Relief App by Amanda Higgs

Relief Anxiety Disorder App

Amanda Higgs 505 Senior Project

Table of Contents

Introduction 4 Problem Statement Value and Impact Scope Design Drivers

Research Intial Research Interviews Word Map Photo Study Directed Storytelling Web Review Body Mapping Personas Key Insights

Ideation Inspiration Sketches Structure Skeleton Preliminary Concepts

Final Design 44 Fonts Colors Final Product

Appendix 52 Bibliography 57

Introduction

Since I have been in college I have known four people that have had anxiety attacks or are diagnosed with anxiety disorders. I am not immune to the pressures of college and have had my share of anxiety ridden days but I never realized how often an anxiety disorder can affect your everyday life. One of the main issues in college right now is anxiety and stress. The rise of stress and anxiety have risen for college students. There is an estimate of about 40 million Americans that suffer from an anxiety disorder. With the rise there have been more problems with anxiety disorders specifically. A majority of people experience their first anxiety episode around the age of 22. This means many college students have anxiety or have had an anxiety attack. But a lot of people do not seek treatment.

Problem Statement Anxiety Disorders effect more than forty million people. Of those people, 66% of them do not seek treatment for the fear of being too reliant on medication.

Value & Impact Psychological

Creating awareness can prevent damage to their brains as well as protect their mental state. With the right treatment, you can live day to day with little interference.

Health

You can never get rid of an anxiety disorder but you can learn to cope with it. Without taking care of your body and mind, an anxiety disorder can effect your blood pressure and increase the risk of a heart disease.

Emotional

When your emotional state of mind is compromised it can send your life into a hysterical mess. That only enhances the affect that an anxiety attack can have on the mind and body.

In Scope/Out of Scope IN People with Anxiety Disorders Traditional Medicine Fear medicine Are NOT getting treatment

OUT People without Anxiety Disorders Medication Taking medicine Are getting treatment

Design Drivers

Relieve

Help relieve the daily stress of anxiety.

Acknowledge

Inform people of the symptoms and encourage them to seek help if they are experiencing problems with it.

Inform

Give them an understanding of what is happening in their body and what specific exercises and remedies can assist with it.

Resources

Create easy resources for anxiety ridden people to access in any environment and that will alleviate their symptoms quicker.

Research Initial Research Interviews Word Map Photo Study Directed Storytelling Web Review Body Mapping Personas

Initial Research Symptoms Feelings of stress and apprehension

1/3

Only of those suffering from an anxiety disorder receive treatment.

Irritability Trouble concentrating Fearfulness Sweating and dizziness Shortness of breath Irregular heartbeat Muscle pain and tension Headaches Frequent upset stomach or diarrhea

Anxiety disorders are the most common psychiatric illnesses affecting children and adults. An estimated 40 million American adults suffer from anxiety disorders. Only about 1/3 of those suffering from an anxiety disorder receive treatment, even though the disorders are highly treatable.

Anxiety disorders develop from a complex set of risk factors including:

genetics, brain chemistry, personality and life events.

it is more important “ toOften manage your emotional

reaction to stress than to try to change the stressful situation, which may not be fully under your control.

”

—Lisa Smith

Director of BU’s Center for Anxiety & Related Disorders and a College of Arts

& Sciences Clinical Associate Professor of Psychological and Brain Sciences

80% 75% say they frequently or sometimes experience daily stress

Forty million

U.S. adults suffer from an anxiety disorder

36%

of people with social anxiety disorder report experiencing symptoms for 10 or more years before seeking help.

of them experience their first episode of anxiety by age 22

Professional Interview 1 Melissa Hagan

Anxiety and depression often coexist together so if one person has depression it is most likely that they have anxiety. It can be more rare to have just an anxiety disorder by itself. I think behavior training works better than medication. Exposure Therapy is also a good way of limiting the impact of anxiety on their lives.

The brain is layered, oldest part is the bottom part, which governs how you breathe and walk. The middle brain is more emotions, hunger, sleep etc. And the highest part of brain is thinking, organization and planning. Anxiety operates at the lower sections of the brain.

