Partners in crime: The Two A’s, Anxiety and ADHD

Partners in crime: The Two A’s, Anxiety and ADHD

Anxiety and ADHD

Partners in crime: The Two A’s, Anxiety and ADHD

Attention deficit hyperactivity disorder (ADHD) and anxiety are true partners in crime. While they are two different diagnoses, they are intimately linked. People with ADHD experiencing tardiness, shortcomings, stigma, procrastination, and uncertainty often experience situational anxiety at the very least. This means that their ADHD symptoms are directly causing stress and feelings of anxiousness. If you have difficulty concentrating in school or if you are forgetful at work, of course you may be anxious and uncertain about the future. 

General anxiety can also occur in those with ADHD, perhaps up to 50% of the time. In fact, when it comes to ADHD, general anxiety is the number one comorbidity. In those individuals, severe chronic anxiety interrupts normal tasks with relentless anxiousness and nervousness. While symptoms of ADHD can promote anxiety as described above, the link between ADHD and general anxiety are not completely understood. We do know, however, that the severity of anxiety symptoms can be enhanced by ADHD and vise versa. 

Some symptoms of anxiety and ADHD overlap. For instance, restlessness and difficulty concentrating are common to both. Therefore, it is important to seek a professional evaluation to differentiate between the two diagnoses (Pathways Neuropsychology Associates has many experts that can help!). However, there are some tricks and whistles that can help point you in a general direction: ADHD inattention occurs in almost any situation whereas anxiety-related inattention usually occurs while experiencing anxiousness.

Understanding one’s diagnoses is very important when ADHD and anxiety occur at the same time. For instance, emotional regulation and executive function are typically deficient in those with ADHD. Consequentially, those with ADHD may have difficulty in organizing tasks and may become fixated on shortcomings and uncertainties, ruminating over emotionally distressful thoughts. This is a recipe for disaster when it comes to anxiety. It is therefore imperative to address the symptoms of ADHD to also prevent severe anxiety symptoms from flaring up.

The treatments of ADHD and anxiety sometimes go together and sometimes oppose one another. For instance, stimulants such as amphetamines are a typical treatment for ADHD. Alleviating symptoms of ADHD may help with anxiety, but it is also important to note that anxiety itself can often be a side effect of stimulants. Therefore, it is important to strategize best with your healthcare provider to address everyone’s case. Most likely, a combination of medication and therapy will best help tackle the double threat of ADHD and anxiety.

If you suspect you or a loved one is experiencing ADHD and anxiety, contact Pathways Neuropsychology Associates today to get a professional evaluation. At Pathways, we have experts in both ADHD and anxiety that can help address both diagnoses.

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Partners in crime: The Two A’s, Anxiety and ADHD

Depression and ADHD: Partners in Crime?

Depression and ADHD: Partners in Crime?

Depression and ADHD Psychologists | Toms River, NJ | Manahawkin, NJ | Freehold, NJ - Ocean County NJ

Depression and ADHD: Partners in Crime?

Trouble focusing, eating habit changes, and trouble sleeping can all be signs of both ADHD and major depression. However, the two are not the same. While sometimes they can be confused with one another, they can also sometimes both co-occur. When ADHD and major depression co-exist, we call them comorbid or coexisting conditions. How are the two disorders linked and how can we tell them apart?

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects the brain’s executive functions, which helps us plan, focus, and execute tasks. It is most often diagnosed in male children, but it can also affect young girls and adults as well. You can think of ADHD as a deficit in the “management headquarters” of the brain, which depends on the regulation of the neurotransmitter called dopamine. 

Major depressive disorder, on the other hand, is persistent sadness, helplessness, and low self-esteem that lasts at least two weeks and affects daily functioning and possibly sleep. Unlike ADHD, major depression is a mood disorder and not a deficit in executive function.

