Archive for the ‘Anxiety / Stress’ Category

Dealing with Anxiety and Stress: Understanding Anxiety Disorders and Effective Treatment IV

August 20, 2010

From the Good Practice –  “Licensed psychologists are highly trained and qualified to diagnose and treat people with anxiety disorders.”  Dr. Nadler has been trained to use several forms of psychotherapy including cognitive behavioral therapy (CBT) – his specialty.  His internship was psychoanalytic and on occasion he uses a dynamic approach interwoven with CBT.  He has also been trained in hypnotherapy. 

The treatment for anxiety is worked out in collaboration with the client and tailored to his/her individual needs.  As he has been named by his colleagues, Dr. Relax, because of his contagious tranquil demeanor and his use of relaxation techniques, Dr. Nadler has often been able to help people diminish some of  their anxiety in the first few sessions. 

According to the article, psychotherapy on a weekly basis generally takes several months to reduce symptoms of anxiety to an appreciable extent.  Dr. Nadler also was the leader of a stress management program for employees in a VA hospital for many years.  Dealing with anxiety and stress is one of the activities that he enjoys doing the most as the improvement in his clients is very rewarding.

Irving Nadler, PhD    Tel:  561-361-0711

Dealing with Anxiety and Stress: Understanding Anxiety Disorders and Effective Treatment III

August 17, 2010

In Good Practice the issue of importance of treating anxiety disorders is not just the alleviation of the symptoms, but if left untreated, there may be adverse consequences.  Family life and job performance may suffer; and there is a greater tendency to find solutions in drugs and alcohol.

Effective treatments are available for anxiety disorders.  Cognitive behavior therapy is an evidence based treatment.  That means research demonstrates that it is effective.  With cognitive therapy, the client learns that his /her thoughts lead to symptoms.  When these thoughts are identified, they can be changed by the client with practice so as to alleviate the frequency and intensity of  the anxiety symptoms.  When behavior therapy is combined with cognitive therapy, the undesirable behaviors can be reduced or stopped altogether.

Dr. Nadler has been using cognitive behavioral therapy for anxiety for several decades to help people feel better and find more happiness.  His doctoral dissertation, way back in 1976, was about a paradigm using self-instructions (cognitions) to lessen test anxiety.  Dealing with anxiety and stress is one of his areas of expertise.

Irving Nadler, PhD    Tel:  561-361-0711

Dealing with Anxiety and Stress: Understanding Anxiety Disorders and Effective Treatment II

August 13, 2010

Continuing the educational article from Good Practice, the major types of anxiety disorders are delineated – generalized anxiety disorder, panic disorder, phobias, obsessive-compulsive disorder and post-traumatic stress disorder. (These can be googled for comprehensive information).  The anxiety disorders not only have psychological components, but also have physical components, which may include  symptoms such as insomnia and racing heart beat.

When anxiety disorders go untreated, the suffering continues.  About 30 years ago Dr. Nadler’s colleagues named him “Dr. Relax” because his calm demeanor was contagious.  His clients were generally more at ease even in the very first session.  In addition, he teaches a variety of anxiety reduction techniques that are quite beneficial to his clients. 

Dr. Nadler has a passion for helping people to diminish their anxiety and thereby improve their relationships, work more effectively and find more happiness.  Dealing with anxiety and stress is one of his specialties.

Irving Nadler, PhD    Tel:  561-361-0711

Dealing with Anxiety and Stress: Understanding Anxiety Disorders and Effective Treatment I

August 10, 2010

The recent issue of  “Good Practice” by the APA Practice Organization has a handout for clients entitled “Understanding Anxiety Disorders and Effective Treatment”.  I will present the information  in several blogs. 

The article starts out “Everyone feels anxious from time to time”.  When I discuss anxiety with my clients I have given the following example for the past 30 years.  Anxiety is necessary for life.  When you cross the street, you must look  left and right before crossing.  Young children, who do not understand the concept of injury and death, do not experience anxiety.  Therefore they need to be watched so they won’t cross the street and be injured.  On the other hand, if someone repeatedly looks left and right and has too much anxietyto cross the street, they can only live on one block and their functioning is severely impaired by anxiety.  Those who suffer from frequent and intense anxiety may have difficulty in building healthy relationships and difficulty at work. 

 About 25 years ago, my colleagues named me Dr. Relax because of my contagious tranquil demeanor and my ability to teach people how to relax. Fortunately, psychologists have excellent methods of dealing with anxiety and stress.

Irving Nadler, PhD    Tel:  561-361-0711

Dealing with Anxiety and Stress: Guiding Your Sleep While You’re Awake

August 1, 2010

To cope with nightmares, last week Sarah Kershaw wrote an article in the NY TImes – “Guiding Your Sleep While You’re awake.”  Dr. Barry Krakow helped to develop “imagery rehearsal therapy.”  The client selects a nightmare that he/she can learn how to transform into a dream of diminished intensity.  During the waking state, change the dream in your mind’s eye to have positive images.   Rehearse the new dream for 10-20 minutes each day and over time, the intensity of the nightmare will lessen and it may even become merely a dream. 

Ms. Kershaw presented several psychological methods to alter nightmares, but his seemed the best to me for dealing with anxiety and stress from nightmares.

Irving Nadler, PhD    Tel:  561-361-0711

Boca Raton Psychologist: Increased Demand for Psychotherapy

July 16, 2010

Dr. Ken Pope sent an e-mail regarding an article this month in the International Journal of Mental Health about demand growing for mental health services around the world.  As the need for more treatment arises from the stressful economic times, the United States is decreasing services.  The states are responsible for providing services and in 2009, 32 state mental health agencies report cuts.  Interestingly, the United Kingdom “has designated stimulus money for workers who have lost their jobs and suffer from anxiety and depression as a result.”

Do we in the US want to have diminished mental health as the world  competes economically?  This does not seem to make good common sense or good dollars and cents.  I proudly worked as a psychologist  in the VA for 27 years where treatment was free or low-cost. 

What does diminished services by government mean for private practitioners, like myself now, when we are confronted with desperate people who cannot pay for psychotherapy for depression or anxiety?  The Boca Raton Psychologist thinks that our profession has an obligation to help some of these people, but we still have to pay our bills.

Anxiety and Stress Regarding the Economy

June 17, 2009

Recently, a client remarked  “If the stock market went back to its peak, I would be much healthier.”  Anxiety and stress may have  a profound effect on not only our emotional states, but also our physical states.  Anxiety, worry, anger and fear; sadness and depression; and medical issues (such as chronic pain, hypertension, and heart disease) may be worsened by the economy. 

How do we cope to diminish this stress?  First, make a financial plan of action. Next. cope with your emotions – practice relaxation and alter your negative, pessimistic thoughts.  Work on your medical issues – follow the physician’s treatment regimen, find pleasurable activities, get some exercise (just walking is great), spend quality time with your partner and other family members.

Anxiety and stress are part of life, but we can cope with them to diminish their effects.  If you need help dealing with anxiety and stress, call Dr. Nadler.