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2021

Anxiety

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Piled Up, Sophia Lebowitz Dec 2021

Piled Up, Sophia Lebowitz

Capstones

Piled Up is a 10 minute film about Anna Sacks, a dumpster diver in New York City who has recently found viral social media fame for calling out wasteful corporate practices. Meanwhile, the physical build-up of the trash she collects, and the anxiety of the never-ending cycles of waste are weighing her down and keeping her from her goals.

This is a surprising story about a woman who has found overwhelming social media success while simultaneously dealing with the mechanism of that success, waste, building up in her life. Her videos have garnered her thousands of followers and millions of …


Determining The Psychosocial Needs Of The Nurses Of Covid-19 Patients, Allison Stevens Dec 2021

Determining The Psychosocial Needs Of The Nurses Of Covid-19 Patients, Allison Stevens

ATU Theses and Dissertations 2021 - Present

Nurses are a vital element of the COVID-19 healthcare crisis and have been since the beginning of the COVID-19 response. The professional strain put on nurses included, but is not limited to: changing professional roles, rapidly changing policies and procedures, an influx of patients—particularly of high acuity, and change in workplace morale. However, nurses also had to carry the burdens of living as a member of society, family member, friend, community member, and above all, simply as a person surviving a pandemic themselves. With all of the stressors nurses have endured, it stands to reason that their psychosocial needs have …


The Role Of Embodied Metaphor In The Relationship Between Vestibular Dysfunction, Anxiety And The Self, Kaitlyn Abrams Dec 2021

The Role Of Embodied Metaphor In The Relationship Between Vestibular Dysfunction, Anxiety And The Self, Kaitlyn Abrams

Electronic Theses and Dissertations

There is considerable evidence that vestibular dysfunction and anxiety are correlated. Clinical and philosophical arguments suggest that a loss of sense of self, experienced through symptoms like derealization and depersonalization, might contribute to this relationship. The present study used a mixed methods approach, including Systematic Metaphor Analysis, to analyze written short answer and quantitative survey data from one hundred and thirteen participants with vestibular disorders. The Systematic Metaphor Analysis revealed several primary metaphor concepts which elucidated the connections between concrete experience and abstract concepts in vestibular dysfunction. These included metaphors of Agency, Stability, Orientation, Self-Object, and Figure-Ground. Primary metaphors for …


The Relationship Between The Practice Of Martial Arts, Anxiety, Wellness, And Self-Efficacy, William K. Knight Jr Dec 2021

The Relationship Between The Practice Of Martial Arts, Anxiety, Wellness, And Self-Efficacy, William K. Knight Jr

University of New Orleans Theses and Dissertations

Although anxiety is a frequently researched topic, the growing numbers of diagnosed cases and the state of the present outcomes warrant the study of alternative approaches to address the causes and conditions of its prevalence, as well as possible adaptive strategies and tactics to improve outcomes for clients with anxiety. Counseling distinguishes itself in part due to its focus on well-being rather than mere alleviation of diagnosed symptoms. As such, it may be useful to measure the likelihood of some strategies and tactics associated with improved well-being in attempting to reduce symptoms of anxiety.

This study measured the practice of …


The Effects Of Hyperbaric Oxygen Therapy On Pain Thresholds And Anxiodepressive Behaviors In A Pre-Clinical Fibromyalgia Pain Model, Cassie Mae Argenbright Dec 2021

The Effects Of Hyperbaric Oxygen Therapy On Pain Thresholds And Anxiodepressive Behaviors In A Pre-Clinical Fibromyalgia Pain Model, Cassie Mae Argenbright

Psychology Theses

Fibromyalgia (FM) is a chronic, widespread pain disorder generally of a non-inflammatory nature. FM has many known affective and cognitive comorbidities, including fatigue, sleep disturbances, cognitive deficits, and mood disturbances. As a result, FM treatment approaches are mixed in nature and lack a robust characterization that address symptoms on a sensory, affective, and cognitive level. However, there is promise in the implementation of hyperbaric oxygen therapy (HBOT) for alleviating fibromyalgia pain and comorbidities, despite no work investigating the efficacy of this treatment in prominent preclinical FM models. Thus, this project aims to investigate the affective components, specifically anhedonia and anxiety, …


