All Posts Tagged: boca raton psychiatrist

ADAA Session Recording -Treatment Resistant Panic Disorder

Our team presented at the 2018 ADAA Conference on Treatment Resistant Panic Disorder: A Multidisciplinary Multimodality Approach. You can access the audio recording of our session here with the below login credentials.

Username: arosen1980@aol.com

Password: 1667947

We hope you find the recording of our presentation helpful and informative!

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Treatment Resistant Panic Disorder: A Multidisciplinary Multimodality Approach

Treatment Resistant Panic Disorder: A Multidisciplinary Multimodality Approach

Panic Disorder is one of the most common anxiety disorders. Its impact on quality of life can be significant and incapacitating. One third to one half of panic patients demonstrate incomplete or absent remission after treatment. This Roundtable addressed the importance of the bio-psycho-social components of the evaluation and treatment of the resistant panic disorder patient.
The clinical team is challenged with determining what rendered the individual patient treatment resistant. Examples of complicating variables in such patients include medical mimics of panic disorder, occult substance use disorders, co-morbid psychiatric disorders like trauma syndromes, obsessive compulsive and pediatric spectrum disorders.
Treatment often entails a multi-modality approach that identifies the critical variables discovered during the evaluation phase. At our center the presence of multi-disciplinary clinicians in one location allows for ongoing case discussion and most importantly reassures the patient that they are being supported by an interactive treatment team.
This Roundtable reviewed the appropriate psychopharmacological interventions during the course of treatment that can provide a synergistic addition to the cognitive behavioral treatment plan. The CBT plan must be individually tailored to the patient since not all panic disorders are alike. When possible, we have found that a manualized workbook approach can be invaluable and supports greater patient adherence.
Recent technological advances have allowed for the development of state of the art clinical tools that incorporate specific biofeedback and virtual reality protocols. We will present examples of both and discuss the importance of a multi-pronged approach to the difficult to treat patient. Prevention is the core goal of mental healthcare and early childhood detection of panic disorder has become a major goal. This Roundtable will review early warnings of future panic disorder and importance of interventions that foster resilience and stress control capabilities in children.

Learning Objectives

1. Recognize the seriousness and frequency of treatment resistant panic disorder.
2. Apply the contents of this Roundtable to develop a multimodality treatment plan.
3. Demonstrate an effective systems approach to the evaluation of the treatment resistant panic disorder patient .

Chair(s)

David Gross, MD, Center for the Treatment of Anxiety and Mood Disorders
Dr. Andrew Rosen, PHD, Center for the Treatment of Anxiety and Mood Disorders

Discussant(s)

David Gross, MD, Center for the Treatment of Anxiety and Mood Disorders
Dr. Andrew Rosen, PHD, Center for the Treatment of Anxiety and Mood Disorders

Presenter(s)

Dr. Christiane Blanco-Oilar, PhD, Center for the Treatment of Anxiety and Mood Disorders
Joseph Brand, PhD, Center for the Treatment of Anxiety and Mood Disorder
Ryan Seidman, PsyD, Center for the Treatment of Anxiety and Mood Disorders
Dr. Andrew Rosen, PHD, Center for the Treatment of Anxiety and Mood Disorders

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Boca Raton Psychologist Discusses Fear Of Flying

Millions of people across the country suffer from a variety of anxiety disorders. The typical disorder is characterized by extreme fear, nervousness, or worry that leads a person to avoid specific places or activities. Dr. Andrew Rosen, a Boca Raton psychologist, notes that one of the most commonly known fears is a fear of flying. He says that, as with any anxiety, there is an irrational exaggeration of the possibility of something bad happening even though the risk of being hurt or killed in a plane crash is one in many millions. Additionally, a fear of flying can involve several components of anxiety that are not specific to airplanes. These components can include:

  • Not understanding the reasons for strange sounds and sights around you
  • Being dependent on the judgment of an unknown person (in this case, the pilot)
  • Fear of heights
  • Dislike or fear of enclosed spaces or crowded conditions
  • Sitting in hot, stale air
  • The possibility of terrorism

The physical and emotional symptoms associated with a fear of flying are similar to those seen in most anxiety disorders. The physiological symptoms can include:

  • Muscle tension and labored breathing
  • Chest pain and/or heart palpitations
  • Abdominal discomfort
  • Sweating
  • Dizziness
  • Flushed or pale face

The psychological symptoms can include:

  • Impaired memory
  • Narrowed perceptions
  • Poor or clouded judgment
  • Negative expectancies

The Boca Raton psychologist says there are many coping strategies that can be effective when working through a fear of flying, such as:

  • Expanding your awareness beyond the unpleasant situation. Realize that being paralyzed with fear will not make you any safer.
  • Understanding that your anxiety won’t disappear overnight. Celebrate even the smallest successes you have, such as making it to the airport, then making it on to the plane, then getting through the takeoff. Take one thing at a time.
  • Focusing on what you can do to relax instead of focusing on your fear. Many people bring books, puzzle books, music, or computers with them while they travel. Having something like this gives you something else to focus your energy on.

The fear of flying can be a debilitating anxiety but it can certainly be treated and overcome. For more information on this or other anxiety disorders and their treatment methods, contact Boca Raton psychologist, Dr. Andrew Rosen at 561-496-1094 or email Dr. Rosen today.

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