to type faster will help you compose your thoughts more quickly, saving time and making you more efficient!  Learn 2 Type is an excellent typing tutor and is free to use.

The Purdue OWL (Online Writing Lab) (http://owl.english.purdue.edu/) – This is the most famous writing website I have found.  You will find help with APA formatting, avoiding plagiarism, grammar, mechanics, etc.

Daily Grammar (http://www.dailygrammar.com/) – Provides a great refresher of basic grammar rules.

The Oatmeal (http://theoatmeal.com/tag/grammar) – A website that offers humorous and strange examples to help you remember grammar concepts.  The lessons on using an apostrophe and a semicolon properly are my favorites.

Guide to Writing a Basic Essay (http://lklivingston.tripod.com/essay/) – Steps you through the writing process. 

James ESL Free English Lessons  (http://www.youtube.com/user/JamesESL) – James has had over 7 million people watch his videos.  Scroll through his lessons and find the one that will be most helpful to you!




References



Brookfield, S. (1985). Self-directed learning : from theory to practice. San Francisco: Jossey-Bass.

Cross, K. (1981). Adults as learners. San Francisco: Jossey-Bass.



Darkenwald, G., & Merriam, S. B. (1982). Adult education: Foundations of practice. New York: 

Harper & Row.



Jones, H. E, & Conrad, H. (1933). The growth and decline of intelligence: A study of a 

homogeneous group between the ages of l0 and 60. Genetic Psychological Monographs, 

13, 223-298.



Kidd, J. (1973). How adults learn. New York: Association Press.

Knowles, M. (1980). The modern practice of adult education : from pedagogy to andragogy

Wilton, Conn. Chicago: Association Press Follett Pub. Co.



Knowles, M., Holton, E. & Swanson, R. (2011). The Adult Learner : The Definitive Classic in 

Adult Education and Human Resource Development. Amsterdam Boston: Elsevier.

Knox, A. B. (1977). Adult development and learning. San Francisco: Jossey-Bass.

Maxine E. Rossman and Mark H. Rossman. (1990). The Rossman Adult Learning Inventory: 

Creating awareness of adult development. New Directions for Adult and Continuing Education.

Smith, J., & Baltes, P B. (1990). Wisdom-related knowledge: Age/cohort differences in response 

to life- planning problems. Developmental Psychology, 26, 494-505.

Tags: anxietyCBTanxiety therapy san diegofeartherapystress and anxiety in san diegoCognitive Behavioral TherapyCBT San Diegotherapy in san diegoresolutionsacademic stressAdult Leaning Anxiety


Mindful Moods: Meditation, Yoga, and Your Brain

Jill Stoddard

by Lucas Myers

 

If you haven't been hiding under a rock for ten years you're aware of the yoga phenomenon. Famously popular among health conscious men and women, yoga is more then just a fitness sensation. Everyone from NFL players to CEOs is practicing yoga to improve mental and physical well being. These are some extreme examples of how even those with the most demanding of lifestyles can benefit from changing their focus from the stress of competition to a more productive focus on self-mastery that is demanded by yoga. Although some may be attracted to yoga to cultivate greater strength and flexibility, many maintain their practice because yoga positively impacts the way they perceive and interact with the world.

Most yoga instruction begins with a call to reflect on the intention of the day's practice. It may focus on bodily sensations as muscles contract and release or on how breathing impacts performance. Though some may not even know it, these activities serve the important function of increasing mindfulness during practice. Mindfulness, an intentional way of paying attention that can help you cope with the challenges of everyday life, has been proven in study after study to have many benefits and applications. As the yoga student improves, mindfulness carries over into other aspects of life.

Yoga is an excellent form of self-maintenance and care. Its ancient traditions serve not only to tone and strengthen the body, but the mind as well. As a yoga student becomes more mindful, awareness of the relationships between thoughts, emotions, actions, and environment is enhanced. Negative patterns and influences tend to be abandoned in favor of habits and practices that improve health and well-being.

Research on yoga has demonstrated its ability to aid in lowering blood pressure, relieve back pain, and lower stress. In a study of prisoners in Illinois, researchers found that tests designed to measure impulsivity and attention were answered with greater accuracy by inmates after attending 10 weeks of yoga instruction. Researchers from UCLA found that meditation from yoga can help lower depression in caregivers and may even increase cognitive functioning. In fact, cellular aging was shown to be slowed in association with meditation because it reduced the release of destructive hormones which are triggered by stress. That's right, yoga and meditation are not just associated with better health, they may even keep you young.

