---
title: "Anticipatory Anxiety; Fear of the Unknown | Denver Psychiatry Blog"
description: "The Gulf of Mexico, also affectionately known to some as the “Mediterranean of the Americas” is in the forefront of most of our minds for the last three months. The painful images of oil spewing from ..."
lang: en
json-ld: |
  [
    {
      "@context": "https://schema.org",
      "@graph": [
        {
          "@type": [
            "MedicalBusiness",
            "MedicalOrganization",
            "LocalBusiness"
          ],
          "@id": "https://denverpsychiatry.com/#organization",
          "name": "Denver Psychiatry",
          "alternateName": "Denver Psychiatry - Dr. Steve Sarche",
          "description": "Denver Psychiatry is a private psychiatric practice founded by Dr. Steve Sarche in 2004, providing comprehensive mental health services for children, adolescents, and adults in the Denver metropolitan area.",
          "url": "https://denverpsychiatry.com",
          "logo": {
            "@type": "ImageObject",
            "url": "https://denverpsychiatry.com/logo.png"
          },
          "image": "https://denverpsychiatry.com/og-image.png",
          "telephone": "+1-303-393-8808",
          "faxNumber": "+1-303-399-6069",
          "email": "drsteve@denverpsychiatry.com",
          "foundingDate": "2004",
          "founder": {
            "@id": "https://denverpsychiatry.com/#physician"
          },
          "priceRange": "$$",
          "address": {
            "@type": "PostalAddress",
            "streetAddress": "720 S Colorado Blvd, Suite 910N",
            "addressLocality": "Denver",
            "addressRegion": "CO",
            "postalCode": "80246",
            "addressCountry": "US"
          },
          "geo": {
            "@type": "GeoCoordinates",
            "latitude": 39.7086,
            "longitude": -104.9567
          },
          "areaServed": {
            "@type": "GeoCircle",
            "geoMidpoint": {
              "@type": "GeoCoordinates",
              "latitude": 39.7086,
              "longitude": -104.9567
            },
            "geoRadius": "50000"
          },
          "medicalSpecialty": [
            "Psychiatry",
            "Child and Adolescent Psychiatry",
            "Adult Psychiatry"
          ],
          "employee": [
            {
              "@id": "https://denverpsychiatry.com/#physician"
            }
          ],
          "availableService": [
            {
              "@type": "MedicalProcedure",
              "name": "Psychiatric Evaluation",
              "description": "Comprehensive initial evaluation for accurate diagnosis and treatment planning"
            },
            {
              "@type": "MedicalProcedure",
              "name": "Medication Management",
              "description": "Expert prescription and monitoring of psychiatric medications"
            },
            {
              "@type": "MedicalProcedure",
              "name": "Child & Adolescent Psychiatry",
              "description": "Age-appropriate psychiatric care for children and adolescents (ages 10+)"
            },
            {
              "@type": "MedicalProcedure",
              "name": "Anxiety Treatment",
              "description": "Treatment for generalized anxiety, panic disorder, social anxiety, and PTSD"
            },
            {
              "@type": "MedicalProcedure",
              "name": "Depression Treatment",
              "description": "Comprehensive treatment for major depression and mood disorders"
            },
            {
              "@type": "MedicalProcedure",
              "name": "ADHD Treatment",
              "description": "Diagnosis and treatment of attention deficit disorders in all ages"
            },
            {
              "@type": "MedicalProcedure",
              "name": "PTSD & Trauma Treatment",
              "description": "Compassionate, evidence-based care for post-traumatic stress and trauma-related conditions"
            }
          ],
          "openingHoursSpecification": {
