Many
of the questions that have come over this blog have been about the origin of,
or the "why" of anxiety. In the last blog, we discussed panic disorder. Before
we discuss the treatment of panic attacks, lets at some of the underlying
physiologic phenomena that animate these attacks. Hopefully, doing so will help
us understand something... Read more
The word "anxiety" is frequently tossed around. "Anxiety", after all is not a diagnosis, but a subjective feeling. It may even be something that is temporarily helpful, as in the case of having situational anxiety. Not all situational anxiety, of course is helpful, but at times it can be. For example anxiety before an exam in school helps us study... Read more
There are many sources of anxiety. One interesting psychodynamic source of anxiety is guilt. What is guilt? This is not an easy question to answer. The concept of guilt is an elusive one. The best answer I have come across, and one that fits with what I have observed in my patients, is that guilt has something to do with the... Read more
Two Patients. Albert never thought twice about mental health. He was a 53 year old male graphic designer in an advertising firm. His confident but calm, self-assured manner charmed his friends and co-workers. He loved his work. Married with two children, he was a happy, devoted father and husband. A friend of his from high school had... Read more