Why does yoga work so powerfully on the brain? To borrow a cheesy neuroscience joke: “The neurons that fire together, wire together.” Research has demonstrated time and again that the brain has the ability to rewire itself in response to experiences, a concept known as neuroplasticity. This means the brain is changing with every moment of experience, adapting and altering the ways that we relate to our own minds, bodies, environments, and other people. This gives everyone the potential to harness our knowledge of the brain to force positive changes by choosing experiences that increase our capacity for learning, coping, and processing. Mindfulness, meditation, and yoga are like exercise for your brain that can make it faster, stronger, and happier.

Any medical doctor or licensed therapist will tell you that, along with diet and sleep, exercise is one of the best things that you can do for your health and happiness. So how does yoga fit in? To borrow a phrase from Swami Beyondananda “it feeds two birds with one scone.” The body and mind are both being exercised in a process that allows them to renew and reinvigorate themselves. This combination can yield powerful results. Exercise reinforces a strengthened and disciplined mind by triggering the release of hormones that reduce stress and increase feelings of happiness and wellbeing. According to Dr. Jill Stoddard, director of the Center for Stress and Anxiety Management, yoga can be a valuable adjunct to psychotherapy: “We know the mind-body connection is incredibly powerful when it comes to anxiety, stress, depression, and chronic illness. Through movement, breath, and mindfulness, yoga is one of the few practices that specifically targets this connection. I personally practice yoga and recommend it for our patients as a way to improve overall well being.”

References:

Axel, Gabriel. “Your Brain on Yoga: A Blueprint for Transformation”. U.S. News and World Report. September 4, 2013. Retreived from: http://health.usnews.com/health-news/blogs/eat-run/2013/09/04/your-brain-on-yoga-a-blueprint-for-transformation

Chan, Amanda. “Yoga For Carefivers: Meditation May Lower Depression, Improve Brain Functioning In Dementia Caregivers”. March 13, 2012. Retreived from: http://www.huffingtonpost.com/2012/03/13/yoga-caregivers-meditation-kirtan-kriya_n_1342389.html

Kawer, Stanton. “Yoga Made Me a Better CEO”. Forbes.com. March 25th, 2011. Retrieved from: http://www.forbes.com/2011/03/25/yoga-meditation-better-ceo-leadership-managing-kawer.html

Manchir, Michelle. “Yoga for prison inmates is no longer a stretch” Chicago Tribune. August 8, 2013. Retrieved from: http://articles.chicagotribune.com/2013-08-08/news/ct-met-prison-yoga-20130808_1_yoga-class-yoga-pants-nonprofit-yoga

Tags: anxietyanxiety therapy san diegoanxiety therapytherapySan Diegostress and anxiety in san diegopsychologist in san diegopsychotherapymental health tipspsychologistSan Diego Therapytherapy in san diegoMindfulnesschronic painYogaMeditationBrain


Phobias, Fear, & Exposure Therapy

Jill Stoddard

by Lucas Myers

 

At the Center for Stress and Anxiety Management Halloween has got us thinking about fear. We deal with it all the time, but at CSAM we call fear by another name: Phobia. Classified as a form of anxiety disorder, a phobia is a persistent, irrational, and severe fear of a particular situation, object, or activity. A phobia is much more intense and persistent than ordinary fears. The desire to avoid the source of terror is very powerful. People might avoid certain situations, things, and conditions in an effort to circumvent their fears. Most of those suffering from a phobia recognize that the fear is excessive or unreasonable. More than 12 percent of individuals develop phobias at some point during their lives. In fact, these fears may change over time. For example, fears of crowds, separation, injury, illness, and death are more common among people over 60. Among 20 year olds, common fears included snakes, heights, storms, enclosures, and social situations. 

There may be as many as 700 different phobias. Many of them may only be uncomfortable or embarrassing, but the ones listed below can be so severe that they cause major changes in the way you live your life.

  • One of the most well known phobias, arachnophobia is also believed to be one of the most common. If spiders make you feel overwhelmed by extreme anxiety and fear, you have arachnophobia. 