The Role Of Anxiety Sensitivity In The Etiology Of Anxiety And Cognitive Symptoms Of Eating Disorders, Rachel Small-Crevier Oct 2021

The Role Of Anxiety Sensitivity In The Etiology Of Anxiety And Cognitive Symptoms Of Eating Disorders, Rachel Small-Crevier

Electronic Theses and Dissertations

The present study examined common genetic and environmental contributions to the etiology of anxiety sensitivity, cognitive symptoms of eating disorders, and anxiety severity in a community sample of adolescents. I leveraged data from the Twins Early Development Study, a longitudinal epidemiological study of mono- and dizygotic twins born in England and Wales between 1994 and 1996. At age 16, families of twins (n=5,111) were assessed for anxiety sensitivity, cognitive symptoms of eating disorders (i.e., felt fat, fear of gaining weight, weight- and shape-influences thoughts about self), and anxiety severity. Strong phenotypic correlations among the four cognitive symptoms of eating disorder …


Does Decentering Mediate The Relationship Between Mindfulness And Stress And Anxiety?, Hana Hannah Lee Sep 2021

Does Decentering Mediate The Relationship Between Mindfulness And Stress And Anxiety?, Hana Hannah Lee

Theses and Dissertations

College students are stressed and unsuccessful efforts to cope can increase risk for poor mental health, including anxiety (American College Health, 2019). Research suggests mindfulness (Bamber & Schneider, 2016) and adaptive emotion regulation (Desrosiers et al. 2013b) can buffer against the deleterious effects of distress. Decentering, a mindful emotion regulation strategy (Chambers et al., 2009), is postulated to be a mechanism by which mindfulness can lead to better mental health (Shapiro et al. 2006). Specific facets of trait mindfulness, namely Nonjudging (NJ) and Nonreactivity (NR) (Mizera et al. 2016), are directly involved in regulating one's emotions, which can help reduce …


The Bidirectional Effects Of Serious Conduct Problems, Anxiety, And Trauma Exposure: Implications For Our Understanding Of The Development Of Callous-Unemotional Traits, Emily Lynne Robertson Aug 2021

The Bidirectional Effects Of Serious Conduct Problems, Anxiety, And Trauma Exposure: Implications For Our Understanding Of The Development Of Callous-Unemotional Traits, Emily Lynne Robertson

LSU Doctoral Dissertations

The association of anxiety and trauma with childhood conduct problems has long been the focus of research, and more recently this area of research has become critical to understanding the development of callous-unemotional (CU) traits. Research in samples of children and adolescents has indicated that those elevated on both CU traits and anxiety seem to show more severe externalizing behaviors and are more likely to show histories of trauma. These findings have typically been interpreted as being indicative of a unique casual pathway to CU traits in those high on anxiety. However, an alternative explanation is that the higher rates …


Rejection Sensitivity, Relationship Quality, And Adjustment In Late-Adolescent Romantic Relationships And Friendships, Laura A. Foster Aug 2021

Rejection Sensitivity, Relationship Quality, And Adjustment In Late-Adolescent Romantic Relationships And Friendships, Laura A. Foster

Electronic Theses and Dissertations

Rejection sensitive (RS) individuals are at greater risk for emotional maladjustment across the lifespan, with consistent links identified with depression and social anxiety. Yet little is known about interpersonal factors that may affect this association for late adolescents, especially with their romantic partners and close friends. The present study examined relationship qualities of support and negative interactions with romantic partners and friends as moderators of the link between RS and internalizing symptoms. Given the differences between male and female social relationships and experiences, these associations were expected to be further moderated by gender, with RS females in poorer quality relationships …


The Effects Of Matched And Mismatched Social Support On Anxious And Depressive Symptoms In Women With Multiple Sclerosis, Elena A. Thomopoulos Aug 2021

The Effects Of Matched And Mismatched Social Support On Anxious And Depressive Symptoms In Women With Multiple Sclerosis, Elena A. Thomopoulos

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

There have been many significant findings and contributions to the literature on multiple sclerosis (MS) concerning both physical and mental well-being of individuals who are diagnosed with this illness. While MS is more commonly known now, more than before, there are many obstacles and challenges individuals diagnosed with MS face than people realize. Symptoms that affect individuals with MS are not easily recognized such as fatigue, blurry vision, issues with dexterity, bodily pain, numbness in extremities, and more. Due to the nature of this disease, and many adaptations in life individuals have to make due to their symptoms, studies …


