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Joyable for Anxiety

This San Francisco startup, which bills itself as the leading online solution for overcoming social anxiety, wants to help those who are time-strapped. The Joyable app offers brief, five-to-ten minute activities for users, ranging from checking in with your feelings at any given moment and examining 'personal values.' Individual plans cost $99 per month, and typically involve eight-to-twelve weeks of guided therapy, including check-ins with a regular coach. The activities are modeled after a psychotherapy method called Cognitive Behavioral Therapy, or CBT, a heavily researched and widely-respected field. Joyable, which launched in 2013, has raised more than $15 million in funding and claims to have reached more than 500,000 users.
#anxiety #apps #theranostics #SXSW - inc.com

The memory part of the brain may also hold clues for anxiety and depression | University of Toronto Scarborough - News and Events

Ito says this finding is important because the conventional thinking is that these areas, along with another part called the dentate gyrus, form a circuit through which information flow occurs in one direction. Information processed by the dentate gyrus gets passed along to the CA3, and then on to CA1. In other words, the CA1 and CA3 should carry out the same function because they’re both part of the same information processing circuit. “But that’s not the case, the CA1 and CA3 in the ventral hippocampus seem to do very opposite things in relation to conflict processing,” says Ito. “It’s this strange bi-directional or oppositional effect, and that goes against traditional thinking of how information processing takes place in this part of the brain,” she says.  Because of its possible role in basic motivational behaviour, it may also offer important insights into a range of mental health illnesses. Addiction, for example, could be linked to deficits of approach motivation. Anxiety and depression on the other hand could be linked to avoidance behaviours, all of which could manifest itself in this part of the brain.
#anxiety #hippocampus #fear - utsc.utoronto.ca

Differential Experimental Effects of a Short Bout of Walking, Meditation, or Combination of Walking and Meditation on State Anxiety Among Young Adu... - PubMed - NCBI

Significant group × time interaction effects were observed ( P = .01). Post hoc paired t tests revealed that state anxiety significantly decreased from baseline to postintervention in the meditation ( P = .002), meditation then walk ( P = .002), and walk then meditation ( P = .03) groups but not the walk ( P = .75) or control ( P = .45) groups.
#paleotherapy #meditation #anxiety #walking - ncbi.nlm.nih.gov

How social isolation transforms the brain: A particular neural chemical is overproduced during long-term social isolation, causing increased aggression and fear -- ScienceDaily

Confirming and extending previous observations, the researchers showed that prolonged social isolation leads to a broad array of behavioral changes in mice. These include increased aggressiveness towards unfamiliar mice, persistent fear, and hypersensitivity to threatening stimuli. For example, when encountering a threatening stimulus, mice that have been socially isolated remain frozen in place long after the threat has passed, whereas normal mice stop freezing soon after the threat is removed. These effects are seen when mice are subjected to two weeks of social isolation, but not to short-term social isolation -- 24 hours -- suggesting that the observed changes in aggression and fear responses require chronic isolation.
#depression #anxiety #community #cortisol #loneliness - sciencedaily.com

Basing everyday decisions on risk of pain or loss linked to increased anxiety -- ScienceDaily

They found that people were more likely to generalize from negative events, compared to safe or neutral outcomes. In addition, different parts of the decision-making process were linked to activity in different brain regions, including areas involved in vision, fear response and safety learning. They also found that those people who generalized more from the negative events (pain or loss) reported a greater experience of anxious feelings and intrusive thoughts (negative thoughts that enter your mind against your will and are hard to get rid of). "We hope that these findings will contribute to a greater understanding of the thought processes that underlie anxiety in some people," said senior author Dr Ben Seymour, Clinical Research Associate at the University of Cambridge. "Our results show the benefits of analysing complex behavioral processes such as generalization into separate components that can be examined and linked back to brain activity and symptoms. By better understanding what causes these symptoms in different cases, we might be able to tailor treatments more effectively to people with anxiety in future."
#anxiety #abstraction #cognition - sciencedaily.com

Stress helps unlearn fear: New findings on extinction learning may prove useful for therapies -- ScienceDaily

"Pharmacological studies have demonstrated that the treatment of anxiety disorders can be improved if the stress hormone cortisol is administered to the patients," says Oliver Wolf. "Our study has produced evidence for an underlying mechanism." Under the umbrella of the Collaborative Research Centre 1280, several research groups from Bochum are planning to investigate if an exposure to stress prior to exposure therapy may improve its efficacy.
#anxiety #stress #cortisol #extinction - sciencedaily.com

Could stress (exercise?) help unlearn anxiety?

