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ASDI's Specializations
- Panic Disorder and
Agoraphobia
Panic attacks are marked by terrifying anxiety symptoms that may
include palpitations, sweating, chest pain, nausea,
hypersensitivity to light, feelings of unreality and catastrophic
fears of dying, fainting, going crazy or losing control.
Agoraphobia is a frequent complication involving avoidance of
situations the individual associates with having panic symptoms. We
utilize individual and/or specialized group therapy, behavioral
exposure, and medication as needed.
- Generalized or Specific Social Anxiety
Disorder
Social Anxiety Disorder presents in many forms, including specific
performance situations like public speaking, sport or musical
performance, and "bashful bladder" (paruresis). Generalized social
phobia can involve severe self-consciousness and avoidance of most
social contacts. We utilize individualized cognitive interventions,
behavioral exposure methods, group formats, and medication as
needed to maximize positive outcomes.
- Generalized Anxiety Disorder
In GAD, worry and anxious arousal are often pervasive, nearly daily
experiences with many foci of worry from daily uncertainties,
hassles or conflicts to potential disasters. We assist people in
exploring anxiety triggers, nonproductive worry, and helpful coping
skills for managing worry and reducing bodily arousal. Individual
therapy, group therapy, medication, and mindfulness meditation
training are available.
- Obsessive Compulsive Disorder
OCD is most often characterized by unwanted, unbidden and very
upsetting thoughts which escalate anxiety, sometimes accompanied by
internal or behavioral rituals intended to reduce anxiety (e.g.,
checking, cleaning, reassurance-seeking). We treat OCD by
specialized cognitive-behavioral methods, as well as certain
medications.
- Specific Phobias
In adults, common phobias that bring sufferers to treatment include
the fear of flying, fear of driving the Bay Bridge or the Harbor
Tunnel, fear of medical procedures or fear of small animals. In
children, "school phobia" and fear of small animals are common.
Treatment usually focuses on gradual, carefully-dosed exposure,
with an emphasis on education and cognitive coping skills.
- Adjustment Disorders with Anxiety or
Depression
Symptoms of anxiety and depression may accompany many upsetting
life experiences such as separation/divorce, loss/bereavement,
illness, infertility, unemployment, lawsuits, care of an elderly
parent, moving, or parenting. Many of our therapists are used to
helping people adjust more effectively to such adverse life
circumstances.
- Post-traumatic Stress Disorder
Traumas such as accidents or crimes can often lead to benumbed
feelings alternating with intense arousal, unsettling flashbacks,
and avoidance patterns. Treatment involves sensitive handling of
phobic components, as well as addressing the many effects trauma
can have on one's sense of well-being, safety, relationships, etc.
Individual therapy, behavioral exposure, and medication are typical
treatment approaches.
- Stress-related Disorders
Our bodies' acute stress response serves us well; however, when
stress becomes more chronic, bodily symptoms and emotional distress
are often the result. There are so many conditions that are either
caused by or aggravated by stress, including anxiety, depression,
irritable bowel syndrome, diabetes, as well as some skin disorders,
ulcers, respiratory conditions, and sexual dysfunctions. We utilize
specialized individual therapy, as well as biofeedback and
medication as indicated in the service of more effective stress
management.
ASDI: Serving the Baltimore Area & Central Maryland
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