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 BrainReplicating 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.

adelobasileusadelobasileus

AdelobasileusPredator or pray?

‘Normal’ or not?

Prefrontal Vs Limbic…

Unruly kids….. Tired teacher….

Limbic system (hyper- vigilant/chronic arousal..)

PFC (weakened due genetics/upbringing/experien

ces/trauma/hormone fluctuations/hungry/tired..)

Brainstem (overactive/dysfunctional…)

PAG*

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?