â&#x20AC;&#x153;

PhD in Clinical Psychology PhD from Arizona State university with a 2 year post doctoral ship at UCSF Expertise in helping children, adolescents and adults exposed to dramatic events. Also focused on child depression, obsessive compulsive disorder and bi polar.

Professional Interview 2 David Gard

It is prevalent throughout the world and is the most common mental issue that is debilitating. Medication isn’t very effective because it can be addictive and cause high relapse rates in anxiety attacks.

The brain goes into overdrive and heightens your anxiety to the point where your body reacts. There is no way to get it to go away but you can adapt qualities that help.

“

Masters in Clinical Psychology PhD from UC Berkley Teaching at SFSU for 11 years with a focus in psychopathology

Interview 1 San Francisco State University Student Visual Communication Design Diagnosed with Social Anxiety Disorder, depression and ADHD

I know exercise helps but I don’t really do it, if I had time then maybe I would. When I tried seeing a psychologist I was just in a negative mindset the whole time and couldn’t get passed it. I feel hopelessness and loneliness often but I also experience back pains, sweating more often and getting hot/ red faced. I experience anxiety everyday like speaking up in class, wanting meeting someone new or get to know someone. Sometimes I’ll wear sunglasses when commuting to avoid talking to people. I also have to do a presentation first otherwise the anxiety builds up and gets to me, then afterwards I always feel down about myself.

“

For me, if I am in social situations more often then it becomes easier to deal with but if I have been busy with school and can’t go out as much because of it then it is harder to go out again.

Interview 2 San Francisco State University Student Information Systems Diagnosed with Social Anxiety Disorder and manic depression

I experience it all the time especially when I walk to class or work and talking to people or clients is very difficult.

I don’t like to leave my comfort zone because I don’t want people to judge me or think I’m stupid.

Sometimes my chest tightens or my palms and armpits will be super sweaty. I also forget to breathe and my face turns red, but most of the time I just want to cry.

“

My meds keep me happy but if I miss it one time then it makes me really sad. They also make me more talkative, approachable and overall more confident.

Interview 3 San Francisco State University Student Hospitality and Tourism Management Diagnosed with Generalized Anxiety Disorder

“

The medicine has mellowed me out a lot and the small things don’t get to me as easily now. I have had withdraws and it usually makes my anxiety worse than before I started taking the medicine.

“

I have changed my diet and avoided caffeine and alcohol for the most part. I try to work out sometimes but I like doing embroidering or listening to soothing music. It is hard for me to go outside of my normal routines without getting a lot of anxiety. I have feelings of impending doom and no matter how hard I try to rationalize things, it just doesn’t work.

Word Map

annoying leftout

hopelessness

nervous

tough

hide

stress

predictable

fear

confusing unpredictable

life long

hassle

What do you think of when you hear anxiety disorder?

doom

paranoid

Photo Study 1

Photo Study 2

Photo Study 3

Photo Study Analysis Photo Study 1

Interviewee one has a lot of anxiety when it comes to her responsibilities and being able to complete everything on time. She gets overwhelmed when she sees the amount of work that needs to be done in a short amount of time and her anxiety disorder takes over from there. She puts a lot of pressure on herself to get it all done and to make sure everything turns out well. This adds to her workload making her anxiety interrupt her daily life often.

Photo Study 2

Interviewee two has more fear of the outside world more then anything else. She is hyper aware when she is outside and trys to plan for the worst case scenario. A lot of her anxiety stems from the fear of the unknown and what could happen within her surroundings, inevitably interfering with her day to day.

Photo Study 3

Interviewee three has problems with general everyday anxiety like dealing with classes and people that she is uncomfortable with. She is the only one that said she experience anxiety because she has too much time on her hands and feels unproductive. Unlike the other two interviewees, her anxiety stems from stressful situations that build up inside her until they are released, usually in an anxiety attack.