  • According to a 1980 study by the Boeing Aircraft Corporation, 25 million Americans suffer from aerophobia. Celebrities Billy Bob Thornton and Cher are two household names that have reported suffering from this powerful aversion to flying in airplanes or hot air balloons.

  • Halloween can be tough if you experience necrophobia. Caskets, dead bodies, funeral homes, and funerals or anything that invokes thoughts about death can cause extreme fright. This phobia may develop from attending a loved one's funeral when the painful memory sticks around and develops into a fear of anything related to death.

  • You may have Social Phobia if the thought of being watched or scrutinized by other people causes overwhelming panic. Social and performance anxiety can be experienced by anyone but Social Phobia like other extreme fears, can cause nausea, sweating, and a racing heart. Those with Social Phobia may become very reclusive.

  • Another common phobia is claustrophobia, an anxiety disorder that sometimes develops in response to an occasion, often in childhood, when a person was trapped in an enclosed space with no way to escape. Claustrophobic individuals may find themselves irrationally fearful of elevators, airplanes, trains, or subways.

  • A bout of agoraphobia can really wreck your plans. It can include fear of wide, open spaces, tunnels, bridges, traffic, crowds, airplanes, and public transportation. In it’s most severe form, agorophobia can cause people to refuse to stray far from home. If you have agoraphobia you're in good company. According to many reports, Oscar winning actress Kim Basinger struggled with panic attacks and severe agoraphobia, publicly sharing how difficult it has been for her friends and family to understand.

  • Those that suffer from acrophobia are likely to have a convenient excuse when it comes time to visit the Empire State Building with their family, or disappear to the bathroom when everyone gets in line for the Ferris Wheel. That's because acrophobia is the fear of heights. It isn't always seen as very serious, after all, how hard can it be to avoid ladders? For some people though, acrophobia can be a huge problem because it prevents them from crossing bridges. Imagine doubling the length of your commute just to avoid taking the bridge home.

  • An irrational fear of germs can be referred to as germophobia, bacterophobia, or mysophobia. Some believe Michael Jackson may have suffered from mysophobia. This is because he was often photographed wearing a surgeon's mask out in public. Others with mysophobia may feel compelled to wash their hands all the time in an attempt to remove germs. Mysophobia is often a form of obsessive compulsive disorder.

If you are suffering from a phobia, there is hope! Specific Phobias can be treated using a powerful intervention called exposure therapy. Exposure therapy involves systematically and gradually exposing individuals to the objects or situations they dread. Exposure therapy works because once individuals have faced the source of their fear, they learn the object or situation is not as dangerous as they previously believed and they learn they can cope with the object, situation and their fear. Ample research has demonstrated the efficacy of Exposure Therapy for phobias and other anxiety disorders as well (e.g., obsessive compulsive disorder, panic disorder, post-traumatic stress disorder).. 

If you would like to talk to one of our expert therapists about a phobia, or any anxiety disorder, contact us at CSAMSanDiego@gmail.com or call us at 858-354-4077.

References:

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013. Web. [access date: 24 Octorber 2013]. dsm.psychiatryonline.org doi:10.1176/appi.books.9780890425596.744053

Comber, Ronald J. 2008. Fundamentals of Abnormal Psychology: Fifth edition. New York: Worth.

Smolowe, Jill. “Too Hot to Handle”. People Magazine, Vol. 55, 4. Retrieved on October 24th 2013 from: http://www.people.com/people/archive/article/0,,20133526,00.html

Tags: anxietyCBTanxiety therapyexposure therapyfearSan Diegostress and anxiety in san diegopsychologist in san diegoCognitive Behavioral TherapyCBT San Diego,psychologistSan Diego TherapySan Diego phobiatherapy in san diegoOCDagoraphobiaAcrophobiagermophobiabacterophobiamysophobiaclaustrophobiasocial phobia,necrophobiaaerophobiaarachnophobiaPhobiaPhobiasphobia san diego


Hypochondriasis is like OCD: Cognitive Behavioral Therapy Can Help

Jill Stoddard

by Lucas Myers

 

You are patiently explaining to the third doctor that the bruising on your arm is a sure sign of leukemia. Once again, she tells you that the tests all came back negative. You’ve heard it all before. She explains that much like the parasites causing intense stomach pain were just some gas, and the terrible headache in June was not a brain tumor but most likely a sign of dehydration, this is just a normal bruise and should clear up in a few days. You attempt to cap your seething frustration as you push your doctor to try another test. As soon as you get home you make an appointment with another doctor - perhaps this one will help. Welcome to the challenging world of someone coping with Hypochondriasis, sometimes referred to as Health Anxiety or Illness Anxiety. 