On the following day, 50 per cent of the cohort were exposed to a stressful situation: they had to hold one hand in ice water and were filmed and monitored by a supervisor. The other 50 per cent of the cohort were not subjected to the stress test. Subsequently, all participants were shown pictures of the lamp emitting coloured light, which were not followed by electric stimulations; however, the lamp was no longer located in an office but in a library. On the third day, the team presented the office and the library photos of the lamp emitting coloured light without following it up by electric stimulations. In both the office and the library context, participants in the stress group responded less anxiously to the colour of light, which had preceded electric stimulations on the first day. They had transferred the knowledge that no unpleasant stimulus would follow from the library context to the office context. This was not the case in the non-stress cohort. The participants of this group continued to present an anxious response when they saw the colour of light in the office context that had been accompanied by electric stimulations on the first day. When presented library photos, they responded in the same way as the control group, i.e. showing no anxiety. For them, extinction learning occurred only in one specific context.
#exercise #anxiety #stress #extinction - sciencedaily.com

Meditation could help anxiety and cardiovascular health -- ScienceDaily

In "Mindfulness Meditation Reduces Aortic Pulsatile Load and Anxiety in Mild to Moderately Anxious Adults," Durocher, along with fellow researchers Hannah Marti, a recent Michigan Tech graduate, Brigitte Morin, lecturer in biological science, and Travis Wakeham, a graduate student, explains the finding that 60 minutes after meditating the 14 study participants showed lower resting heart rates and reduction in aortic pulsatile load -- the amount of change in blood pressure between diastole and systole of each heartbeat multiplied by heart rate. Additionally, shortly after meditating, and even one week later, the group reported anxiety levels were lower than pre-meditation levels.
#meditation #anxiety #hrv - sciencedaily.com

Animal study connects fear behavior, rhythmic breathing, brain smell center -- ScienceDaily

Other groups have observed that the amygdala and prelimbic prefrontal cortex, which govern learning and memory, emotion, and decision-making, were electrically active during "freezing," at an average of 4 Hz. Moberly observed that freeze behavior, breathing rate, and electrical activity of these brain regions were coordinated literally on the same wavelength.
#anxiety #meditation #amygdala #fear #breath - sciencedaily.com

Jeroen van Werkhoven Uses VR To Strengthen Body And Mind

JVH: BOX VR helped me a lot so far. I don’t have the most healthy job and I’m aware of that; I sit long hours behind a desk and it can be quite stressful at times. Mentally I struggle in many areas and have to work hard to keep my anxiety and depression in check. So BOX VR is not only a way to keep my body in shape, but also to cope with my anxiety and depression and turn it into more positive energy.  I usually do my workouts during the weekend, but sometimes when I feel a lot of negative energy I jump into BOX VR to release some tension just because it’s fun!
#depression #anxiety #vr - vrfitnessinsider.com

1 in 6 adults getting Adderall experience acute anxiety in 4 months

Acute anxiety symptoms occurred in 4 of 7 patients with a comorbid anxiety diagnosis. CONCLUSION:
#medicalindustrialcomplex #ADHD #anxiety #stimulants - ncbi.nlm.nih.gov

Paroxetine, Cognitive Therapy or Their Combination in the Treatment of Social Anxiety Disorder with and without Avoidant Personality Disorder: A Randomized Clinical Trial - FullText - Psychotherapy and Psychosomatics 2016, Vol. 85, No. 6 - Karger Publishers

CT was superior to paroxetine alone and to pill placebo at the end of treatment, but it was not superior to the combination treatment. At the 12-month follow-up, the CT group maintained benefits and was significantly better than placebo and paroxetine alone, whereas there were no significant differences among combination treatment, paroxetine alone, and placebo. Recovery rates at 12 months were much higher in the CT group (68%) compared to 40% in the combination group, 24% in the paroxetine group, and 4% in the pill placebo group.
#medicalindustrialcomplex #paleotherapy #anxiety - karger.com

Depression, anxiety WAY high in graduate students, survey shows -- ScienceDaily

The disparity between graduate students and the general population proved to be about equal for both mental health conditions. On the respective scales utilized to test anxiety and depression, 41 percent of graduate students scored as having moderate to severe anxiety while 39 percent scored in the moderate to severe depression range. This compared with 6 percent of the general population as tested previously with those same scales.
#depression #academia #anxiety - sciencedaily.com

