Summary: <p>Anger, Anxiety and Depression<br> Making the Connection<br> Presented by: Dr. Dawn-Elise Snipes<br> Executive Director, AllCEUs<br> Objectives<br> Define the transdiagnostic and transactional theories<br> Define anger and anxiety<br> Explore types of threats and threat assessment techniques<br> Explore intervention techniques<br> Define depression<br> Examine the connection between depression, anger and anxiety<br> Identify transdiagnostic interventions<br> Transdiagnostic & Transactional Approaches<br> ~Transdiagnostic Model<br> ~Asserts that many symptoms are common to many disorders such as<br> ~Changes in sleeping patterns<br> ~Changes in eating patterns<br> ~Irritability<br> ~Fatigue<br> ~Transactional Model<br> ~Asserts that there is a reciprocal interaction between everything.<br> ~Transactions can be positive or negative<br> What are Anger and Anxiety<br> ~Emotional labels assigned to physiological responses to a perceived threat.<br> ~Threats<br> ~Death<br> ~Rejection/Isolation<br> ~Loss of Control<br> ~The Unknown<br> ~Failure<br> Anger<br> ~The fight response because<br> ~It is a threat you can conquer<br> ~You are trapped and have no choice<br> ~Types of Anger<br> ~Rage/Anger/Irritation<br> ~Jealousy/Envy<br> ~Guilt<br> ~Hate/Resentment</p> <p>Anxiety<br> ~The flight response because<br> ~You choose not to use the energy to fight<br> ~You do not believe you can win<br> ~Types of Anxiety<br> ~Worry/Fear/Terror<br> ~Stress<br> Threat Assessment<br> Threat Assessment: General<br> Threat Assessment: BreakUp<br> Examine the Triggers<br> ~How many anger and anxiety triggers is the person experiencing on a typical day<br> ~Is there a relationship between the number of triggers and the intensity of the reaction?<br> ~Is there a particular threat those triggers relate to?<br> ~What automatic Beliefs are supporting that threat<br> ~What are some alternate beliefs the person could use to dispute the unhelpful ones?</p> <p>Examine the Impact<br> ~What is the impact of the emotional/behavioral reaction on the person and his or her environment?<br> ~Emotions<br> ~Thoughts<br> ~Physical comfort and energy<br> ~Relationships<br> Depression<br> ~A sense of hopelessness and helplessness<br> ~Most people with depression have (or had)<br> ~High levels of anxiety/anger<br> ~Inability to change the situation or eliminate the threat</p> <p>Transactional Analysis<br> ~Threat Response System is triggered<br> ~Person attempts to fight or flee<br> ~Attempts are unsuccessful<br> ~Threat Response System continues to protect the person<br> ~Sleep is impaired<br> ~Hormones regulating sleep and feeding are impaired<br> ~Irritability increases as the stress load increases<br> ~Exhaustion sets in<br> ~Lack of quality sleep and continuation of stress response causes neurotransmitter imbalance<br> ~Excitatory neurotransmitters go into conservation mode<br> ~Concentration becomes difficult<br> ~Motivation wanes (Apathy, Lack of pleasure)<br> ~Hopelessness and helplessness sets in (Depression)</p> <p>Where to Intervene<br> ~Sleep<br> ~Sets circadian rhythms (sleep/eat/wake (cortisol))<br> ~Balances neurotransmitters and other hormones<br> ~Will help with<br> ~Eating disturbances<br> ~Exhaustion<br> ~Irritability<br> ~Low libido<br> ~Interventions<br> ~Create a sleep routine<br> ~Identify reasons sleep is difficult<br> Where to Intervene<br> ~Nutrition<br> ~Provides the building blocks for mood (neurotransmitters) and health (libido, pain perception)<br> ~Blood sugar issues, IBS, Chrons and excessive use of caffeine can all intensify or prolong the stress response and negatively impact sleep and hormone balance.<br> ~Dehydration contributes to difficulty concentrating and fatigue<br> ~Interventions<br> ~Limit caffeine, especially 8 hours before bed.<br> ~Try mini</p>
