Your health care provider will want to determine whether other conditions may be causing your anxiety or if you have social anxiety disorder along with another physical or mental health disorder.
Your health care provider may determine a diagnosis based on:
Physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety
Discussion of your symptoms, how often they occur and in what situations
Review of a list of situations to see if they make you anxious
Self-report questionnaires about symptoms of social anxiety
Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association
Persistent, intense fear or anxiety about specific social situations because you believe you may be judged negatively, embarrassed or humiliated
Avoidance of anxiety-producing social situations or enduring them with intense fear or anxiety
Excessive anxiety that's out of proportion to the situation
Anxiety or distress that interferes with your daily living
Fear or anxiety that is not better explained by a medical condition, medication or substance abuse
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Treatment
Treatment depends on how much social anxiety therapy disorder affects your ability to function in daily life. The most common treatment for social anxiety disorder includes psychotherapy (also called psychological counseling or talk therapy) or medications or both.
Psychotherapy
Psychotherapy improves symptoms in most people with social anxiety disorder. In therapy, you learn how to recognize and change negative thoughts about yourself and develop skills to help you gain confidence in social situations.
Cognitive behavioral therapy (CBT) is the most effective type of psychotherapy for anxiety, and it can be equally effective when conducted individually or in groups.
In exposure-based CBT, you gradually work up to facing the situations you fear most. This can improve your coping skills and help you develop the confidence to deal with anxiety-inducing situations. You may also participate in skills training or role-playing to practice your social skills and gain comfort and confidence relating to others. Practicing exposures to social situations is particularly helpful to challenge your worries.
First choices in medications
Though several types of medications are available, selective serotonin reuptake inhibitors (SSRIs) are often the first type of drug tried for persistent symptoms of social anxiety. Your health care provider may prescribe paroxetine (Paxil) or sertraline (Zoloft).
The serotonin and norepinephrine reuptake inhibitor (SNRI) venlafaxine (Effexor XR) also may be an option for social anxiety disorder.
To reduce the risk of side effects, your health care provider may start you at a low dose of medication and gradually increase your prescription to a full dose. It may take several weeks to several months of treatment for your symptoms to noticeably improve.
At the first stage, the person denies what happened. On the second, he realizes what happened and experiences strong emotions (fear, horror, anger, sadness). On the third, he accepts what happened and adapts. If after the second stage a person does not move on to the third stage and gets stuck in the trauma, he develops PTSD.
In the acute period (the first month after the traumatic event), a crisis psychologist works with the client. For example, if we are talking about shock due to physical trauma, being in a military conflict zone. And the trauma therapist gets involved later.
The psychologist’s task is to help the client live through the second and third stages. To do this you need:
Inform the client. Tell him that his condition is a normal reaction to a traumatic situation. Recommend books, talk about PTSD. It is important that the client understands what is happening to him and that it can be dealt with.
Work with the individual holistically. It is important not only to remove the symptoms of PTSD and work out the cause, but also to explain to the client the importance of a healthy lifestyle. Help him maximize his personal potential.
Provide social support. Communication with a psychologist already provides a powerful base, but it is important that other people also support the client. This could be friends, family or therapy groups.
Help the client individually reassess the traumatic experience. Direct processing of trauma.
PTSD Treatment Plan
1. Establishing contact. The specialist needs to determine the client’s motivation and mood, his attitude towards therapy, himself and the psychologist himself. Set up for work: talk about PTSD, therapy, talk through the client’s fears and anxieties.
The goal of therapy is to help the client feel in control of life, accept experience, and take responsibility. At the beginning, it seems to him that the future is doomed, and the pain will never go away. The psychologist’s task is to set the client up for work. To do this, at the stage of establishing contact, you can ask questions:
What helped you cope at that moment?
What has kept you going all this time?
What you went through is terrible, but can you say that it made you stronger?
What resources did you see in yourself then, and do you see now?
What would you say to someone who has experienced something similar?
