2022 Carol King and Sean Kelly. All rights reserved
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Acknowledgments
I have many people to thank for making this book possible. My clients, from whom I learned a tremendous amount, form the basis of the book. I particularly appreciate their courage to seek treatment and their openness in sharing their deepest fears with me.
I would never have had the knowledge, writing skill, or confidence to write a book had it not been for two of my professors at the Pennsylvania State University who had confidence in my ability and offered tremendous support. Ted Huston taught me to think like a psychologist in researching and writing. Indeed, he taught me to write. Ted and Graham Spanier saw my potential when I arrived at Penn State, a nave young woman of 23 who had been raised in a small Midwestern town. Because of them, and the rest of the faculty in Individual and Family Studies, this graduate program was exceptionally nurturing. I look back on those years as being among my best experiences.
Thanks to my supervisors in a number of positions that I held after I completed my doctorate. Their support allowed me to flourish in applying what I had learned in graduate school. Initially, Linda Peterson encouraged me to pursue a clinical route when I worked with her at the Counseling Center, Inc. Later Ed Crane, George Krolick, Steve Flannigan, Thomas Guthrie, Lee Salter, Mike Bachman, and Tara Pressley all were extremely supportive of my clinical work.
My husband who is also my best friend has provided unconditional love and support as he endured many months of my preoccupation with this book. He looks at me through rose colored glasses and has never doubted that I could do whatever I set out to do. My four boys have always been the center of my universe no matter what I was trying to do professionally. From the age of three when we moved across the country for me to attend graduate school, Greg, my oldest, has been a part of my adventures. While most young children emulate their parents cooking, cleaning or doing carpentry around the house, my Greg spent several hours one day highlighting his Richard Scarry book with a yellow marker as he had seen me do with my textbooks. With his engaging and ever enthusiastic personality, he forced me to relax and have fun when I wasnt on campus. In adulthood, Greg has inspired me to face my fears by mastering a number of potentially dangerous sports such as back country skiing and kite boarding. I cant begin to thank my second son, Sean, who was born on a weekend between my Friday and Monday statistics class and helped author this book. Working together on this project has been an amazing and satisfying experience that not every parent gets to enjoy.
Jeff, son number three, seems to have completely conquered any anxiety that he might have had. Not only is he an avid rock climber, which terrifies me, but he has traveled the world, exploring approximately 80 countries often by bike. My youngest son, Tyler, has encouraged me at every step along the way in writing this book. He is probably my biggest fan and cheerleader. His faith in me, his enthusiasm and encouragement for me to write, and his pride in my finishing the book has been extraordinary.
This book is dedicated to my two treasured grandchildren, Phillip and Evelyn. May they conquer stress and overcome anxiety throughout their lives.
Thank you to C. Deborah Laughton for encouragement to pursue this book. Thank you to Professor Jessica Collett at UCLA for reviewing draft materials and providing helpful feedback. Thank you to Kelly Anderson for her enthusiastic reading and edits.
Sean Kelly: It was fun to work with my mom on this book. We both love all things social science and enjoy putting ideas down on paper. The many years of clinical work that generated the vignettes and insights in this book represent a lifetime of work. I am so glad my mom is sharing that impressive work here in this book from McFarland.
Preface
This book deals with anxiety disorders and the many forms they can take. We hear a great deal about anxiety today, yet our understanding of it is more limited than we realize. Depictions of anxiety are often hazy, as in she had a nervous breakdown. Everyone seems to have their own idea of what anxiety looks like; our understanding of it is limited by our own experiences. For example, some people would say anxiety is stress, while others would say its worrying. These are both forms anxiety takes, but they fail to capture the true scope of Anxiety Disorder in all its forms. This book provides a comprehensive portrait of anxiety, from Panic Disorder to Specific Phobias to Social Anxiety to Generalized Anxiety Disorder and beyond. The vignettes presented in the book will not only show the range of anxiety disorders but also the profound consequences anxiety can have.
The primary purpose of this book is to illuminate the form, scope, and effects of anxiety so that readers can better understand its pervasive role in modern life. I address all of the major Anxiety Disorders and discuss the role of anxiety across the life course, from infancy through retirement. The focus of the text is not self-help, although I do include two chapters at the end on ways in which readers can deal with their own anxiety and minimize anxiety in their children. Throughout the book I reference resources readers can use to learn more about anxiety and its treatment.
In its milder but more pervasive forms, anxiety is, I will argue throughout, often hidden from full view. Anxiety is hidden in part because it is so diffuse in form and because it ranges so dramatically in its severity. Anxiety is fundamentally different from many conditions for which individuals seek help; for example, whereas overweight individuals may have been trying to lose weight their whole lives, anxiety sufferers are often unaware of the root cause of their problems. People with anxiety may assume that they lack courage or that a failure to achieve stems from a lack of ability. Anxiety is also hidden because many people are still reluctant to talk about their own experiences with it. Anxiety still appears to carry a stigma when compared to depression and seems to be taken less seriously than depression and other medical illnesses.
The consequences of anxiety are far reaching. Not only does it cause much day-to-day misery and limit a persons enjoyment in life, but it accounts for underachievement in school and work. Additionally, it can interfere with a person developing and maintaining fulfilling relationships and enjoying leisure pursuits. As I will show using vignettes of anxiety sufferers, the hidden nature of anxiety often compounds its effects. Thus, understanding the different forms that anxiety can take is an important first step toward addressing and conquering it.