'Anxiety cells' identified in the brain's hippocampus: Neuroscientists have found, in mice, that certain cells fire when the animal is anxious, triggering anxiety-related behaviors -- ScienceDaily

"We call these anxiety cells because they only fire when the animals are in places that are innately frightening to them," Hen says. "For a mouse, that's an open area where they're more exposed to predators, or an elevated platform." The firing of the anxiety cells sends messages to other parts of the brain that turn on anxious behaviors -- in mice, those include avoiding the dangerous area or fleeing to a safe zone. Though many other cells in the brain have been identified as playing a role in anxiety, the cells found in this study are the first known to represent the state of anxiety, regardless of the type of environment that provokes the emotion. "This is exciting because it represents a direct, rapid pathway in the brain that lets animals respond to anxiety-provoking places without needing to go through higher-order brain regions," said Mazen Kheirbek, PhD, an assistant professor of psychiatry at UCSF and study's other senior investigator. "Now that we've found these cells in the hippocampus, it opens up new areas for exploring treatment ideas that we didn't know existed before," says the study's lead author Jessica Jimenez, PhD, an MD/PhD student at Columbia University's Vagelos College of Physicians & Surgeons.
#paleotherapy #anxiety #hippocampus - sciencedaily.com

Feel anxious? Have trouble sleeping? You may be traveling for business too often -- ScienceDaily

People who travel for business two weeks or more a month report more symptoms of anxiety and depression and are more likely to smoke, be sedentary and report trouble sleeping than those who travel one to six nights a month, according to a latest study conducted by researchers at Columbia University's Mailman School of Public Health and City University of New York. Among those who consume alcohol, extensive business travel is associated with symptoms of alcohol dependence. Poor behavioral and mental health outcomes significantly increased as the number of nights away from home for business travel rose. This is one of the first studies to report the effects of business travel on non-infectious disease health risks. The results are published online in the Journal of Occupational and Environmental Medicine.
#depression #addiction #anxiety #sales - sciencedaily.com

Smartphone addiction creates imbalance in brain, study suggests -- ScienceDaily

The study involved 19 young people (mean age 15.5, 9 males) diagnosed with internet or smartphone addiction and 19 gender- and age-matched healthy controls. Twelve of the addicted youth received nine weeks of cognitive behavioral therapy, modified from a cognitive therapy program for gaming addiction, as part of the study. Researchers used standardized internet and smartphone addiction tests to measure the severity of internet addiction. Questions focused on the extent to which internet and smartphone use affects daily routines, social life, productivity, sleeping patterns and feelings. "The higher the score, the more severe the addiction," Dr. Seo said. Dr. Seo reported that the addicted teenagers had significantly higher scores in depression, anxiety, insomnia severity and impulsivity. The researchers performed MRS exams on the addicted youth prior to and following behavioral therapy and a single MRS study on the control patients to measure levels of gamma aminobutyric acid, or GABA, a neurotransmitter in the brain that inhibits or slows down brain signals, and glutamate-glutamine (Glx), a neurotransmitter that causes neurons to become more electrically excited. Previous studies have found GABA to be involved in vision and motor control and the regulation of various brain functions, including anxiety. The results of the MRS revealed that, compared to the healthy controls, the ratio of GABA to Glx was significantly increased in the anterior cingulate cortex of smartphone- and internet-addicted youth prior to therapy. Dr. Seo said the ratios of GABA to creatine and GABA to glutamate were significantly correlated to clinical scales of internet and smartphone addictions, depression and anxiety.
#depression #anxiety #mobile - sciencedaily.com

Personal experience with Xanax

I started out taking Xanax 0.25 mg nightly only as a sleep aid, as my eyes felt like sandpaper and were interfering with my sleep.  After only a few weeks, I began to experience severe anxiety during the day, which required more Xanax (up to 1 mg per day).  I began to think that I was going crazy. I also developed a tremor and underwent an extensive neurologic evaluation, including a lumbar puncture that resulted in a severe spinal headache and an ER visit for a blood patch to stop the leaking cerebrospinal fluid. Xanax was never suggested as a cause for my tremor, although my dose relieved the symptoms of the tremor. It got to the point where I needed to dose every 6 hours as the Xanax would only last a few hours, then I would experience severe symptoms like difficulty breathing, chest tightness, and inability to swallow.  I lost about 15 pounds (I am only 5’3” and got down to 115 pounds).  I looked like a skeleton.  I was terrified to be alone. I would wake up at night after 3 hours of sleep with my heart pounding and in a sheer panic. After doing my own research, I discovered that I was experiencing inter-dose withdrawals and had become dependent on Xanax.
#addiction #anxiety #benzos #causality - benzoinfo.com