Hypochondriasis, estimated to be affecting 1-7% of the population, causes a person to dread that she has, or is going to have, a terrible disease or physical ailment. This person may constantly monitor her vital signs, and see minor changes in her body as “symptoms” of something far more ominous. She may “hop” from doctor to doctor, reading obsessively online about disease and seeking validation and treatment by demanding unneeded tests. Negative tests may bring some temporary reassurance, but this typically wears off quickly, only to be replaced by more illness fears. 

Those suffering from Hypochondriasis may believe that their excessive worrying is protecting them. They may believe that any discomfort or imperfection of body functioning is a sign of serious illness. Perhaps they sense that any doubt or uncertainty demands thorough investigation. Often they may scour the Internet until they find “proof” that the symptom they are concerned about is associated with a debilitating or deadly disease, such as cancer.

While hypochondriasis might seem funny or eccentric at first, those who have had or known someone with hypochondriasis tell a different story. The obsessive check-ups, monitoring, research, and fear can demand an enormous time investment and stress academic, professional and social relationships to the breaking point. Hypochondriasis can cause a person to become so obsessive that it appears to share similarities with Obsessive Compulsive Disorder (OCD). In particular both diseases share the feature that the more an individual attempts to address their fears (by checking, washing, doctor hopping, etc.), the more intense those fears tend to become. An important difference that distinguishes the two is that while someone with OCD may live in terror of getting a disease, someone with Hypochondriasis lives with the fear that they already have it.

Recommendations to those with Hypochondriasis include sticking to one doctor, avoiding Internet searches about illnesses, keeping active, and stopping self-checks. Of course making these changes is often very difficult to do without help, especially because the very nature of Hypochondriasis is the lurking sense that diagnosis of disease is just one doctor away. The nightly news often offers headlines that read as confirmation of a new health threat and a bombardment of well-meaning public health messages could leave anyone on high alert. However, WebMD is not the answer so where else can someone turn who is struggling with hypochondriasis?

The first step is education about the condition. Understanding hypochondriasis is crucial to gaining the power to change and sticking with a treatment plan. Make sure that a licensed or supervised psychologist is part of the healthcare team. Not only do they have the expertise to diagnose Hypochondriasis, but research has equipped them to to treat it. Due to the many similarities between OCD and Hypochondriasis, strategies developed to treat OCD have been found to be highly effective when adapted to the treatment of Hypochondriasis. According to recent studies by Harvard University and the Mayo Clinic, the most effective treatment is Cognitive Behavioral Therapy (CBT). 

CBT is designed to help identify and change the behaviors that maintain and worsen anxiety and other symptoms of hypochondriasis. Sometimes it may include exposure therapy-- confronting fears little by little until they lose their power. For example, if someone is terrified that they have cancer, they may visit a cancer hospital. Another technique, cognitive restructuring, teaches clients to challenge the validity of their health related fears. An approach that borrows from Mindfulness-Based CBT, is to learn non-judgmental acceptance of unpleasant thoughts. From a mindfulness perspective this discomfort is normal, and distress arises from the persistent attempts to control or escape discomfort.

Over the course of therapy, which is often as short as 16-20 sessions, clients learn to use these tools to challenge their health related anxiety as well as the behaviors that they have been using to cope with those fears. If you would like more information on Hypochondriasis or Cognitive Behavioral Therapy, click here to contact us.

References:

Leahy, Robert L. “Are You a Hypochondriac?” Retrieved October 9th 2013 from:

http://www.psychologytoday.com/blog/anxiety-files/201009/are-you-hypochondriac

Haupt, Andrea. “How to Cope with Hypochondria” Retrieved October 9th 2013 from:

http://health.usnews.com/health-news/articles/2012/07/10/how-to-cope-with-hypochondria

Hypochondria / Health Anxiety |Symptoms and Treatment. Retrieved October 9th 2013 from:

http://www.ocdla.com/HYPOCHONDRIASIS.html