Dealing with doubt: North Tahoe psychologist’s clinic focuses on anxiety, OCD …

INCLINE VILLAGE, Nev. — According to the National Institute for Mental Health, more than 40 million people in the United States suffer from anxiety disorders. That’s roughly 18 percent of the population — or nearly one in five Americans.

While most people experience some level of anxiety, those who suffer from anxiety disorders can become overwhelmed and have difficulty dealing with day-to-day life.

To help those who are challenged by these types of disorders, Dr. Barry Barmann and his wife, Mary, created the Center for Anxiety and Chronic Worry in Incline Village, the only such clinic in the North Tahoe area.

“Within two months of opening our clinic, we had a six-week waiting list for those who needed to be treated for some type of anxiety condition,” Barry Barmann said.

The Barmanns, who have operated an anxiety clinic in Westlake Village, Calif. (Ventura County) for 27 years, have owned a second home in Incline Village for the past 17 years.

For years, their Tahoe friends have been suggesting they open a clinic in Washoe County, and after determining the demand was here, they opened the center last year on Village Boulevard.


We all need a bit of anxiety in our life to getting us out of bed in the morning and working toward accomplishing our goals. It’s that little juice that gets us to work on time and reminds us to call our parents.

But for many people, harboring too much anxiety makes it hard to perform the simple tasks that everyone needs to be successful in life.

Barry Barmann, Ph.D., a Licensed Clinical Psychologist in Nevada and California, said those who suffer from an anxiety disorder tend to “overestimate the probability of encountering danger, overestimate the severity of the outcome, and underestimate their ability to be able to handle any danger.”


READ MORE: Chronic worry is a double-edged sword, writes Dr. Barmann in his new North Lake Tahoe Bonanza column, “Got Anxiety?”


Often, those who suffer from overwhelming anxiety, Barmann said, follow a rule that, “whenever you feel uncertain about something, you get really anxious. People who are anxious hate uncertainty; they cannot deal with doubt.”

These disorders can start fairly early in life, he said. The average age for women to develop an anxiety disorder is 22, while men usually develop it even sooner, in their late teens.


Anxiety disorders include Obsessive Compulsive Disorder, Panic Disorder, Generalized Anxiety Disorder, Social Anxiety and various types of Phobia.

Barmann uses a technique known as cognitive behavioral therapy, which begins with a thorough assessment of the patient, to determine if he or she has a disorder that needs treatment.

Once he finds out what the patient is suffering from, he said, “I begin with education, teaching them everything there is to know about that disorder. I want them to know their condition.”

Then he develops a “very specific, individually based treatment protocol” for each patient.

A big part of this protocol is the patients have to commit to work hard to overcome the disorder.

He assigns homework they need to accomplish between sessions, which in most cases means practicing the techniques he has taught them to deal with their anxiety issues.

“People who are anxious avoid what makes them anxious,” Barmann said. “With cognitive behavioral therapy, we are changing their misinterpretation of what the reaction would be.”

This is done by gently exposing patients to what triggers their anxiety, so they learn that what they fear is actually not likely to happen — or, if it does, they can handle it.

For example, if you have people who have a fear of social interaction so severe they haven’t been able to leave the house for four years, Barmann would tell them to go to a grocery store once a day for an hour and ask five people what time it is.

Later, as they gain confidence, he will teach them to speak to a small group of people for a few minutes, and then to a larger group for a longer period of time.


The goal with all this is for people to discover that things are not as bad as they think.

“I see people rarely more then 12 sessions,” Barmann said.

He wants patients to leave with a skillset they didn’t have when they came in, which will enable them to deal with anxiety on their own.

After initial sessions, Barmann usually sees patients once a month for a few months, then once every six months.

“They learn how to shift their reaction to everyday events, from feeling threatened to being able to handle it,” he said.

The Center for Anxiety and Chronic Worry is located at 120 Village Blvd.

In addition to comprehensive cognitive behavioral therapy available by appointment, the center hosts free seminars on chronic worry and anxiety disorders.

The Barmanns also provide continuing education courses for Nevada nurses on how to deal with anxiety disorders seen in the medical setting, and assessments for ADHD (Attention Deficit Hyperactivity Disorder) in children and adults.

To learn more, visit, call 805-379-2800 or email Barmann at

— Tim Hauserman, a nearly lifelong resident of Tahoe City, is a freelance author and cross-country ski instructor. He may be reached at

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