CBT plus video games plus heart rate monitors

In a subsequent outpatient study the researchers randomized 20 youth to 10 cognitive behavior therapy sessions and videogame therapy that required them to control their heart rate, and 20 youth to CBT with the same videogame but not linked to heart rates. All the adolescents had anger or aggression problems, said Dr. Gonzalez-Heydrich, who was senior author of the study. Therapists interviewed the children’s primary caregiver before and two weeks after their last therapy session. They found the children’s ratings on aggression and opposition were reduced much more in the group that played the game with the built-in biofeedback. The ratings for anger went down about the same in both groups. The findings were presented at the American Academy of Child and Adolescent Psychiatry conference in 2015. The study is currently under review for publication.
#ADHD #anxiety #CBT #heart - wsj.com

Food allergies linked to childhood anxiety -- ScienceDaily

Among the children with a food allergy, 57 percent reported having symptoms of anxiety compared to 48 percent of children without a food allergy. Approximately 48 percent of the children had symptoms of depression with or without a food allergy. "Management of food allergy can be expensive both in terms of food shopping, meal preparation, and the cost of epinephrine auto-injectors, which expire annually," said Renee Goodwin, PhD, in the Department of Epidemiology at the Mailman School of Public Health and lead author. "These demands could result in higher levels of anxiety for those with fewer financial resources and further heighten anxiety symptoms in children and their caregivers." The results suggest that food allergy is particularly linked to elevated social anxiety and fear of social rejection and humiliation.
#anxiety #allergy #family - sciencedaily.com

Psychiatric drugs killing more users than heroin, cocaine: experts | Vancouver Sun

“The interesting thing about this is that it’s a prescription drug and people think they’re safe,” Ahamad said. “But as it turns out, we’re probably prescribing these drugs in a way that’s leading to harm.” Kerr noted that the rise in BZD-related deaths — “It’s been an epidemic brewing for many, many years” — very closely mirrors a rise in opioid-related deaths that has been widely documented. He cited a fourfold increase in BZD-related deaths in the United States between 1999 and 2014, and also noted that there are 50 per cent more deaths each year in the U.S. due to psychiatric medicine than heroin. “These studies really reveal how very dangerous these drugs are, and they should be used with great caution,” Kerr said. “We can’t just focus on opioids, we need to look at other medications that are used in combination.”
#medicalindustrialcomplex #addiction #pharma #anxiety #medicine - vancouversun.com

Longitudinal trends in self-reported anxiety. Effects of age and birth cohort during 25 years. - PubMed - NCBI

METHODS: A random sample of non-institutionalized persons aged 16-71 years was interviewed every eighth year. Self-reported anxiety was assessed using the question" Do you suffer from nervousness, uneasiness, or anxiety?" (no; yes, mild; yes, severe). Mixed models with random intercepts were used to estimate changes in rates of anxiety (mild or severe) within different age groups and birth cohorts and in males and females separately. In addition to three time-related variables - year of interview, age at the time of the interview, and year of birth -the following explanatory variables were included: education, urbanization, marital status, smoking, leisure time physical activity and body mass index. RESULTS: Overall prevalence of self-reported anxiety increased from 8.0 to 12.4% in males and from 17.8% to 23.6% in females, during the 25-year follow-up period. The increasing trend was found in all age groups except in the oldest age groups, and the highest increase was found in young adults 16-23 years, with more than a three-fold increase in females, and a 2.5-fold increase in males, after adjustments for covariates.
#paleotherapy #anxiety #video - ncbi.nlm.nih.gov

Meta analysis: exercise promotion is ineffective for social anxiety disorder (see powerpoint slide)

All psychological interventions apart from promotion of exercise and other psychological therapies (supportive therapy, mindfulness, and interpersonal psychotherapy) had greater effects on outcomes than did waitlist (table; figure 3). In decreasing order of effect size, these were individual cognitive–behavioural therapy (CBT; class effect SMD −1·19, 95% CrI −1·56 to −0·81), group CBT (−0·92, −1·33 to −0·51), exposure and social skills (−0·86, −1·42 to −0·29), self-help with support (−0·86, −1·36 to −0·36), self-help without support (−0·75, −1·25 to −0·26), and psychodynamic psychotherapy (−0·62, −0·93 to −0·31).
#exercise #paleopsychiatry #anxiety #CBT - thelancet.com

Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis - The Lancet Psychiatry

Individual CBT compared with psychological placebo (SMD −0·56, 95% CrI −1·00 to −0·11), and SSRIs and SNRIs compared with pill placebo (−0·44, −0·67 to −0·22) were the only classes of interventions that had greater effects on outcomes than appropriate placebo. Individual CBT also had a greater effect than psychodynamic psychotherapy (SMD −0·56, 95% CrI −1·03 to −0·11) and interpersonal psychotherapy, mindfulness, and supportive therapy (−0·82, −1·41 to −0·24). Interpretation Individual CBT (which other studies have shown to have a lower risk of side-effects than pharmacotherapy) is associated with large effect sizes. Thus, it should be regarded as the best intervention for the initial treatment of social anxiety disorder. For individuals who decline psychological intervention, SSRIs show the most consistent evidence of benefit.
#exercise #paleopsychiatry #anxiety #CBT #placebo - thelancet.com

Why virtual reality could be a mental health gamechanger | Science | The Guardian

We’ve just completed the first review of every study that has used VR to assess, understand, and treat mental health conditions. The earliest was undertaken almost 25 years ago, at a time when the cost and complexity of the equipment and programming meant that research was confined to a very small number of specialist centres. Since then 285 studies have been published. Most of those have focused on using VR to treat anxiety disorders and particularly phobias, social anxiety, and PTSD. The results have been encouraging — VR is a proven means of delivering rapid, lasting improvements.
#depression #anxiety #vr - theguardian.com

Mouse study identifies new method for treating depression: Inhibiting brain enzyme alleviates depression, and does it much faster than conventional antidepressants -- ScienceDaily

Palmer and team unraveled a previously underappreciated molecular process that can influence mouse models of depression. Here's how the process works: Cells generate energy. In doing so, they produce a byproduct. That byproduct inhibits neurons and thus influences various behaviors. Typically, the enzyme GLO1 removes this byproduct, but inhibiting GLO1 can also increase the activity of certain neurons in a beneficial way. In mice, Palmer and others have shown that more GLO1 activity makes mice more anxious, but less was known about the system's effect on depression. Palmer and team wondered if they could reduce signs of depression by inhibiting the GLO1 enzyme. The researchers used several different antidepressant tests. They compared responses in three groups of mice: 1) untreated, 2) treated by inhibiting GLO1, either genetically or with an experimental compound, and 3) treated with Prozac, a selective serotonin reuptake inhibitor commonly used to treat depression. The first tests they used were the tail suspension test and the forced swim tests, which are often used to determine whether or not a compound is an antidepressant. In this case, the answer was yes. The other tests -- chronic forced swim test, chronic mild stress paradigm and olfactory bulbectomy -- are well-established measures that can also be used to measure how long it takes for an antidepressant to take effect. In each of these tests, inhibiting the GLO1 enzyme reduced depression-like symptoms in five days, whereas it took 14 days for Prozac to have the same effect. While this new approach to treating depression has so far only been tested in mice and it will take many years of development before a GLO1 inhibitor could be tested in humans, the researchers are excited to find that new, unexplored approaches to treating depression are out there.
#depression #neurons #anxiety #energy #rubegoldberg #GLO1 #prozac - sciencedaily.com

Groundbreaking fMRI study finds 4 distinct neurological subtypes of depression - ExtremeTech

We found that, superimposed on this shared pathological core, distinct patterns of abnormal functional connectivity differentiated the four biotypes and were associated with specific clinical-symptom profiles. For example, as compared to controls, reduced connectivity in frontoamygdala networks, which regulate fear-related behavior and reappraisal of negative emotional stimuli, was most severe in biotypes 1 and 4, which were characterized in part by increased anxiety. By contrast, hyperconnectivity in thalamic and frontostriatal networks, which support reward processing, adaptive motor control and action initiation, were especially pronounced in biotypes 3 and 4 and were associated with increased anhedonia and psychomotor retardation. And reduced connectivity in anterior cingulate and orbitofrontal areas supporting motivation and incentive-salience evaluation was most severe in biotypes 1 and 2, which were characterized partly by increased anergia and fatigue.
#depression #paleopsychiatry #anxiety #fMRI #amygdala #neurotypes #limbic - extremetech.com