Directed Storytelling Interviewee one:

What is the worst anxiety attack you have had? Where were you? “I was at a quinceanera party with 100+ people and I only new 3 people: my parents and a family friend.” What were you worried about? “I didn’t know the girl who’s party I was at and I didn’t want to be there. Everyone was super nice and very welcoming but I still couldn’t get into it. After dinner is when it got really bad to the point where I had heavy breathing and started dry heaving. It could have just been my surroundings were new plus I was in a place I didn’t know. I wasn’t in control of my surrounding and couldn’t escape.” How old were you? “15-16” How long did you have it for? “It was about 15-20 minutes but I felt it coming on for a while which was the hardest part.” Were there things in the environment that affected you? “I think the new people, new environment and even the celebration of a different culture was new and took away from some of the familiarity I am use to. “ How did you feel afterwards? “I was exhausted and drained but also relieved to leave.”

Directed Storytelling Interviewee two:

What is the worst anxiety attack you have had? Where were you? “I was in the school auditorium surrounded by a bunch of people.“ What were you worried about? “I was in junior high school and it was picture day. My mom was there with me, which made me feel bad, even though I normally don’t feel that way about my mom. But my mom was the only mom there, which caused me to get anxious and over think things like ‘why was I the only one that had a mom there, it’s not cool, I still want to look my best, I need a good picture,’ plus the pressure to talk to people. It made me cry and get all red which only made picture day worse.” How old were you? “In middle school when I was in 7th grade.” How long did you have it for? “1 hour.” Were there things in the environment that affected you? “My mom added extra tension and feelings plus having my peers around. The main pressure was of picture day and trying to look my best.” How did you feel afterwards? “There was a weight of my shoulders and I could breathe again.”

Directed Storytelling Interviewee three:

What is the worst anxiety attack you have had? Where were you? “I was in the my apartment pacing back and forth, I had to call my mom to vent afterwards. It became hard to breathe and I ended up crying.” What were you worried about? “I was working on a group project when a girl from my class called me to discuss her part. She said she couldn’t do it so I started to worry about not being able to finish the assignment. The anxiety started building up inside of me and then I got worried about not going to bed on time since I have to wake up early for another group project.” How old were you? “My junior year in college.” How long did you have it for? “It seemed like a long time but it was like 10 minutes.” Were there things in the environment that affected you? “Being at home helped me calm down faster and being near my friend. It started because a dispute with a student in a group project. “ How did you feel afterwards? “I felt better that it was out of my system but also angry at the girl in my group for causing all of it.”

Web Review 'Qi'

means the flow of our bodily energies. Practitioners of Chinese medicine believe that health is linked with these invisible flows, and that when our qi flows improperly we get sick. Besides the flow of qi, health is also about harmony or balance, or the lack of it. The terms yin and yang help to describe this. When life is out of balance, we say that yin and yang become unbalanced in our body, causing physical or mental distress and disease. We don’t include spirit as an aspect of mind, because TCM reserves a special place for spirit, known as the Shen. The Shen means you, the actual being that is not your mind. The Shen resides in the heart, not in the brain. Mental disharmonies often indicate that the Shen is unsettled or troubled. We call this Disturbed Shen. For most people, Disturbed Shen won’t lead to ‘heart disease’ or any physical problem. Nevertheless, it is considered a physical condition and will respond to therapies

other than counseling. Exercise, massage, acupuncture, and herbal medicines are examples of highly physical modalities that can relieve this condition. A cure requires a deeper understanding of the root causes. Often, the Shen is unsettled by constraint of emotion, or by excess emotions. Chinese medicine believes that strong emotions can also effect our organs. Excessive or lack of joy can stress the heart, worry eats at the gut, grief endangers the lungs, fear taxes the kidneys, and anger assaults the liver. Acupressure is an ancient Chinese healing method that involves putting pressure with the fingers or the hand on certain points of the body. The pressure can unblock the flow of Qi to release tension and restore inner harmony. The great thing about acupressure is it is something you can do on your own to promote health, relieve stress and prevent disease. Whether you are at home, stuck in traffic or stressed out at the office, acupressure for anxiety will provide instant relief.

