Hearing loss and anxiety: What’s the connection?

If you’ve just been diagnosed with hearing loss—or your hearing has gotten worse—you may be feeling anxious.

Anxiety is a persistent heightened state of alert. It’s a normal reaction to stressful situations, but for some people it spirals out of control and becomes a disorder in and of itself. Often, that means they can’t stop thinking “what if?” 

Hearing loss can trigger or feed into anxious thinking or other symptoms, though the links haven’t been thoroughly studied. Sometimes the anxiety and rumination isn’t strictly focused on hearing, but seeps out like a stain on a dress.

When you have hearing loss, you may worry about a lot of things: What if I don’t hear something important? What if I misunderstand someone and embarrass myself? What if my hearing aid batteries run out? What if I get passed up for a promotion because of my hearing loss? What if my tinnitus gets worse? And so on. 

Physical signs of anxiety

Anxiety can trigger physical symptoms: nausea, dizziness, muscle aches, insomnia and trouble concentrating, among others. You may feel a sense of dread or doom, as if you’re standing on the edge of windy cliff.

If these thoughts and physical sensations are becoming persistent, intrusive and affecting your quality of life, it may be time to seek professional help. This may require treating both your hearing loss and your anxiety. How this plays out day-to-day varies by your unique circumstances, however.

Why are you anxious? 

Mental health professionals generally categorize anxiety into five buckets: obsessive-compulsive disorder, post-traumatic stress disorder, social anxiety disorder, panic disorder and generalized anxiety disorder. If you have a car accident and banged your head, you might experience rapid hearing loss and possibly other symptoms of post-traumatic stress disorder. Your symptoms and treatment plan might look very different from someone who has slowly been losing her hearing and is constantly looking for signs that she’s developing dementia (when it’s really just hearing loss).

Complicating the picture is that people with hearing loss may have a related condition that causes tinnitus and dizziness, which can be unsettling and anxiety inducing, as well.

Related: Why anxiety often accompanies balance disorders, and what to do about it

What the research shows

Struggling in everyday situations that aren’t difficult for other people is stressful. Anxiety is one response to stress. In a 12-year study of nearly 4,000 French people age 65 and up, participants diagnosed with hearing loss at the beginning had a greater chance of developing anxiety symptoms over time.

Interestingly, people with vision loss weren’t more likely to become anxious. It’s often observed that people accept wearing glasses more easily than hearing aids—possibly because of the anxiety associated with hearing loss.  

In general, evidence of a tie is stronger when it corresponds with severity. In a study of more than 1,700 adults aged 76 to 85 who were not living in an institution, those with mild hearing loss had a 32 percent higher risk of reporting anxiety. If you had a moderate or higher loss, your chance of anxiety rose by 59 percent.

Hearing loss severity and tinnitus increase risk

The tie to severity also showed up in research among adults of all ages. In an overview of 25 studies that evaluated more than 17,000 adults in all, the team found a higher risk of anxiety if your hearing loss was more severe or if you had tinnitus.

None of this means that you’re doomed to be anxious because of your hearing loss. Within the overview, in five studies that looked at symptoms among the hearing impaired at one point in time, between 15 percent and 31 percent of the participants had clinically significant anxiety symptoms. In other words, most didn’t.

Those numbers are higher than we’d like—but anxiety is common. About 18 percent of American adults qualify as having an anxiety disorder in any year, the Anxiety and Depression Association of America (ADAA) reports.

Do I have social anxiety or am I just frustrated by not hearing?

Age-related hearing loss, called presbycusis, typically sneaks up on you over time. You may not even notice that you’re giving up on noisy social occasions because of your hearing loss. Instead, you accept that you “just don’t like parties.”

Loneliness can creep up on you as well, and contribute to medical problems and yes, anxiety.

People with social anxiety are afraid of any situation in which they might be negatively judged, from conversations with superiors on the job to dates, small-talk and parties.

