Richard Katesmark
Registered Osteopath
(special interest; Headaches and Migraines)
Anxiety, you cannot be serious!
BIG problem….
• 1 in 6 adults had experienced some form of
‘neurotic health problem’ in the previous
week (1) The most common neurotic
disorders were anxiety and depressive
disorders.
• More than 1 in 10 people are likely to have
a ‘disabling anxiety disorder’ at some stage
in their life .
• There are approximately 3 million adults in
the UK with an anxiety disorder .
• At present 40% of disability worldwide is
due to depression and anxiety .
..& more statistics…..
• Just 15% of people with mixed anxiety and
depression – the most common anxiety related
diagnosis - are receiving medical treatment.
• 800,000 more UK adults would have qualified for
the diagnosis of an anxiety disorder in 2007 than
in 1993 .
• The highest incidence of the onset of anxiety
attack disorder occurs in the 17 to 25 years of age
range .
HIDDEN
COSTS…..
Does it make you ill?
Why do some (most?) people drink
and/or smoke?
AND YET…
• Mental health is chronically underfunded. It accounts for
28% of the disease burden, but gets just 13% of the NHS
budget.
• The recent decision by NHS England & the health regulator
Monitor to recommend cutting funding for mental health
services by 20% more than that for acute hospitals.
• mental health trusts suffered a 2.3 per cent real terms
funding cut between 2011-12 and 2013-14, when figures
were adjusted for inflation.
• One in five trusts saw income reduce by 5-9 per cent, while
five saw budgets plunge by more than 10 per cent.
Anxious, me ? You cannot be
serious!
Laptop Vs Brain
Replicating the function of just one of the brain's neurons requires the
equivalent of a laptop in computing power [source:Human brain
project]. And the brain has billions of neurons.
adelobasileus
adelobasileus
Adelobasileus
Predator or pray?
‘Normal’ or not?
Prefrontal Vs Limbic…
Unruly kids…..
Tired teacher….
Limbic system (hyper- vigilant/chronic arousal..)
Brainstem (overactive/dysfunctional…) PAG*
PFC (weakened due
genetics/upbringing/experiences/trauma/hormone
fluctuations/hungry/tired..)
Anxiety
Disorder of arousal ;
•
•
•
•
•
•
•
•
Genetic
Foetal enviroment
Birth
Early experiences
Learned behaviours
Life events
Lifestyle
Other……..
Disorder of Regulation/
loss of equilibrium
• As above
• Trauma
• Other….
Straw that breaks the camels back..
Early
Recognition
Management/treatment
•
•
•
•
•
•
Reassurance*
Advice
Self-help
Exercises
Talk therapies
Complementary
medicine
• Medication
Reassurance
• Pros and Cons
(see handout)
Any Questions?