Body Mapping

Several parts of the brain are key actors in the production of fear and anxiety… scientists have discovered that the amygdala and the hippocampus play significant roles in most anxiety disorders. The amygdala is believed to be a communications hub between the parts of the brain that process incoming sensory signals and the parts that interpret these signals. It can alert the rest of the brain that a threat is present and trigger a fear or anxiety response. The hippocampus is the part of the brain that encodes threatening events into memories. In a sense, your brain becomes “wired” for anxiety, such that any potentially undesirable event or emotion becomes cause for alarm.

“

…scientists have discovered that the amygdala and the hippocampus play significant roles in most anxiety disorders.”

Persona #1 June Reyes

19 years old San Francisco State University - 3rd year

June was born and raised in Temecula, California where she spent most of her time inside reading books or surfing the web. She has always been a quiet person even though her parents are loud and social people that are known to have guests over every weekend. She is really close with her parents since she is the only child and loves hanging out on the couch with them and catching up on weekends. Most weekends when guests are over June would be polite and hang out for an hour or two before retreating back to her room. When she was 15 she was diagnosed with a social anxiety disorder with chronic depression. Since then she has changed certain aspects of her life to deal with the anxiety, such as exercise a bit and trys to avoid caffeine when possible. Her two close friends, Mara and Alex, have been there for her since elementary school and make her go out and explore with them often, although she has been known to pass on their invitations sometimes. She has always struggled with big crowds of people so when she is caught in one she freaks out and must escape that area. One time it became so overwhelming that she ran away from her friends and hid in a bathroom stall for 20 minutes. That incident inspired her to explore new techniques to block people out or exercises she can use to distract her mind from her surroundings. Although she has found a few breathing exercises she prefers she is sometimes too overwhelmed to remember it all.

Persona #2 Camila Torres 26 years old Market Research Analyst

Camila was born and raised in Santa Rosa, California where her parents lived and worked on a vineyard. Since she was so far from town and didnâ&#x20AC;&#x2122;t want to get her license she spent most of her time at home with her sister, Danielle. They were very close but also very different. Danielle was more outgoing and proactive in social events, where as Camila was more shy and content on her own. Camila stayed home often and only went to school and some family parties on the weekends with her parents, Carlos and Kari. They have a lot of family and spend a lot of time with them, where there is usually a lot of food and drinks. Camila likes some of her family but they tend to be a bit overwhelming at times. When Camila went to college, she was on her own for the first time. In the beginning she was often home sick and went home every other weekend. After the first 2 years in college was when she started having problems with anxiety. She was under a lot of pressure from her major and getting the classes she needed to graduate as well as being able to afford the classes. She was having panic attacks almost daily before she was given medication. Although the medicine helped her, if she missed some of them she would go through a bunch of side effects like headaches, tiredness and nausea. She was worried about taking medicine since she was warned that her body could rely on it too much. She has had a few problems with her insurance and sometimes has to go a week without her medicine which caused major withdrawal symptoms. Now that her life has settled down and she has a stable job she wants to focus on weaning her body off of the medication and focus on natural remedies that could replace it.

Persona #3 Alec Murphy 24 years old Software Developer

Alec was born and raised in Portland, Oregon where he would work on a video game he was creating with his brother, Topher. They started creating their video game in order to practice their programming skills which later landed them both jobs in the video gaming industry. Alec is a bit quiet when you first meet him but once he feels comfortable enough he will join in on conversations a lot. He likes to relax alone on the weekends and fills his time by learning new things like how to make a lamp or creating a tablet from scratch. He is close with his brother and they hang out often but he doesn’t see his parents unless it is a holiday. He comes from a very educated family but often they don’t talk about personal things and because of that Alec traps all this stress and worries inside. His body is prone to aches and pains that he doesn’t understand. He went to the doctor for the aches but they don’t find a clear reason for them so they give him pain killers. He used the pills a lot in the beginning but didn’t notice very many changes so he used them less often. During college he started having problems with anxiety that lead to a full blown panic attack in front of his classmates. He started having them more often to the point where he was afraid to leave his apartment. Since the doctors couldn’t help him in the past with his body aches, he didn’t want to go to them now. He started researching traditional herbs and medicines instead that could calm his body and treat it.