Hearing loss does create situations that can irritate other people. When you can’t hear well, you may miss clues that let you know when someone is about to talk or hasn’t yet finished, and end up interrupting. You might pretend to hear, or guess, or think you heard someone—and reply inappropriately. You didn’t hear the joke—and you’re the only one who didn’t laugh. So hearing loss can make you feel left out or socially unskilled.

If you enjoy being around people, your social anxiety is mild. For example, Dr. Blazer notes that some people go to religious services, but come in late and leave early so they don’t have to chit-chat. Their problems might be solved by hearing aids. If you have extreme social anxiety, simply sitting with people would make you anxious.

People diagnosed with generalized anxiety disorder (GAD) may be flooded with worry and struggle with a gamut of physical symptoms for days before a date or job interview.

Communication tools can help

If your problem is primarily the struggles of socializing with hearing loss, you can learn to love social gatherings again. You can take someone to a quieter room and have a great conversation—once you’ve got your hearing aids. Also, learn the key communication tools for people with hearing impairments. 

Even with hearing aids, living with hearing loss requires an attitude adjustment. For example, you may need to accept that you can’t hear the people at the other end of a long table. (As a person with hearing loss, I’ve learned not to be embarrassed when other people are laughing at a joke I didn’t catch. I just say, “I didn’t hear that.”) 

Could anxiety disorders hurt your hearing?

Possibly. In a study of more than 10,500 adults in Taiwan, researchers found a greater risk of sudden hearing loss among those with an anxiety disorder. In the 12-year French study mentioned above, volunteers diagnosed with GAD but not hearing loss at the beginning of the research were more likely to develop hearing loss than those without GAD. Interestingly, those with GAD were not more likely to experience a decline in their vision.

More study would explain why hearing in particular might be affected by anxiety. 

Anxiety is ‘highly treatable’ 

What can you do? Most people with anxiety problems are never treated, the ADAA points out, although these disorders are “highly treatable.”

“Anxiety is very common but the healthcare profession doesn’t pay attention to it,” psychiatrist Dan Blazer told Healthy Hearing. Dr. Blazer, professor emeritus of psychiatry and behavioral sciences at Duke University Medical Center, chaired the National Academies Committee on Accessible and Affordable Hearing Health Care for Adults. “We just throw up our hands.”

So don’t wait for an annual checkup—you’ll need to reach out to your doctor or seek a psychiatrist or psychologist. Treatment for anxiety may include medication—Lexapro and Paxil are first-line choices—and talk-therapy such as cognitive behavioral therapy (CBT), in which you learn how to tame repetitive and negative thoughts. For the physical symptoms, tools like exercise and meditation can help. If you have tinnitus, you also may be grappling with anticipatory anxiety.

Hearing aids and other devices 

And of course, if hearing loss is triggering anxiety, hearing aids could dramatically improve your life. While they will not restore your hearing to normal, they can help you deal with some of the worrying aspects of hearing loss, such as communication snafus. There are also phone apps and other devices you can use to manage specific fears. For example, if you need to set an alarm very loud but wake up panicked by the shriek in the dark, consider a clock that produces a light like the sunrise, or a bed shaker alarm. There are many other assistive listening devices that can make hearing loss less anxiety-inducing.

But just the thought of hearing aids makes me anxious 

When you’re anxious in general or about hearing, you may be anxious about your hearing aids as well.

Although it’s common to stall and be anxious when you first face your hearing problem, people tend to adjust to hearing aids over weeks or months, retired audiologist Richard Carmen and psychiatrist Dr. Shelley Uram write. Men are especially likely to take pride in being healthy, so they resist admitting what seems like a weakness.

Some patients seem to adjust, largely to please other people, but months later, simply stop wearing their aids. “Because their anxiety was never confronted or because their anxiety is too overwhelming, their coping mechanisms are unable to rise to the occasion of dealing with the hearing loss or hearing aids,” Carmen and Uram note. When these people give up on their hearing aids, they end up feeling isolated. Too many dig in their heels and get angry at family and friends who complain that they can’t hear. 

Dr. Blazer describes a patient, a prominent man who felt uncomfortable attending his Lion’s Club because he couldn’t keep up with the conversation. “When he came to see me, five minutes in, he’d say, ‘I probably should put on my hearing aid,’” Dr. Blazer told Healthy Hearing.  