Stigma And Social-Emotional Health In Youth With Learning Differences, Kelsey Maki Aug 2021

Stigma And Social-Emotional Health In Youth With Learning Differences, Kelsey Maki

Doctoral Dissertations

Youth diagnosed with specific learning disorder (SLD) and/or attention deficit hyperactivity disorder (ADHD), defined collectively for the purposes of this study as youth with learning differences, experience poorer social-emotional health outcomes in comparison to their typically developing peers. These youth additionally experience stigma from their peers, teachers, and broader community, which may impact social-emotional health. As a secondary data analysis of a larger study, the present study investigated the role of stigma consciousness alongside demographic variables, self-esteem, and peer relationships in social-emotional health outcomes. Due to the possible differences between youth diagnosed with SLD, ADHD, and comorbid SLD/ADHD, group differences …


Neural Substrates Of Fear Generalization And Its Associations With Anxiety And Intolerance Of Uncertainty, Ashley Ann Huggins Aug 2021

Neural Substrates Of Fear Generalization And Its Associations With Anxiety And Intolerance Of Uncertainty, Ashley Ann Huggins

Theses and Dissertations

Fear generalization - the tendency to interpret ambiguous stimuli as threatening due to perceptual similarity to a learned threat – is an adaptive process. Overgeneralization, however, is maladaptive and has been implicated in a number of anxiety disorders. Neuroimaging research has indicated several regions sensitive to effects of generalization, including regions involved in fear excitation (e.g., amygdala, insula) and inhibition (e.g., ventromedial prefrontal cortex). Research has suggested several other small brain regions may play an important role in this process (e.g., hippocampal subfields, bed nucleus of the stria terminalis [BNST], habenula), but, to date, these regions have not been examined …


The Relationship Between Self-Reported Measures Of Anxiety And Sensory Processing, Elizabeth R. Troutwine Aug 2021

The Relationship Between Self-Reported Measures Of Anxiety And Sensory Processing, Elizabeth R. Troutwine

MSU Graduate Theses

Auditory sensory gating, a type of sensory processing, is a physiological mechanism that allows the brain to filter out and respond less to redundant sensory information. Poor sensory gating has been found in clinical groups such as Alzheimer’s dementia (Jessen et al., 2001), bipolar I disorder (Lijffijt et al., 2009), schizophrenia (Patterson et al., 2008), and other anxiety-related psychopathologies such as panic disorder (Ghisolfi et al., 2006), post-traumatic stress disorder (PTSD) (Orr et al., 2002), and obsessive-compulsive-disorder (OCD) (Hashimoto, 2007). Research is limited regarding effects of chronic worry and anxiety on sensory gating ability. This study will explore the relationship …


School-Based Acceptance And Commitment Therapy For Adolescents With Anxiety, Julie M. Petersen Aug 2021

School-Based Acceptance And Commitment Therapy For Adolescents With Anxiety, Julie M. Petersen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Mental health problems, particularly anxiety, are a growing problem in adolescents. Some treatments (e.g., cognitive behavioral therapy) have been shown effective for youth anxiety, but do not help all adolescents. Acceptance and commitment therapy (ACT), a treatment supported for anxiety in adults, has yet to be fully researched in adolescents. ACT is a flexible therapy that is understood to be appropriate, if not ideal, for younger populations and schools. The present study compares a school-based, group ACT for adolescents with anxiety to a waitlist.

Adolescents (N = 26) with anxiety were randomized to a 12 week waitlist or to participate …


Parent Anxiety, Parental Psychological Control, And Adolescent Anxiety: Mediation And Bidirectional Relationships, Iesha R. Gibbons Jul 2021

Parent Anxiety, Parental Psychological Control, And Adolescent Anxiety: Mediation And Bidirectional Relationships, Iesha R. Gibbons