            "@type": "OpeningHoursSpecification",
            "dayOfWeek": [
              "Monday",
              "Tuesday",
              "Wednesday",
              "Thursday",
              "Friday"
            ],
            "opens": "09:00",
            "closes": "17:00"
          },
          "aggregateRating": {
            "@type": "AggregateRating",
            "ratingValue": "5",
            "reviewCount": "50"
          },
          "sameAs": []
        },
        {
          "@type": [
            "Physician",
            "Person"
          ],
          "@id": "https://denverpsychiatry.com/#physician",
          "name": "Dr. Steve Sarche, D.O.",
          "alternateName": "Steve Sarche",
          "description": "Dr. Steve Sarche is a board-certified psychiatrist specializing in child, adolescent, and adult psychiatry. He founded Denver Psychiatry in 2004 and has over 20 years of experience in comprehensive mental health care.",
          "image": "https://denverpsychiatry.com/wp-content/uploads/2020/05/sarche-2019-headshot-1.jpg",
          "url": "https://denverpsychiatry.com/",
          "telephone": "+1-303-393-8808",
          "jobTitle": "Psychiatrist",
          "honorificSuffix": "D.O.",
          "medicalSpecialty": [
            "Psychiatry",
            "Child and Adolescent Psychiatry"
          ],
          "worksFor": {
            "@id": "https://denverpsychiatry.com/#organization"
          },
          "affiliation": {
            "@id": "https://denverpsychiatry.com/#organization"
          },
          "alumniOf": [
            {
              "@type": "EducationalOrganization",
              "name": "University of Colorado"
            },
            {
              "@type": "EducationalOrganization",
              "name": "Western University of Health Sciences"
            },
            {
              "@type": "EducationalOrganization",
              "name": "University of Colorado Health Sciences Center"
            }
          ],
          "hasCredential": [
            {
              "@type": "EducationalOccupationalCredential",
              "credentialCategory": "Board Certification",
              "name": "Board Certified in General Psychiatry"
            },
            {
              "@type": "EducationalOccupationalCredential",
              "credentialCategory": "Fellowship",
              "name": "Fellowship in Child and Adolescent Psychiatry"
            }
          ],
          "memberOf": [
            {
              "@type": "Organization",
              "name": "Colorado Child and Adolescent Psychiatric Society",
              "roleName": "Past President"
            }
          ],
          "address": {
            "@type": "PostalAddress",
            "streetAddress": "720 S Colorado Blvd, Suite 910N",
            "addressLocality": "Denver",
            "addressRegion": "CO",
            "postalCode": "80246",
            "addressCountry": "US"
          }
        },
        {
          "@type": "WebSite",
          "@id": "https://denverpsychiatry.com/#website",
          "url": "https://denverpsychiatry.com/",
          "name": "Denver Psychiatry",
          "publisher": {
            "@id": "https://denverpsychiatry.com/#organization"
          },
          "inLanguage": "en-US"
        },
        {
          "@type": "FAQPage",
          "@id": "https://denverpsychiatry.com/#faq",
          "mainEntity": [
            {
              "@type": "Question",
              "name": "What happens during the initial psychiatric evaluation at Denver Psychiatry?",
              "acceptedAnswer": {
                "@type": "Answer",
                "text": "The initial evaluation is a comprehensive session where Dr. Sarche reviews your medical history, discusses current concerns, and works to understand your unique situation. For children and adolescents, this includes integrated meetings with parents. By the end of 1-2 visits, you'll have a clear clinical formulation and personalized treatment plan."
              }