Don’t be that person. Instead, be open with your hearing care team so together you can make sure your hearing aids are rewarding enough to wear through the day. Don’t let anxiety get in the way.

Luke Combs Says He Has Anxiety and OCD

Luke Combs is speaking publicly about having anxiety and obsessive thoughts in a new installment of The Big Interview With Dan Rather.

Before the full episode airs on Wednesday (Jan. 13), fans can check out a clip of Combs detailing his mental health struggle.

“It’s something that I always struggled with, and always affected me,” the singer reveals. “The first time I can remember is probably middle school up to the end of college, and I still have my moments here and there.”

Combs says he lives with a lesser-known form of obsessive compulsive disorder (OCD) known as Purely Obsessional OCD, which is marked by intrusive, distressing thoughts that come in waves.

“Essentially, my version of messing with the blinds or straightening the carpet are thoughts that I play over and over in my head,” Combs continues. “[For example,] it’ll be something about my health. I’ll be worried that I’m … about to have a heart attack, or a stroke. It becomes this very obsessive thing that I, you literally can never have an answer to.”

Combs says the key to taking control of his anxiety has been in arming himself with knowledge and understanding the patterns behind these obsessive thoughts.

“You have to teach yourself to be comfortable with the fact that you will never get an answer, and that it is a super uncertain thing. That’s what I particularly have struggled with. Sometimes that’s tough, but it’s something that you learn about yourself,” he points out.

Though he still deals with anxiety from time to time, Combs says that for the most part, he feels in control of his OCD.

“It’s something that I’ve learned about, and I’ve been able to get a hold of. So it’s been great to [feel] free from those things, for a long time now,” he says.

The singer certainly hasn’t let his struggles stand in the way of a successful musical career. 2020 brought Combs another banner year of chart and streaming successes, and his sophomore album, What You See is What You Get, was the top-selling album of the year. He’s also responsible for two of the Top 10 most-played country songs of 2020, with “Lovin’ on You” and “Does to Me” (his duet with Eric Church) coming in at No. 9 and No. 8, respectively.

The Big Interview With Dan Rather airs on Wednesday (Jan. 13) at 8PM ET on AXS TV.

Luke Combs Says His OCD Causes Him to Fear He’s ‘About to Have a Heart Attack’

The country star, 30, appears in an upcoming episode of The Big Interview with Dan Rather, which will air on Wednesday at 8 p.m. EST on AXS TV. While discussing some of the positive progress he has made while coping with anxiety, Combs told the host, 89, “I still have my moments here and there. It’s something I’ve learned about and it’s something I’ve been able to get a hold of.”

Anxiety Disorders and Depression Treatment Market Share by Top Manufacturers – Eli Lilly and Company

Pune, Maharashtra, India, January 13 2021 (Wiredrelease) Brandessence Market Research and Consulting Pvt ltd –:Anxiety Disorders and Depression Treatment Market is valued at USD 16.83 Billion in 2018 and expected to reach USD 20.97 Billion by 2025 with the CAGR of 3.19% over the forecast period.

Rising mental health issues such as depression, anxiety disorders, schizophrenia and growing geriatric population are boosting the global market for anxiety disorders and depression treatment.

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Scope of the Report:

Conditions of depression and anxiety are the most prevalent psychological conditions affecting a large population across the globe. Depression is linked to an emotional state which further affects the individual concerned actions, thoughts and sometimes sleeping patterns. Depression is a brain related psychiatric condition which includes feeling depressed and exhausted, losing motivation and having trouble enjoying every day routine activities. Depression exists mainly because of causes like social isolation and stressful work climate. While anxiety is a natural response to stress that can be helpful in certain cases. Anxiety disorders and depression are distinct, but depressed people frequently experience anxiety disorder like symptoms such as nervousness, irritability, sleeping and concentration issues. Persons with anxiety feeling may interfere with everyday tasks such as job performance, school work and relationships. Anxiety disorders vary from natural feelings of nervousness or anxiety, which include extreme fear or anxiety. High anxiety rates contribute to anxiety disorders that include phobias, obsessive-compulsive disorder, panic disorder, post-traumatic stress-based disorder. There are various effective treatments are available for moderate and severe depression and anxiety. Psychological treatments may be provided by health care providers such as behavioral activation, cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) or antidepressant drugs such as selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs). Specific psychological treatment methods like face-to-face psychological therapies are also provided.