In the work, you can ask questions from three groups: establishing contact, collecting information about the injury, maintaining the client’s confidence. It is important to move at a pace that is comfortable for the client to avoid retraumatization.
2. Working with emotions. The psychologist needs to help the client release repressed feelings and emotions. And also ask the client’s loved ones to support the experience of emotions, and not try to distract him.
3. Processing traumatic memories. The psychologist’s task at this stage is to work through the trauma using psychotherapy methods.
In addition, the psychologist must remember that a person may have several traumas, and they may overlap each other. And the subjective perception of a traumatic situation is different for each client. There cannot be a universal algorithm in PTSD therapy; in this article we have analyzed the basis of the work.
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Augmented therapies combine therapy and the taking of psychedelic substances. In Germany, the development of this emerging technique is supported by the MIND Foundation, which participates in scientific studies, organizes an international congress and trains doctors. A request is even underway for doctors in training to be able to experiment with these psychedelic substances themselves. It must be said that the clinical results of this innovative treatment look promising, particularly for the treatment of recalcitrant depression. Explanations from Dr Jungaberle, director of the MIND Foundation.
We created this non-profit organization five years ago to support research, scientific communication and continuing education for doctors and psychotherapists. For two years, OVID Clinics has provided a clinical setting in which we can treat patients.
We are probably the first organization in the world, in the field of psychedelics, whose work is entirely based on scientific evidence. We consider psychedelic treatments to lie exactly at the intersection of medicine and psychotherapy. And we want to bring this form of therapy to the heart of international medicine.
What is augmented psychotherapy?
We have a certain conception of psychedelic therapy, and it differs from that defended, for example, by Stan Grof 1 in the 1960s and 1970s. We believe that psychedelic therapy is a very particular form of psychotherapy. But here, the medical perspective joins the psychotherapeutic perspective.
The pharmaceutical product used is special because it generates particularly profound experiences in patients, and this requires a framework. This framework, which we believe to be rigorous, beneficial to patients and also ethical, is called psychotherapy.
What does “increase” mean? This is what psychiatrists know when certain medications are potentiated, generally by another substance. For us, this means that psychotherapy and psychedelics influence each other in their effects.
This may not be easy to imagine for someone who usually only works in organic medicine, but it's actually easy to explain: The effect of psychedelics depends on environment and attitude interior of the person who absorbs them. This means that there is an increase in this direction.
Conversely, this also means that the effect of the therapy depends on the psychedelic. This, for example, enormously influences the relationship between therapist and patient. It can accelerate the establishment of the relationship or even strengthen it.
American researchers from the Johns Hopkins School of Medicine believe that psilocybin therapy reduces symptoms of major depressive disorder four times more successfully than antidepressants. Psilocybin is a psychoactive substance found in magic mushrooms that causes an altered state of consciousness.
As outlined in their paper in JAMA Psychiatry, the researchers conducted a small pilot trial of psilocybin therapy in 27 people aged 21 to 75 who had been experiencing major depressive disorder for the past two years.
Participants in the experiment were randomly divided into two groups: 15 volunteers were assigned to psilocycin therapy, and another 12 were placed in a control group, which was supposedly delayed treatment. The experiment lasted a month, during which time the participants stopped taking antidepressants.
Volunteers were given two gelatin capsules with psilocybin (20 and 30 milligrams), the break between sessions lasted two weeks. Participants in the experimental treatment also attended psychotherapy sessions.
To assess the severity of depression, scientists used the Hamilton scale, which consists of 21 points. They are completed by the clinician during an interview with the patient and allow symptoms to be identified.
The experiment showed that after a month of psilocybin therapy, 71% of volunteers experienced a reduction in symptoms by 50% or more. According to study author Allan Davis, it is four times more effective than traditional antidepressants.
The next step is to conduct a phase two trial with a large number of volunteers. Additionally, the long-term effects of psilocybin therapy need to be studied.
