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Specializing in Anxiety Treatment, Depression and Couples Therapy

Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) is a disorder that develops after being exposed to traumatic events. An individual may have taken part in the traumatic event, been injured in the event, or just witness to the event. There are many symptoms that those with PTSD deal with and these symptoms include reliving the event in various ways, and one of those ways is nightmares.

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PTSD can develop right after the traumatic event or months later. No matter when PTSD surfaces, the symptoms are the same, though the severity of the symptoms varies from individual to individual, and the number of symptoms may vary. The reasons for developing PTSD are not clear, not all survivors of trauma develop this disorder, and no single type of event ensures the development of PTSD.

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Although no specific event causes PTSD, there are events that carry more risk for developing this disorder combat, natural and human-made disasters and sexual abuse all have the potential to trigger PTSD. Any event or situation that threatens life or produces a loss of life has the potential for triggering PTSD.

 

Only a psychiatrist can diagnose PTSD; there are effective treatments for PTSD once all the symptoms are studied, and a diagnosis is made. Those who have Post-traumatic stress disorder may exhibit all or some of the following symptoms:

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  • Reliving the traumatic event

    • Flashbacks

    • Nightmares

    • Bad memories resurfacing

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  • Avoidance

    • Avoiding situations, people, and places that trigger memories of the traumatic event

    • Avoid speaking or thinking about the traumatic event

  • A negative change in belief, thoughts, and feelings

    • Negative change in how the individual views themselves and others

    • Loss of interest in hobbies and activities once enjoyed

    • Feelings of distrust

    • Feelings of impending doom

    • Inability to feel happy

    • Feeling numb to emotions

  • Hyperarousal

    • Hyper-vigilant

    • Anxious

    • Jittery and defensive

    • Easy to startle

Easy to anger

Anxiety
Anxiety

If you are suffering from any of the following symptoms, we can help

 Anxiety becomes a disorder when the symptoms become chronic and interfere with our daily lives and ability to function. People suffering from chronic, generalized anxiety often report the following symptoms:

  • Constant worry

  • Poor memory

  • Poor concentration

  • Fear or confusion

  • Inability to relax

  • Shortness of breath

  • Palpitations

  • Upset stomach

  • Physical weakness

  • Muscle tension

  • Sweaty hands

Depression
Depression

Depression (major depressive disorder or clinical depression) is a common but serious mood disorder. It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. To be diagnosed with depression, the symptoms must be present for at least two weeks.

Signs and Symptoms

If you have been experiencing some of the following signs and symptoms most of the day, nearly every day, for at least two weeks, you may be suffering from depression:

  • Persistent sad, anxious, or “empty” mood

  • Feelings of hopelessness, or pessimism

  • Irritability

  • Feelings of guilt, worthlessness, or helplessness

  • Loss of interest or pleasure in hobbies and activities

  • Decreased energy or fatigue

  • Moving or talking more slowly

  • Feeling restless or having trouble sitting still

  • Difficulty concentrating, remembering, or making decisions

  • Difficulty sleeping, early-morning awakening, or oversleeping

  • Appetite and/or weight changes

  • Thoughts of death or suicide, or suicide attempts

  • Aches or pains, headaches, cramps, or digestive problems without a clear physical cause and/or that do not ease even with treatment

Not everyone who is depressed experiences every symptom. Some people experience only a few symptoms while others may experience many. Several persistent symptoms in addition to low mood are required for a diagnosis of major depression, but people with only a few – but distressing – symptoms may benefit from treatment of their “sub-syndrome” depression. The severity and frequency of symptoms and how long they last will vary depending on the individual and his or her particular illness. Symptoms may also vary depending on the stage of the illness.