The global anxiety disorders and depression treatment market is segmented on the basis of product, indication and region and country level. On the basis of product, the global anxiety disorders and depression treatment market are classified into drugs, therapy and devices. Based on indication, the anxiety disorders and depression treatment market is classified into major depressive disorder, obsessive- compulsive disorder, phobias and traumatic stress disease.

The regions covered in global anxiety disorders and depression treatment market reports are North America, Europe, Asia-Pacific and Rest of the World. On the basis of country level, global market is sub divided in U.S., Mexico, Canada, U.K., France, Germany, Italy, China, Japan, India, South East Asia, GCC, Africa, etc.

Anxiety Disorders and Depression Treatment Companies:

Global anxiety disorders and depression treatment market reports cover prominent players,

Eli Lilly and Company Forest Laboratories, Inc. VistaGen Therapeutics AstraZeneca PLC Lundbeck A/S Sanofi-Aventis Merck Co., Inc. EverInsight Therapeutics Inc. Pfizer, Inc. GlaxoSmithKline plc Johnson Johnson Others

Global Anxiety Disorders and Depression Treatment Market Dynamics –

Rising mental health issues such as depression, anxiety disorders, schizophrenia is the key driver for anxiety disorders and depression treatment market. According to WHO, depression will affect around 264 million people of all ages worldwide in 2020. Depression at its worst can lead to suicide. Every year around 800,000 people die from suicide. According to World Health Organization (WHO), depression currently affects an estimated 350 million people worldwide. Depression affects men between 10 % – 15 % and women between 10 % – 25 %. According to an analysis from the National Center for Health Statistics  in 2017  the 16.6 % of people aged 40 to 59, 7.8 % of people those aged 20 to 39 and 3.4 % of teenagers aged 12 to 19 uses antidepressants drugs. Worldwide, the prevalence of anxiety disorders varies from 2.5 % to 7 % per country. An estimated 284 million people globally reported an anxiety disorder in 2017, making it the most common neurodevelopmental or mental health condition. Approximately 63 % which account nearly 179 million were female, compared to 105 million.

Another factor which drives the anxiety disorders and depression treatment market is growing geriatric population with higher mental illness rates. Incidences of anxiety disorders in the geriatric population are increasingly growing. This population is prone to psychological illnesses and thus contributes significantly to this market’s growth. According to an analysis from the National Center for Health Statistics in 2017 the percentage of older adults taking antidepressants over 60 years of age was 19.1%. The number of people aged 80 or older was around 125 million, according to WHO in 2018. Whereas, the WHO predicted that, between 2015 and 2050, the proportion of the world’s population over 60 years would nearly double from 12 to 22 %. Nonetheless, the poor pipeline of new products, patent expiration of existing antidepressant drugs and high costs associated with the usage of devices are existing factors that limit the global demand for anxiety disorders and treatment for depression. In addition, the advent of technologically advanced technologies such as experimental devices used to stimulate the brain and augmented reality perception technologies using smartphone-based software will create opportunities for anxiety disorders and depression treatment market over the forecast period.

Anxiety Disorders and Depression Treatment Market Regional Analysis –

In North America, the global anxiety disorders and depression treatment market is highly attractive due rise in anxiety disorder incidence rate, sedentary lifestyle and stressful work environments are the main factors responsible for rising cases of anxiety disorders. Depression affects around 1 in every 5 individuals in the US, according to CDC. It is estimated that in the United States around 16.2 million adults who accounts approximately 6.7 % of American adults, have experienced at least one major depressive disorder. Anxiety disorders are the most prevalent mental condition in the United States; people with age 18 and older in the United States affected by anxiety around 40 million which account 18.1 % of the population per year.

