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Anxiety Disorders
Anxiety Disorders
30
Psychology
Undergraduate 3
02/10/2014

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Term
Types of anxiety disorders
Definition
Somatic/autonomic
Cognitive
Emotional
Behavioral/motoric
Term
General Anxiety Symptoms
Definition
May be tied to situation or anticipatory.
Unrealistic, recognized as so.
Children different from adults.
Patterns/frequency variations between cultures.
Term
Autonomic Anxiety Symptoms
Definition
Heart palpitations, pounding, rapid HR.
Sweating, chills, hot flashes.
Shortness of breath, smothering, choking.
Nausea, abdominal distress.
Dizzy, unsteady, lightheaded, faint.
Term
Other somatic Anxiety Symptoms
Definition
Easily fatigued
Sleep disturbance
Muscle tension
Paresthesias (numb or tingle sense)
Term
Cognitive Anxiety Symptoms
Definition
Fear of loss of control, going crazy.
Fear of dying.
Derealization
Depersonalization
Difficulty concentrating, blank
Preoccupations or ruminative thoughts.
Term
Emotional Anxiety Symptoms
Definition
Fear
Hyperactivity/hypersensitivity
Restlessness
Irritability
Term
Behavioral and Motor Anxiety Symptoms
Definition
Avoidance
Trembling or shaking
Restlessness
Term
DSM-5 Categories of Anxiety
Definition
Childhood anxiety probs
Phobias
Panic
Generalized
Other
Term
Epidemiology of Anxiety
Definition
Most common mental health prob
Early age onset (excludes agoraphobia and panic)
Fairly constant across life
Comorbidities: irritable bowel, hypochondriasis
Term
Diagnostic criteria: Specific Phobia
Definition
(Always) marked fear or anxiety about specific object or situation.
Out of proportion, persistent(6 mo), significant distress/impairment, unexplained
Term
Subtypes based on phobic stimulus include
Definition
Animal
Natural environment
Blood injection or injury
Situational
Term
Phobia Causes/Risk factors: predisposing factors
Definition
Traumatic event, unexpected panic attack, observation of others, information
Term
Phobia Risk factors
Definition
Familial patterns
childhood onset persist to adulthood
Term
Social Anxiety diagnostic criteria
Definition
Anxiety/fear about scrutiny by others: Social sits, Being observed, Performing.
Fear of showing anxiety and negative evaluation.
Term
Social Anxiety Diagnostic in children
Definition
Anxiety must be in peer settings.
Expressed as crying, tantrums, freezing, clinging, shrinking, mute.
Term
Social Anxiety disorder criteria details
Definition
Social situations: always fear, avoid.
Fear: out of proportion, persistent, significant distress/impairment
Term
Social Anxiety disorder diagnosis, not due to...
Definition
physiological effects of drugs or medical condition.
Not explained by another disorder (autism)
Term
Social Anxiety Onset
Definition
Mid-teens, can emerge out of childhood, may follow stressful experience, 1st degree bio relatives
Term
Social Anxiety Course
Definition
Continuous, lifelong
Impairment may fluctuate
As problem becomes generalizzed: poor social skills and severe social impairment more likely
Term
Agoraphobia Diagnosis: Fear or anxiety of 2 or more situations
Definition
Using public transport
Being in open spaces
Being in enclosed spaces
Standing in a line or crowd
Being outside of home, alone
Term
Agoraphobia diagnosis: Why is there a fear in these situations?
Definition
Escape would be difficult or help unavailable if panic symptoms or other problems develop
Term
Agoraphobia diagnosis
Definition
Always provoke fear/anxiety, avoidance. Danger is unproportional, peristent (6 mo), Significant distress/impairment
Term
Panic Disorder symptoms
Definition
fear with 4 or more:
Palpitations, pounding HR. Sweating, trembling shaking. Shortness of breath, smother, choke. Chest pain. Nausea Abdominal distress. Dizzy, lightheaded faint. Chills, heat. Parathesias, Derealization, Fear of going crazy.
Term
Panic Disorder diagnostic criteria
Definition
Followed by: Persistent concern or worry about having additional panic attacks or their consequences. Maladaptive change in behavior related to attacks
Term
Panic Disorder is not...
Definition
Attributable to drugs or medical condition. Not better explained by another mental disorder
Term
Panic attacks are extremely common and can be..
Definition
Unexpected (uncued)
Situationally bound
Situationally predisposed
Term
Panic attack: physiological changes
Definition
up to an hour prior
Low CO2 levels (hyperventilation)
changes in HR
Term
Panic disorder onset and course
Definition
late adolescence to mid-30s. Diagnosis within 1st year of recurrent attacks.
Chronic but wax and wane. Attack after years of remission.
Term
Panic disorder: Causes
Definition
80-90% report significant life events or stressors connected with 1st panic attack
Term
Panic disorder: Causes, % life events
Definition
Marital/family conflict 34.5%
Birth/miscarriage/hysteretomy 29.3%
Death/illness of significant other 15.5%
Drug reaction 12.1%
major surgery/illness 3.4%
Work/school stress 3.4%
Move 3.4%
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