Managing Worry and Acting Class …

My name is NBG, I am 15 y/o, and I was treated at AATC for generalized anxiety disorder (GAD) and social anxiety. Most of my worries were about most about school work, social situations, and home situations. After treatment, my anxiety has lessened a lot because of many different coping skills I learned. After months of learning how to manage my worry, I joined a theater class,at high school, where I got even more practice stepping out of my comfort zone. At the time I enrolled, I didn’t know how beneficial it would be for my anxiety. I just figured it might help me gain some confidence, but it did much more than that. It helped me further overcome my fear of what others think about me and my stage fright, and gave me the experience and ability to focus and succeed. As part of this class, we got an assignment to simply write a journal about how certain class activities and theater warm-ups help develop techniques needed on stage. I incorporated in how there is no time for worry. As I was emailing my acting teacher the assignment, it occurred to me that the very thing I used to worry about was now something I enjoyed, and how my worry-management and exposure therapy experience were key to being present-focused and a success on stage!

Acting Skills

Focus. We stand across from our partner. We follow our partner’s movements. We mirror them. The mirror activity was a helpful activity for acting because it requires concentration, imagination, and being able to step out of ones comfort zone. The follower has to focus very closely on the intricate details of their partner’s movements in order to copy them. The leader has to concentrate on making sure the movements will be easy to follow, but still use their imagination to come up with new movements. Both have to be able to step out of their comfort zone to move quickly without worrying about if the movements look weird or how people are judging them.

Teamwork. Think about the sentence. “The quick brown fox jumps over the lazy brown dog”. All the letters of the alphabet. What’re your letters? What are the movements? When do you say them? Focus on them. Your letters are your responsibility. We start, they mess up; they’re out. We make up for their part. Go on rhythm. Type out the letters. Don’t worry about the silly movements, everyone is doing it. Don’t be anxious, no time for worry. The typewriter is a great exercise for acting. First you have to concentrate on your letters and go over where they are compared to everyone else’s and you must memorize them. This is the same thing you do in your part of a play. You have to know your lines and where they are in relation to everyone else’s lines. You also have to take other peoples letters when they mess up just like you do in a real play, someone has to take there parts if they aren’t their, or find a way to improvise if they mess up.

Multi-Tasking. They stand on stage. They run through their lines. They shout out there list. They put together the tiny pieces. Start by the edges. Put together similar color. Focus on what you’re saying. What do I say next? Don’t pause. Don’t hesitate. Finish the puzzle. Say your list right. If you mess up keep going. Focus! The puzzle activity is a good warm-up for acting as well because you have to really concentrate on what your saying while using you hands to do a puzzle. Similarly, in a play you have to demonstrate your ability to multi-task because you have to say your lines while moving to the correct place on the stage. You might have practiced your lines a million times, and memorize them, and know them completely, but can you move around and do you know your place on stage while you say them too?

AATC’s Trichotillomania Ambassador is ‘Pulling’ for Other Youth

T, now 17 years old, was treated at AATC at the outset of high school for hair-pulling from her brows, lashes, and hair line. She describes that before treatment she was a “nervous wreck” and pulling her hair relieved her stress. But like many youth with trich, T did not readily admit to the stress-relieving aspect of her hair-pulling and instead blamed it on “boredom” (if she admitted to it at all!) But at night, and in private, she would go to her bathroom mirror and search for the right hairs to pull. Over time, T not only learned anxiety management strategies to provide healthier outlets to her stress, but she was ready to start learning tools to help resist the urge to pull her hair. With hard work, practice, and yes, patience, T was able to identify those specific tools to help resist the pulling. Now, T “rarely pulls,” and has not had a major slip in over a year. She is all too familiar with the range of emotions that come with trichotillomania in youth—hear in T’s own words …

What does it mean to overcome trich for me?

My being able to overcome trich is truly a part of who I am today; in a sense it defines me.  It was a process, and I grew up somewhere within that margin. I learned to pick myself up when I thought there was no hope for me. Trich taught me to deal with judgment, ignorance, and misunderstanding from people who fell under the stereotype of “we do not like what we do not understand.” Without that experience, I would not be half the person I have grown to be. It forced me to look extreme anxiety, and the temptations that anxiety brings, straight in the eyes and say no to it, to not let it define me, to not let hair pulling determine who I was becoming. That person would have been someone who was weak, someone who wanted to stop, but could not because she did not have the strength. The first step to overcoming trich for me was not actually conquering trich itself, but conquering the consequences that trich brings, the consequences that caused me to hate myself, and feel truly hopeless. Those consequences were dealing with people who did not understand, and coming to realize that they never will understand, and just because I have trich does not make me any less of a human being.  In fact it made me ten times stronger than they would ever be, because I had to deal with something no “tween” should have ever had to deal with. It matured me. Once I was able to understand that what people think really does not always matter, and that things could always be worse, the whole thought process that things will be okay helped to make me a more accepting, and stress-relieved person.  Once I had attained that goal, I was able to focus on trich, for I had eliminated a central issue in my struggle. I was high-anxiety, and once that began to decrease, I was able to manage my stress levels better, therefore helping me to conquer trich. It became easier to leave my hands down, to gain willpower, to use the techniques my therapists had so previously stressed. I was on the road to recovery, and nothing was to get in my way. Sure I had slips from time to time, to this day I still get urges, very minimal but still they are there. I have accepted that trich is a part of who I am, and although it may always linger within me, it will never again dominate who I am, and unravel the person that trich itself has built. I used to hate the fact that I had and always will have trich, and I used to look back on my childhood and think of all I missed out on since I was the “weird kid.” But through that I still had friends and family who remained loyal, and that goes to show that no matter what happens, you are always loved, and you will pull through; it is the only way to make it through.  I do not hate trich anymore, instead I look on it as a learning experience, something that turned me into the person that I love being today. It gave me strength, and courage that I will use for my entire life. It makes me special, in my own way yes, but enough to make me feel like maybe it was not so much of a curse, for look where I am now. I am happy, understanding, and most of all brave.