Anxiety Disorders and Depression Treatment Market Segmentation –

By Product: Drugs, Therapy, Devices

By Indication: Major Depressive Disorder, Obsessive- Compulsive Disorder, Phobias And Traumatic Stress Disease

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Obsessive-Compulsive Disorder (OCD)

Obsessive-compulsive disorder is a mental disorder whose main symptoms include obsessions and compulsions, driving the person to engage in unwanted, oftentimes distress behaviors or thoughts. It is treated through a combination of psychiatric medications and psychotherapy.

Obsessive-compulsive disorder (OCD) is an anxiety disorder characterized by recurrent and disturbing thoughts (called obsessions) and/or repetitive, ritualized behaviors that the person feels driven to perform (called compulsions). Obsessions can also take the form of intrusive images or unwanted impulses. The majority of people with OCD have both obsessions and compulsions, but a minority (about 20 percent) have obsessions alone or compulsions alone (about 10 percent).

The person with OCD usually tries to actively dismiss the obsessions or neutralize them by engaging in compulsions or avoiding situations that trigger them. In most cases, compulsions serve to alleviate anxiety. However, it is not uncommon for the compulsions themselves to cause anxiety — especially when they become very demanding.

A hallmark of OCD is that the person recognizes that their thoughts or behaviors are senseless or excessive.

However, the drive can be so powerful that the person caves in to the compulsion even though they know it makes no sense. One woman spent hours each evening sifting through the household trash to ensure that nothing valuable was being discarded. When asked what she was looking for, she nervously admitted, “I have no idea, I don’t own anything valuable.”

Some people who have had OCD for a long time may stop resisting their compulsive drives because they feel it’s just easier to give in to them.

Most OCD sufferers have multiple types of obsession and compulsion. Someone with OCD may complain primarily of obsessive-compulsive symptoms involving asbestos contamination, but a detailed interview may disclose that he/she silently counts floor tiles and hoards junk mail.

Learn more: Frequently Asked Questions and Do I Have OCD?

Examples of Obsessions

Common types of obsessions include concerns with contamination (e.g., fear of dirt, germs or illness), safety/harm (e.g., being responsible for a fire), unwanted acts of aggression (e.g., unwanted impulse to harm a loved one), unacceptable sexual or religious thoughts (e.g., sacrilegious images of Christ) and the need for symmetry or exactness.

Examples of Compulsions

Common compulsions include excessive cleaning (e.g., ritualized hand washing); checking, ordering, and arranging rituals; counting; repeating routine activities (e.g., going in/out of a doorway) and hoarding (e.g., collecting useless items). While most compulsions are observable behaviors (e.g., hand washing), some are performed as unobservable mental rituals (e.g., silent recitation of nonsense words to vanquish a horrific image).

Global Anxiety Disorders And Depression Treatment Market Size, Share, Trends, Dynamics, Analysis and Forecast 2020-2028

The Global Anxiety Disorders and Depression Treatment Market Report recently published by QYReports is a professional and in-depth study on the current state of the Anxiety Disorders and Depression Treatment industry. Different exploratory techniques such as, qualitative and quantitative analysis have been used to give data accurately. For better understanding of the customers, it uses effective graphical presentation techniques such as graphs, charts, tables as well as pictures. The report is studied with various aspects of the existing industries such as types, size, application, and end-users. It examines the Global Anxiety Disorders and Depression Treatment Market Industries to get better insights for improving the performance of the companies.

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This report splits Global into several key Region with sales, revenue, market share and growth rate of Global Anxiety Disorders and Depression Treatment Market in regions like North America, Latin America, Asia-Pacific, Europe, and India. The regions have been considered for studies on the basis of productivity, types of products or services along with its features. It also identifies the competitive landscape of Global Anxiety Disorders and Depression Treatment Market industries to understand the competition at domestic as well as global level. Analysts of this report throw light on different attributes such as, recent developments, technological platforms, tools and techniques that help to understand the existing market effectively.

