MOVING MOUNTAINS

Resources

Navigating the Labyrinth of Anxiety: Empowering Young People and Their Families

Dr. Dan Villiers, co-founder of Mountain Valley Treatment Center, recently delivered an insightful talk at the center, exploring the intricacies of anxiety in young people and the profound impact it has on their families. This blog post summarizes the key points from his presentation, offering valuable strategies to help youths and their families navigate anxiety. If you are interested in viewing the full video of Dr. Villiers’ talk, please contact us.

The Silent Struggle: Understanding Youth Anxiety

In an era marked by unprecedented challenges and rapid societal shifts, anxiety has emerged as a pervasive force affecting young people and their families. The rise in anxiety disorders, particularly since the advent of the smartphone in 2010 and exacerbated by the global pandemic, calls for a nuanced understanding and compassionate treatment approach. Dr. Villiers provides invaluable insights into the complexities of anxiety and the pathways to healing.

Anxiety in young people often manifests subtly, weaving itself into daily life until it becomes overwhelming. Dr. Villiers shared his personal journey, reflecting on his severe anxiety at age 17 after leaving boarding school. His experiences with avoidance, resistance, and manipulation highlight a common thread among youths grappling with anxiety—they often resist treatment and delay or avoid confronting their fears.

The statistics are startling. Recent research indicates that approximately 30 percent of individuals will experience an anxiety disorder at some point in their lives. However, Dr. Villiers suggests that true diagnostic anxiety disorders—those severely interfering with social, emotional, and academic functioning—may affect about 7 to 10 percent of the population. This distinction underscores the importance of recognizing when anxiety surpasses normal stress and becomes a debilitating condition requiring professional intervention.

Parental Anxiety: The Hidden Catalyst

Parental anxiety plays a significant role in the treatment journey of young people. Parents often face guilt, fear of failure, and the overwhelming responsibility of making the right decisions for their child’s well-being. Dr. Villiers observed that parental anxiety can manifest as distraction, diversion, delay, anger, and defensiveness—factors that may inadvertently hinder their child’s progress.

During the pandemic, many parents overparented due to constant proximity and the challenges of remote schooling. As the world gradually returns to normal, some parents struggle to relinquish control, leading to indecision and anxiety about their child’s independence and engagement with the world.

The Paradox of Choice and the Fear of Stigma

In today’s information-rich environment, parents often feel overwhelmed by the numerous treatment options available. This “paralysis by analysis” results in inaction, as the fear of making the wrong decision prevents families from moving forward. Societal stigma surrounding mental health adds another layer of complexity. Worries about how treatment might be perceived can deter families from seeking necessary help.

Strategies for Overcoming Resistance and Building Trust

Dr. Villiers emphasized that commitment to treatment is a process, not a single event. Building trust between families and professionals is crucial. He shared key strategies to facilitate this journey:

  1.  Motivational Interviewing and Exposure Therapy: Gradually exposing individuals to the idea of treatment can reduce the fear and anxiety associated with it.
  2.  Collaborative Decision-Making: Professionals should partner with families, respecting their expertise on their child while providing informed guidance on treatment options.
  3.  Addressing Stigma Directly: Open conversations about mental health dispel myths and reduce stigma, encouraging families to seek help.
  4.  Managing Expectations and Prioritizing Concerns: Helping families focus on clinical needs and prioritize issues can alleviate anxiety.
  5.  Providing Reassurance and Data-Informed Guidance: Sharing treatment outcomes and success stories can inspire confidence while balancing hope with realistic expectations.

Navigating Information Overload

In the digital age, parents often turn to online forums and social media for information, which can be both helpful and harmful. While access to information is valuable, misinformation can increase anxiety. Professionals can support families by directing them to reliable sources and helping them critically evaluate what they encounter.

The Role of Professional Support

Consultants, therapists, and treatment centers play a pivotal role in guiding families through complex emotional landscapes and treatment decisions. Dr. Villiers highlighted the importance of in-person interactions when possible, as these build trust and facilitate effective communication.

Professionals can also:

  • Break Down Barriers: Address logistical and emotional obstacles to treatment.
  • Provide Continuous Support: Offer ongoing coaching to ensure families and young people stay engaged in the process.
  • Deliver Tailored Interventions: Customize strategies to meet each family’s unique needs.

Embracing the Journey Toward Healing

Anxiety does not have to define a young person’s life. With the right support and strategies, youths and their families can overcome the challenges it presents. Dr. Villiers’ insights remind us that patience, empathy, and collaboration are essential in treatment.

Families are encouraged to:

  • Acknowledge the Problem: Acceptance is the first step toward change.
  • Seek Professional Guidance: Early intervention can significantly improve outcomes.
  • Engage in Open Communication: Honest discussions within the family and with professionals foster understanding and trust.
  • Practice Patience and Compassion: Healing takes time and requires kindness toward oneself and others.

Closing Thoughts

Anxiety in young people is a multifaceted issue that affects individuals, families, and society at large. By addressing parental anxiety, challenging stigma, and fostering collaborative relationships between families and professionals, we can create a supportive environment for healing.

Dr. Dan Villiers’ work illuminates a compassionate and informed path forward. While anxiety is a formidable adversary, it is not insurmountable. Together, we can empower young people and their families to overcome anxiety and embrace a future filled with possibility and hope.