If you have any questions or comments, please feel free to post below.

If you are a kid or teenager who was successfully treated at AATC and would be willing to share your story with others, please contact your therapist or Dr. Mazza atabmazza@anxietytreatmentcenter.com.

AATC Youth Ambassador Program…

Meet kids and teenagers treated at AATC who have successfully challenged themselves to face their fears, and share their stories in their own words to encourage others in similar situations. Stay tuned ….

Look for the upcoming show, Confessions: Animal Hoarding, on Animal Planet, starting Wed, July 21st

Animal Planet’s new docu-reality show, Confessions: Animal Hoarding, will begin airing on Wed, July 21st. Dr. Karen Cassiday will be in four episodes helping hoarders to come to the painful realization and decision that they need to give up the vast majority of their animals for the sake of their own, their family’s and their animals’ well-being. This new show illustrates the tragedy, both human and animal, that underlies this misunderstood disorder and the steps that animal hoarders must take to recover from this overwhelming problem.

Protected: New OCD Group Treatment Program in Chicago

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OCD Support Groups

If you have OCD and would like to overcome your symptoms with the help of others like you, then consider joining a support group. OCDChicago and the Anxiety & Agoraphobia Treatment Center have support groups that are led by the staff of the Anxiety & Agoraphobia Treatment Center. These groups, one in Chicago, and one in Northbrook,IL, meet twice monthly and will help you learn to decrease your compulsions and avoidance and how to face all the situations that your OCD makes difficult. Contact OCDChicago.org or klcassiday@wi.rr.com for more information.

Managing the Worst-Case Scenario

Many people with anxiety disorders dread and anticipate the worst happening. They worry about terrible situations, such as losing their health, dying of a terrible illness, losing a child, losing a job or becoming disabled. Their minds repeatedly focus upon these worst case scenarios with the effect of leaving the person worried, demoralized and convinced that they would be totally incapable of managing such a dreaded situation if it were to occur. Worry about the terrible uncertainties in life robs them of their peace of mind and cruelly destroys the joy of the moment. The irony is that their minds and bodies feel as though the worst event has happened even though all is well. Has this happened to you?

The dilemma is that none of us has any control over whether or not these tragic events occur. In fact, if we are honest with ourselves, we know that we all must die, that we all are likely to know someone who has experienced a tragic loss and that none of us can guarantee a good outcome for ourselves or those we love. Life is inherently uncertain and no amount of worry or reassurance seeking can remove that fact. How then, are those who worry to discover peace of mind?
First, one must identify and accept that life is uncertain and unfair and that any attempt to control or prevent uncertainty will backfire in escalating worry and reassurance seeking.
Second, learn to focus upon your ability to cope and learn to overcome any situation. The remarkable thing about people is their great capacity to overcome any amount of suffering and loss. Whatever you fear suffering is something that many others have experienced and survived. It really is possible to learn to cope with any situation and to survive and flourish.
Last, learn to identify what your real problems in the present moment are and focus upon handling those instead of the imagined worst -case scenario. What do you need to do now? What would help you focus upon the present? What would you have to think and do to enjoy the present? Learn to be mindful of what is actually occurring rather than focusing upon what you should have done or all the terrible what ifs.

Don’t Believe Everything That You Think!

     A patient gave me a desktop sign that summarizes some of what she learned in therapy.  It has the pithy saying, “Don’t believe everything that you think.” This sign addresses the dilemma that many anxious adults and children face-What do you do when your body is signaling danger and fear and your mind reacts by assuming that whatever you are about to do must therefore be really terrible?  It is difficult to override raw anxiety and panic with reason.  We are used to listening to our body’s signals to tell us how to respond.  When you have an anxiety disorder, however, the signals that your body sends are false.  Panic and anxiety represent a mistaken alarm.  This is akin to what happens when a smoke detector goes off but there is no fire.  Learning to recognize your anxiety for what it is, just a symptom of an anxiety disorder, as opposed to a reason to avoid, doubt, or escape, can go a long way in helping you to overcome your fears.  I often tell my patients to remember the acronym F.E.A.R.  F=false, E=evidence, A=appearing, R=real.  What we think is very important because it influences the choices we make and the emotions that we will experience.  Learn to challenge your anxious thinking so that when anxiety is talking in your mind you do not believe everything that you think.

The Disorders We Treat

The Anxiety and Agoraphobia Treatment Center treats many disorders. Obsessive Compulsive Disorder, Panic Disorder With and Without Agoraphobia, Specific Phobia, Health Related Anxiety, Social Anxiety Disorder, Generalized Anxiety Disorder, Trichotillomania and Body Focused Repetitive Behaviors (Compulsive skin picking, nail biting, cheek biting, nose picking), Body Dysmorphic Disorder, Selective Mutism, Separation Anxiety Disorder. Call us today (847) 559-0001.



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