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  • Pfizer Inc
  • GlaxoSmithKline
  • Merck Co. Inc
  • AstraZeneca
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  • Johnson Johnson
  • Forest Laboratories, Inc
  • Sanofi-Aventis
  • Lundbeck A/S
  • Bristol-Myers Squibb Company

Market split by product:

  • Antidepressant Drugs
  • Therapy Devices

Market split by applications:

  • Major Depressive Disorder (MDD)
  • Obsessive-Compulsive Disorder (OCD)
  • Phobia
  • Others

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  • Stringent regulatory challenges in Anxiety Disorders and Depression Treatment applications.
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  • Rising demand for Anxiety Disorders and Depression Treatment in market.
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Most youngsters are secretly battling with Bulimia Nervosa, eating disorder

New Delhi: The most recent Netflix’s series The Crown, throws light on Princess Diana’s fight with an eating disorder – Bulimia Nervosa, a perilous eating disorder of bingeing and then purging the food. This condition is a rising concern seen among young people today, and numerous such cases are currently being accounted for in India. Eating disorders are common but under-diagnosed conditions and are classified into different types based on the clinical features.

Bulimia nervosa is one of the most prevalent eating disorders and predominantly affects females (up to 2 per cent of females) of which 95 per cent are in the 12-25-year age group, Dr. Pramod Krishnan – Consultant and HOD – Neurology, Manipal Hospitals tells IANSlife. However, the incidence in males is increasing, he points out.

Since Bulimia is a disorder that can go unnoticed among parents, the expert shares the signs to watch out for:

Recurrent episodes of uncontrolled binge eating (consuming an abnormally large portion of food in a short period of time) associated with compensatory behaviours like self-induced vomiting, exercise, fasting, and purging using laxatives.

These episodes should occur at least once a week for a minimum period of 3 months to qualify for a diagnosis of bulimia nervosa. The cause of this condition is unknown and is probably multifactorial involving environmental influences like societal idealisation and emphasis about body shape, anxiety, personality disorders and sometimes, childhood sexual abuse. Genetic factors related to neurotransmitters like serotonin and dopamine may play a role.

Patients often feel they are ‘fat’ and are unduly concerned about their body image, like body weight and shape.

They develop weight fluctuations, swelling of feet, parotid gland enlargement, dental erosions, and calluses on fingers due to episodes of binge eating and induced vomiting.

They often develop complex eating and exercise routines with frequent visits to the bathroom.

Depression, anxiety, personality disorders and obsessive-compulsive disorders are common associated conditions.

Tests for metabolic and hormonal abnormalities are required as these complications may arise from the eating and purging habits. Patients with bulimia nervosa have a higher mortality rate compared to the general population.

The treatment requires a multi-disciplinary approach working in sync with the patient and family, involving:

Psychologists, psychiatrists, physicians, and nutritionists specialising in adolescent medicine

Psychotherapy is the foundation for successful treatment of bulimia nervosa

Cognitive behavioural therapy and interpersonal psychotherapy are proven therapies for bulimia nervosa

Mindfulness practices like meditation and yoga are also helpful

Medications like SSRIs may be useful in patients with psychiatric symptoms or not responding to psychotherapy. About 80 per cent of patients recover with therapy but 20 per cent may relapse and may be challenging to manage.

Deep Transcranial Magnetic Stimulation Benefited Patients With Severe Symptoms of Obsessive Compulsive Disorder

A prospective, double-blind, placebo sham-controlled study by researchers from Baylor College of Medicine found that patients with a higher symptom severity of obsessive compulsive disorder (OCD) were more likely to respond to deep transcranial magnetic stimulation (dTMS). The results were published in the Journal of Psychiatric Research.

Patients (N=100) with primary OCD were recruited at 11 sites between 2014 and 2017 for this study. Patients were randomized to receive 29 dTMS treatments over 6 weeks (5 per week for 5 weeks and 4 during week 6) or a sham treatment. The dTMS had an H shaped coil design which stimulated the dorsal medial prefrontal cortex (mPFC)-anterior cingulate cortex (ACC) bilaterally. The treatment group received 50 trains and 2000 pulses (20 Hz) per session in which the pulse trains were 2 seconds with a 20 second inter-train interval.

