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Anxiety and its Disorders
Mental Health Nursing Lecture 5
33
Nursing
Undergraduate 2
05/29/2013

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Term
People who are exposed to high levels of stress as children
Definition
Have a greater incidence of all mental illnesses as adults
Term
Stressors
Definition
psychological or physical stimuli that are incompatible with current functioning and require adaptation
Term
Neural Response to stress: Men
Definition
They experience altered prefrontal blood flow and increased salivary cortisol
Term
Neural Response to Stress: Women
Definition
They experience increased limbic (emotional) activity and less significantly altered salivary cortisol
Term
Distress
Definition
A negative, draining energy that results in anxiety, depression, confusion, helplessness, hopelessness, and fatigue.
Term
Eustress
Definition
A positive, beneficial energy that motivates and results in feelings of happiness, hopefulness, and purposeful movements.
Term
Serotonin synthesis becomes more active
Definition
during times of stress
Term
Progressive Muscle Relaxation
Definition
Tensing drops of muscles as tightly as possible for 8 seconds and suddenly releasing them.
Term
Anxiety
Definition
Affects us "at a deeper level." It invades the central core of the personality and erodes feelings of self-esteem and personal worth.
Term
Fear
Definition
reaction to a specific danger
Term
Hildegard Peplau's Anxiety Model
Definition
Consists of four levels that are not distinct, and often overlap; Mild Anxiety, moderate anxiety, severe anxiety, and panic
Term
Mild Anxiety
Definition
heightened perceptual field; able to work effectively toward a goal and examine alternatives; slight discomfort, attention seeking behaviors, and irritability
Term
Moderate Anxiety
Definition
narrow perceptual field; benefits from the guidance of others; shakiness, difficulty concentrating, pacing, and voice tremors
Term
Severe Anxiety
Definition
greatly reduced perceptual field; may not be able to attend to events in the environment; feelings of dread, confusion, sense of impending doom, purposeless activity
Term
Panic
Definition
Unable to focus on the environment; utmost state of terror; may be mute, showing disorganized or irrational thinking
Term
Defensive Mechanisms
Definition
automatic coping styles that protect people from anxiety and maintain self-image by blocking feelings, conflicts, and memories
Term
Adaptive or Maladaptive determination of defense mechanisms
Definition
evaluate, in the most part, by their frequency, intensity, and duration of use
Term
Panic Disorder
Definition
Recurrent episodes of panic attacks.
at least one of the attacks has been followed by 1 month of more of the following: persistent concern about having additional attacks; worry about consequences; significant change in behavior
Term
Agoraphobia
Definition
intense, excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing
Term
Phobia
Definition
persistant irruption fear of a specific object, activity or situation
Term
Obsessions
Definition
thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind
Term
Compulsions
Definition
ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety
Term
PTSD
Definition
Persistant reexperiencing of a highly traumatic event that involved actual or threatened death or serious injury to self or others, to which the individual responded with intense fear, helplessness, or horror
Symptoms begin within 3 months typically, but can also be delayed
Term
acute stress disorder
Definition
occurs within one month after exposure to a highly traumatic event, but resolves within 4 weeks, by definition
Term
Neurochemicals that regulate anxiety
Definition
NE, E, dopamine, serotonin, and GABA
Term
interpersonal theory
Definition
anxiety is linked to the emotional distress caused when early needs go unmet or disapproval is experienced
Term
Antianxiety drugs
Definition
anxiolytics
often used to treat the somatic and psychological symptoms of anxiety disorders
usually benzodiazapines (due to quick onset of action),although ideally for only a short amount of time
Term
Systematic desensitization
Definition
the patient is gradually introduced to a feared object through a series of steps
Term
Flooding
Definition
method that exposes the patient to a large amount of an undesirable stimulus in an effort to extinguish the anxiety response
Term
Modeling
Definition
the therapist or significant other acts as a role model to demonstrate appropriate behavior in a feared situation, and then the patient imitates it.
Term
Response prevention
Definition
Used for compulsive behavior, the therapist does not allow the patient to perform the compulsive ritual
Term
Thought stopping
Definition
a techniques utilizing a patient-initiated distraction that briefly blocks the automatic undesirable thought and cues the patient to select an alternative, more positive idea
Term
Most common psychiatric disorders in the U.S?
Definition
Anxiety disorders
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