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?