American researchers reported the success of the second phase of clinical trials of combined individual and group psilocybin psychotherapy for the treatment of major depression in cancer patients. A report on the work was published in the journal Cancer; a separate publication in the same publication is devoted to the study of the subjective perception of such treatment.
Depression often accompanies cancer; clinically significant manifestations are observed in one out of three to four patients. At the same time, the traditional approach to treatment, including psychotherapy and the prescription of antidepressants, is often not effective enough. Because of this, psychedelic psychotherapy, including the use of psilocybin, is of great interest, which in clinical trials has repeatedly demonstrated high effectiveness in the treatment of major depressive disorder, post-traumatic stress disorder and other mental disorders.
The open-label (non-blinded) phase 2 clinical trial, conducted by Sunstone Therapies CEO Manish Agrawal and colleagues from several US research centers, included 30 cancer patients (average age 56 years). For two thirds of them, one to four years have passed since diagnosis; in 53.3 percent the disease was metastatic and inoperable. Among oncological diseases, breast cancer predominated (33.3 percent), as well as leukemia and lymphoma (26.7 percent). All participants suffered from major depressive disorder without moderate or severe psychotic features (HAM-D score 18 or more). They were not taking antidepressants, antipsychotics or medical cannabis at the time of recruitment.
After interview, assessment, and screening, each participant was assigned to an individual therapist and completed two orientation sessions that included information about psilocybin therapy. They then participated in weekly therapy sessions for eight weeks with 25 milligrams of synthetic psilocybin. In these sessions, the drug was administered to three to four patients at a time, who stayed in adjacent rooms of a community cancer center alone with their therapist for 4.25 hours, and then came together for 3.75 hours for group support and integration of the experience.
The dynamics of depression severity during therapy were assessed using the MADRS scale. At the eighth week, it decreased by an average of 19.1 points (p < 0.0001) compared to baseline. Sustained response to treatment was observed in 80 percent of participants; exactly half achieved complete remission of depressive symptoms in the first week, which persisted throughout the study. No serious side effects were recorded. Some patients complained of moderate and transient nausea and headache. Laboratory tests and ECG were without abnormalities. The participants did not show suicidal tendencies.
To determine the acceptability of combined individual and group psychotherapy using psilocybin for patients, the authors conducted semi-structured interviews with patients in a separate study; 28 people took part in them. In general, patients rated this approach positively in terms of both effectiveness and safety. Group sessions, on the one hand, increased their sense of security and preparedness, on the other hand, generated feelings of connectedness and community that helped to enrich and deepen everyone’s personal experience.
A recent study by Israeli scientists found that the mushroom extract may demonstrate superior effectiveness compared to chemically synthesized psilocybin, especially in stimulating neuroplasticity and promoting the development of new connections between nerve cells - a very important property. This breakthrough opens up potential applications for treating depression, PTSD and schizophrenia. The study results were published in the journal Molecular Psychiatry.
In work led by researchers Dr. Tsuri Lifshitz and psychiatrist Prof. Bernard Lehrer from Hadassah Hebrew University Medical Center, with the participation of graduate student Orrom Shahar and Dr. Alexander Botvinnik, the scientists found that a mushroom extract containing psilocybin may have more potent and long-lasting effects on synaptic plasticity in the brain. compared to chemically synthesized psilocybin.
Millions of people around the world suffer from mental disorders, and many patients remain refractory to existing pharmaceutical treatments. Alarming statistics show that 40% of people suffering from depression find no relief from currently available medications, a similar trend among people with OCD.
Moreover, with approximately 0.5% of the population suffering from schizophrenia, there is an urgent need for innovative solutions tailored to those who do not benefit from existing medications.
Preliminary study results shed light on the discrepancy in effectiveness between psilocybin-containing mushroom extract and chemically synthesized psilocybin. Notably, the extract increased levels of synaptic proteins associated with neuroplasticity in key brain regions including the frontal cortex, hippocampus, amygdala, and striatum.
