Increased Precautions We're Taking in Response to COVID-19

LAST UPDATED ON 12/17/2020

As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at The Refuge, A Healing Place to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at The Refuge, A Healing Place.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • Options for telehealth visitation are continuously evaluated so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Anxiety: Statistics, Causes, Signs, & Symptoms

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Anxiety can often times be hidden in plain sight, making it difficult to identify. Understanding and recognizing the signs, symptoms, risks and more is the first step in the recovery journey.

Understanding Anxiety

Learn about anxiety

Generalized anxiety disorder (GAD) is a type of anxiety disorder characterized by excessive anxiety and fear over everyday events and activities. While some amount of anxiety can be helpful, allowing a person to meet deadlines or cram for an exam, a person who has an anxiety disorder experiences anxiety that is much more excessive and far less helpful. Symptoms of anxiety disorders are pronounced, distressing, and pervasive; people with GAD worry even when there is little to no reason to worry. Also referred to as “free-floating anxiety,” people with GAD report that anxiety often comes out of nowhere without any precipitating event. They have a difficult time controlling their anxiety and worry; attempts to do so often make the problem worse. They often develop a sense of helplessness since it seems like nothing they do can decrease their worries, leading to the development of other psychosocial problems. Fortunately, with the help of certain types of medication and ongoing therapies, people who have anxiety disorders are able to reclaim their lives.


Anxiety statistics

In the United States, it is estimated that 0.9% of adolescents and 2.9% of adults suffer from GAD in a given year. The lifetime risk for developing anxiety disorders is 9% with the average age of onset at age 30. Females are twice as likely to experience this disorder, however this may be the result of women being more apt to report their symptoms than men. The younger the person is when the disorder develops, the more likely there will be co-occurring disorders and the greater the impairment.

Causes and Risk Factors

Causes and risk factors for anxiety

It’s unlikely that a person will develop an anxiety disorder for a single reason. It’s widely accepted that most people develop anxiety disorders as a result of the complex interplay of a variety of causes and risks factors. Some of the causes for anxiety disorders include:

GeneticPeople who have first-degree relatives, such as a parent or sibling, with anxiety disorders are at higher risk for developing these disorders themselves. It’s worth noting that while many people have a genetic predisposition to the disorder, a number of people who develop anxiety disorders do not have a family history.

Brain ChemistryAbnormal levels of certain neurotransmitters, the chemical messengers of the brain, are thought to play a role in the developmental of anxiety disorders. Neurotransmitters such as serotonin, dopamine, and norepinephrine play a role in anxiety control and low levels of these neurotransmitters may incorrectly signal that danger is near. Additionally, parts of the brain that regulate fear, memory and emotion are highly sensitive to unfamiliar or unpredictable situation, which can lead to the development of an anxiety disorder.

Environmental: Individuals who have experienced numerous and severe stressors including traumatic events, multiple deaths of loved ones, being placed in dangerous situations, divorce, sudden illness, moves, job loss etc., are more likely to develop generalized anxiety.

Signs and Symptoms

Signs and symptoms of anxiety

Signs and symptoms of generalized anxiety disorder will vary based upon individual genetic makeup, severity of symptoms, and presence of co-occurring disorders. Symptoms and signs of generalized anxiety disorder include:

Behavioral Symptoms:

  • Excessive and unrealistic worry occurring almost all day on more days than not
  • Worry is connected to many things in the person’s life
  • The worry may be experienced as not connected to anything but as having appeared out of nowhere
  • The worry is excessive or unwarranted given the circumstances
  • The worry is experienced as extremely and sometimes impossible to control
  • Awareness that the worrying is excessive

Physical Symptoms:

  • Restlessness
  • Fatigue
  • Feeling light-headed
  • Trembling
  • Body aches and pains
  • Headaches
  • Nausea
  • Rapid pulse, elevated hearth rate, difficulty breathing at times
  • Sweating
  • The need to go to the bathroom frequently
  • Exaggerated startle response
  • Sleep problems
  • Having difficulty swallowing

Cognitive Symptoms:

  • Trouble with concentration, attention and memory
  • Difficulty making decisions
  • Mind going blank
  • Muscle tension

Psychological Symptoms:

  • Feeling helpless or hopeless that things will improve
  • Unrealistic view of problems
  • Irritability
  • Agitation
  • Feelings of worthlessness
  • Mood swings
  • Obsession about small or large problems

Effects of anxiety

People living with untreated and unmanaged generalized anxiety disorder may face a multitude of consequences and effects as this disorder can affect every aspect of daily living. Common effects of living with untreated anxiety disorders include:

  • Inability to fulfill responsibilities at home, work, or school
  • Sleep disturbances
  • Family and marital problems
  • Difficulty carrying out daily activities
  • Inability to do things quickly or accurately
  • Inability to interact normally with others
  • Agoraphobia
  • Feeling unable to do anything to make things better
  • Loss of self-esteem due to feelings of helplessness/hopelessness
  • Loss of motivation
  • Self-injury
  • Suicidal thoughts and behaviors

While the symptoms of GAD may wax and wane over your life span, anxiety rarely remits without treatment and can negatively impact all areas of life.  Therefore, it is important to receive help if believe you or someone you love is suffering from this problem.

Co-Occurring Disorders

Anxiety and co-occurring disorders

Generalized anxiety disorder rarely occurs in the absence of other anxiety disorder. People who have one anxiety disorder are often diagnosed with another. The most common co-occurring disorders include:

  • Panic disorder
  • Social anxiety disorder/social phobia
  • Phobias
  • Agoraphobia
  • Separation anxiety (in children)
  • Major depressive disorder
  • Anorexia nervosa
  • Bulimia nervosa
  • Substance abuse
  • Alcoholism
  • Post-traumatic stress disorder (PTSD)
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