Key Insights • All anxiety disorders share similar symptoms • Anxiety disorders and depression are usually linked together and it is very rare to have one without the other. • Medicine seems to help them all but doctors believe psychotherapy is the best. • “I think behavior training works better than medication. Exposure Therapy is also a good way of limiting the impact of anxiety on their lives.” (Hagan) • Something turns on in their brain that creates a psychological change and shrieks danger. • The brain is layered oldest part is at the bottom part, which governs how you breathe and walk, middle brain is more emotional/hunger/ sleep etc. and the highest part of brain is more of thinking, organization and planning. Anxiety operates at the lower sections of the brain. 32

• Medication isn’t very effective because it can be addictive and cause high relapse rates in anxiety attacks. • There is no way to get an anxiety disorder to go away but you can adapt qualities that help. • “My meds keep me happy but if I miss it one time then it makes me really sad. They also make me more talkative, approachable and overall more confident.” (Interviewee 2) • “The medicine has mellowed me out a lot and the small things don’t get to me as easily now. I have had withdraws and it usually makes my anxiety worse than before I started taking the medicine.” (Interviewee 3) • “Often it is more important to manage your emotional reaction to stress than to try to change the stressful situation, which may not be fully under your control.” (Smith)

Ideation Board game that walks through social situations with a reward system/mini game/ virtual reality Breathing exercises/mediations guide/class/ workshop DPRC/psychological services program with extra help/chill room Quiet space/escape pod Hot-line to call for stressful times with reassurance An audio log where you can record your worries during tough moments and listen to them later and solve problems when in a better state of mind An app that focuses on tradition medicine An app that helps you go outside and explore with a reward system Phone case with distracting puzzle elements Wearable bracelet that assists with acupressure points

Inspiration

Sketches

Audio Player

4-7-8 breath

Structure

Equal Breathing

Audio Player

Abdominal Breathing

Breathing

Audio Player

Progressive Relaxation

Audio Player

Alternative Nostril Breathing

Audio Player

Guided Visualization

Audio Player

Skull Shining Breath

Audio Player

Home Page

Passion Flower Ashwagandha Siberian Ginseng Hawthorne Kava Valerian Root Chamomile Tea

Teas

Peppermint Tea Lemon Balm Tea

Green Tea

Accuppressure

PC 6

Audio Player

HT 7

Audio Player

Ears

Audio Player

Proﬁle Fish Pose

Audio Player

Standing Forward bend

Yoga

Audio Player

Child’s Pose

Audio Player

Corpse Pose

Audio Player

Half Moon Pose Tree Pose Leg Up the Wall Eagle Pose

Audio Player Audio Player

Account

Password

Support Notiﬁcations Sound

Audio Player Audio Player

Skeleton

Company

Breathing Exercises

Company

4 - 7 - 8 Breath

Choose an Icon

Logo

Accupressure

Name E-mail

Username Password Password Login Donâ&#x20AC;&#x2122;t have an account? Sign Up

Company

Equal Breathing

Yoga

Birthday Sign Up

Teas

1. Sit with your back straight and your hands resting

Company

Abdominal Breathing

Accupressure

PC 6

PC - 6

1. Begin with the breath. To start, inhale for a count of

Calms your mind Relaxes you Regulates your heart beat

= Icon = Image Bold = Soft Key

Company

HT7

Company

Yoga

Fish Pose

Eagle Pose Calms your mind Relaxes you Also for insomnia,

Calms your mind Relaxes you Regulates your heart beat

1. Begin with the breath. To start, inhale for a count of

Company

Eagle Pose

Childâ&#x20AC;&#x2122;s Pose

Company

Account Name Name

E-mail

To set a new password, please enter

E-mail@email.com

Link to browser

Password ********

Password

Birthday 00/00/00

Forgot your password?