Theses and Dissertations

Anxiety is the most common mental health diagnosis for adolescents. Among important etiological factors are parent anxiety and parenting behavior, which can increase anxiety in adolescents. Adolescent anxiety can also act as a source of stress for parents that then increases parent anxiety and negative parenting behaviors. Using the Family Stress Model, this study aims to examine the longitudinal and bidirectional relationship between parent and adolescent anxiety with parental psychological control acting as a mediator. Structural equation modeling was used to examine these relationships across five waves of data for 457 families. Adolescents (51.86% female, mean age 13.34 at wave …


Cerebellum-Seeded Functional Connectivity Changes In Trait-Anxious Individuals Undergoing Attention Bias Modification Training, Katherine Elwell Jul 2021

Cerebellum-Seeded Functional Connectivity Changes In Trait-Anxious Individuals Undergoing Attention Bias Modification Training, Katherine Elwell

All NMU Master's Theses

Anxiety and anxiety related disorders are increasing at a drastic rate in the past decade, with the NIMH reporting that 31.1% of U.S. adults will experience an anxiety disorder at some point in their lives. Anxiety is commonly characterized by increased attention bias to threat. Attention Bias Modification (ABM) is a new treatment used to reduce individual’s attention bias towards threat. The extent to which ABM leads to underlying neural changes is still unknown. The cerebellum is a neglected brain structure, with new research provides evidence that cerebellum’s functional connectivity and shared networks with threat processing regions has a direct …


Characterizing Anxiety And Physiological Correlates In Preschool Children With Neurodevelopmental Disabilities, Jordan Ezell Jul 2021

Characterizing Anxiety And Physiological Correlates In Preschool Children With Neurodevelopmental Disabilities, Jordan Ezell

Theses and Dissertations

This dissertation is comprised of two original research manuscripts broadly examining anxiety and potential correlates in young children with neurodevelopmental disabilities. The first manuscript assessed cardiac regulation during an auditory startle paradigm in young children (3-6 years old) with autism spectrum disorder (ASD), fragile x syndrome (FXS), and neurotypical peers. The second manuscript utilized a new measure developed to capture anxiety in individuals with ASD in order to assess the rate of typical and atypical anxiety and potential risk factors (ASD severity, sex, cognitive ability) for anxiety in preschool children with ASD contrasted to neurotypical preschool children. Collectively, these two …


Comparing The Effects Of Noncontingent Reinforcement And Environmental Enrichment On Problem Behavior Maintained By Automatic Reinforcement, Mary Llinas Jul 2021

Comparing The Effects Of Noncontingent Reinforcement And Environmental Enrichment On Problem Behavior Maintained By Automatic Reinforcement, Mary Llinas

Theses and Dissertations

Environmental enrichment (EE) and noncontingent reinforcement (NCR) are common behavior analytic interventions used to decrease problem behavior maintained by automatic reinforcement. Both EE and NCR involve noncontingent access to preferred or competing stimuli, however, access to stimuli is intermittent (typically on a fixed-time [FT] schedule) in NCR, while in EE, the stimuli are continuously available. Despite the research on their effectiveness at reducing problem behavior, they have not been compared. The purpose of the current study was to compare the effectiveness of different schedules of reinforcement at decreasing automatically maintained problem behavior (stereotypy) and anxiety exhibited by two children with …


Five Facets Of Mindfulness In Pregnancy And Postpartum Periods, Brianna J. Mcneley Jun 2021

Five Facets Of Mindfulness In Pregnancy And Postpartum Periods, Brianna J. Mcneley

Global Honors Theses

Pregnancy, particularly the postpartum period is high risk for women with preexisting mental disorders such as bipolar disorder, depression, and anxiety. This research investigates if self-reported use of overall mindfulness and individual facets of mindfulness (observe, describe, nonjudging, acting with awareness, and nonreacting), reduce common symptoms associated with these disorders. Pregnant or postpartum participants recruited from social media groups (18+) were asked to self-report symptoms of mania, depression, anxiety, and five facets of mindfulness. Overall mindfulness was significantly negatively correlated with mania, depression, and anxiety, and in particular with nonjudging and acting with awareness. But symptoms were positively correlated …


Social Status Insecurity And Body Image Related Health Outcomes: Testing A Moderated Mediation Model, Mingqi Li Jun 2021

Social Status Insecurity And Body Image Related Health Outcomes: Testing A Moderated Mediation Model, Mingqi Li

