Generalized Anxiety Disorder
Occasional anxiety is not only normal, but it is an adaptive response that gets us ready to cope with environmental stressors and dangers. We feel anxious when faced with problems at work, prior to taking an exam, or while expecting a big event.
However, a person with generalized anxiety disorder may have overwhelming worries over a wide range of issues, which interferes with one’s daily activities and may be debilitating.
I. What does generalized anxiety disorder (GAD) feel like?
- Excessive worry and persistent feelings of fear about a range of life situations for the past 6 months.
- Restlessness
- Irritability
- Lack of concentration
- Fatigue
- Insomnia
- Shortness of breath/ difficulty breathing
- Fast heartbeat
- Sweating
- Dizziness
- Muscle tensionzziness
- Muscle tension
II. What puts a person at risk of developing generalized anxiety disorder?
The cause of GAD has not been fully understood yet, the following are the most common risk factors.
- Females are at higher risk of developing GAD
- Genetics; GAD runs in families
- Negative or timid temperament
- Changes in brain chemistry; the changes in the naturally occurring neurotransmitters and their interaction with the circuits of the amygdala, which is the region of the brain that is responsible for controlling thinking and emotions
- Trauma and stressful events in childhood
The use and withdrawal of drugs, alcohol, or nicotine may worsen the symptoms of anxiety
III. What are the treatment modalities at LWHCC for GAD?
There are effective treatments for anxiety and the vast majority of patients improve and are able to function effectively once again. Treatment can include either psychotherapy (talking therapy) or medications or both.
- Psychotherapy plays a major role in the treatment of GAD. It aims at modifying the person’s thinking process and provides techniques that help him/ her control their emotions. One “side effect” of psychotherapy is temporary discomfort while confronting feared situations. The psychotherapist will help you through this process to keep discomfort to a minimum level.
- Antidepressants, which are usually prescribed when patients have been suffering with GAD and interfering with daily activities. You may start sleep better and feel less anxious after a few days of starting antidepressants.
- Benzodiazepines, which are used with caution, since they may develop dependency if they are used consistently over a period of few weeks at a higher does. These medications are strictly for short term use and acute anxiety relief. These are good supplements to antidepressant medications to help cope with the anxiety and short term relief from symptom before the antidepressant medication start working and show effect.
Which treatment modality is better for me?
At LWHCC, we will provide you with free triage service with a professional who will carry on a brief mental health assessment, either over the phone or during a face-to-face interview, and guide you to the appropriate service based on your mental health status and individual needs.
IV. What can you do to help yourself?
- Stay physically active, even a short walk can help relieve your anxiety symptoms
- Try to maintain a sleeping routine; try lying down in bed and listening to soft music if you can’t sleep
- Avoid alcohol and other sedatives as they may worsen anxiety, especially during withdrawal
- Quit smoking
- Reduce caffeine intake
- Eat healthy meals
- Use relaxation techniques, such as yoga and meditation
- Follow your treatment plan
- Socialize; social isolation can worsen your anxiety
- Try to break the cycle; when you feel anxious, go for a walk or do an activity that you enjoy
V. What can you do to help a close one who has GAD?
GAD poses many challenges in the life of the patient and spouse/ family/ caregivers. Some of these challenges include disrupted plans and routines, finances, social life, and emotional wellbeing. You may feel burned out on several occasions. The following tips might be helpful.
- Learn about GAD. You may want to discuss your concerns with the patient’s mental health team. Please do not hesitate to contact us any time you have a question.
- Do not criticize irrational fears; rather show positive reinforcement of positive behaviors
- Encourage treatment
- Listen to their fears and worries. Do not assume that you know their thoughts or needs
- Ask how you help
- Acknowledge that you do not know the experience of GAD
- Measure your close one’s progress based on their own improvement rather than absolute standards.
Prepared for LifeWorks Holistic Counselling Center.
If you would like to talk, feel free to reach out to us. An LifeWorks therapist would be able to help.
Dr. Naeema Ali trained psychology and social worker students of UAE University. She is actively providing counselling support to cancer patients and their families. She launched an occupational therapy for cancer patients and cognitive behavioural therapy in Tawam.