            },
            {
              "@type": "Question",
              "name": "Does Denver Psychiatry treat both children and adults?",
              "acceptedAnswer": {
                "@type": "Answer",
                "text": "Yes, Dr. Steve Sarche is board certified in both general psychiatry and child & adolescent psychiatry. Denver Psychiatry provides comprehensive care for patients ages 10 and older, with age-appropriate treatment approaches."
              }
            },
            {
              "@type": "Question",
              "name": "What mental health conditions does Denver Psychiatry treat?",
              "acceptedAnswer": {
                "@type": "Answer",
                "text": "Denver Psychiatry treats a wide range of mental health conditions including anxiety disorders, depression, bipolar disorder, ADHD, PTSD, situational stress, behavioral problems, and relational difficulties. Dr. Sarche takes a comprehensive, holistic approach to diagnosis and treatment."
              }
            },
            {
              "@type": "Question",
              "name": "Does Denver Psychiatry offer non-medication treatments?",
              "acceptedAnswer": {
                "@type": "Answer",
                "text": "Absolutely. While medication can be an important part of treatment, Dr. Sarche also emphasizes non-medication modalities including sleep hygiene strategies, lifestyle modifications, stress reduction techniques, and therapeutic approaches. Treatment is tailored to each individual's needs and preferences."
              }
            },
            {
              "@type": "Question",
              "name": "What is the difference between a D.O. and an M.D. psychiatrist?",
              "acceptedAnswer": {
                "@type": "Answer",
                "text": "Osteopathic physicians (D.O.s) receive the same training as M.D.s but with additional focus on the interconnection between the body's systems. This holistic perspective informs Dr. Sarche's approach to mental health, considering how physical and emotional well-being influence each other."
              }
            },
            {
              "@type": "Question",
              "name": "How do I schedule an appointment with Denver Psychiatry?",
              "acceptedAnswer": {
                "@type": "Answer",
                "text": "You can schedule an appointment by calling Denver Psychiatry at (303) 393-8808. The staff will help you find a convenient time and answer any questions about your first visit."
              }
            }
          ]
        },
        {
          "@type": "Blog",
          "@id": "https://denverpsychiatry.com/#blog",
          "name": "Denver Psychiatry Mental Health Blog",
          "description": "Expert insights and articles on mental health topics from Dr. Steve Sarche, board-certified psychiatrist in Denver, Colorado.",
          "url": "https://denverpsychiatry.com/blog",
          "author": {
            "@id": "https://denverpsychiatry.com/#physician"
          },
          "publisher": {
            "@id": "https://denverpsychiatry.com/#organization"
          }
        }
      ]
    },
    {
      "@context": "https://schema.org",
      "@type": "Article",
      "headline": "Anticipatory Anxiety; Fear of the Unknown",
      "description": "The Gulf of Mexico, also affectionately known to some as the “Mediterranean of the Americas” is in the forefront of most of our minds for the last three months. The painful images of oil spewing from ...",
      "author": {
        "@type": "Person",
        "name": "Dr. Steve Sarche",
        "jobTitle": "Board Certified Psychiatrist"
      },
      "publisher": {
        "@type": "Organization",
        "name": "Denver Psychiatry",
        "url": "https://denverpsychiatry.com"
      },
      "datePublished": "2010-07-16T15:38:10+00:00",
      "mainEntityOfPage": {
        "@type": "WebPage",
        "@id": "https://denverpsychiatry.com/article/anticipatory-anxiety-fear-of-the-unknown"
      }
    }
  ]
---