College of Science and Health Theses and Dissertations

Body dissatisfaction has been found to be associated with a wide range of maladjustment outcomes and negative behavioral consequences. To identify the sources leading to body dissatisfaction, the present study proposed that an aspect of social cognition specifically regarding peer status, known as social status insecurity, may function as a precursor of body dissatisfaction. This study further examined the associations between social status insecurity and body-image-related health outcomes by focusing on the mediation effects of body dissatisfaction in a sample of 308 Chinese adolescents (117 girls, 191 boys). Furthermore, this study examined whether these mediation processes were moderated by social …


Sensory Sensitivity And Intolerance Of Uncertainty Influence Anxiety In Autistic Adults, Karys M. Normansell-Mossa Jun 2021

Sensory Sensitivity And Intolerance Of Uncertainty Influence Anxiety In Autistic Adults, Karys M. Normansell-Mossa

Theses and Dissertations

Several models of anxiety in autistic adults have focused on the role of intolerance of uncertainty which has biological and evolutionary bases, as a cognitive explanation for the high prevalence of anxiety in autism. This framework suggests that all people are born with a healthy level of intolerance of uncertainty, and as we develop, this intolerance is lessened as we learn when situations are safe and begin to understand and manage the uncertainty. This process of learning about managing uncertainty does not happen in the same way in those who are high in autistic traits, which could be the reason …


The Power Of Video Games: How Celeste And Hellblade Address Mental Health, Victor M. Ortiz Jun 2021

The Power Of Video Games: How Celeste And Hellblade Address Mental Health, Victor M. Ortiz

Communication Studies

The media has the power to educate audiences on topics through effective storytelling. This paper shows how video games as a medium possess unique potential to affect players through interactive experiences. Two video games titled Celeste and Hellblade: Senua’s Sacrifice serve as examples of social cognitive learning through media exposure. This paper conducts a content analysis on the two titles. From the analysis, we learn the stories in Celeste and Hellblade aim to help those who play them learn how to cope with mental health problems such as depression and anxiety. The literature review section discusses past research done on …


Mental Health Outcomes Of Various Types Of Fear Among University Students Who Have An Undocumented Legal Status During The Donald Trump Presidency, Liliana Campos Jun 2021

Mental Health Outcomes Of Various Types Of Fear Among University Students Who Have An Undocumented Legal Status During The Donald Trump Presidency, Liliana Campos

Doctoral Dissertations

Having an undocumented legal status is a risk factor for mental health conditions such as depression and anxiety among university students. Much of the literature on the experiences of university students who hold an undocumented legal status has primarily focused on better understanding the educational, social, financial, and legal challenges among undergraduate students. The literature has addressed how some of these difficulties impact components of their social and mental health wellness. Yet, there is still a dearth of research focused on further understanding the experiences of students who hold an undocumented legal status from a psychological perspective, and specifically, with …


Learning To Feel Safe: A Translational Study Of The Influence Of Safety Learning On Anxiety-Related Overgeneralized Fear, Hyein Cho Jun 2021

Learning To Feel Safe: A Translational Study Of The Influence Of Safety Learning On Anxiety-Related Overgeneralized Fear, Hyein Cho

Dissertations, Theses, and Capstone Projects

Anxiety disorders are among the most common mental health diagnoses, affecting about a third of the population in their lifetime. However, approximately a third of individuals with anxiety do not respond to current treatment approaches, highlighting the need to identify additional potential therapeutic mechanisms. Safety learning is one such mechanism, but methodological challenges and a dearth of research have prevented the field from advancing the understanding of the role of safety learning in the etiology and remediation of anxiety disorders. Animal research, using single-cued safety learning paradigms, has yielded promising early findings, demonstrating that safety learning directly reduces anxiety-related behaviors …


Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson May 2021

Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson

Electronic Thesis and Dissertation Repository

Globally, anxiety disorders represent the most prevalent mental health disorders in children and youth (Polanczyk et al., 2015), with an increasing number of individuals perceiving the need for professional help (Georgiades et al., 2019). It is unclear, however, where families are seeking help from, what barriers families are facing, and what services are being provided for effective management of symptoms. Two methods were used to investigate possible treatment support models; a questionnaire identified patterns in parental help-seeking behaviours and outlined perceived barriers to professional help, while a scoping review examined key components of parent/caregiver treatment models. Findings showed that parents …


Treatment Anxiety Education For Pediatric Cardiac Neurodevelopmental Patients, An Evidence Based Project, Mary Nagel May 2021

Treatment Anxiety Education For Pediatric Cardiac Neurodevelopmental Patients, An Evidence Based Project, Mary Nagel

Doctor of Nursing Practice Final Manuscripts

Abstract

Background

Congenital heart disease (CHD) is the most common birth defect and affects almost 1% of all live births. Treatment anxiety is common among children with CHD who undergo multiple procedures early in their lifetime. Dramatically increased life spans for this cardiac population has led to a shift from focusing on survival to their long-term health outcomes.