Support Sound On

Sound Calms your mind Relaxes you Also for insomnia,

1. Begin with the breath. To start, inhale for a count of

Preliminary Concepts Company

Company

Breathing Exercises

Profile Breathing Exercises

Childâ&#x20AC;&#x2122;s Pose

Ashwagandha Tea

Breathing Exercises

Acupressure

Accupressure Acupressure Yoga

Yoga

Teas

Yoga

Teas 1. Begin with the breath. To start r a count of

Benefits Calms your mind Relaxes you Also f

These are a few of the screens I created as my first concept. I ended up changing the color scheme of the whole app after this round of concepts. I started to look into color psychology to see which colors would be more open and inviting to users. In the beginning, I focused on calming colors but was concerned about having colors that were the more obvious choices for calm and tranquil apps. After looking into the meanings of the colors I was able to narrow it down to red, orange, turquoise and green. These colors had the calming effect that I was looking for but they also had a couple deeper colors that made it a little more sophisticated and called the users to action. In this draft I was still working on making the icons unique to my app but still understandable for users. I also added an audio aspect to my app later on in the process that these screens do not accommodate for.

Iconography

I spent a lot of time on the icons in order to find objects and symbols that people could relate to. I wanted them to be fun and light hearted but also for each person to have a personal connection with it. I focused on nature, space, music, art, reading and activity based objects. In the end I had a planet, a hot air balloon, a guitar, a camera, a pinwheel and a cactus.

Final Design Breathing Exercise Acupressure Yoga Teas Audio Recordings Instant Relief

Re lief

Font

Neutraface Text Book ABCDEFGHIJKLM NOPQRSTUVWXY abcdefghijklm nopqrstuvwxy !@#$%^&*?

Neutraface Text Demi ABCDEFGHIJKLM NOPQRSTUVWXY abcdefghijklm nopqrstuvwxy !@#$%^&*?

Colors

C:11 M:11 Y:14 K:0

Beige

Dependable but also flexible Neutral, calm and relaxing.

C:21 M:0 Y:100 K:17

Green

Benefits mind and body Calming effect Tranquility and calmness Emotional safety

C:0 M:35 Y:85 K:0

Orange

Represents success Represents encouragement Represents stimulation

C:62 M:13 Y:43 K:0

C:26 M:85 Y:57 K:10

Turquoise Red Calmness and Peace Emotional Balance Focuses on ones own needs, thoughts and feelings

Represents an action that is sophisticated Thoughtful action

Final Product

Appendix Interview Questions 1) What kind of anxiety disorder are you diagnosed with? 2) How long have you had it? What age did you start having anxiety problem? 3) Do you take any medicine for it? If so what kind? How does it help? 4) Are there other things you do that help lessen your anxiety? 5) Are there any specific resources you wish you had? 6) Can you describe an anxiety attack in detail? 7) What are the most common symptoms you feel? 8) Do you have anxiety attacks and if so how many in a week/month/year? 9) Have you tried psychotherapy, support groups, stress management techniques, meditation, dietary changes, etc? If not then why? 10) How often does your disorder affect your daily life? Interviewee 1: 1) Social Anxiety, panic in teens Depression ADHD 2) 16/17 fluctuated 3) paxil and adrenal prior: prestiq, lexaprol, not as stand offish in group settings, quiet but need to be comfortable, 4) more she is out the easier it is to go out again, staying social constantly makes it easier but staying in makes it hard if she is use to doing it, but making an effort to stay social and going out, drinking, weed, 5) groups hard to go out in public Google stuff eases her, seeing or hearing other peoples problems, talking to friends family, 6) Were you interacting with anybody? party 100 + people only new 3 people parents and friend didn’t know main person, in background didn’t want to be there, everyone was super nice, very welcoming but she couldn’t do it, after dinner she took a bathroom break came out and was heavy breathing then dry heaving How old were you? 15-16 What were you worried about? I don’t know maybe just being surrounded by new people and in a place I didn’t know. I wasn’t in control of my surrounding and couldn’t escape. It could have been a mesh of all those things to. Where were you? country club quinceanera How long did you have it for? 15-20 mins, felt it coming on Were there things in the environment that affected you? people, new environment, spanish culture was new How did you feel afterwards? exhausted, drained, relieved 7) hopelessness, loneliness, back pains, eating, sweating and hot, red face 8) not often, 1 time in preteens, dry heaving cultural asians didn’t believe in medicine or psychology, her dad believed her until she had it