While ADHD and major depression are different diagnoses, they both feature symptoms that can overlap. Up to 30% of patients with ADHD also have a serious mood disorder such as major depression. Moreover, ADHD symptoms can help promote major depressive disorder. For instance, if a young student with ADHD is feeling hopeless and insecure about school and their future, then they may have an increased likelihood of developing major depression. When this occurs, it is called “secondary depression.” What makes matters more difficult is that those with ADHD have difficulty with emotional regulation due to cognitive function impairment. Therefore, negative thoughts that help contribute to depression may be harder to “shake off” with those with ADHD.

It is important to get proper evaluations in order to answer the question “ADHD, depression, or both?” While symptoms overlap in both diagnoses, the root problem is different. Therefore, the treatment and management may be different as well. 

The good news for those with both ADHD and major depression is that the medications for both can usually be taken together. Moreover, cognitive behavior therapy might be a good option that can help with both diagnoses. However, it is important to talk to your physician about the best treatment plan. Moreover, when both symptoms of depression and ADHD are present, it is important to prioritize based on the severity of symptoms. For instance, suicidal ideation can be a feature of major depression and should be treated right away. 

If you are or your loved one is experiencing symptoms of ADHD and/or depression, contact Pathways for a professional evaluation today to help make the best shared decision with your doctor. 

The Pathways team of professionals has helped thousands of people with ADHD. We are Dedicated to effective and compassionate care for individuals with neurological challenges.

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Depression and ADHD: Partners in Crime?

What is Chronic Pain and how can you combat it?

What is Chronic Pain and how can you combat it?

What is Chronic Pain and how can you combat it?

What is Chronic Pain and how can you combat it?

Pain involves nerve endings in the body and nerve pathways from the brain to the body.  Pain becomes chronic when it lasts for over 6 months. Our thoughts, personalities,  social environment and learned behaviors can all contribute to how severe the pain is experienced. 

What are methods to Combat Chronic Pain?

1. Deep Breathing, Meditation, & Biofeedback

Meditation techniques can help relax your body. This may help ease pain since the tension and tightness from themuscles can receive a quiet message to relax from meditation. The key in meditation is focusing on the breath, observing thoughts, and possibly repeating a word or phrase which can help the body relax.

Another relaxation technique similar to meditation is deep breathing.  Find a quiet location and a comfortable body position. Then, imagine a spot just below your navel. Breathe into that spot, filling your abdomen with air. Let the air fill you from the abdomen up, then let it out in a cycle you create. 

There are many, many different relaxation and meditation techniques.  During biofeedback you can see the body relax and learn the best strategy for you!

2. Reduce stress in your life

Negative feelings like depression, anxiety, stress, and anger can increase the body’s sensitivity to pain. By learning to better manage stress, you may find some relief from chronic pain.

There are many techniques that can help reduce stress and promote relaxation. A therapist can review these strategies and help you determine what helps you reduce stress the most.  Cognitive-behavioral therapy is a proven intervention to teach an individual to better manage their stress and their pain.

3. Exercise

Exercising causes the release of brain chemicals called Endorphins that help improve your mood while also blocking pain signals. Exercise also strengthens muscles, which helps prevent re-injury and further pain. Plus, exercise can help keep your weight down, reduce heart disease risk, and control blood sugar levels.

The Takeaway

It is important to realize that pain isn’t necessarily something over which we have no control. We are able to combat pain in numerous ways mentioned such as meditation, changing our negative attitudes and thoughts, reducing stress, and exercising.  At Pathways Neuropsychology are here to help you learn the techniques that work best for you!

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What is Chronic Pain and how can you combat it?

ADHD Linked With Higher Rates Of Anxiety

ADHD Linked With Higher Rates Of Anxiety

ADHD ADD ritalin ADHD evaluation testing

ADHD Linked With Higher Rates Of Anxiety

Children with attention-deficit/hyperactivity disorder (ADHD) face an increased risk for anxiety, according to new research.

Anxiety disorder is common among children with ADHD. Recognizing and treating anxiety can lead to improved quality of life for patients and their families. The study demonstrated that children with ADHD had 2.2 times the risk of anxiety disorder and 2.7 times the risk of other mood disorders.

