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How to support someone who is struggling with social anxiety where they also have an autism diagnosis and separate the two

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How to work with anxiety when the anxiety is valid, e.g. anxiety around being able to provide for a family when there are financial difficulties within the family

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Health anxiety in response to real threat to physical health and day-to-day safety (due to health condition).

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Health anxiety in response to real threat to physical health and day-to-day safety (due to health condition).

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Anxiety in response to systemic injustices/discriminative systems. 

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Anxiety in response to systemic injustices/discriminative systems. 

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How a counselling psychologist would approach anxiety that is distinct from other psychological professionals (formulation, treatment, review, working in an MDT service, long-term plan)

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Useful if disordered, otherwise I think it can perpetuate it a little 

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Useful if disordered, otherwise I think it can perpetuate it a little 

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Nervousness, the feeling of I don't know what the hell I'm doing

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OCD, GAD, Health anxiety, social anxiety

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How to work with anxiety when the client also presents with low mood

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GAD ,OCD, BDD(Is that classified as AD?)

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GAD ,OCD, BDD(Is that classified as AD?)

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how to contain anxiety when the client feels anxious. essentially, how to not take on your client's anxiety as your own in the session.

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It would be nice to gain a step by step formulation working with anxiety

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Ways to explain anxiety to those with stigma or cultural differences 

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Ways to explain anxiety to those with stigma or cultural differences 

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Often with anxiety, I had challenges with clients that ruminate and overthink that even going through thought records or ABC formulations, it's difficult for them to break the cycle

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Ocd and gad

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There is rarely just a single anxiety/ worry, and there are other comorbidities. When working in a time limited way in services, it can sometimes be hard (for both client and therapist) to decide what direction to take the intervention

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discomfort and worry - will I be able to cope with it

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Social anxiety, health anxiety, OCD, specific phobias,

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terror, discomfort, an opportunity to surrender

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terror, discomfort, an opportunity to surrender

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Feelings of guilt and shame clients can experience, in particular when working with presentations of OCD rumination. Being able to balance offering a non-judgemental space and pacing sessions to allow clients to express themselves safely.

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Feelings of guilt and shame clients can experience, in particular when working with presentations of OCD rumination. Being able to balance offering a non-judgemental space and pacing sessions to allow clients to express themselves safely.

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Discomfort and a desire to fill the gaps.

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Discomfort and a desire to fill the gaps.

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GAD, Health Anxiety, Social Anxiety, Panic, OCD, PTSD, Hoarding

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GAD, Health Anxiety, Social Anxiety, Panic, OCD, PTSD, Hoarding

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In some ways I think anxiety disorders can quite easily be explained by science, e.g. evolutionary functions of fight/flight/freeze, cognitive behaviour theories of learning, etc. I suppose the degree to which anxiety is regarded as as disorder rather than one kind of experience we have...

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When designing behavioural experiments that require tolerating a certain amount of anxiety, how to equip the client to be able to withstand the undesireable feeling.

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Existential dread but also aliveness to the reality of the human experience

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An appreciation for the ways in which anixety can be regarded as a primary "disorder" vs. when it is simply a symptom in an array of symptoms that occur alongside other issues.

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Social anxiety

Specific phobias (vomit phobia)

Health anxiety

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A system limited by categorical, Western, and rigid symptom-based nature.

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A system limited by categorical, Western, and rigid symptom-based nature.

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I always see high comorbidity of anxiety disorders which makes me feel that depression and anxiety are overlapping spectra, not separate diseases.

Hence, the reading I have done this wee on researchers like Krueger (1999) and frameworks like the HiTOP or RDoC advocate dimensional, transdiagnostic models.

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DSM criteria can pathologise normal worry and fear, especially everyday stress. E.g. I find that some clients come in looking for a diagnosis of anxiety for what they describe as everyday worry.

The 6-month rule and “clinically significant distress” is subjective and and unhelpful.

As a counselling psychologist I often question whether the DSM medicalises natural emotional responses to real-life adversity. When it become problematic to function I think this is different and where more attention should be placed

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Anxiety kept finding something new to latch onto. So the challenge was to understand the function of the anxiety and work on that rather than just the symptoms

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The ability to stay with the client and remain in the process of the client, their speed and their journey in working through anxiety. A Health anxiety presentation was used in some sense to gain attention in the therapeutic relationship, and was a function of deeper underlying processes and issues.

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Lingering sense of angst and the need to structure.

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Lingering sense of angst and the need to structure.

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Social anxiety

GAD

Panic attacks