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Dr Peter Klug Mood Disorders Trauma-related Disorders Forensic Psychiatry Occupational Psychiatry.

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Presentation on theme: "Dr Peter Klug Mood Disorders Trauma-related Disorders Forensic Psychiatry Occupational Psychiatry."— Presentation transcript:

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2 Dr Peter Klug Mood Disorders Trauma-related Disorders Forensic Psychiatry Occupational Psychiatry

3 ANXIETY AND HOW TO MANAGE IT

4 ANXIETY AND FREUD IN EVERYDAY LIFE

5 Objectives Relate Freud’s structure of the mind to yourselves Relate Freud’s structure of the mind to yourselves Use Freudian theory to understand the nature of anxiety Use Freudian theory to understand the nature of anxiety Understand excessive anxiety and its types Understand excessive anxiety and its types Understand the management of anxiety and aggression Understand the management of anxiety and aggression How to use these strategies for yourself How to use these strategies for yourself

6 Three Great Insults to Mankind Copernicus : The sun, not the earth, is the centre of the solar system Copernicus : The sun, not the earth, is the centre of the solar system Darwin : We evolved from animals Darwin : We evolved from animals Freud : We don’t know what we’re thinking Freud : We don’t know what we’re thinking

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12 EGO ID SUPEREGOSUPEREGO Conscious Preconscious Unconscious

13 When you got up this morning what did you consciously not have to think about? What is the same about you every day?

14 Ego Organized Organized Mediates between the person and reality Mediates between the person and reality Tasks Tasks Perception - including self perception and self awareness Perception - including self perception and self awareness Adaptation to reality Adaptation to reality Uses anxiety to ensure safety Uses anxiety to ensure safety Action, memory, expression/emotion, Action, memory, expression/emotion,

15 Superego The last function of the psyche to develop The last function of the psyche to develop The representative of the society within the psyche The representative of the society within the psyche Conscience or morality Conscience or morality Ideal aspirations [ ego-ideal ] Ideal aspirations [ ego-ideal ] Mainly unconscious Mainly unconscious Develops from the ego by identifying with parents Develops from the ego by identifying with parents

16 Superego Approves or disapproves of the ego’s actions Approves or disapproves of the ego’s actions Critical self-observation Critical self-observation Self-punishment Self-punishment Demands repentance or reversing a wrong Demands repentance or reversing a wrong Provides self-love or self-esteem for having done right Provides self-love or self-esteem for having done right

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19 EGO ID SUPEREGOSUPEREGO Conscious Preconscious Unconscious

20 Id Completely unconscious Completely unconscious Develops from the primitive unformed psyche Develops from the primitive unformed psyche Precedes the ego and the superego Precedes the ego and the superego Represents our instinctual drives Represents our instinctual drives Hunger/Thirst Hunger/Thirst Aggression Aggression Sex Sex

21 Dreams: The Royal Road to the Unconscious A psychic phenomenon that occurs during sleep in which thoughts, images, emotions etc. present themselves to the dreamer, usually with a definite sense of reality A psychic phenomenon that occurs during sleep in which thoughts, images, emotions etc. present themselves to the dreamer, usually with a definite sense of reality They fulfill a vital purpose They fulfill a vital purpose They foster solution in fantasy of needs and conflicts too dangerous for solution in reality They foster solution in fantasy of needs and conflicts too dangerous for solution in reality

22 Dreams They work through destructive and traumatic experiences that defy the coping capacities of the waking state They work through destructive and traumatic experiences that defy the coping capacities of the waking state It is one of the ways in which impulses from the unconscious reach the level of consciousness It is one of the ways in which impulses from the unconscious reach the level of consciousness It is a universal psychic function which is typical of the human mind It is a universal psychic function which is typical of the human mind

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25 Anxiety and Guilt SUPEREGO EGO ID

26 Anxiety and Guilt SUPEREGO ego ID

27 Anxiety and Guilt SUPEREGO ID

28 Anxiety and Excessive Anxiety Anxiety is normal and necessary to function on a daily basis Anxiety is normal and necessary to function on a daily basis Anxiety does not cause distress or dysfunction Anxiety does not cause distress or dysfunction Excessive anxiety is associated with symptoms Excessive anxiety is associated with symptoms Symptoms can be gathered into syndromes Symptoms can be gathered into syndromes

29 Fear vs Anxiety Fear is the response to an immediate threat Fear is the response to an immediate threat Anxiety is the response to an anticipated threat

30 Primitive Fears Personal Injury Personal Injury Abandonment Abandonment

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36 The Physical Impossibility of Death in the Mind of Someone Living

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41 What are some of the symptoms of fear and anxiety?