[

Denver Psychiatry

Dr. Steve Sarche, D.O.



](#home)

[](tel:303-393-8808)

[

Denver Psychiatry

Dr. Steve Sarche, D.O.



](#home)

[Home](#home)

Services

### Conditions We Treat

[

ADHD Treatment

Child & adult ADHD specialist care



](/adhd)[

Anxiety Treatment

Generalized anxiety, panic, social anxiety



](/anxiety-treatment)[

Depression Treatment

Major depression, bipolar, mood disorders



](/depression-treatment)[

PTSD & Trauma Treatment

Trauma recovery focused on full healing



](/ptsd-trauma-treatment)

### Specialty Care

[

Child & Adolescent Psychiatry

Fellowship-trained, ages 10 and up



](/child-adolescent-psychiatry)[

Performance Optimization

Precision psychiatry for high performers



](/performance-optimization)[

Medication Management

Expert prescription and monitoring



](#services)

#### Talk to Dr. Sarche

Call to schedule your initial evaluation

[Call Now](tel:303-393-8808)

About

### About Us

[

Dr. Steve Sarche, D.O.

Board-certified psychiatrist



](#about)[

Our Approach

Patient-centered, evidence-based care



](#approach)[

Osteopathic Medicine

Holistic medical philosophy



](#resources)

Resources

### Educational Resources

[

General Information

Learn about psychiatry and mental health



](#resources)[

Sleep & Wellness

Tips for better sleep and health



](#resources)[

Nutrition & Mental Health

Diet's impact on mood and cognition



](#resources)

### Patient Info

[

Blog Articles

Latest insights and updates



](#blog)[

FAQs

Common questions answered



](#faq)

#### New Patient?

Learn what to expect at your first visit

[Learn More](#services)

Contact

### Get In Touch

[

Contact Form

Send us a message



](#contact)[

Call Us

(303) 393-8808



](tel:303-393-8808)[

Our Location

720 S Colorado Blvd, Suite 910N



](#contact)

[Call Dr. Sarche](tel:303-393-8808)

[Back to Blog](/blog)

Anxiety

# Anticipatory Anxiety; Fear of the Unknown

Dr. Steve Sarche

Board Certified Psychiatrist

• Friday, July 16, 2010 • 4 min read 

Share: [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown)[](https://twitter.com/intent/tweet?url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown&text=Anticipatory%20Anxiety%3B%20Fear%20of%20the%20Unknown)[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown&title=Anticipatory%20Anxiety%3B%20Fear%20of%20the%20Unknown)[](<mailto:?subject=Anticipatory%20Anxiety%3B%20Fear%20of%20the%20Unknown&body=Check out this article: https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown>)

The Gulf of Mexico, also affectionately known to some as the “Mediterranean of the Americas” is in the forefront of most of our minds for the last three months.  The painful images of oil spewing from the earth create a striking and eerie parallel to watching blood gushing from a mortal wound.

We can only hope that today, July 16, 2010 is truly the end of this spill that tragically began with a fatal explosion on April 20th.  The Wall Street Journal’s front page displays two pictures side-by-side; the first is of the oil freely gushing from the well.  The second is with the new cap in place and there is no obvious oil to be seen.

This has been an extremely unsettling and terrifying three months.  The reason that these feelings are so deep and painful is that this is a two level disaster.  The surface level is what we see; the birds covered in oil, the tar balls, the closed businesses, and the black stained water.  These images alone fill us with sadness, anger and disgust.  What makes these feelings so much worse is what we do not see; under the surface of all of this is the fact that nobody seems to have any idea of what is really going on with the spill.  This creates anticipatory anxiety; the worst kind.  There is nothing to do about what we don’t know and that creates fear.

Here are some facts about the spill: According to the United States Environmental Protection Agency, the Gulf region covers approximately 600,000 square miles.   The marine shoreline measures almost 4000 miles and the gulf itself measures approximately 995 miles east to west and 560 miles north to south.  Its deepest point is approximately 14,383 feet or 2.72 miles.  It contains approximately 643,000,000,000,000,000 gallons of water (that is a “quadrillion” or a thousand trillion).  There are areas in the Gulf that are “dead”; in other words, the oil has taken the oxygen from the water and therefore life is unsustainable.

One barrel of crude oil contains 42 gallons of oil.  A refinery in the US averages production of 19-20 gallons of gasoline from each barrel.  The remaining gallons yield residual fuel oils, and jet fuel among other products.  In 2008, the United States consumed about 137.80 billion gallons (or 3.28 billion barrels) of gasoline, about 3% less than the record high of about 142.35 billion gallons (or 3.39 billion barrels) consumed in 2007.

Things we do not know about the spill include how much oil actually has contaminated the waters of the gulf.  I have seen estimates from 10,000 barrels (420,000 gallons) to 60,000 barrels (2,520,000 gallons) per day.   This means that at least 37,380,000 gallons of oil have spilled into the gulf at the very minimum.  It is possible this number exceeds 100,000,000 gallons.  The scary thing is nobody actually knows the real figures.

