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Kevin Chapman - Youth Mental Health

Kevin Chapman - Youth Mental Health

Renee speaks with Dr. Kevin Chapman, a licensed clinical psychologist from Louisville who specializes in treating anxiety and related disorders, about youth mental health issues.
Season 14 Episode 6 Length 28:47 Premiere: 10.12.18

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Treating Anxiety Disorders

Almost everyone has something that can cause him or her to feel anxious. Maybe it’s making a public speech, taking a test, encountering an unfamiliar dog, or riding in a crowded elevator.

For many people, that feeling quickly passes. For others, the fear can become chronic and debilitating.

To make sense of anxieties and obsessive compulsive disorder, KET’s Connections talked with Kevin Chapman, a licensed clinical psychologist in Louisville. He discussed anxiety disorders and therapy options for treating them.

Although it doesn’t feel good to experience anxiety, Chapman says some amount of it is normal.

“Anxiety by definition is supposed to help us meet the demands of our environment,” he says. “It’s supposed to help us prepare for things that may or may not occur.”

If a person has a strong physiological reaction to an uncomfortable experience, such as speaking to a large crowd or having a turbulent airplane flight, then the brain establishes a powerful negative memory around that event. Chapman says the next time that person encounters that situation, or even just thinks about it, they are likely to feel the emotion of anxiety.

But it’s important to note that fear, anxiety, and panic are not the same things.

“Fear is a true alarm – I’m really in danger. Panic, on the other hand, is what we call a false alarm – it’s the fear response out of context,” Chapman says. “When I’m anxious, fear and anxiety can go hand in hand and culminate to having a panic attack… because I’ve convinced my body that that situation is dangerous when in fact it isn’t.”

Chapman says that if there is no external threat, the person can turn their panic inward, causing them to focus even more intently own their own reaction. He says that only intensifies the person’s feelings of anxiety and panic.

Social and Performance Anxieties
Another type of anxiety is social anxiety, or the fear of being negatively judged by others. Chapman says 15 million Americans experience social anxiety, making it the third most common mental health condition in the United States.

“The reason that it is (so common) is because any social situation you find yourself in has the potential of negative evaluation,” he says. “If I’m sensitive to negative evaluations, then social anxiety certainly can be chronic and be a problem.”

Young people are especially prone to social anxiety because they are at an age when they are trying to develop their own identities while they are also navigating intense peer pressures. Chapman says the problem is more pronounced among today’s youth because social media has made negative commenting and online bullying more accessible and widespread.

Students can also be prone to performance anxieties related to taking tests, playing sports, performing on stage, or making speeches before their classmates.

“It makes sense that the fear and pressure to perform is more pronounced in young people because there’s real and perceived pressures with that,” Chapman says, ranging from “being able to maintain grades to being involved in various extracurricular activities that matter early in life to prepare you for college.”

There can also be cultural and socioeconomic components to anxiety. For example, a situation that may be mildly unsettling to a white person, such as an encounter with a police officer, can be very threatening to a person of color. Chapman says people who live in high-crime neighborhoods with frequent exposure to violence can develop emotional problems as well as long-term health consequences like high blood pressure.

Although there isn’t a genetic component to anxiety, Chapman says children can learn anxiousness from behaviors they experience in their parents or other family members. He says children who have an anxious parent are three to seven times more likely to develop an anxiety disorder than a child of a non-anxious parent.

When a young person or adult is able to respond to their feelings in an adaptive way, the anxiety usually dissipates. But if the feeling lingers and becomes chronic, it can lead the person to avoiding the people or situations they deem as threatening. Such avoidance can impact relationships with family and friends and impede school, work, or social activities.

“If I’m withdrawing from those things for an extended period of time, for say a month or more,” Chapman says, “that’s typically a sign that my behavior and my activity level have declined to the point of needing professional help.”

Treating Anxiety
Medications can help those who suffer from an anxiety disorder, but Chapman says the “gold standard” of treatment is cognitive behavioral therapy, or CBT. That teaches the patient that their emotions have three parts: thoughts (how they think about themselves or other people), physical feelings in the body (increased heart rate or shortness of breath), and behaviors. The combination of those three factors fuels the person’s emotional experience of a situation and their response to it.