Due to her continued support in oncology and ongoing support to cancer patients, Naeema received countless awards locally and international to recognize her achievements and skills. She has been invited to participate in various conferences and workshops around the world and invited as a guest speaker in various subjects that covers psychology.
She also joined Al Sayegh Medical Center as a Social Worker, providing comprehensive assessment and treatment services to children and families, in inpatient and/or outpatient settings, and communicates with referral sources as indicated by applying psychometric test, such as IQ Test, MMPI, Wechsler Test for children. Exhibit superior communication skills to uncover complicated mental health issues; develop and recommend treatment plans based on patient needs and diagnosis.
She continued working as a clinical psychologist providing counselling within the multi-cultural environment of the Emirates Airlines for the past 15 years. Her main task is providing mental health support to inflight and ground staff and addresses any problems, anxieties, or job-related stresses that they are dealing with. She uses her findings to help improve processes and behaviors of a patient to maintain a safe environment, to manage stress, overcome trauma, or avoid job-related conflicts. Cognitive Behavioral Therapy is the method Naeema is using to reduce the difficulties, anxieties, and stress that employee faces.
Naeema is also part of “ Shawer ”, the “Seek Our Advice”, and “We Listen To You” program of the Family Development Foundation of Abu Dhabi. The aim of the program was to promote family awareness and support a stable family life. It involves a group of community members who deal with family problems in a positive manner and provide individual and group counseling in social, psychological, and educational areas. They do so in a systematic way according to the needs of community members.
Besides “ Shawer ”, Naeema is also a volunteer of “ Friends of Cancer ” of Sharjah, supporting patients and their families to overcome the multitude psychological difficulties that they are experiencing due to cancer treatment as well as introducing some programs such as health education, self-care and some community programs wherein they can collaborate and share their experiences.
Area of interest:
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Psycho-oncology
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CBT
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Psychometric Assessments
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Children, Adults and Family therapy
Qualification and Membership:
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Psychology graduation from the University of Wisconsin
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Licensed by Community Development Authority
Dr. Mohammed Bardi M.B.B.S, M.D (Psychiatry) has worked under different capacities in clinical and hospital setups in Saudi, USA, and UAE. He comes with over 15 years of experience in mental health. He specifically worked with cases relating to schizophrenic, bipolar disorder, dual diagnosis, major depressive disorder with suicidal risks, anxiety disorders, Intellectual disabilities, Autistic spectrum disorders and attention deficit hyperactivity disorders (ADHD).
Area of interest:
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Mood disorders
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Anxiety disorders
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Improving life skills (social skills, self- esteem, decision making, coping with stress, problem solving, and time management)
Qualification and Membership:
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MBBS COLLEAGUE OF MEDICINE, KING SAUD UNIVERSITY 2003 (KKU).
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ARAB BOARD OF MEDICAL SPECIALTIES IN PSYCHIATRY 2007
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ANXIETY DISORDERS WORKSHOP (DIPLOMA), 2010
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ADDICTION FELLOWSHIP UCLA, USA, 2010-2011
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ADDICTION RESEARCH AND MATRIX TRAINING, ISAP, UCLA, LOS ANGELES, CA, USA 2014-2015
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BACHELOR’S DEGREE OF MEDICINE AND SURGERY
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ARAB BOARD OF MEDICAL SPECIALTIES IN PSYCHIATRY
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ADDICTION FELLOWSHIP UCLA 2011, 2015
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BETTY FORD CERTIFICATE, ADDICTION PROGRAM 2010
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CDA) Licensed Psychologist
Therapeutic Approach:
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At LifeWorks Holistic Counselling Center Dubai, Dr. Bardi works collaboratively within our expert multidisciplinary team, in treating a wide array of psychiatric conditions including:
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Anxiety disorders
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Substance use disorders
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Mood disorders including depression and Bipolar affective disorders
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Psychotic disorders (Schizophrenia and other psychotic disorders)
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Personality disorders
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Cognitive disorders including Dementia
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Learning disabilities (intellectual disability disorders)
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Child and adolescents’ disorders like Separation anxiety disorders, conduct
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disorders and ADHD