9) exersice helps but doesn’t do it, she would if she could, psychologist= talk to them negative mindset 10) everyday ex: speaking up in class, wanting meeting someone new or get to know someone, wears sunglasses when commuting so no one talks, has to do a presentation first otherwise anxiety gets to her, gets down on herself. Interviewee 2: 1) GAD chronic/ manic depression 2) Age= 13 10 years diagnosed 3) sertraline= depression, keeps her happy if she misses it makes her sad propranolol=when needed for anxiety, more talkative, more outgoing, more approachable, more confident 4) hang out with her dog, talk to bf, vent, talk to mom and friends, play video games, use to write 5) more of a matter of her wanting to do it, because of disorder doesn’t like to leave comfort zone, don’t want people to judge/ think she is stupid 6) Were you interacting with anybody? yeah picture day mom was there junior high shouldn’t feel bad, her mom was the only one there, anxious why was she the only one that had a mom there, not cool, want to look my best, good picture, crying, pressure to talk to people When did this take place? middle school 7th grade, surrounded by annoying people What were you worried about? Where were you? school How long did you have it for? hour Were there things in the environment that affected you? mom=negative, people/ classmates, picture How did you feel afterwards? weight off my shoulders, could breathe 7) tightness of chest, sweaty palms and armpits, forget to breathe, face turns red, frog in throat, want to cry 8) every other day, not as much when she isn’t in school, better since she got dog/bf 9) tried meditation didn’t think it was working/ impatient, apps, dietary, after junk food she feels bad/depressed 10) all the time, walking to class, walk work, walking to bus, talking to people/clients Interviewee 3: 1) GAD 2) Age 21, November 2014 wasn’t getting classes for major, didn’t like the classes that were necessary to go on, wasn’t graduating on tim and maybe even later then 5 years 3) Zoloft 15 milligrams didn’t like to go out rather stay home and sleep / always tired/ anxiety kept her awake, anything small the world was crumbling and she couldn’t control it, on medicine she has mellowed out, small things don’t get to you as easily 4) Change your diet, avoid caffeine if possible sometimes alcohol, work out every once in a while, make sure she eats and sleeps enough, doing little hobbies to keep her busy embroider, keeping her mind busy, clean, app= track your feelings throughout

the day check in from time to time, breathing exersice= didn’t like it only if hyperventilating or panic attack, listen to soothing sounds= app on computer as well a constant sort of noise bring comfort 5) Doctor is far but is hard to get out and find one that you are comfortable with, hard to go out of comfort zone, 6) Were you interacting with anybody? yeah a girl from class/ annoying When did this take place? last semester What were you worried about? not being able to finish the assignment, group project, calling late at night wasn’t doing her part blaming her fucking asshole, cried, worried about not going to bed on time had another group project the next day and schedule wouldn’t allow for another time to catch up girl called again said she wasn’t doing her part, had to call another group mate Where were you? in the apartment pacing, on phone with mom, venting, crying, hard to breathe How long did you have it for? seemed long, lost time, 10 mins Were there things in the environment that affected you? being home helped, friends close by How did you feel afterwards? better that it was out of system angry at the girl tho had to explain the timeline and why they needed it done but then girl ignored it 7) chest pains, belt around the chest, nauseous, hands shake, feeling of impending doom, try to rationalize/ talk to self ex.you are ok no you aren’t this is the end, mind is betraying you 8) 2 months ago on meds, unless something bad happens she is good, not on meds was once a day, the hardest part was waiting for it to come, not knowing when it will hit, not in public but would run home before it happened 9)dietary , tried meditation was annoying and too quiet no patience, support groups = no talk to friends and family, didn’t want to look for psychologist 10) no hassle for taking meds, get in to a habit before she leaves, daily routine, when sick she has to be cautious with other meds, has gone through withdrawal, migraine meds before allergies meds before anxiety meds Interview Questions with Psychologist 1) what is your background, school etc? 1) Are anxiety disorders a big problem in colleges? If so, why? 2) What are the resources on campus for anxiety disorders? 3) Do many students get help for their anxiety disorders? Rough estimate for how many? 4) Do you recommend any specific treatment for anxiety disorders? 5) Can you describe what kind of medicine is available for it and what they do? ex: anti-depressants, beta blockers, antianxiety? 6) Can you get rid of anxiety disorders? 7) What happens inside the body that creates anxiety attacks? (Like other brain illnesses, anxiety disorders may be caused by problems in the functioning of brain circuits that regulate fear and other emotions. Studies have shown that