Patients were 84% White, 59% men, and aged mean 39 years. OCD symptoms were moderate to severe (57%), moderate (35%), and severe (7%).

At treatment conclusion, the model which incorporated fixed and random effects for dTMS therapy on OCD symptom reduction was significant (c2[2], 136.72; P .001) but was outperformed by a model which included moderators (c2[24], 50.54; P =.001). Significant cofactors associated with more rapid symptom reduction included older age (d, -0.62; P =.005), lower baseline OCD severity (d, 0.50; P =.023), and lower baseline disability (d, 0.47; P =.034).

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The significant moderator was the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS; d, -0.54; P =.017), in which patients in the treatment group reported a 6.3 Y-BOCS reduction and patients in the sham group, a 4.4-point reduction. Among patients who a Y-BOCS score of ³28 points at baseline, they reported a 5.9-point reduction in the treatment cohort and 2.0 point reduction in the sham group.

At 4-weeks post treatment, the fixed and random effects model (c2[2], 156.88; P .001) outperformed the model which included moderators (c2[24], 32.72; P =.11). Only baseline severity remained significant (d, -0.45; P =.042), although older age was trending toward significance (d, -0.43; P =.051).

The baseline Y-BOCS score remained significant at 4 weeks, in which those with a baseline ³28 points (d, -0.67; P =.047) reported a 7.1-point reduction in the treatment arm and 2.9-point reduction in the sham arm.

The major limitation of this study was the lack of diversity among its participants, making it unclear whether these results may be generalizable.

These findings suggested that bilateral dTMS stimulation of the mPFC/ACC may be effective for the treatment of patients with increased symptom severity. Patients with lower OCD severity would likely benefit more from other therapeutics.

Disclosure: Multiple authors declared affiliations with industry. Please refer to the original article for a full list of disclosures.


Storch EA, Tendler A, Schneider SC, Guzick AG, La Buissonniere-Ariza V, Goodman WK. Moderators and predictors of response to deep transcranial magnetic stimulation for obsessive-compulsive disorder. J Psychiatr Res. 2020;S0022-3956(20)31026-8. doi:10.1016/j.jpsychires.2020.10.023

Shadow Mountain Recovery Is Offering Anxiety Treatment Programs In Texas And New Mexico – Press Release

Shadow Mountain Recovery is offering treatment for anxiety disorders in Texas and New Mexico. The center is urging those suffering from anxiety to seek assistance, support, and treatment to prevent it from becoming a problem in their life.

According to the statistics from the Anxiety and Depression Association of America (ADAA), anxiety is the most common mental illness in the U.S. and it affects roughly 40 million adults (approximately 18 percent of the population) annually. The center says that anxiety disorders are extremely treatable, but less than 40 percent of sufferers receive proper treatment. Anxiety disorders can develop from a wide range of risk factors, which can include genetics, personality, life events, and brain chemistry. Individuals with an anxiety disorder are three to five times more likely to visit a health care provider and six times more likely to be placed in the hospital for psychiatric disorders than individuals who do not suffer from an anxiety disorder.

The center also says that anxiety is often found in conjunction with depression. Nearly 50 percent of individuals who have been diagnosed with depression are also diagnosed with an anxiety disorder. Many individuals with an anxiety disorder typically suffer from depression at one point or another, and they are believed to come from the same biological vulnerability. The center says that because depression can frequently create the symptoms of anxiety (and vice versa), it is vital that an individual seek anxiety treatment. The center then talks about panic disorders, obsessive-compulsive disorders, post-traumatic stress disorder, and phobias.

Panic disorder is a specific form of anxiety disorder that results in panic attacks, which are sudden feelings of terror for no particular reason. Its physical symptoms include dizziness, breathing difficulty, chest pain, and accelerated heart rate. Panic attacks can occur at any given time, at any location, and without any warning. In severe cases, fear will take over their lives culminating in a fear to even leave their houses. Therapy assists in showing individuals how to recognize and adjust thinking patterns that lead to a panic attack.

