In contrast, there is some evidence that psychoanalytic approaches have, "staying power". Jonathon Shedler's research seems to indicate that this sort of approach is efficacious in the long-run. Psychoanalytic (also called, "psychodynamic") approaches work by helping the individual to deepen their self-understanding. The hope is that when the individual becomes aware as to what is making them so anxious, they can deal with their concerns and their anxiety will dissipate.
Individuals are encouraged to talk freely about themselves and their lives with the idea that as they become more aware of their thoughts and feelings, they will become more tuned into their inner conflicts. Awareness of inner conflicts leads to insight and change. To accomplish this psychoanalysts and psychodynamic therapists ask people to say, "whatever comes to mind", to report dreams, fantasies and "flash thoughts", and, of course, to talk about the present and the past. The psychoanalysts task is to help the individual to become more aware of their internal struggles.
For example, the woman who is anxious about dating may be very frightened of intimacy. Psychoanalytic therapy will help her to learn more about why she is so afraid of closeness with the hope that as she deepens her self-understanding, she will become less frightened and more open to entering into a loving relationship. The idea is that if the anxiety can be fully understood and resolved, it is less likely to return.
Not all anxieties spring from within the individual. For example, a person may be very anxious trying to manage both the demands of a spouse and the workplace. When this is the case, marriage counseling (or when children are involved, family therapy) can prove helpful. Marriage counseling works when both members of a couple attempt to resolve the conflicts leading to anxiety. This approach to anxiety disorder treatment often leads to improved marital and family relationships. As relationships improve, the anxiety attenuates.
Research shows that all of these approaches, and combinations of them, can be extremely helpful in anxiety disorder treatment. The key is to seek early evaluation with a qualified psychologist or mental health professional.
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