severe or long-lasting stress can change the way nerve cells within these circuits transmit information from one region of the brain to another. Other studies have shown that people with certain anxiety disorders have changes in certain brain structures that control memories linked with strong emotions.) 8) Can you have an anxiety attack when diagnosed with social anxiety disorder? 9) Can the symptoms of general anxiety disorder, panic disorder and social anxiety disorders overlap? If so, in what ways? Melissa Hagan: Anxiety and depression often coexist more rare to have just anxiety disorder by its self Clinical psychologist PHD license to practice not currently practicing expertise helping children adolescence and adults exposed to dramatic events, child depression obsessive compulsive disorder bi polar PHD Arizona State University 2 post year doctoral-ship UCSF donâ&#x20AC;&#x2122;t prescribe medicine opinion: not all anxiety is the same, panic disorder is very different than GAD a lot of veritable in meds. behavior training instead of meds, to limit the impact of anxiety on their lives exposure theory, panic disorder= biologically driven, so automatic not a ton of perception social anxiety thoughts drive their symptom panic=something turns on in their brain that create a psychological change that shriek danger bet blockers are good for public speaking reduce the biological signal feel a tingling in mouth, canâ&#x20AC;&#x2122;t breathe , slows everything down in the body/ freak out moments antidepressants= change how the brain thinks and feels brain is layered oldest part is the bottom part/ govern how you breathe and walk, middle brain = more emotional hunger/ sleep etc. highest part of brain, thinking organization and planning anxiety operates at the lower sections of the brain, brain structure plays a role, circuits and patterns PMSN dsm-5 diagnostic static manual, outlined all the symptoms for every disorder every disorder overlap , clusters disorder, worry is the big one panic disorder sleep David Gard: Masters in clinical psychology phd berkley 11 years at sfsu teaching, focus psychopathology, motivate to solve problems prevalent throughout the world most common tho, very common and major problem, debilitating Psychotherapy is the best, specific disorders are better for certain disorders, medication isnâ&#x20AC;&#x2122;t very effective, 2 classes medicines toes for it nonaddictive high relapse rates Beta blockers increase serotonin offset signs and mood mood= more problems increase people avoidance feel out of 10 negatively enforced anti social problems pretty affective with anxiety. public

speaking , goes into overdrive and highlands anxiety t takes their psychology / body reactions, social anxiety using bathroom, going class, No way to get it to go away adaptive quality for it though, thinks could will us out if we don’t have anxiety even normal kind, lower threshold goal of therapy to bring tanaxiery in a manageable range, trauma big research 0- 10 4-7 is normal range is going for healing and working with therapist can make it more tolerable, that were 3-5 range, psychotherapy have a different relationship with there anxiety Exlusingary panic attacks happen in all disorders doesn’t mean you have it, centered around panic attack and a fear of panic attacks how they react to panic attacks Can you give me 3-5 words that you think of when you hear anxiety disorder? Ask anyone (Word Map) nervous, stressed, hopelessness, confusing, leftout watching you, hassle, annoying, stressful, unpredictable, predictable fear, life long, doom, hide, tough panic, stress, fear, lack of breath, shaking, crying, dizziness, lost intense fear, mental unrest, disorientation or discomfort scared, fear, hopelessness, hurt, desperation scared, paralyzed, overwhelmed, boundaries/out of comfort zone worry, fear, panic, tachycardia pain, disconnect, untimely worry, stress, fear medical marijuana, seriously underestimated disease, uncontrollably uneasy panic, fear, sadness, depression nervous, not be able to handle everyday life without help, unable to relax lack of control, uneasiness, restlessness, fear, rapid heart rate Anxious, feel like you’re dying, chaos, insomnia, unable to think straight, OCD isolation, withdrawal

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