chapter  14
34 Pages

Psychological Issues in Community and Mental Health Counseling

Though not as prevalent as depression, anxiety and anxiety disorders are not uncommon in later life. Older adults may suffer from energyzapping symptoms of worry or nervous tension even more than diagnosable anxiety disorders (Gallo & Lebowitz, 1999). Anxiety disorders include acute stress disorder, agoraphobia without history of panic disorder, anxiety disorder due to general medical condition, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder with or without agoraphobia, post-traumatic stress disorder (PTSD), social phobia, speci›c phobia, and substance-induced anxiety disorder (American Psychiatric Association, 2000). Also to consider is the non-DSM-IV-TR classi›cation anxious depression or mixed anxiety-depression disorder.1 We will limit our comments to generalized anxiety disorder, anxiety disorder due to a general medical condition, and anxious depression.