Questions Remain

It is important to note that the specific relationship among anxiety and ADHD is unclear. The study did not provide a comparison to peers without diagnoses of ADHD, because they do not possess data on standard peers.

However,  researchers posited that there could be several reasons for these results. One possible reason is based on genetics. Another reason is that one condition is an early manifestation of the other, or that the development of one increases the risk for the other.         

Going forward, an important area for further research is clarifying how mood and anxiety disorders may present in ADHD populations so that clinicians and families may screen, assess, and diagnose these disorders.

As for clinicians today, those who treat children with ADHD should be vigilant about screening for anxiety and mood symptoms. Recognizing these mental health disorders is the first important step toward treatment.           

Simple tools to combat Anxiety:

1. Taking a deep Breath:

Deep diaphragmatic breathing is a powerful anxiety-reducing technique because it activates the body’s relaxation response. It helps the body go from the fight-or-flight response of the sympathetic nervous system to the relaxed response of the parasympathetic nervous system.

A breathing exercise you can try is slowly inhaling for four seconds, holding your breath for four seconds, and then slowly exhaling for four seconds and repeat as many times you find necessary.

2. Positive Self-Talk:

Anxiety can produce a lot of negative chatter. That is why it is important to reassure yourself with positive coping statements. These statements vary widely because it depends on the individual, but the most important part is that it keeps you grounded and in a positive space.

3. Accepting Your Anxiety:

Acceptance is critical because trying to wrangle or eliminate anxiety often worsens it. Remember that anxiety is just a feeling that will subside. It is important to realize that accepting your anxiety doesn’t mean liking it or resigning yourself to a miserable existence, rather that you are able to go through the emotional turmoil and come out the other side.

It is important to note that these solutions are not the be all end all and that it is still important to seek professional help to fully deal with these issues.

Dr. Gordon is an experienced ADHD expert. He is devoted to helping you learn more about ADHD and find solutions for each individual’s needs. Please feel free to contact us for any concerns or questions regarding ADHD about yourself, or a loved one.

The Pathways team of professionals has helped thousands of people with ADHD. We are Dedicated to effective and compassionate care for individuals with neurological challenges.

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Source: Pathways Neuropsychology
ADHD Linked With Higher Rates Of Anxiety

5 Types of Anxiety

5 Types of Anxiety

5 Types of Anxiety - psychotherapy Psychologists | Toms River, Manahawkin, Freehold, NJ

“Anxiety” is frequently used as a catch-all term for worrisome thoughts. But the reality is, there’s many forms of anxiety—and each has different symptoms.

Identifying the types can be challenging, in part because it’s possible to experience more than one at the same time. “A lot [of the types] overlap in my clinical practice,” says Elizabeth Ochoa, PhD, a chief psychologist at Mount Sinai Beth Israel in New York City. Someone with generalized anxiety disorder may also suffer from panic attacks, for example; while a person who has social anxiety could also exhibit symptoms of OCD.

Below is an overview of the five most common anxiety disorders:

Panic disorder

This is probably the most uncomfortable type of anxiety, says Ochoa. It’s characterized by brief surges of very intense, overwhelming worry or fear. A person’s triggers may be obvious (stress is a common one), or unknown.

While a panic attack starts in the mind, the physical symptoms are all too real: They may include heart palpitations, sweating, difficulty breathing, shaking, chest pain, and nausea. (This Is Us actor Sterling K. Brown’s Emmy-winning portrayal of a panic attack showed how scary and debilitating these episodes can be.)

Another characteristic of panic attacks is derealization: “[People will] feel like things are not real, or feel detached from oneself,” says Ben Michaelis, PhD, a New York City-based clinical psychologist and founder of the YouTube channel One Minute Diagnosis.

Many people will experience at least one panic attack in their lives, likely during a period of acute stress. But if you get panic attacks more frequently, or they start interfering with your life (causing you to avoid places where you had an attack in the past, for example), you might be suffering from a panic disorder.