If you have been experiencing some of the following symptoms, we can help

Obsessive compulsive disorder

Obsessive-compulsive disorder (OCD) is characterised by having either obsessions or compulsions (though most individuals with the disorder have both) that are time-consuming:

Obsessions as defined by presenting both (1) and (2):

  1. Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals causes marked anxiety or distress (they are not simply excessive worries about real-life problems)

  2. The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion).

Compulsions as defined by exhibiting both (1) and (2):

  1. Repetitive behaviours (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.

  2. The behaviours or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviours or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive.

Note: Young children may not be able to articulate what their aims are in performing these behaviours or mental acts.

— AND —

1. The obsessions or compulsions cause significant distress or interfere with the person’s normal routine, occupational (or academic) functioning, or usual social activities or relationships.

2. Importantly, obsessive-compulsive actions are time-consuming (take more than 1 hour a day). This criterion helps to distinguish the disorder from the occasional intrusive thoughts or repetitive behaviours that are common in the general population (e.g., double-checking that a door is locked). The frequency and severity of obsessions and compulsions vary across individuals with OCD (e.g., some have mild to moderate symptoms, spending 1–3 hours per day obsessing or doing compulsions, whereas others have nearly constant intrusive thoughts or compulsions that can be incapacitating).

Post-Traumatic Stress Disorder (PTSD)
Obsessive-Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD)

Obsessive-compulsive disorder (OCD) is characterised by having either obsessions or compulsions (though most individuals with the disorder have both) that are time-consuming:

Obsessions as defined by presenting both (1) and (2):

  1. Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals causes marked anxiety or distress (they are not simply excessive worries about real-life problems)

  2. The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion).

Compulsions as defined by exhibiting both (1) and (2):

  3. Repetitive behaviours (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.

   4. The behaviours or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviours or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive.

Note: Young children may not be able to articulate what their aims are in performing these behaviours or mental acts.

Bipolar Disorder
Bipolar Disorder

Bipolar disorder, also known in some parts of the world by its older name, “manic depression,” is a mental disorder that is characterized by serious and significant mood swings. A person with this condition experiences alternating “highs” (what clinicians call “mania“) and “lows” (also known as depression).

Both the manic and depressive periods can be brief, from just a few hours to a few days. Or the cycles can be much longer, lasting up to several weeks or even months. The periods of mania and depression vary from person to person — many people may only experience very brief periods of these intense moods, and may not even be aware that they have the disorder.

According to the American Psychiatric Association, there four major categories of bipolar disorder: bipolar I disorder, bipolar II disorder, cyclothymic disorder, and bipolar disorder due to another medical or substance abuse disorder (APA, 2013). Anyone can be diagnosed with bipolar disorder, but bipolar disorder in children is called disruptive mood dysregulation disorder and carries a different set of symptoms.

All types of bipolar disorder generally respond well to treatment, which usually includes medication management for many years and for some, psychotherapy. Like many mental disorders, professionals generally don’t talk about a person being “cured” of this condition, so much as learning to manage it well. Medication and psychotherapy help a person do that.

Symptoms of Bipolar

For bipolar disorder to be diagnosed, a person needs to have experienced at least one manic (or in bipolar II, hypomanic) episode, and one depressive episode during their lifetime.

A manic episode (bipolar I disorder) is characterized by extreme happiness, extreme irritability, hyperactivity, little need for sleep and/or racing thoughts, which may lead to rapid speech. People in a manic episode feel like they can do anything, make plans to try and do all those things, and believe that nothing can stop them. For bipolar I to be diagnosed, this episode must have last at least a week and represents a noticeable change from a person’s usual behaviour.

A hypomanic episode (bipolar II disorder) is characterized by the same symptoms as a manic episode, except the symptoms need to only have been present for at least four (4) days.

A depressive episode is characterized by extreme sadness, a lack of energy or interest in things, an inability to enjoy normally pleasurable activities and feelings of helplessness and hopelessness. On average, someone with this condition may have up to three years of normal mood between episodes of mania or depression.

When left untreated, the severity of episodes can vary. People with this condition can often predict when a new cycle is starting, as the severity of their symptoms increase.

Adolescent Therapy
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