Metabolomic analysis also revealed notable differences between the mushroom extract containing psilocybin and ocd chemically synthesized psilocybin. The extract demonstrated a distinct metabolic profile related to oxidative stress and energy production pathways.
These findings open up new possibilities for the therapeutic use of natural psychedelic compounds, offering hope to those who have found little relief in traditional psychiatric treatments. As demand for innovative solutions continues to grow, psychedelic drug research represents a critical avenue for the development of novel and personalized medicines.
Additionally, Western medicine has historically favored the isolation of active compounds rather than the use of extracts, primarily to achieve better control over dosages and the onset of known effects during treatment. The challenge with extracts has been that in the past it has not been possible to consistently produce an accurate product with a consistent composition. In contrast, ancient medical practices, especially those that attributed therapeutic benefits to psychedelic medicine, included the use of extracts or whole foods, such as consuming the entire mushroom.
The main problem with natural extracts is achieving a stable composition, especially in plants, but mushrooms are unique in this regard. The composition of fungi is influenced by their growth environment, including factors such as substrate composition, CO2/O2 ratio, light exposure, temperature and microbiological environment. Despite these factors, controlled cultivation makes it possible to “tame” the mushrooms and obtain a reproducible extract.
Do you suffer from obsessive-compulsive disorder (OCD)?
What is an obsession?
Do you suffer from unsolicited, distasteful, inappropriate or confusing intrusive thoughts or images?
For example:
Feeling dirty or thinking you are contaminated with germs.
Must at all costs place or reposition objects precisely.
Being afraid that a disaster will occur as a result of an action you have taken (or not).
Having the same doubts over and over again. (e.g. believing that you injured someone in an accident, that you left the stove on, that you did not lock the door, doubts about your relationships and/or sexual orientation).
You have aggressive, sexual, or horrible impulses. (e.g. fear of hurting a child, screaming obscene things, incestuous thoughts).
What is a compulsion?
Compulsions are behaviors or mental gestures that you feel you need to repeat over and over again. For example :
Excessive hand washing, checking, touching and repositioning objects.
Praying, counting or repeating words constantly.
Compulsions aim to neutralize the distress born from an obsession, to protect you against a negative situation or against a feared outcome. Unfortunately, the compulsions end up causing distress in themselves.
Why is it important to treat obsessive-compulsive disorder (OCD)?
When left untreated, obsessive-compulsive disorder gets worse over time and can go from very stressful to downright paralyzing. Luckily you don’t have to suffer alone – there is treatment. No matter how bothered and embarrassed you are by your OCD, your therapist will be able to help you. Ocd Therapy can be effective in freeing you from these confusing thoughts and actions so you can finally invest this time in enjoying your life.
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a cough that does not go away and tends to get worse, or even produces bloody sputum;
chest pain that increases during coughing;
wheezing and shortness of breath on exertion;
hoarseness of the voice that does not disappear after a few weeks;
recurrent respiratory infections.
In the most advanced cases, we observe fatigue, nausea, weight loss, bone pain or vision problems.
How does lung cancer progress?
Today, in France, five-year survival after a diagnosis of lung cancer is 14% (13% in men, 18% in women), making it one of the most difficult cancers to treat. .
In the absence of treatment, cancer cells will migrate into the bloodstream to settle and multiply in the liver, bones, brain, etc. These secondary tumors are called “metastases”.
Certain elements can guide the prognosis:
the appearance of the tumor: a large tumor will be more difficult to treat;
invasion of the lung by cancer cells signals greater severity;
the microscopic particularities of the tumor and the speed of proliferation of cancer cells (their “mitotic index”) also influence the prognosis;
as with all cancers, the presence of metastases in other organs is a sign of greater seriousness.
Depending on the results of additional examinations, the doctor can determine the stage of progression of lung cancer (which determines its prognosis and treatment).
