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15 Cards in this Set

  • Front
  • Back
Nature of anxiety
Fear=natural to healthy dev't
Anxiety disorders-failure to self-calm
intensity=out of proportion
maladaptiveness=cannot explore
persistence=beyond their control
Characteristics: internalizing, prevalence is 10-17%, more girls; high comorbid
Generalized Anxiety Disorders
Worry (competence, perfectionism, safety)
Physical symptoms (muscle tension, nausea/diarrhea, hypervigilance, shaking)
Prevalence=2-19%, more girls
Most comorbid of anxiety disorders (specific phobias, depression)
Chronic (do all the time)
GAD Treatment
Cognitive Behavioral Therapy
Kendall's coping cat: 1)recognize physical cues (when draw attention to it, can control it)
2)identify catastrophic thoughts, think if realistic
3)cognitive restructuring
Marked/persistent fear that is excessive/unreasonable of specific object or situation
Prevalance: 2-9% of children
School Phobia?
Needs to be distinguished from school refusal or separation anxiety
Intense anxiety panic and inability to attend
Phobia Treatment
Easist to treat
1.Systematic desensitization: establish steps of heirarchy and work thru each step
2.Flooding: throw into highest hierarchy of fear
Cognitive Restructuring- cognitive thoughts
Social Anxiety Disorder
(Social Phobia)
Marked/persistent fear of social/ performance situations
Fear of humiliation, visible anxiety
Rapid heart rate, crying, tantrums, freezing
Cycle:social avoidance-> awkwardness->confirms negative view of self-> further avoidance
Social Anxiety Disorder Characteristics
Prevalance: 1-2%, no gender diff
(social situations=universal)
Highly comorbid (depression)
Treatment: CBT: exposure + social skills training; Parental involvement (esp important when have anxious parent as model)
Address cognitive behaviors, help feel more confident in social situations
Separation Anxiety Disorders
Developmentally inappropriate and excessive anxiety over separation from caregive
Prevalence: 2-12%; higher rates w/ anxious mothers
Treatment: CBT, Kendalls coping cat
Obsessive Compulsive Disorder
Intrusive ideas (obsessions) and repetitive behavior (compulsions)
Just-right phenomenon: feelings of disgust, vague snese that something is just not right.
Prevalence: 1-3%
OCD Treatment
Pharmacotherapy- SSRI's most effective
CBT- psychoed. (frame problem-> cognitive strategies for bouncing back-> identify situations where child can win-> exposure w/ response prevention
Post Traumatic Stress Disorder
=after experiencing traumatic event, reaction is intense fear, hopelessness, horror
Symptom clusters:
Re-experience(distressing recollectins)
Avoidance (associated stimuli)
Numbing (no excitement in things that used to be fun)
Arousal (sleep disturbance, irritability, difficulty concentrating, exagerated response)
Protective factors: resiliency, good support system
over 6 months
PTSD Vulnerabilities
-previous trauma
-difficult temperament
-poor emotional adjustment
-sense of shame
PTSD Treatment
Crisis Intervention: reach kids early to prevent psychopathology
CBT: help normalize reactions, exposure by retelling story
Developmental pathway to anxiety disorders
1.Predisposing factors
2.Pathways to Onset of Anxiety disorders (Cumlative risk pathway and precipitating event pathway)
3.Factors maintaining intensifying anxiety
4.factors contributing to persistence