Abstract
Caregiver stress is a growing problem with an aging population; many spouses are cast in the caregiver role for extended periods. Pre-existing anxiety disorders commonly recur in the face of caregiver stress. This chapter narrates the case of a 71-year-old retired professional woman, serving as caregiver for a husband with dementia. The stress of the caregiver role served to trigger a recurrence of a previously treated anxiety disorder. The case narrative illustrates the value of breath training and heart rate variability biofeedback for the anxiety disorder, as well as an effort to instill sustainable self-regulation skills and lifestyle changes for greater resilience in this long-term situation.
This chapter is adapted with permission of the Association for Applied Psychophysiology and Biofeedback from a previous version that appeared as: D. Moss (2016a), The house is crashing down on me: Integrating mindfulness, breath training, and heart rate variability biofeedback for an anxiety disorder in a 71-year old caregiver. Biofeedback, 44(3), 160-167. doi: 10.5298/1081-5937-44.3.02.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
AARP/NAC. (2015). Caregiving in the US. 2015. Washington, DC: AARP and National Alliance for Caregiving.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2003). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.
Kabat-Zinn, J. (2005). Guided mindfulness meditation: A complete guided mindfulness program from Jon Kabat-Zinn (Educational CD). Louisville, CO: Sounds True.
Kabat-Zinn, J. (2006). Mindfulness for beginners: Reclaiming the present moment (Educational CD). Louisville, CO: Sounds True.
Klapow, J. C., Schmidt, S. M., Taylor, L. A., Roller, P., Li, Q., Calhoun, J. W., et al. (2001). Symptom management in older primary care patients: Feasibility of an experimental, written self-disclosure protocol. Annals of Internal Medicine, 134(9 Pt 2), 905–911.
Moss, D. (2016a). The house is crashing down on me: Integrating mindfulness, breath training, and heart rate variability biofeedback for an anxiety disorder in a 71 year-old caregiver. Biofeedback, 44(3), 160–167.
Moss, D. (2016b). Anxiety and anxiety disorders. In G. Tan, F. Shaffer, R. Lyle, & I. Teo (Eds.), Evidence-based treatment in biofeedback and neurofeedback (3rd ed., pp. 27–31). Wheat Ridge, CO: Association for Applied Psychophysiology and Biofeedback.
Moss, D., & Shaffer, F. (Eds.). (2016). Foundations of heart rate variability. Wheat Ridge, CO: Association for Applied Psychophysiology and Biofeedback.
Pennebaker, J. (1997). Opening up: The healing power of expressing emotions (revised edition). New York: Guilford.
Pennebaker, J., & Evans, J. (2014). Expressive writing: Words that heal. Enumclaw, WA: Idyll Arbor.
Scholten, W. D., Batelaan, N. M., Penninx, B. W., Balkom, A. J., Smit, J. H., Schoevers, R. A., et al. (2016). Diagnostic instability of recurrence and the impact on recurrence rates in depressive and anxiety disorders. Journal of Affective Disorders, 195, 185–190. https://doi.org/10.1016/j.jad.2016.02.025
Yonkers, K. A., Bruce, S. E., Dyck, I. R., & Keller, M. B. (2003). Chronicity, relapse, and illness-course of panic disorder, social phobia, and generalized anxiety disorder: Findings in men and women from 8 years of follow-up. Depression and Anxiety, 17(3), 173–179.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
McGrady, A., Moss, D. (2018). A Pathways Approach for an Anxiety Disorder. In: Integrative Pathways. Springer, Cham. https://doi.org/10.1007/978-3-319-89313-6_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-89313-6_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-89311-2
Online ISBN: 978-3-319-89313-6
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)