Anxiety therapists in Wilmore, Kentucky KY
Anxiety or Fears
Mr. Dan Pugel
Licensed Professional Counselor, Licensed Professional Clinical Counselor
Anxiety is a general sense of worry and fear that is experienced without the ability to control it. Some of the symptoms include and edginess, restlessness, and nervousness. There may be fatigue, muscle tension and sleep disturbance. Concentration problems are also common.
27 Years Experience
Anxiety or Fears
Baumann Psychology
Psychologist, PhD
I use a Cognitive Behavioral Therapy-oriented approach that is also informed by Exposure with Response Prevention to help improve responses to feared situations. Additionally, I use principles from mindfulness-based approaches to improve clients' ability to cope with heightened anxiety and fear responses.
1 Years Experience
Anxiety or Fears
Anna DiNoto
Psychologist, PsyD, LMHC, PSYPACT - Licensed Psychologist
Anxiety and fears take many forms. Commonly, our patients are experiencing worries that impact their daily life in ways that can be embarrassing or shaming. We will compassionately take the time we need to work together to accurately understand how this looks for you, is affecting your quality of life, and possible paths forward.
13 Years Experience
Anxiety or Fears
Dr. Jill R. LeBlond
Psychologist, Psy D, LP
Anxiety lies - it convinces you that a happy content life is not available to you - that is simply not true1 Let's shut down anxiety and move on!
24 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