By gradually exposing patients to a threatening or stressful scenario, Chapman can help them learn how to appraise those situations in new ways, and to learn how those new thoughts can foster new physical and behavioral responses. As these new actions become more ingrained, patients see that they are capable of handling things once considered scary in more productive, adaptive ways.

With some patients, Chapman uses virtual reality as part of his CBT treatment protocol. The patient wears a special headset that fills their field of vision, and headphones that provide an audio accompaniment to what they are seeing. A computer program manipulates a variety of stimuli so the patient can experience the fearful situation in a carefully controlled manner. Through the immersive nature of VR, the patient can experience flying in an airplane or standing before a crowd to make a speech, all in the comfort and safety of the therapist’s office.

“They would actually learn how to process that [situation] differently, so therefore when it’s time to do the real thing, they’re able to manage that a whole lot more effectively,” Chapman says.

CBT treatments can be brief and intensive, or more gradual, but Chapman says most patients find success in as few as eight sessions.

Obsessive-Compulsive Disorder
Another chronic condition that can be addressed using CBT is obsessive-compulsive disorder. Chapman describes OCD as a cycle: A person develops a fear that if they do x, then y will happen. That creates anxiety, which leads to a certain behavior they hope will alleviate the obsession.

“The next time I get triggered by the fear,” he says, “I engage in that same response or compulsion to make me feel better. But that distress always returns and I have to continue this vicious cycle.”

For example, if someone fears contamination from touching a stair rail, they may compulsively wash their hand afterwards to prevent themselves from contracting a disease. In therapy, Chapman says he would have the patient touch a railing but then not let them wash their hands. When the patient doesn’t contract a disease, they learn that the action doesn’t lead to the reaction they expect, and the hand washing becomes unnecessary.

“Teaching the person how to confront the stimuli that they deem as distressing in a way that forms a new learning experience in their brain – and therefore eliminating rituals or responses – is the way that you treat OCD,” he says.

A promotional, staged image of three cats members from the series sitting on top of the world with clouds around them along with the series titles.A promotional, staged image of three cats members from the series sitting on top of the world with clouds around them along with the series titles.

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Connections

About Connections

Each week, host Renee Shaw and a variety of interesting and engaging people - including business leaders, entertainers, authors, celebrities, and more - explore a broad array of topics impacting Kentucky and the world.

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Renee interviews three men who are either making history or working to preserve it: Reginald "Reggie" Thomas is the third African American in Kentucky history to be elected to the Kentucky Senate; Ron Spriggs, historian, and Bobby Scroggins, a University of Kentucky art professor and sculptor, talk about the Tuskegee Airmen and new artwork created to honor them.

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Kentucky Poet Laureate Frank X Walker

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Aaron Thompson, executive vice president and chief academic officer of the Kentucky Council on Postsecondary Education, discusses the state budget for higher education and the impact on student tuition.

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Prison Reform In Kentucky

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Renee continues the discussion about Kentucky prison reform recently highlighted on the PBS "Frontline" program "Prison State." Her guests are: Mark Bolton, director of the Louisville Metro Department of Corrections; Sheila Schuster, Ph.D., clinical psychologist and mental health advocate; and Ray Larson, Fayette County Commonwealth's Attorney.

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Rape Culture

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Charisse Gillett - Lexington Theological Seminary

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African Americans and Mental Health

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Renee speaks with Sycarah Fisher, associate professor in the College of Education at the University of Kentucky, and Shambra Mulder, an assistant professor in the School of Education at Kentucky State University.

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Renee talks with Wil James, president of Toyota Motor Manufacturing of Kentucky.

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Dr. Robert Hilgers

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Judi Jennings

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Renee's guest is Judi Jennings, former executive director of the Kentucky Foundation for Women, feminist art advocate, and writer.