For non-small cell lung cancers, it uses a so-called “TNM” classification which takes into account aspects of the lung tumor, the possible presence of cancer cells in the lymph nodes, and the possible existence of metastases. Depending on the result of this classification, non-small cell lung cancers are said to be “progressive stage 0, Ia (1, 2 or 3), Ib, IIa, IIb, IIIa, IIIb, IIIc, IVa or IVb”, of increasing severity.
Small cell lung cancers are classified into “localized” and “disseminated.”
The feeling of anxiety that people experience from time to time is a completely normal feeling. Especially when life is full of stress.
However, excessive, persistent worry and worry that is difficult to control and interferes with daily activities may be a sign of generalized anxiety disorder (GAD).
Generalized anxiety disorder can develop in both childhood and adulthood. Generalized anxiety disorder has symptoms similar to panic disorder, obsessive-compulsive disorder, and other types of anxiety, but they are different illnesses.
Living with generalized anxiety disorder can be an ordeal. In many cases, GAD occurs along with other anxiety or mood disorders. In most cases, patients with GAD improve with psychotherapy or medication. Lifestyle changes, learning coping skills and using relaxation techniques may also help.
Constant worry or worry about regular, expected, or everyday events. The level of anxiety is disproportionate to the objective consequences of these events.
Overthinking plans and decisions with all possible worst-case scenarios in mind.
Perceiving situations as threatening even when they are not.
Difficulties in coping with uncertainty.
Indecision and fear of making the wrong decision.
Inability to manage anxiety.
Inability to relax, increased excitability or tension.
Difficulty concentrating or feeling like your mind is going blank.
Physical signs and symptoms:
fatigue;
sleep problems;
muscle tension or muscle pain;
trembling, convulsions;
nervousness or fearfulness;
sweating;
nausea, diarrhea, or irritable bowel syndrome;
irritability.
There are times when worry doesn't completely consume you, but you still feel anxious for no apparent reason. For example, you may feel very worried about your safety or the safety of your loved ones, or you may have a general feeling that something bad is about to happen.
The symptoms described above cause you significant discomfort socially, at work, or in other areas of your life.
Life's problems or situations may change, but worry and anxiety will move from one problem to another.
Eating disorders are psychiatric illnesses that damage a person's physical and mental health and reduce their overall quality of life - relationships, work and personal development are affected.
In eating disorders, the connection with one's own body is disrupted, which leads to extremely problematic eating behavior. Overemphasis is placed on weight and body shape, underweight is idealized, and various methods are used to lose weight or prevent weight gain.
During their lifetime, approximately 8% of women and 2% of men will develop an eating disorder. Eating disorders occur in any population, regardless of gender, age, ethnicity or socioeconomic status. However, they most often occur in girls and young women.
The term "eating disorder" is often mistakenly used as a synonym for selective eating disorder, since both involve disordered eating. However, their causes are different: an eating disorder is caused by a desire to control weight, while in a selective eating disorder, eating certain foods causes anxiety or fear.
Other eating disorders
Anorexia, bulimia and binge eating disorder are three of the most common and well-known eating disorders. However, often not all of the symptoms of a person with an eating disorder correspond to one specific disorder. In such cases, these disorders are called “atypical” or “other eating disorders.” There is a common myth that in such cases the course of the disease is milder and treatment is taken more lightly. However, this is erroneous, since the name of the disease indicates only its diagnostic criteria, and not its severity or course.
Causes of eating disorders
There is never one single reason for the development of eating disorders. These are complex diseases in the development of which a combination of many factors plays an important role. Genetic, biological and environmental factors always play a role. Modern social attitudes, including diet culture and the cult of thinness, contribute to the development of psychological vulnerability, which can become a fertile environment for the development of eating disorders. It is likely for the same reasons that higher rates of eating disorders are observed in sports in which weight is a major concern and in appearance-oriented professions. However, it should be emphasized that viewing social networks or playing certain sports does not contribute to the development of the disease. There are many factors involved in the development of the disease that are usually beyond a person's control. However, it is often more practical and even more important to identify disease-sustaining factors, since changing them is associated with better treatment outcomes.
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