The people who live in the area are suffering.  Most of them work in fishing or tourism and their very livelihoods are ruined.  The long term economic impact for them and where they will live remain to be unanswered questions looming like thunderclouds above their heads.

In addition to this, we do not know what the impact will be on the environment.  On July 5, the Washington Post reported that the official toll of bird deaths related to the spill is about 1,200.  The article notes that “this, too, has been called into question. Officials can only count the birds they can find, and many think a number of oily birds have sought refuge in the marshes.”

Nobody knows what this will do to the marsh lands and shoreline in addition to other areas that will be contaminated.  In my own research regarding this, reading different “expert” opinions, there is absolutely no consensus.  Some seem terrified of the short and long-term implications to the environment and others seem to feel this will have a mild impact.  The following quote from the article sums this disaster up the best.  John Valentine, who studies the gulf from the Dauphin Island Sea Lab in Alabama, is quoted as saying, "we should be more impressed by what we don't know than what we do know."

We should be upset and scared about this.  It is normal to feel that way. The key is to accept that and know the feelings will be there.  That helps to control them.  From there, you are best off staying busy, taking care of yourself, spending time with loved ones, participating how you can in the clean up efforts, and finding a healthy way to express your feelings.

Let’s all rejoice in our own and our planet’s resilience and hope this new cap works and that this is at least the conclusion of this phase of the disaster.

Share: [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown)[](https://twitter.com/intent/tweet?url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown&text=Anticipatory%20Anxiety%3B%20Fear%20of%20the%20Unknown)[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown&title=Anticipatory%20Anxiety%3B%20Fear%20of%20the%20Unknown)[](<mailto:?subject=Anticipatory%20Anxiety%3B%20Fear%20of%20the%20Unknown&body=Check out this article: https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fanticipatory-anxiety-fear-of-the-unknown>)

### Need Help With Your Mental Health?

Dr. Steve Sarche provides compassionate psychiatric care for children, adolescents, and adults in the Denver area.

[Call to Speak With Dr. Sarche](tel:303-393-8808)

### Get new articles from Dr. Sarche

We'll only email you when Dr. Sarche publishes a new article. Unsubscribe anytime.

Subscribe

## Related Articles

[

Anxiety

### Give Yourself a Gift This Year

There are only two weekends left before Christmas and nobody wants to be stuck racing around handling last-minute preparations and last-minute disappointments that all the good food, gifts and decorat...

Dec 8, 2023 5 min read 



](/article/give-yourself-a-gift-this-year)[

Anxiety

### Eat Your Broccoli

The COVID lockdown took away so much from us but one thing it gave us was that we had less obligations in life for a while (I guess you could call that more of less). As we continue to recover from th...

Mar 3, 2023 4 min read 



](/article/eat-your-broccoli)[

Anxiety

### Stress Management Part One: Don't Be A One-Hit Wonder

As the polar ice caps are melting it seems that not only are ocean levels rising, but so are anxiety levels.

Nov 23, 2016 5 min read 



](/article/stress-management-part-one-dont-be-a-one-hit-wonder)

### Denver Psychiatry

Dr. Steve Sarche, D.O.

Providing compassionate, comprehensive psychiatric care to children, adolescents, and adults in the Denver area since 2004.

[(303) 393-8808](tel:303-393-8808)[Patient Portal](https://www.valant.io/portal/sarche)

#### Quick Links

-   [Home](#home)
-   [Services](#services)
-   [About Dr. Sarche](#about)
-   [Our Approach](#approach)
-   [Resources](#resources)
-   [Blog](#blog)
-   [Contact Us](#contact)

#### Contact

-   The Galleria
    
    720 S Colorado Blvd, Suite 910N
    
    Denver, CO 80246
    
-   [(303) 393-8808](tel:303-393-8808)
-   Fax: (303) 399-6069 

© 2026 Denver Psychiatry. All rights reserved.

[Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Accessibility](/accessibility)

[Made with by HEARD Digital Marketing](https://heardmarketing.io)