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  • Monday January 17, 2022 2:00 pm ET on KETKY
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  • Monday January 17, 2022 5:30 am ET on KETKY
  • Monday January 17, 2022 4:30 am CT on KETKY

William Turner - S17 E13

  • Sunday January 23, 2022 8:00 am ET on KETKY
  • Sunday January 23, 2022 7:00 am CT on KETKY
  • Saturday January 22, 2022 4:30 pm ET on KETKY
  • Saturday January 22, 2022 3:30 pm CT on KETKY
  • Wednesday January 19, 2022 6:00 pm ET on KET
  • Wednesday January 19, 2022 5:00 pm CT on KET
  • Sunday January 16, 2022 6:00 pm ET on KET2
  • Sunday January 16, 2022 5:00 pm CT on KET2
  • Sunday January 16, 2022 4:30 pm ET on KETKY
  • Sunday January 16, 2022 3:30 pm CT on KETKY
  • Sunday January 16, 2022 12:00 pm ET on KET
  • Sunday January 16, 2022 11:00 am CT on KET

Tiffany Manuel - Affordable Housing - S13 E42

  • Friday January 14, 2022 10:30 pm ET on KETKY
  • Friday January 14, 2022 9:30 pm CT on KETKY
  • Friday January 14, 2022 2:00 pm ET on KETKY
  • Friday January 14, 2022 1:00 pm CT on KETKY
  • Friday January 14, 2022 5:30 am ET on KETKY
  • Friday January 14, 2022 4:30 am CT on KETKY

Shining a Spotlight on Epilepsy - S13 E35

  • Thursday January 13, 2022 10:30 pm ET on KETKY
  • Thursday January 13, 2022 9:30 pm CT on KETKY
  • Thursday January 13, 2022 5:30 am ET on KETKY
  • Thursday January 13, 2022 4:30 am CT on KETKY

Criminal Justice Reform - Cherise Fanno Burdeen - S13 E34

  • Wednesday January 12, 2022 10:29 pm ET on KETKY
  • Wednesday January 12, 2022 9:29 pm CT on KETKY
  • Wednesday January 12, 2022 5:30 am ET on KETKY
  • Wednesday January 12, 2022 4:30 am CT on KETKY

Dr. Donna Grigsby - S13 E28

  • Tuesday January 11, 2022 10:30 pm ET on KETKY
  • Tuesday January 11, 2022 9:30 pm CT on KETKY
  • Tuesday January 11, 2022 5:30 am ET on KETKY
  • Tuesday January 11, 2022 4:30 am CT on KETKY

Kosair Charities Face It Movement; Terry Brooks - S13 E25

  • Monday January 10, 2022 10:30 pm ET on KETKY
  • Monday January 10, 2022 9:30 pm CT on KETKY
  • Monday January 10, 2022 2:26 pm ET on KETKY
  • Monday January 10, 2022 1:26 pm CT on KETKY
  • Monday January 10, 2022 5:30 am ET on KETKY
  • Monday January 10, 2022 4:30 am CT on KETKY

Sec. Eric Friedlander - Kentucky Cabinet for Health and Family Services - S17 E16

  • Sunday January 16, 2022 8:00 am ET on KETKY
  • Sunday January 16, 2022 7:00 am CT on KETKY
  • Saturday January 15, 2022 4:30 pm ET on KETKY
  • Saturday January 15, 2022 3:30 pm CT on KETKY
  • Wednesday January 12, 2022 6:00 pm ET on KET
  • Wednesday January 12, 2022 5:00 pm CT on KET
  • Sunday January 9, 2022 6:00 pm ET on KET2
  • Sunday January 9, 2022 5:00 pm CT on KET2
  • Sunday January 9, 2022 4:30 pm ET on KETKY
  • Sunday January 9, 2022 3:30 pm CT on KETKY
  • Sunday January 9, 2022 12:00 pm ET on KET
  • Sunday January 9, 2022 11:00 am CT on KET

Child Marriage Laws in Kentucky - Donna Pollard - S13 E24

  • Friday January 7, 2022 10:30 pm ET on KETKY
  • Friday January 7, 2022 9:30 pm CT on KETKY
  • Friday January 7, 2022 2:00 pm ET on KETKY
  • Friday January 7, 2022 1:00 pm CT on KETKY
  • Friday January 7, 2022 5:30 am ET on KETKY
  • Friday January 7, 2022 4:30 am CT on KETKY