Obsessive-compulsive disorder (OCD) is another kind of anxiety disorder that is partially defined as including obsessions (upsetting, repeated thoughts). In an attempt to make these obsessions go away, individuals will do the same exact thing over and over again. These repeated actions are known as compulsions. Examples of obsessions include—but are not limited to—the fear of being hurt, germs, and more. Examples of compulsions include—but are not limited to—compulsively washing hands, checking on things, cleaning, counting, and other actions. When OCD is left untreated, it can take control of a person’s life.

Post-traumatic stress disorder (PTSD) often develops after seeing or living through a traumatic event, like a war, hurricane, physical abuse, rape, or a bad accident. PTSD causes the suffering individual to feel afraid and stressed even once the danger is over. PTSD has the ability to cause a variety of issues such as feeling worried, sad, or guilty, as well as feeling alone, having trouble sleeping or nightmares, flashbacks, feeling as if the traumatic event is occurring all over again, or angry outbursts. PTSD can occur at any time in life and can occur at various times in life for different individuals.

Phobia is another type of anxiety disorder; it is considered to be a very strong and unjustifiable fear of something that poses minimal to no actual danger. There are a variety of specific phobias. Individuals with phobias generally attempt to avoid whatever it is that causes their fear. They may experience symptoms such as a very strong sense to get away from the situation, panic, fear, trembling, shortness of breath, rapid heartbeat, and more. Medical treatments for individuals with phobias include medications, therapy, and likely, a combination of both.

The recovery center can be contacted at its phone number (855)-847-5684. There is also a contact form on its website for those suffering from anxiety to reach out and ask questions.


For more information about Shadow Mountain Recovery, contact the company here:

Shadow Mountain Recovery
(210) 750-6933
9601 McAllister Freeway
Suite 1108
San Antonio, Texas 78216

Understanding OCD and Cleaning

Although DSM-5 doesn’t list subtypes of OCD, some researchers group obsessions and compulsions into “symptom dimensions.” These clusters of symptoms share similar anxieties and behavior patterns.

Here’s a brief look at the symptom dimensions as currently described in scientific literature:

Contamination and cleaning

Some people have an extreme fear of becoming contaminated by germs, bodily fluids, or other substances — including abstract contaminants like evil or bad luck. People may even fear that they’re contaminating others.

An obsession with contamination can lead to a cleaning compulsion. People may believe that by cleaning objects or spaces in a specific order or with a particular frequency, they can avoid or recover from contamination or infection.

Symmetry and ordering

Some people become preoccupied with arranging objects in a certain order, often because of a kind of magical thinking or magical ideation. For example, individuals with OCD may think, “If I don’t line up my toiletries exactly this far apart, someone is going to harm me today, or if I clean my sink five times this morning, my brother won’t get sick today.”

Researchers have found that people with symmetry obsession and an ordering compulsion often have trouble expressing anger in healthy ways and may have a personal history of trauma.

Doubt about harm and checking

Some people have intrusive thoughts and fears about harming others or being harmed themselves. An excessive dread of being responsible for harm can lead to compulsive checking behaviors — for example, repeatedly making sure you’ve turned off the stove or an iron.

People affected by checking compulsions describe a feeling of incompleteness unless they perform certain rituals or behaviors. Other common compulsions include repeating mantras, prayers, or safety words to ward off danger or reduce anxiety.

Similar to symmetry and order compulsions, checking compulsions have been associated with anger and trauma.

Unacceptable thoughts and mental rituals

Some people experience frequent intrusive thoughts about things that violate their own sense of morality and goodness. Often, these unwanted thoughts involve sex, violence, or religious images.

Although people with this symptom cluster generally have no history of violence, they spend a lot of time and energy trying to suppress or erase these thoughts. Trying to squelch the thoughts can lead to even more anxiety, which tends to produce more unwanted thoughts — resulting in an unhealthy cycle.

Two of these symptom dimensions have a clear link to cleaning tasks: contamination and cleaning as well as symmetry and ordering.