WHAT ARE ANXIETY DISORDERS? – Mental health psychology about stress, fear & treatment by Kati Morton



hey everyone this week's video topic comes to me from you and all of your requests anxiety disorders what are they and what do we do so stay tuned so like I said this week's topic is anxiety disorders and after getting that request from many of you and then looking through the DSM what actually falls under anxiety disorder what is that criteria Bulba below there are a lot and a couple of them I've already touched on and a couple of them I will touch on in future videos but one is PTSD and that is in a video that I did probably about two months ago or so so check out my PTSD video for questions and you know comments about that but and I another one that I've had requested is OCD which also falls under anxiety disorders and that's obsessive-compulsive disorder and I will do a video on that at a later time so don't forget to subscribe to my channel because when I put it out you're going to want to know so the first thing I want to touch on and I have my DSM here my handy-dandy DSM and just to try to make this as clear as possible the first part of anxiety disorders that I want to talk about while that has a mouthful anxiety disorders Lilla is generalized anxiety disorder or GA d which i will call it from now on because that makes it so much easier so GA d is an excessive anxiety and worry occurring more days than not for a period of at least six months and I I guess the best way that I can think of this presented itself in my office is when I have a patient who all they do is worry about let's see what people think of them and it happens a lot obviously this cannot otherwise be attributed to an eating disorder or something like that if someone just has anxiety over something else that can be accounted for in another diagnoses it's not GA D but when I have people have G ad it's almost like they worry so much about everything in their life like I don't want to be late for this and I what if I don't get a hundred percent on that test and oh my gosh and my apartment isn't clean and my friends are coming over I mean everything is excessive worry and the way that I always think excessive is is that it's more intense of a worry than the actual situation warrants so I know that sounds like therapy talk and it's kind of annoying but what I mean is like for for me if people are coming over to my house and I was like well my house isn't really clean I'd be like well you know what I get home all tidy up as quick as I can and let it be would it be right because they're my friends and they'll love me anyway so that would be a normal quote-unquote normal relative worry where you're like oh it's dirty but I need to clean it and then you're over it right oh I'll just do this into the but a person with GID can't really do that they will excessively worry about it so much that it can ruin their day and they might want to try to leave work early and they may even like hurt other people's feelings or do other things that are bad for them in order to alleviate this worry okay so that's G ad generalized anxiety disorder and as with all of the things that I talk about I mean anxiety disorders have at least like I don't know 50 pages in the DSM so this is a very succinct version now the next thing I want to talk about is social phobia now many of you talk about having social anxiety and from what I can read in the DSM social anxiety isn't actually a diagnosis under the anxiety disorders it would be called social phobia and they say that the essential feature of social phobia is a marked and persistent fear of social or performance situations in which embarrassment may occur now I find this to be most prevalent with my teen clients and my young adult clients the ones in college and stuff because we're in social situations a lot and it's it can be very like we may be in a new high school and we're already nervous and so then we start to worry about what everybody thinks and we don't want to be embarrassed we don't want to Barriss ourselves and oh that person's giggling they're giggling about me and that's kind of how this presents itself we think that a lot of times anybody it's giggling or looking or somebody is pointing we automatically think that they're talking about us somewhere doing something embarrassing and it's terrible so that's kind of what social phobia is and under social phobia says social anxiety disorder so that's kind of where that falls and that is something that I honestly along with all the anxiety disorders it's really important that we go to therapy and we talked about this with someone and we kind of process it through and in my experience CBT cognitive behavioral therapy is the best with this because we'll do what we call like downward I think it's actually technically downward arrow questioning where we try to logically talk ourselves out of these you know kind of anxiety provoking situations like okay well there are 700 people in you know the cafeteria today what are the chances that that person laughing is laughing about it about us well one in 700 well is that really a you know a high-risk situation is it most likely that they're thinking and laughing about me or is at least less likely that they're thinking and laugh at me well it's probably less like I mean kind of talk ourselves out of it so if you suffer from social anxiety or social phobia and you're wondering what to do about it I would look into seeing a CBT therapist okay so that's just a little and then what is a agoraphobia everybody talks about that – right and that falls under this as well now agoraphobia differs from social anxiety or social phobia in that it doesn't have to do with social situations it's not really it's not like well that girl is pointed means she's been really mean or that guy was was whispering and I know he was whispering about me it's not relational with those kinds of people it is all to do with us getting into a situation which usually is social or just out of our house out of our comfort zone so it may be safe at home we may be safe at work but anything else not safe and our main concern is that we'll get somewhere and we can't leave either we can't leave easily or without embarrassment and that's our biggest worry is like I'm going to get somewhere and then I'm going to start to feel to overwhelm and then I won't be able to leave or I'll have to embarrass myself in front of people to leave because I'll be stuck you know like I'm in the middle seat in this opera and I'm going to have to get up and disturb all these people so we're really embarrassing for me so that's kind of more what agoraphobia is versus social anxiety so social anxieties more relational agoraphobia is just like situational if that makes sense that's kind of in my mind how if I had my whiteboard I would draw a line and I would break them down like that so that is that then there are panic attacks and panic disorder now panic attacks I know many of you have said that you've had them and that you have them a lot and they're really overwhelming and that's the truth they really suck they're terrible and they they not only come on quickly but once we have them then we always worry that we're going to have more of them and the symptoms of panic attacks can be they say somatic or cognitive in nature so it could be like heart palpitations I can be sweating I can be trembling it can be shaking the most common thing that I hear in my practice is I feel like I'm drowning and I think that's because we have those heart palpitations and we don't breathe very well and we feel like we're drowning and so our um these will happen usually in ten minutes or less and you can have a panic attack but only if and I want to make sure I say this correctly only if we have recurrent and unexpected panic attacks followed by at least a month of worry that we're gonna have another do we have panic disorder okay so that's how those differentiate because panic attacks can happen and some of us with generalized anxiety disorder may have a panic attack every once in a while or put in a really stressful situation but unless we have them recurrent and we worry about them all the time do we we don't have panic disorder we would have generalized anxiety disorder or agoraphobia with panic attacks okay so that's how those are differentiated and just to give you an idea of how many other things are included under anxiety disorders we have panic disorder without a agoraphobia panic disorder with agoraphobia so you can see how all of these can be attached on to one another with or without so that's why I just gave you you know those most common and what I hear most from you and what you wanted me to talk about so that is a you know an umbrella view and the most common panic related and anxiety related disorders and you know different attacks that we can have okay so now what the heck do we do well the first thing is I would definitely see a therapist and I would also look into seeing your doctor your GP or your psychiatrist because of the physical things that can come up when we have anxiety and we want to make sure that not only are we health you know our physical health is under control and manage but we also want to make sure that our anxiety isn't causing any damage to anything I mean I've had a client who had a little heart valve issue because of all the panic attacks and the breathing and I mean she had a predisposition to that before but you just want to make sure that everything is okay and that these aren't being caused by a medical condition and that's really important that's something I don't think I mentioned enough is when we think we have a certain mental disorder that's why we need to go to our primary care doctor always because we want to make sure that it can't be attributed to something else because a lot of people will diagnose us and they'll be wrong and it's not because they're not good clinicians it there's just a lot to factor in and I want to make sure that we know that this is not being caused by something else and if we cannot get these things under control and our panic attacks potentially are you know making school really hard or we could potentially lose our job and things like that we want to make sure that if we need medication they can give us that and they can help us out and a CBT therapist or just a regular talk therapist can really really help as we figure out where this came from why we're doing it and we can kind of talk ourselves out like I talked that downward arrow questioning and it can sometimes help us out of that so make sure to take a look at that don't forget to subscribe to my channel because I will a video on OCD that will be coming up really soon so stay tuned for that and like I said I already did a video on PTSD and I've done some videos on anxiety 101 and breathing techniques because those can help sometimes when we feel our anxiety building and so I would take a look at those and check those out and don't forget to leave your comments below I know many of you so many of you struggle with this and you've asked me to do this video so please leave your comments if there are other things you want me to talk about if you have tips and tricks and things that work for you please share them our community is amazing and it's growing and you're all helping each other and I love to watch it to be honest it's very exciting so keep working with me keep helping one another as we work towards a healthy mind and a healthy body okay good yeah I'm overheating overheating if I was like a little thermometer it'd be like a little steam be coming out a little red light would be flashing hey okay time to get outside do something fun yeah yeah maybe get a tan cuz I am like a ghost yeah you

