Anxiety therapists in Alamosa, Colorado CO
Anxiety or Fears
Mariana Carabantes, Psy.D.
Psychologist, Licensed Psychologist
Are you constantly tense, nervous, and/or fearful? Do you have unexpected episodes of panic, feeling of desperation, or other overwhelming sensations? These are all symptoms of an anxiety disorder, and fortunately there are methods to control these symptoms and feel better.
14 Years Experience
Anxiety or Fears
Rock Your Family
Licensed Professional Counselor, LPC, LMFT
We help people overcome their anxiety, worries, or fears, whether it is associated with the past, present, or future.
17 Years Experience
Anxiety or Fears
Debra Nelson
Psychologist, Psy.D.
We all experience worries and anxiety at some point in our lives. Sometimes our ways of coping with these feelings don't seem like enough. Whether you are dealing with nagging worries, or something more significant such as specific fears (e.g., driving, flying), obsessive-compulsive tendencies (e.g., hording, having trouble with germs, varying your routine), or are having panic attack symptoms, we can work towards reducing the impact these worries are having on your life.
21 Years Experience
Anxiety or Fears
Paul W Anderson, PhD
Psychologist, Licensed counseling psychologist, Licensed Addictions counselor
Life can be scary. Feeling overwhelmed and out of control happens for many good reasons but sometimes we are not able to calm ourselves enough to function the way we want to. I can help you reorder how you think, make choices and relate to others so that you regain a sense of control over your anxieties. Fear and stress do not have to run your life.
43 Years Experience
Anxiety or Fears
Jayson L. Mystkowski
Psychologist, Ph.D., ABPP
While Cognitive-Behavior Therapy (CBT) is highly effective in the treatment of anxiety disorders (e.g., Panic Disorder, Social Phobia, and Obsessive-Compulsive Disorder), clinicians do see some “return of fear,” or partial relapse, in some patients due to a variety of factors. Over the past two decades, treatment researchers, with whom Dr. Jayson Mystkowski had the pleasure of working with at UCLA for over 10 years, have studied “return of fear” and discovered some key variables that may optimize the effects of learning during CBT for anxiety disorders (Craske et al., 2008).
First, evidence suggests that focusing on tolerating fear versus eliminating fear yields better clinical outcomes in the long term. Namely, teaching clients that fear and anxiety are normal feelings, rather than attempting to “down-regulate” such feelings all the time, is more realistic and seems to engender “hardier” clients. Second, helping clients to generate an expectancy that “scary things will not happen,” is very powerful. To do this, it is important for clinicians to create more complex exposure exercises (i.e., tasks in which a client confronts a stimulus of which they are afraid), using multiple feared stimuli instead of one at a time. Then, the lack of a feared outcome becomes particularly surprising and memorable for a client and fear reduction is more potent. Third, increasing the accessibility and retrievability of non-fear memories learned during treatment are powerful factors in mitigating against a return of fear. Craske and colleagues demonstrated that exposure to variations of a feared stimulus, using a random schedule across multiple contexts or situations, is more effective than exposure to the same stimulus, on a predictable schedule, in an unchanging environment. The former paradigm, it is argued, creates stronger non-fear memories that are easier for a client to access when subsequently confronting feared objects or situations outside of the therapy context, than the later scenario.
In sum, clinicians have long been aware that some fear or anxiety returns following very successful CBT treatment. As mentioned above, there are some clear, empirically supported ways to modify the therapy we provide to further help clients generalize the gains made in therapy sessions to the real world.
20 Years Experience