Cognitive behavioral therapy can help you learn coping strategies, and pinpoint your triggers.

Social anxiety

Everyone feels nervous in social settings from time to time (think dinner with your S.O.’s parents, or an awkward networking event). But people with social anxiety are highly self-conscious around others, and experience an intense fear of being observed and judged that can result in physical symptoms like sweating, blushing, and nausea.

“They worry that their behavior will humiliate or embarrass themselves, offend others, and lead to rejection,” says Michaelis. “But their fear or anxiety is not proportional to any actual threat.”

Any social situation can become extremely stressful. “People with social anxiety are constantly worried that they’ll create a negative perception,” says Ochoa. The thought of their own anxiety can actually breed more anxiety, too. “They often worry that their anxiety will be knowable.”

The disorder can make it tougher to develop interpersonal relationships, she says. When seeking help, try to find a psychiatrist or psychologist who has experience working with people with social anxiety.

Generalized anxiety disorder

This type of anxiety affects 6.8 million adults in the United States every year, according to the Anxiety and Depression Association of America. But while common, generalized anxiety disorder (GAD) isn’t the same thing as occasionally feeling anxious. “Everyone has instances of extreme anxiety from time to time,” says Ochoa. “It’s notable when it interferes with your day-to-day functioning.”

People with GAD experience severe, irrational concern about specific triggers. Ochoa explains that the anxiety often stems from real-life, everyday factors and circumstances, such as health, finances, and family. These are all normal things to feel anxious about, of course. But for people with GAD, the level of anxiety is hugely out of proportion to the cause.

“They’re excessively anxious about a number of events, and have difficulty controlling such worry to the point that it impacts their lives,” says Michaelis.

People with GAD can also develop symptoms like fatigue, tense muscles, or difficulty sleeping and concentrating.

Obsessive-compulsive disorder

OCD is a little different from the other major anxiety types, says Ochoa. “It stands alone,” she explains, because while anxiety often involves an avoidance of triggers (such as skipping a cocktail party), people with OCD engage in repetitive behaviors tied to a particular phobia. But OCD is often considered a form of anxiety because people with the disorder usually feel intensely anxious when they aren’t able to perform certain behaviors.

“A person with OCD experiences either obsessions, compulsions, or both,” says Michaelis. “Obsessions are recurrent unwanted or intrusive thoughts, urges, or images that cause anxiety and distress; and compulsions are repetitive behaviors or acts that a person does in order to suppress an unwanted thought or urge.”

A few common symptoms of the disorder include compulsive hand-washing, obsessive cleaning, so-called “checking” behaviors (returning home to see if you’ve turned off the stove, for example), or performing counting tasks (often driven by a superstition, like “I have to count when walking up stairs or something bad will happen”). The compulsions are typically driven by fear of germs or contamination, or mental images of violent scenes.

Post-traumatic stress disorder

Like OCD, PTSD is different from other types of anxiety disorders. “Anxiety is clearly a component of [PTSD], but it’s much more complicated,” says Ochoa.

People develop PTSD after experiencing a highly stressful, life-threatening event, such as military combat, a serious injury, or sexual violence (although it’s important to note that not everyone who survives situations like these gets PTSD). The disorder often causes “re-experiencing” symptoms—or flashbacks to the initial trauma and upsetting, intrusive thoughts that can interfere with relationships and daily functioning.

“They become distressed when exposed to cues that resemble the traumatic event,” says Michaelis. “For example, if a person lived through a horrific hurricane, a windy day may trigger aspects of the traumatic event.”

Other people with PTSD may feel constantly on edge, have trouble sleeping, or generally experience negative feelings. The good news is that with therapy, it is possible to recover from PTSD and move on.

Excerpt from MSN. full story here

The Pathways team of professionals has helped thousands of people with Anxiety & Depression. We are Dedicated to effective and compassionate care for individuals with neurological challenges.

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5 Types of Anxiety