Methods:

Administration of the Peds QL Cardiac Module 3.0 assesses health related quality of life (HRQOL) during annual visits to a Cardiac Neurodevelopmental (ND) Clinic by evaluating the level of Treatment Anxiety a patient experiences during healthcare appointments. The questionnaire scores are …


Developing A Movement-Based Group For High Schoolers With Anxiety During Covid-19, Samantha Harding May 2021

Developing A Movement-Based Group For High Schoolers With Anxiety During Covid-19, Samantha Harding

Expressive Therapies Capstone Theses

The COVID-19 pandemic has been associated with negative mental health outcomes, including increased rates of anxiety among adolescents. Adolescents with social-emotional disabilities experience additional challenges adapting to disruptions in routine and coping with feelings of anxiety caused by the pandemic. While effective treatments for reducing symptoms of anxiety exist, a large proportion of adolescents with clinical or sub-clinical levels of anxiety lack access to such treatment or do not seek out treatment on their own. Schools are seen as an ideal setting to implement programs that teach adolescents effective coping skills, however, the pandemic has drastically altered school settings and …


Mindfulness-Based Interventions For Prenatal Stress, Anxiety, And Depression, Fiona Kate Rice May 2021

Mindfulness-Based Interventions For Prenatal Stress, Anxiety, And Depression, Fiona Kate Rice

Expressive Therapies Capstone Theses

Pregnant people in the United States (US) face myriad barriers to resource accessibility when seeking support, including financial gatekeeping, discrimination, and cis-gendering of the process. Commodification of prenatal support is exhaustive and contributes to a growing exclusivity of traditionally accessible interventions designed to reduce stress, anxiety, and depression, and to promote positive fetal outcomes and parent-child bond. Mindfulness-based interventions are particularly appropriate for reducing stress, anxiety, and depression in pregnancy. Mindfulness-based interventions are intersectional, accessible means of pregnancy and childbirth support with evidence-based outcomes of positive birth experiences and results. Mindfulness is defined as nonjudgmental awareness of the present moment. …


Neuro-Informed Music Therapy For The Treatment Of Anxiety And Depression: A Literature Review, Sarah E. Sullivan May 2021

Neuro-Informed Music Therapy For The Treatment Of Anxiety And Depression: A Literature Review, Sarah E. Sullivan

Expressive Therapies Capstone Theses

This capstone thesis project is a literature review of research specifically regarding the neuroscience and neurochemistry of music and how it can inform music therapy treatment of mental health. Mental health is a large, overarching term that includes many disorders that refer to one’s psychological and/or emotional condition(s), which further includes an individual’s social well-being. This can include, but is not limited to, depression, anxiety, schizophrenia, and obsessive-compulsive disorder (OCD). This paper will focus in on a research-based, neuro-informed music therapy treatment of anxiety and depression. The goal of this paper was to provide research toward a future method in …


The Benefits Of Clay For Adolescents In The Inpatient Setting: Development Of A Method, Lauren Sideravage May 2021

The Benefits Of Clay For Adolescents In The Inpatient Setting: Development Of A Method, Lauren Sideravage

Expressive Therapies Capstone Theses

Adolescence is a period of time where there is continuous change in one’s social, emotional, and physical development. In severe situations, these changes could contribute to two of the most common mental disorders in teens, one being mood disorders and the other being anxiety disorders. Arts based interventions were administered to measure and test if using clay through touch and movement could reduce anxiety and stress for adolescents in a psychiatric inpatient setting, leading to greater mental well-being and increased stabilization. Patients participated in a three-part group that focused on different clay techniques, including rolling, flattening, and free choice. Color …