Remembering Dr. Martin Luther King, Jr. - S13 E23

  • Thursday January 6, 2022 10:30 pm ET on KETKY
  • Thursday January 6, 2022 9:30 pm CT on KETKY
  • Thursday January 6, 2022 5:30 am ET on KETKY
  • Thursday January 6, 2022 4:30 am CT on KETKY

Educational Innovation - S13 E21

  • Wednesday January 5, 2022 10:30 pm ET on KETKY
  • Wednesday January 5, 2022 9:30 pm CT on KETKY
  • Wednesday January 5, 2022 5:30 am ET on KETKY
  • Wednesday January 5, 2022 4:30 am CT on KETKY

Gerald Smith - S13 E20

  • Tuesday January 4, 2022 10:30 pm ET on KETKY
  • Tuesday January 4, 2022 9:30 pm CT on KETKY
  • Tuesday January 4, 2022 2:00 pm ET on KETKY
  • Tuesday January 4, 2022 1:00 pm CT on KETKY
  • Tuesday January 4, 2022 5:30 am ET on KETKY
  • Tuesday January 4, 2022 4:30 am CT on KETKY

DV8 Kitchen - S13 E17

  • Monday January 3, 2022 10:30 pm ET on KETKY
  • Monday January 3, 2022 9:30 pm CT on KETKY
  • Monday January 3, 2022 2:00 pm ET on KETKY
  • Monday January 3, 2022 1:00 pm CT on KETKY
  • Monday January 3, 2022 5:30 am ET on KETKY
  • Monday January 3, 2022 4:30 am CT on KETKY

Elizabeth Helm-Frazier - S16 E39

  • Sunday January 9, 2022 8:00 am ET on KETKY
  • Sunday January 9, 2022 7:00 am CT on KETKY
  • Saturday January 8, 2022 4:30 pm ET on KETKY
  • Saturday January 8, 2022 3:30 pm CT on KETKY
  • Wednesday January 5, 2022 6:00 pm ET on KET
  • Wednesday January 5, 2022 5:00 pm CT on KET
  • Sunday January 2, 2022 6:00 pm ET on KET2
  • Sunday January 2, 2022 5:00 pm CT on KET2
  • Sunday January 2, 2022 4:30 pm ET on KETKY
  • Sunday January 2, 2022 3:30 pm CT on KETKY
  • Sunday January 2, 2022 12:00 pm ET on KET
  • Sunday January 2, 2022 11:00 am CT on KET

Caroline Randall Williams - S16 E13

  • Sunday January 2, 2022 8:00 am ET on KETKY
  • Sunday January 2, 2022 7:00 am CT on KETKY
  • Saturday January 1, 2022 4:30 pm ET on KETKY
  • Saturday January 1, 2022 3:30 pm CT on KETKY
  • Wednesday December 29, 2021 11:30 pm ET on KET
  • Wednesday December 29, 2021 10:30 pm CT on KET
  • Wednesday December 29, 2021 6:00 pm ET on KET
  • Wednesday December 29, 2021 5:00 pm CT on KET

Silas House - S13 E16

  • Friday December 31, 2021 10:30 pm ET on KETKY
  • Friday December 31, 2021 9:30 pm CT on KETKY
  • Friday December 31, 2021 2:00 pm ET on KETKY
  • Friday December 31, 2021 1:00 pm CT on KETKY
  • Friday December 31, 2021 5:30 am ET on KETKY
  • Friday December 31, 2021 4:30 am CT on KETKY

Sexual Harassment Issues - Consultant Rus Funk - S13 E14

  • Thursday December 30, 2021 10:30 pm ET on KETKY
  • Thursday December 30, 2021 9:30 pm CT on KETKY
  • Thursday December 30, 2021 2:00 pm ET on KETKY
  • Thursday December 30, 2021 1:00 pm CT on KETKY
  • Thursday December 30, 2021 5:30 am ET on KETKY
  • Thursday December 30, 2021 4:30 am CT on KETKY

Good Samaritans - Surgery on Sunday; Bluegrass Families First and One Parent Scholar House - S13 E12