27 comments

  1. Kati, please talk about Illness Anxiety Disorder, I've been looking for a safe material about it and I can't find anything. Not even articles online, but I really trust your videos. And maybe talk about how IAD would differentiate from OCD. Thank you so much

  2. GAD is probably my worst diagnosis. Last year, I was applying to colleges. I couldn't tell you how many times I said "What if Geneseo (my 1st choice school) doesn't want me? I will have nothing to do with my life."

  3. My anxiety was so bad that I almost failed my (Mandatory) speech class in high school. I used to make the presentations but I wouldn’t present them half the time. I actually hid in the bathroom… then I started to freak out that my friends would think I’m weird. It was my freshman year and it was hell everything was new. Also I didn’t know that you didn’t share classes with just your grade. So that freaked me out.

  4. I don't know, i feel like if we talk too much about mental illness, we'll become ill. Like,i worry too much about my mental health since my therapist said i heve OCD. My priest said i will get paraphrenia, my therapist said that it's an old technical term that was used just to scary me in order to not care anymore about buddhism and other stuff like stuff not being necessary or other shit

  5. Yes that's so me I feel embarrassed because I may feel being judged because in the past I was bullied about acting like a girl, walking, talking

  6. You look so much like my ex girlfriend. When I miss her, I watch your videos. Is that weird? Do I have some sort of disorder?

  7. Hi I deal with anxiety and depression and ADHD. How do I get people to understand that I can't just "get over it " and why it takes alot of time to deal with

  8. my old therapist said social anxiety can turn into agoraphobia which sounds way wrong but she said it like i need to be extremely cautious. the look on her face stuck with me but idk about her anymore lol

  9. i fear for my life and my mental health everyday and i panic very often. i freak out over anxiety at leats 5 times a day

  10. About 4 months after having my daughter I started having panic attacks. & started to close myself in because I had one in the car, at a friends, at a restaurant, doctors office that I started to avoid those places. I did start taking medication & counseling & I’ve learned a lot of coping skills to push myself & get out of the house. Almost a year later & I still feel super foggy headed & anxious all the time but I can say I haven’t had a crippling panic attack since June! But I wish I could just wake up & feel normal. 😓

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