Giorgio Nardone, who is a great specialist in anxiety disorders, distinguishes 2 main models:
- The first, which is based on the logic of avoidance and which is of a phobic nature,
- The second which is based on control and which is obsessive in nature
Initially, there is a feeling of fear and an attempt at internal control which fails; it turns into a panic attack. The logic of avoidance is then put in place. Example: phobic fear of flying.
Avoidance can work in other situations: public speaking, panic fear of spiders, social phobia. At this stage, we stay at home and the longer we stay at home, the more we will avoid, the more we need to be helped (to be reassured, to delegate). Which increases the confusion.
In this type of situation, the entourage is strongly present and involved.
With regard to the obsessive side, there is also a feeling of fear but we will try to act on it, confront it, anticipate all the risks, put everything under control. Control becoming excessive, there is in fact a loss of control.
When there is TOC , it means that the person has found a ritual that puts their fear at a distance. But she becomes a prisoner of her ritual. I can cite the case of someone who did up to 12 hours of cleaning per day. And the compulsions increase in quantity and variety.
Until the clutter triggers the need for therapy.
Another disorder: pathological doubt.
When we are afraid, we try to rationalize this fear by questioning. And we drown in the search for answers, we are destroyed and anxiety sets in.
Paranoid disorder : the person tries to control the uncontrollable.
She defends herself for lack of being able to fight. Paranoiacs turn a small thing into a mountain and by defending themselves, they build the enemy, who ends up defending themselves and reinforces the paranoid's scenario. These are situations that we encounter more and more in companies. Anxiety disorder presents itself as a disruption in the development of well-being. The source of anxiety can be the relationship to the world, the relationship to others (I'm afraid of disappointing them) or the relationship to oneself, to one's body which becomes threatening (frail heart). If one becomes too attentive to this, one quickly becomes a hypochondriac.
And all of this can be intertwined.
The fear of a danger that one cannot manage, whether internal or external, builds the belief of one's inability to do, which increases anxiety;
Our action
Our approach is based on the constructivism of reality. The environment is our invention.
This is why we are interested in how a person perceives his context, the theater of his reality which necessarily leads to many conflicts, each being right from his point of view. And how she does or doesn't control it all.
This context of the person, we look at it as it arises here and now. We consider that the causes belong to the problem but rarely to the solution.
If the difficulties are there, persist, it is because the person has implemented attempts at dysfunctional solutions that we will endeavor to block.
