• Palpitations, pounding heart, or accelerated heart rate
• Sweating
• Trembling or shaking
• Sensations of shortness of breath or smothering
• Feelings of choking
• Chest pain or discomfort
• Nausea or abdominal distress
• Feeling dizzy, unsteady, lightheaded or faint
• Feelings of unreality or depersonalization (detached from oneself)
• Fear of losing control or going crazy
• Fear of dying
• Numbness or tingling sensations
• Chills or hot flushes

• Agoraphobia
  Agoraphobia is an anxiety about being in places where escape is difficult or embarrassing, or where there may be no help in the event of a Panic Attack. It usually results in a pervasive avoidance of situations such as being alone either inside of or outside the home, crowds of people, traveling in a vehicle (auto, bus or airplane), or being on a bridge or elevator. Avoidance of these situations often results in difficulty performing routine tasks such as going to work or housekeeping. The fears can sometimes be overcome when in the company of a friend or family member. June will work with clients in thier home.
  
  
• Obsessive-Compulsive Disorder (OCD)
  Obsessive-Compulsive Disorder (OCD) is comprised of recurring obsessions or compulsions which last longer than one hour per day. Obsessions are persistent ideas, thoughts, impulses or images that cause undue anxiety or distress. Obsessions are characterized as thoughts about contamination, repeated doubts about actions (e.g., fears of unknowingly hurting others by accident or leaving electrical appliances running unattended), need for having things in a particular order, aggressive or horrific impulses, and overly strong sexual imagery. The thoughts and images are not attributable to excessive worries about or occurrence of real-life problems such as finances, employment or school. Individuals with obsessions will often try to ignore or suppress the thoughts and impulses or neutralize them with some other thought or action, which can lead to creation of compulsions.
  Compulsions are repetitive behaviors such as hand washing, counting, checking things, praying or silently repeating words to either prevent or reduce anxiety and stress caused by the obsessions. Usually the individual feels driven to perform the compulsion to extremes in order to reduce distress. Sometimes individuals will perform rigid rituals or stereotyped acts, not knowing why. Adults with OCD have at some point recognized that the obsessions and compulsions are unreasonable or excessive. Children, on the other hand, often lack the awareness to make this same judgment.
  
  
• Hoarding
  Currently, compulsive hoarding is considered by many researchers to be a type of obsessive-compulsive disorder. However, for some people, compulsive hoarding may also be related to**:
  • Impulse control disorders (such as impulsive buying or stealing)
  • Depression
  • Social Anxiety
  • Bipolar Disorder
  • Certain Personality Traits

  
  June goes into homes and works with clients to stop and remove clutter!

• Trichotillomania
  Trichotillomania is the recurrent pulling out of one's own hair, usually resulting in a noticeable hair loss. The hair can be anywhere on the body, including the scalp, eyelashes, eyebrows armpits and pubic region. Stressful situations often bring on the hair-pulling behavior, however, increased hair-pulling can occur in times of relaxation. Hair pulling can occur either in brief episodes scattered throughout the day or in more sustained periods that can last for hours. Sometimes tension will occur immediately before pulling out the hair, while in others, the tension occurs in attempts to resist the urge. There is gratification or a sense of pleasure or relief in the act of pulling out hair.
  
  
• Social Phobia
  Social Phobia is a marked and persistent fear of social or performance situations in which embarrassment could occur. Exposure to such situations almost always provokes an immediate anxiety response, which may take the form of a Panic Attack. Normally the person with Social Phobia will avoid these social or performance situations; when they cannot be avoided, they are experienced with dread. The individual is concerned with embarrassment, afraid of being judged by others as being weak, crazy or stupid. Social Phobia is an issue when avoidance or fear of these social/performance situations significantly interferes with the normal daily routine, job functioning or social life. People will avoid eating, drinking, or speaking in public, fearing others will see physical symptoms of their fear. Individuals with social Phobia will experience anxiety symptoms such as palpitations, tremors, sweating, stomach discomfort, diarrhea, muscle tension, blushing and outward confusion in social situations.
  
  
• Body Dysmorphic Disorder
  Body Dysmorphic Disorder (BDD) is a preoccupation with a defect in appearance. The defect is either imagined, or if it is slight, it will cause excessive concern on the part of the individual. The preoccupation will cause distress significant enough to interfere with normal social or occupational functioning. Such imagined or slight body flaws include scars, wrinkles, acne, thinning hair/excessive facial hair, body size, complexion and vascular markings. For example, eyebrows that look normal to most people, will look grotesque to a person with BDD. Most people with this disorder will experience marked distress over the supposed deformity, using adjectives such as "intensely painful", "tormenting" or "devastating" to describe their preoccupations. They find their preoccupations difficult to control and they will make little or no attempt to resist them. They spend enough time preoccupied with their distress so that these thoughts may dominate their lives. Feeling of self-consciousness about their defect may lead to avoidance of work or public situations.
  
  
• Dual Diagnosis
  A duel diagnosis is someone who is suffering from more than one disorder. For example, alcoholism and depression; drugs and bipolar disorder, trading addictions, i.e., having six months sobriety and starts to have unhealthy obsessive sexual relationships.

• Addictions
  Psychological and physiological dependence on a substance or practice that is beyond voluntary control (e.g. alcohol, tobacco, drugs, food, gambling, sex/pornography, shopping, etc.).

• Alcohol
• Sex and Love Addictions
  • Trading addictions, i.e., having six months sobriety and starts to have unhealthy obsessive sexual relationships.
• Sex
  • Sexual Anorexia
    Sexual anorexia is part of a sexual addiction; it is like food addiction. Some people eat too much (compulsive overeating) and some cannot eat. That is like sexual anorexia.
  • Pornography
  • Compulsive visits to prostitutes, massage parlors, etc.
• Gambling
• Shopping/Spending
• Controlling Others
• Food
• Drugs
• Co-Dependence
  • Forgetting your needs while caring for others, lack of boundaries, controlling and enabling others, causing resentment and breakdown in relationships including spouse, family members, co-workers and friends.
    
• Depression
  A period of at least 2 weeks during which there is either depressed mood or the loss of interest or pleasure in nearly all activities. One may feel worthless, have difficulty concentrating, and/or thoughts of death or suicide.

* Taken from Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition
**Taken from The Oprah Winfrey Show in an interview with Dr. David Tolin, Director of the Anxiety Disorders Center at The Institute of Living at Hartford Hospital