MOVING MOUNTAINS

Resources

Understanding the Subjective Units of Distress Scale (SUDS): A Tool for Managing Anxiety

Anxiety can often feel overwhelming, especially when it surfaces unexpectedly. At Mountain Valley, we understand the importance of equipping individuals with effective tools to navigate these intense emotions. One such tool we regularly employ is the Subjective Units of Distress Scale (SUDS). Before our group and individual psychotherapy sessions, we often ask participants to share their SUDS levels. This practice not only promotes self-awareness but also fosters open communication about one’s emotional state.

What Is the Subjective Units of Distress Scale?

The Subjective Units of Distress Scale, commonly known as SUDS, is a simple self-assessment tool used to quantify the intensity of distress or anxiety an individual feels at a particular moment. Developed by psychologist Joseph Wolpe in the 1960s, SUDS assigns a numerical value—typically ranging from 0 t0 10 (or 0 t0 100)—to represent one’s current level of discomfort. A score of 0 indicates complete calmness, while 10 signifies the highest level of distress imaginable.

How Does SUDS Work?

SUDS is inherently subjective, relying on personal perception rather than objective measurements. Here’s how it generally works:

  1.   Identification: When an individual begins to feel anxious or distressed, they pause to acknowledge these feelings.
  2.   Assessment: They assign a numerical value to their level of distress based on the SUDS scale.
  3.   Reflection: This number helps them—and the MV team—to understand the severity of their symptoms at that moment.
  4.   Action: Based on the SUDS score, appropriate coping strategies or therapeutic interventions can be applied to manage the distress.

Why Is SUDS Important for Managing Anxiety?

Promotes Self-Awareness

One of the first steps in managing anxiety is to recognize when it’s occurring.. By regularly assessing their SUDS score, individuals become more attuned to their emotional states. This heightened self-awareness can lead to earlier interventions and prevent anxiety from escalating.

Facilitates Communication

Articulating feelings of anxiety can be challenging. SUDS provides a straightforward way to communicate distress levels to therapists, caregivers, or peers. At Mountain Valley Treatment Center, sharing SUDS scores before group sessions helps create a common language that enhances understanding and fosters effective support.

Guides Therapeutic Interventions

In therapeutic settings, SUDS is often used during exposure therapy—a treatment commonly employed for anxiety disorders and phobias. By assigning distress levels during exposure to anxiety-provoking stimuli, therapists can tailor the intensity and duration of exposures to optimize treatment outcomes.

Research Supporting SUDS

A study published in the Journal of Anxiety Disorders highlighted the efficacy of using SUDS in exposure therapy for patients with obsessive-compulsive disorder (OCD). The research found that patients who consistently used SUDS to report their anxiety levels experienced a more significant reduction in symptoms compared to those who did not use the scale1.

Another study in Behavior Research and Therapy demonstrated that SUDS scores could predict treatment outcomes in cognitive-behavioral therapy (CBT) for panic disorder. Higher initial SUDS scores were associated with greater improvements by the end of treatment, suggesting that SUDS can be a useful prognostic tool2.

Implementing SUDS in Daily Life

While SUDS is often used in clinical settings, it can also be a valuable tool for personal use. Here are some tips for integrating SUDS into daily routines:

  • Regular Check-Ins: Set aside moments during the day to assess your SUDS score, even when not feeling particularly anxious. This practice can help track patterns and triggers over time.
  • Journaling: Keep a log of your SUDS scores along with notes about situations or thoughts that may have influenced your anxiety levels.
  • Coping Strategies: Use your SUDS score to determine when to employ relaxation techniques, such as deep breathing, mindfulness, or physical activity.

How We Use SUDS at Mountain Valley

At Mountain Valley, the SUDS scale is an integral part of our therapeutic approach. Before group sessions, we encourage participants to share their SUDS levels. This practice serves multiple purposes:

  • Encourages Open Dialogue: Sharing SUDS scores helps break down barriers and promotes honesty about one’s feelings.
  • Tailors Group Dynamics: Understanding the collective distress levels allows facilitators to adjust the session’s focus to better meet the group’s needs.
  • Monitors Progress: Regularly tracking SUDS scores provides tangible data on an individual’s progress over time.

The Benefits of Using SUDS at Mountain Valley

  • Personalized Treatment Plans: By consistently monitoring SUDS scores, our therapists can customize treatment plans to address specific anxiety levels.
  • Empowerment Through Self-Monitoring: Patients learn to take control of their anxiety by recognizing and addressing distress as it occurs.
  • Enhanced Peer Support: Sharing SUDS levels in group settings fosters a sense of community and mutual understanding among participants.

The Subjective Units of Distress Scale (SUDS) is a powerful yet simple tool that empowers individuals to understand and manage their anxiety. By quantifying distress, it transforms abstract feelings into concrete data that can guide personal coping strategies and therapeutic interventions.

At Mountain Valley, we are committed to providing evidence-based approaches like SUDS to support adolescents and young adults dealing with anxiety and OCD. By incorporating tools like the SUDS scale into our programs, we help individuals develop the skills they need to navigate their emotions and lead fulfilling lives.

If you or someone you know is struggling with anxiety, don’t hesitate to reach out. We’re here to help.

References:

  1.  Kircanski, K., & Peris, T. S. (2015). Exposure and response prevention process predicts treatment outcome in youth with OCD. Journal of Anxiety Disorders, 36, 45-51.
  2.  Meuret, A. E., Rosenfield, D., Seidel, A., Bhaskara, L., & Hofmann, S. G. (2010). Respiratory and cognitive mediators of treatment change in panic disorder: Evidence for intervention specificity. Behavior Research and Therapy, 48(8), 698-706.