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Anxiety
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
You may know women who struggle with feelings of hopelessness and negative self-talk, which trap them in a recurrent cycle. A single anxious thought can trigger intense physical symptoms. These can lead to avoidance behavior, which results in a cascade of negative thought patterns and feelings of isolation. This kind of pattern can overtake your thinking and prevent you from finding inner stillness in the present moment. In The Power of Now, Eckhart Tolle explains, “You are in the here and now, while your mind is in the future. This creates an ‘anxiety gap,’ where your mind is in a state of fear which prevents you from being present.”3
Cosmetic Camouflage in Vitiligo
Published in Vineet Relhan, Vijay Kumar Garg, Sneha Ghunawat, Khushbu Mahajan, Comprehensive Textbook on Vitiligo, 2020
Feroze Kaliyadan, Karalikkattil T. Ashique, Ambika Kumar
Even though vitiligo affects only the skin, as many as 30% of patients suffer from psychological problems that affect their quality of life [4]. Indian studies have shown that vitiligo has significant psychosocial impact, including features like anxiety, depression, and sleep disturbances [5,6]. Increased prevalence of avoidance behavior has been noted [7]. One of the primary concerns of patients with vitiligo is the presence of lesions on visible areas like the face. While there are currently quite a few treatment options available for vitiligo, they are limited by fact that most of them take time to produce results. Camouflage can be very useful in addressing the psychosocial aspects in such cases. It is especially useful in areas like the face and difficult-to-treat areas like the hands and feet [1].
Diagnosis and Assessment
Published in Melisa Robichaud, Naomi Koerner, Michel J. Dugas, Cognitive Behavioral Treatment for Generalized Anxiety Disorder, 2019
Melisa Robichaud, Naomi Koerner, Michel J. Dugas
The picture becomes more complex if clients appear to report GAD worries in addition to social concerns. The question then becomes: does the client have a diagnosis of GAD where one of the worry topics is social/interpersonal situations, or is an additional diagnosis of social anxiety disorder merited? A good way to determine this is to ask about avoidance behavior. One of the hallmarks of social anxiety disorder is significant avoidance of social situations, the extent of which is distressing to the individual and interferes with his or her life. For example, a client with social anxiety might avoid initiating conversations with others, attending social gatherings with friends, or eating and writing in public. Although GAD clients might engage in a certain amount of avoidance of triggers for their worries, it is their excessive worry and anxiety that is causing most of their distress and impairment, not the avoidance behavior. As such, clients can be asked the following: “When you think about your fear of social situations, what would you say is most distressing and interfering for you: the fact that you worry excessively about these situations or the fact that you avoid them?” GAD clients will frequently endorse greater distress and impairment from their worries, whereas individuals with an additional diagnosis of social anxiety disorder will often endorse avoidance.
A theoretical framework for addressing fear of falling avoidance behavior in Parkinson’s disease
Published in Physiotherapy Theory and Practice, 2023
Merrill R. Landers, Maria H. Nilsson
Because of the potential for “appropriate” adaptive and “inappropriate” maladaptive avoidance behavior response patterns, it is important to contextualize them. Here, a new theoretical framework using a concurrent measurement of gait/balance performance and avoidance behavior is proposed. These measurements are plotted onto a graph to determine the response pattern (Figure 3). These patterns will help inform clinicians on how to contextualize the avoidance behavior and gait/balance function and prioritize treatment to best address the important root causes of the avoidance behavior. This framework proposes different treatment approaches and recommendations for each of the four patterns to help guide the clinician to the best treatment plan (Table 1).
Impaired self-awareness and denial of disability in a community sample of people with traumatic brain injury
Published in Disability and Rehabilitation, 2022
Anneke Terneusen, Ieke Winkens, Sanne Smeets, George Prigatano, John Porcerelli, Ray Kamoo, Caroline van Heugten, Rudolf Ponds
There was a significant negative correlation between DD and anxiety symptoms. This is in line with previous research [9] and suggests that denial of disability is a psychological mechanism to protect against emotional distress [8,14]. No evidence for a positive association between DD and avoidance coping was found. This is possibly due to a lack of anxiety to drive the avoidance behavior. However, this finding is in contradiction to previous studies [17]. Mean avoidance coping scores were much lower in the current sample and time since injury was longer. As mentioned before, DD and avoidance behavior might be mostly present in the more acute phases following TBI. An assumption is that those who participated are generally functioning at a reasonable level in society and do not need to engage in other defense mechanisms. There is no information on societal participation (e.g., return to work/education, independent living, and supervision) in the current study. It would be interesting to take this into account in future studies.
Cross-cultural adaptation and psychometric properties of the Fear of Falling Avoidance Behavior Questionnaire in Turkish community-dwelling older adults
Published in Disability and Rehabilitation, 2021
Sevim Acaröz Candan, Arzu Demircioğlu, Ülkü Kezban Şahin
Activity limitation and participation restriction due to FoF in subjects with fall history, lower balance confidence, and gait disorders emerge with functional decline, increased risk of falling, increased sedentary behavior [32], institutionalization, and decreased quality of life [11,33]. As the consequences of avoidance behavior relate to morbidity [34], the assessment and management of this behavior become critical. In the literature, different scales are used to determine the effect of FoF on activity and participation [13,20,35]. Although the Survey of Activities and Fear of Falling in the Elderly (SAFFE) is the most widely used scale in the clinic environment, it is known to be inadequate in predicting activity limitation and frequency of falls [36]. Furthermore, SAFFE is long and not practical for clinicians and researchers [37]. Unlike SAFFE, FFABQ is quite convenient for predicting falls in older adults [18], and moreover, its administration is very quick [20]. Therefore, we translated FFABQ into Turkish and investigated its psychometric properties in 80 community-dwelling older adults (only test–retest reliability was tested on 42 older adults), different from the original version which was tested on 63 older individuals.