42 Symptoms of Fear and Anxiety Somatic = Bodily Somatic = Bodily Psychic = Mental or Psychological Psychic = Mental or Psychological

43 Symptoms of Fear and Anxiety Somatic Somatic Headaches, neck aches, back aches Headaches, neck aches, back aches Tremor Tremor Breathing changes Breathing changes Sweating Sweating Nausea and vomiting Nausea and vomiting Diarrhoea and urinary frequency Diarrhoea and urinary frequency Ringing in the ears Ringing in the ears Blurred vision Blurred vision

44 Symptoms of Fear and Anxiety Psychic Psychic Flight Flight Dread Dread Apprehension Apprehension Freezing Freezing Confusion and Indecisiveness Confusion and Indecisiveness Sense of unreality Sense of unreality Obsessionality Obsessionality Avoidance Avoidance

45 What kinds of anxieties do I currently deal with? -At home? -At work?

46 What kinds of strategies do I use to manage these anxieties?

47 Strategies for Managing Anxiety Becoming aware of being anxious Becoming aware of being anxious Identifying symptoms Identifying symptoms Identifying stresses Identifying stresses Addressing stresses Addressing stresses Relaxation techniques Relaxation techniques Distraction Distraction Exercise Exercise

48 Managing Anxiety Managing recreational time Managing recreational time Planning ahead Planning ahead Holidays Holidays School holidays School holidays Weekends Weekends Long weekends Long weekends Evenings Evenings Lunch breaks Lunch breaks Don’t take work away with you Don’t take work away with you

49 Strategies for Managing Anxiety Active hobbies/interests Active hobbies/interests Crafts Crafts Arts Arts Garden Garden Shed Shed Avoid screens at every opportunity Avoid screens at every opportunity Read books unrelated to work Read books unrelated to work Cultivate friends from other walks of life Cultivate friends from other walks of life Spend time outdoors Spend time outdoors Spend less time managing money Spend less time managing money

50 Strategies for Managing Anxiety Sexual activity planning Sexual activity planning More frequent sex More frequent sex Spend longer having sex Spend longer having sex

51 Strategies for Managing Anxiety Slow Food Movement Slow Food Movement Slow Life vs Cult of Speed Slow Life vs Cult of Speed The World Institute of Slowness The World Institute of Slowness Cittaslow Cittaslow

52 Strategies for Managing Anxiety Drugs and Alcohol Drugs and Alcohol Alcohol - grams Alcohol - grams Caffeine - coffee, Coke, Diet Coke, energy drinks Caffeine - coffee, Coke, Diet Coke, energy drinks Nicotine Nicotine Prescribed drugs: Stilnox, Xanax, Valium, Temaze, Mogadon, etc, etc, etc…. Prescribed drugs: Stilnox, Xanax, Valium, Temaze, Mogadon, etc, etc, etc…. Smack, speed, dope, ekkies, acid, special K, ice, etc, etc, etc….. Smack, speed, dope, ekkies, acid, special K, ice, etc, etc, etc…..

53 Sleep Hygiene What you can and cannot do in bed

54 Identifying and challenging unhelpful thinking A cognitive approach

55 BIO BIO PSYCHO PSYCHO SOCIAL SOCIAL THE LATE GEORGE ENGEL

56 ANX EXCESS ANX 1.ACUTE 2.CHRONIC 3.TRAUMATIC Generalized Panic Pan/Ag OCD Phobias PTSD SYMPTOM ANXIETY BIO PSYCHO SOCIAL DEPRESSION BIO

57 SOME TYPES OF THERAPY Education Education Supportive psychotherapy Supportive psychotherapy Psychodynamic psychotherapy Psychodynamic psychotherapy Inter-personal therapy - IPT Inter-personal therapy - IPT Cognitive behaviour therapy - CBT Cognitive behaviour therapy - CBT Relaxation techniques Relaxation techniques Group therapy Group therapy

58 MORE TYPES OF THERAPY Narrative therapy Narrative therapy Gestalt therapy Gestalt therapy Art therapy Art therapy Music therapy Music therapy Psychodrama Psychodrama Encounter groups Encounter groups Humour therapy Humour therapy Play therapy Play therapy Dream interpretation Dream interpretation


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