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The Biology of Anxiety

I spoke recently with friend and colleague, Laszlo Papp, MD, about his research in the biology of anxiety.  Laszlo has been doing some very interesting studies at Columbia University's Department of Psychiatry where he serves as Director of the Biological Studies Unit.  In Laszlo's biological challenge studies, people with anxiety disorders are given air to breathe that has been enriched with higher than normal levels of CO2.  At 5% CO2, persons with panic disorder tend to have panic attacks, while normal control subjects (non-panickers) do not.  Dr. Papp and colleagues (including Donald Klein and Jack Gorman) have viewed this is evidence of a biological underpinning of anxiety.  Subsequent studies by Ron Rapee or Larry Welkowitz (both psychologists) have shown that psychological factors, such as expectations, can affect panickers response to CO2 inhalation, thus bringing in to question a "purely biological" model of anxiety.

Click on the MP3 file below to hear this week's interview with Dr. Laszlo Papp:

MP3 PROGRAM REMOVED ON 4/16/07

I will also include an interview with a friend who has graciously consented speaking for a few minutes about her own panic attacks.  Click on the MP3 file below to hear her comments:

Download margiPanic.mp3

Counseling Asperger's and High Functioning Autism: Philosophical Dilemmas

With the permission of my students in the graduate certificate program at Antioch New England Graduate School, I recorded about 14 minutes of our discussion of philosophical dilemmas in treatment.  You be the judge, but I thought that these students (mostly educators, school counselors, and parents) were wary of models that pathologized children with AS/HFA and were moderately skeptical about the role of pharmacology.  They were concerned about medication side effects and expressed concerns about superficial understanding of the complexity of these individuals.

Click on the MP3 file below to hear this podcast:

Download antiochAdvClass.mp3 (16mins 5secs; 5.5MB)

Asperger's After College: One Year Follow-up

I bumped in to my former Keene State College student, Andy Sylvia, while teaching at the Asperger's Certificate Program at Antioch New England Graduate School last weekend.  I took some time out during our lunch break to catch up and see what life was like about one year after graduating college.  Does Asperger's still haunt Andy?  Does it help or hinder his career development?

Click on the MP3 link below to hear this week's podcast:

Download pr22_1yrFollowUp.mp3