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Don't Worry Be Happy - Understanding the Nature of Worry ... t Worry Be Happy...  Don't Worry...

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  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 1

    Dr. Rami Nader, R.Psych.

    Generalized Anxiety Disorder (GAD) Chronic, excessive, difficult to control worry

    accompanied by a variety of physical and cognitive symptoms 5% of the population will experience GAD at some

    point in their life; 3% in any given year (5100 people on the North Shore at this moment)

    Low Worry

    HighWorry

    GAD

    Worriers

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 2

    A thought process a collection of thoughts or doubts which occur together

    Related to future negative events Accompanied by anxiety Worry and anxiety are NOT the same

    thing

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 3

    Trigger

    What if?

    Worry

    Anxiety

    What if?What if?

    What if?What if?

    What if?

    Demoralization/Exhaustion

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 4

    The more tired or demoralized, the easier it is to come up with What if questions.

    Not recognizing worry Ineffective worry management

    techniques (e.g., keeping yourself really busy)

    The role of uncertainty

    Trigger

    What if?

    Worry

    Anxiety

    Demoralization/Exhaustion

    IU

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    Like a psychological allergy A lens through which the world is

    viewed

    Negative Outcome

    Neutral Outcome

    Positive Outcome

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 5

    Intolerant of

    Uncertainty

    Uncertainty in the World

    Avoiding doing certain things, finding imaginary obstacles or reasons not to do certain things, procrastinating.

    Wanting to do everything yourself, not delegating tasks to other people

    Only partially committing to a relationship, job or a project

    Doing too many things at once

    Looking for a lot of information before proceeding to do something

    Second guessing decisions that have already been made

    Reassurance seeking Double checking things Overprotecting others

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 6

    Decreased confidence Decreased efficiency Perfectionism Interpersonal difficulties and conflict Passive in relationships Little spontaneity in life Control freak

    Trigger

    What if?

    Worry

    Anxiety

    Demoralization/Exhaustion

    IU

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    Beliefs About Worry

    5000 km

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 7

    Worrying helps find solutions to problems

    Worrying motivates to get things done Worry prepares me for the worst and

    protects me from negative emotions Worry can prevent negative outcomes Worry is a positive personality

    characteristic

    Problems can be a big worry trigger People who tend to worry a lot do not

    tend to engage in problem-solving to deal with problems.

    This is NOT due to a lack or problem solving skills.

    Due to Negative Problem Orientation (NPO)

    I hate problems I shouldnt have problems Other people dont have problems the

    way I do Im no good at solving problems My problems arent going to work out Problems are bad/threatening

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 8

    Emotional Consequences Frustrated Nervous/Anxious

    Mental Consequences Problems are unfair and threatening More outcomes to worry about

    Behavioral Consequences Avoid problems Procrastinate problem-solving

    ProblemCRISIS

    Trigger

    What if?

    Worry

    Anxiety

    Demoralization/Exhaustion

    IU

    IU

    IU IU

    IU IU

    IU

    IU

    IU IU IU

    IU

    Beliefs About Worry

    Ineffective Problem Solving

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 9

    People can also worry about problems that dont exist.

    Negative scenario-building related to all sorts of awful, worst-case scenarios

    Tend to be associated with a persons greatest fears and scariest thoughts

    Because of the scary and upsetting nature of these thoughts, the natural response is to try and suppress or avoid thinking about the worries

    Person tries to push thoughts out of their head Think about something else, distract self

    with activity, alcohol/drugs

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 10

    The more you try not to think about something,

    the more you think about it!

    Trigger

    What if?

    Worry

    Anxiety

    Demoralization/Exhaustion

    IU

    IU

    IU IU

    IU IU

    IU

    IU

    IU IU IU

    IU

    Beliefs About Worry

    Ineffective Problem SolvingCognitive Avoidance

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 11

    Trigger

    What if?

    Worry

    Anxiety

    Demoralization/Exhaustion

    IU

    IU

    IU IU

    IU IU

    IU

    IU

    IU IU IU

    IU

    Beliefs About Worry

    Ineffective Problem SolvingCognitive Avoidance

    Life Events

    Mood State

    EMBRACE UNCERTAINTY Take risks Dont procrastinate Speak your mind Do new things Go with the flow more often without having to

    know exactly what is going to happen If I were more tolerant of uncertainty, what

    would I do in this situation? Be ok with wait and see

    Worrying doesnt solve problems, motivate you, make you a better person, prevent bad things from happening or prepares you for anything.

    Recognize problems early on, normalize problems and look for the opportunities (not threat)

    Think through your worries

  • Don't Worry Be Happy? Understanding the Nature of Worry and Anxiety

    Provided Courtesy of Dr. Rami Nader, R.Psych. (www.raminader.com) 12

    raminader.com/gad_resources.htm nssac.ca/resources_adult.html anxietybc.com/resources/generalized.

    php Slides available for 2 weeks at

    www.nssac.ca

    When to Worry About Worry: Understanding Anxiety in Kids February 12 - Larson Elementary School April 15 - Sutherland Church

    Getting a Good Nights Sleep March 2 Lynn Valley Town Centre

    Making Sense of Adolescence: How to Maintain a Strong Relationship with Your Teenager April 23 Carson Graham Secondary School June 24 Sutherland Church

    Can Anything Be Done? Understanding Depression and How to Overcome It May 28 Capilano Library

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