  • Wednesday December 29, 2021 10:30 pm ET on KETKY
  • Wednesday December 29, 2021 9:30 pm CT on KETKY
  • Wednesday December 29, 2021 2:00 pm ET on KETKY
  • Wednesday December 29, 2021 1:00 pm CT on KETKY
  • Wednesday December 29, 2021 5:30 am ET on KETKY
  • Wednesday December 29, 2021 4:30 am CT on KETKY

Health Issues - Sen. Julie Raque Adams and Rep. Addia Wuchner - S13 E10

  • Tuesday December 28, 2021 10:30 pm ET on KETKY
  • Tuesday December 28, 2021 9:30 pm CT on KETKY
  • Tuesday December 28, 2021 2:00 pm ET on KETKY
  • Tuesday December 28, 2021 1:00 pm CT on KETKY
  • Tuesday December 28, 2021 5:30 am ET on KETKY
  • Tuesday December 28, 2021 4:30 am CT on KETKY
Top

Season 14 Episodes

The 'I Was Here' Project

S14 E36 Length 27:42 Premiere Date 8.4.19

Mike Runyon and Sherita Miller; Wendy Kobler

S14 E35 Length 26:57 Premiere Date 7.28.19

Filmmaker Lynn Novick

S14 E33 Length 28:27 Premiere Date 7.14.19

Brent Hutchinson; Christine Thompson - Education

S14 E32 Length 27:37 Premiere Date 7.7.19

Lieutenant Governor Jenean Hampton - Youth Mental Health

S14 E31 Length 26:32 Premiere Date 6.2.19

Julie Cerel - Youth Suicide Prevention

S14 E29 Length 26:32 Premiere Date 5.19.19

Dale Suttles - Sunrise Children's Services

S14 E28 Length 27:33 Premiere Date 5.12.19

Education in Rural Eastern Kentucky

S14 E27 Length 28:13 Premiere Date 5.5.19

Joshua A. Douglas - Voting Rights Reform

S14 E25 Length 26:32 Premiere Date 4.21.19

Jay Box - Ky. Community & Technical College System

S14 E24 Length 26:32 Premiere Date 4.14.19

Author and Life Coach Colene Elridge

S14 E23 Length 26:19 Premiere Date 4.7.19

FIRST STEP Act - Criminal Justice Reform

S14 E22 Length 27:44 Premiere Date 3.31.19

Cheryl A. Oldham

S14 E21 Length 26:38 Premiere Date 2.22.19

Linda Hampton - Early Childhood

S14 E20 Length 29:47 Premiere Date 2.15.19

Donald Mason

S14 E19 Length 26:34 Premiere Date 2.8.19

Community Action Council; First 5 Lex

S14 E18 Length 28:53 Premiere Date 2.1.19

Seamus Carey

S14 E17 Length 26:57 Premiere Date 1.25.19

Michael Benson

S14 E16 Length 27:32 Premiere Date 1.18.19

Dr. Aaron Thompson

S14 E14 Length 28:13 Premiere Date 1.11.19

Mary Todd Lincoln and Lincoln Lexington Walking Tour

S14 E13 Length 28:55 Premiere Date 12.14.18

Youth Suicide

S14 E12 Length 29:22 Premiere Date 12.7.18

Jean Schumm and Amanda Gale

S14 E11 Length 28:22 Premiere Date 11.16.18

M. Christopher Brown II

S14 E10 Length 28:02 Premiere Date 11.9.18

Frank Harris

S14 E9 Length 25:17 Premiere Date 11.2.18

U.S. Rep. Andy Barr

S14 E8 Length 29:16 Premiere Date 10.26.18

Amy McGrath

S14 E7 Length 29:02 Premiere Date 10.19.18

Kevin Chapman - Youth Mental Health

S14 E6 Length 28:47 Premiere Date 10.12.18

Carol Cecil; Resa Gonzalez - Youth Mental Health

S14 E5 Length 26:03 Premiere Date 10.5.18

Joe Bargione - Youth Mental Health

S14 E4 Length 28:57 Premiere Date 9.28.18

WKU President Timothy Caboni

S14 E3 Length 28:40 Premiere Date 9.21.18

Dr. Neeli Bendapudi

S14 E1 Length 28:47 Premiere Date 9.14.18

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