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15 Cards in this Set

  • Front
  • Back

1. Anxiety Disorders

-most common dx.,almost 20% of the population....1 in 5 people have


-feeling:worry/fear+adaptive behavior: avoidance=anxiety


-make sure that anxiety is the main symptom and not a symptom of another d/o


-female oriented but can occur in men


-clients will present for treatment in a medical setting


* a little is normal and productive but too much is counterproductive

Physical Symptoms of Anxiety D/o

-high blood pressure


-G.I. problems


-hives


- low blood sugar


-seizures


-irregular heartbeat


-shortness of breath


-chest pain


-fatigue


-poor concentration


-tremors


- frequent urination


-dizziness


-temperature


-cold/hot spells


-hypervigilance

Psychological symptoms of Anxiety d/o

-restlessness


-irritableness


-worry


-tension/uneasyness


-apprehension

2. Panic d/o (last at least 1 month)

-panic attack is a symptom...30% have had and 50% have awaken experiencing one


-you experience recurrent unexpected panic attacks w/ expectation of another


-panic attacks can lead to anticipatory anxiety


-onset is mid 20's


-female preponderance....half have agoraphobia- fear of being in a public


-not treated often....symptoms are manageable


-comorbid with depression

Symptoms of panic attacks

-sense of foreboding w/ cardiac arrest


-extreme hot flashes


-choking sensation


-tingling/ numbness


-chest pain


-nausea


-dizziness


-derealization


-fear of losing mind

3. Seperation Anxiety D/o

-common in children but adult onset is brand new....on the rise


- can last up to 4 weeks in a child but up to 6 months in an adult


-comorbid with other d/os


- most likely have parents with d/o


- the later the onset the worse the prognosis


-female preponderance


-doesn't have to be catalyst

Seperation Anxiety D/o symptoms

-anxiety from being separated from attachment figures


-worry about harm


-dont want to be alone


-nightmares (common in children)


Adaptive behavior: constantly checking in or avoiding it

Tx for Separation Anxiety D/o

-transitional object (for children) (ex. Linus blanket)


-CBT(systematic desensitization)

4. Social Anxiety Disorder (last at least 6 months)

Fear of looking clumsy, shameful, or silly in social situations


Specific situations:


1. Meeting strangers


2. Being observed


-self talk helps


3. Performing in front of someone else


-blushing


-fear of choking


This can result in a panic attack


-fear of being judged/offending others or being rejected

Tx. for panic attacks

Respitatory therapy "breath work"


CBT


Relaxation training

Agoraphobia(associated w/ social anxiety d/o)(last at least 6 months)

Fear of two or more situations


-fear that you won't be able to escape, be embarassed, not going to be able to get help


Situations:


1. Public transportation


2. Open/enclosed spaces


3. Standing in line/being in a crowd


4. Being away or traveling alone


-fear can also be losing it in public:


-screaming w/o a reason


-laughing at an inopportune time


- being naked


- masturbate in public


Adaptative behavior:avoidance


To avoid you don't go out or go out with a companion


-comorbid w/substance use

5. Specific phobia(last at least 6 months)

Unwarranted fear about a specific object or situation(i.e. flying, walking in public,a dog, a snake)


What happens when we face fear:


-panic attack


-anxiety


-vasovagal response: fainting in presence of object


-one of the most frequently reported


-not everyone qualifies for a dx.


-usually starts in childhood or adolescence


-can be caused by a traumatic experience but don't have too


-female preponderance


-women more than likely fear objects but men/women equally fear situations


-knowledge of events leads to anticipatory anxiety...closer to stimulus=higher the anxiety

Tx. for Specific Phobia

1. CBT


2. Breath work


3. Systematic Desensitization


4. Flooding


5. In vivo exposure


6. Meds.

6. Generalized Anxiety D/o (last at least 6 months)

-believed to be underdiagnosed


Features:


excessive worry


Ballpark age:30


-hard to diagnose...people don't come in for diagnosis


-people with GAD worry more about more things


-common in high income groups

Symptoms of GAD

-muscle tension


-irritability


-restlessness


-fatigue


-poor concentration


-difficulty sleeping