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*Dr. Garces only sees patients off-site at long term care facilities

BRIAN M. LUKACH, PhD Licensed Psychologist RACHEL J. GRETEBECK, MS, CSAC Certified Psychotherapist Licensed Clinical Substance Abuse Counselor JOANNE KEMNITZ, MSW, CAPSW Master’s Level Counselor KARLA F. WILLIS, LPC Licensed Professional Counselor MAMIE LORITZ LINTEREUR, MSW,LCSW Licensed Clinical Social Worker MICHAEL G. HUBER, MA, CSAC Licensed Psychotherapist Licensed Clinical Substance Abuse Counselor CONSTANCE L. WOYTHAL, PsyD Licensed Psychologist JESSE FOY, L.Ac, MSOM Acupuncturist, Chinese Herbalist JANET FRITTS, L.Ac, MSOM Acupuncturist, Chinese Herbalist ALEXANDRA LIOSATOS, MA Master’s Level Counselor Working Toward Licensure

Supervised by Constance Woythal, Psy.D WALTER CATALAN Counseling Intern Supervised by Constance Woythal, Psy.D

BRIDGEPOINT HEALTH

JENNA S. SAUL, MD Board Certified Child & Adolescent Psychiatrist

BRIDGEPOINT HEALTH

LORRIE K. GARCES, MD Board Certified Adult Psychiatrist

BRIDGEPOINT HEALTH

JOHN L. OLSEN, MD Board Certified Adult Psychiatrist

FOR TOTAL HEALTH

CAROLYN J. BAXTER, MD Board Certified Adult Psychiatrist

BRIDGING MIND & BODY

CLINICAL ASSOCIATES

ANXIETY

DISORDERS BRIDGEPOINT HEALTH, LLC CONTACT US 3425 Superior Avenue Sheboygan, WI 53081 Phone (920) 458-5557 Fax (920) 458-2692 www.BPHealth.org OFFICE HOURS Monday & Tuesday 8:30AM— 8:00PM Wednesday & Thursday 8:30AM— 6:00PM Friday 9:00AM— 5:00 PM


TYPES OF ANXIETY DISORDERS Generalized Anxiety Disorder (GAD) Individuals with GAD experience excessive worry and anxiety about daily life events for at least six months. These worries are often difficult to control and include concerns about potential negative events in the future, minor matters, the safety and health of a loved one, work issues, and world events, such as natural disasters. Physical symptoms are also experienced including restlessness, irritability, sleep problems, muscle tension and fatigue. Panic Disorder Panic disorder is characterized by unexpected and repeated panic attacks that include symptoms such as heart racing, sweating, trembling, shortness of breath, choking sensation, chest pain or tightness, nausea, feeling dizzy or lightheaded, feeling detached from one’s body or surroundings, fear of dying or of going crazy. These attacks are followed by at least one month of worry about having additional attacks, fear that something bad will happen as a result of the panic attack, (i.e., going crazy, losing control, or dying) and/or significant change in behavior related to the attacks Agoraphobia Agoraphobia often accompanies panic disorder and is characterized by anxiety about being in places (e.g., restaurants, movie theatres, supermarkets, buses, planes, being far from home) where escape might be difficult or embarrassing or in which one could not get help if a panic attack occurred. Many of these situations are avoided or endured with great distress. Health Anxiety With this disorder the individual is preoccupied with fears of having a serious disease based on a misinterpretation of bodily symptoms. Despite medical evaluation the person’s preoccupation

Obsessive Compulsive Disorder (OCD) OCD is characterized by the presence of obsessions which are recurrent and intrusive thoughts, images, or impulses that the person recognizes as senseless but that produce marked distress and anxiety. Compulsions are repetitive behaviors (e.g. cleaning, checking, ordering, repeating, or collecting) or mental acts (e.g., praying, counting or repeating words silently) that the person feels compelled to perform in response to an obsession or according to rigid rules. These behaviors and mental acts are performed to reduce anxiety or to prevent some feared event from occurring. Social Anxiety Disorder Social Phobia involves an intense fear of social and/or performance situations, and excessive concern about social embarrassment or humiliation. Individuals with this disorder may avoid social activities like going to parties, performing or speaking in front of others, dating, and may have difficulty obtaining employment. Post-Traumatic Stress Disorder (PTSD) PTSD can develop after being directly involved, witnessing, or hearing about a frightening traumatic event. Symptoms include upsetting vivid memories, nightmares, flashbacks of the event, avoidance of reminders of the trauma and physical symptoms such as exaggerated startle, irritability, problems with sleep and hyper-vigilance. Specific Phobias Phobias are characterized by persistent, excessive and unreasonable fears of an object or situation. These fears significantly interfere with one’s daily functioning and are usually avoided. Some common phobias include fear of spiders, snakes, flying, heights, injections, severe weather and situations where escape is difficult.

HOW IS ANXIETY TREATED? In general patients are encouraged to gradually confront the feared situation, object or sensation as a way to reduce their fear reaction. This is referred to as graded exposure. Along with exposure the patient’s maladaptive and anxiety producing thoughts are challenged to determine if, in fact, they are accurate. If not, a more realistic interpretation is substituted and a reduction in anxiety typically follows. Although the interventions for anxiety disorders have common elements, each disorder is unique and requires targeted treatments to deal with the specific set of symptoms experienced. All treatments for anxiety disorders are evidencedbased, meaning that each has strong research support and has been found to be effective for the majority of patients. Cognitive-Behavioral Therapy (CBT) Cognitive-behavioral interventions for anxiety disorders are based on the idea that emotions are altered through a change in ones thinking and behavior. Individuals with anxiety often maintain maladaptive thoughts such as thinking that the worst will occur (i.e., catastrophic thinking) or that the chance of a negative outcome occurring is very high (i.e., probability overestimation). Behaviorally, those with anxiety disorders avoid situations, objects or sensations that trigger their fear (e.g., speaking to a group, airplanes, contaminants). Avoidance preserves the fear and supports maladaptive thinking Information for this brochure was compiled by David Jacobi, PhD. Dr. Jacobi graduated from UW-Madison and completed his graduate training at the Chicago Medical School. He has specialized training in the assessment and treatment of anxiety and related disorders. He has worked at multiple anxiety specialty clinics including the UW-Madison Hospital Anxiety Disorders Center and the Anxiety Disorders Clinic at the University of British Columbia. Dr. Jacobi works with adults, adolescents and children. He has presented his work at national


Anxiety Disorders