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Mental Health - Anxiety
disorders
32
Health Care
Undergraduate 3
02/23/2009

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Cards

Term

How does anxiety effect a person?

Definition
  • It can be persistent and disabling
  • behaviors used to control anxiety can be rigid, repetitive, and ineffective
  • It can interfere with a person's ability to function well in everyday life, in their job, and in social situation.
Term
Name Some anxiety disorders
Definition
  • Panic disorder
  • generalized
  • anxiety disorders
  • Phobias
  • Obsessive-compulsive disorder
  • posttraumatic stress disorder
Term

What is the most common form of psychiatric disorder in the United States

Definition
anxiety disorders with 13.3% of the adult population affected by it.
Term
Of the sex, who experiences anxiety disorders more often?
Definition

Women

Term
Repressed material; defense mechanisms
Definition
Sigmund Freud
Term
Unmet needs in early life create context of how someone reacts to anxiety later in life.
Definition
Harry Stack Sullivan
Term

Negative response can be unlearned through what type of therapy

Definition
learning therapy
Term

Thinking and perceiving can be distorted and result in more anxiety or CBT can be used to challange thinking. what theory is this?

Definition
Cognitive theories
Term
What is agrophobia?
Definition
The fear of being in open spaces or being alone where escape may be difficult
Term

What are some panic disorders (PD)?

Definition
  • Panic disorder without agrophobia
  • Panic disorder with agrophobia

 

Term
What is a panic attack?
Definition
It is a sudden onset of extreme apprehension of fear, usually with feelings of impending DOOM.
Term
What are the signs and symptoms of a panic disorder?
Definition
  • Feels like a heart a ttack
  • heart pounding
  • palpitation
  • chest pain
  • increased respiraion
  • panic levels of anxiety
  • feeling helpless
Term
What are phobias?
Definition
Irrational fear of an object or situation that persist although the person may recognize it as unreasonable. The anxiety is severe if the object, situation, or activity cannot be avoided.
Term

Fear of public speaking or social situations

Definition
Social Phobias
Term

Type of phobias that deal with spiders, height, water, dogs, closed space.

Definition
Specific phobias
Term
Thoughts, impulses or images that persist and recur so that they cannot be dismissed from the mind. Thoughts are intrusive.
Definition
Obsessions (OCD)
Term
Repetitive, ritualistic behaviors that an individual feels driven to perform in an attempt toreduce anxiety.
Definition
Compulsions (OCD)
Term
What are some types of obsession?
Definition
  • Doubt, need to check
  • Sexual imagery or ideation
  • Need for order or symmetry
  • violent thoughts to hurt others
  • Germs or dirt
  • Hoarding of person objects
  • Religious obsessions
Term
Occurs within the 1 month time limit of experiencing, witnessing, or beinginvolved in a traumatic event in which the person was in a life threatening experience and experiences helplessness, fear, and horror.
Definition
Acute stress disorder
Term
In order to have acute stress disorder... a person must have at least 3 dissociative symptoms during or after the event. What are the types of symptoms Acute stress disorder causes?
Definition
  • Numbing, detachment, absence of emotional responsiveness
  • reduction in awareness of surroundings
  • derealization ( unreality of the environment)
  • depersonalization (self-estrangment)
  • Dissociative amnesia ( Lack of memory)
Term
  • Excessive anxiety or worry about numours things that lasts for 6 months or longer. Worry is "out of proportion" "worry worts"
  • Restlessness, fatigue, poor concentration, irrability, tension, sleep disturbance
Definition
Generalized Anxiety Disorder
Term
What is the treatment for Generalized Anxiety Disorder
Definition
Treatment with SSRIs and CBT.
Term
  • Event is persistently re-experienced
  • Recurrent and intrusive dream or images of the event
  • reliving the even through flashbacks, illusions, hallucinations
  • persistent avoidance of stimuli associated with the trauma
  • feeling detachment and estrangement from others decreased interest in usual things
  • difficulty interpersonal social or occupational relationships
Definition
post Traumatic stress disorder (PTSD)
Term
What are some other characteristics of PTSD?
Definition
  • Avoidance of people, places, and activites
  • Inability to recall aspects of the trauma
  • Increased arousal: hypervigilence irritability
Term
What are signs/symptoms of PTSD?
Definition
  • Recurrent and intrusive dreams or images from the event
  • has hallucinations, illusions, or flashbacks
  • Unable to sleep or stay asleep
  • Difficulty in relationships
Term
Top 5 barriers to seeking mental health care by veterans
Definition
  • Medication might help but have too many side effects
  • It could harm career
  • It could deny security clearance
  • Family or friends would be more helpful than a mental health professional
  • The belief that their coworkers would have less confidence in them if they found out.
Term
What are some recommendations by the RAND STUDY?
Definition
  • Increase and improve mental health system to deliver evidence base care
  • Change policies to encourage more servicemembers and veterans to seek needed care
  • Deliver evidence-based care in all settings
  • Invest in research to close the knowledge gaps and plan effectively
Term
What are basic nursing interventions for patients with anxiety disorders?
Definition
  1. Reduce anxiety: reassuring manners
  2. Enhance coping: acceptance, encourage verbalization; dont' make impulsive decisions when under stress
  3. Instill hope
  4. Enhance self-esteem
  5. Use relaxationThereapy: progressive relaxation, guided imagery, meditation*****
Term

Anxiety disorders: Basic level nursing interventions

Definition

Counseling

Milieu therapy

Promotion of self-care activities

Psychobiological interventions (medications used are primarily SSRIs and TCAs ( anafranil and anxiolytics, benzodiazepine, buspar) TO calm

Health teaching

Term
Anxiety disorders for advance nursing therapy
Definition
  • Cognitive therapy - turn around thinking that is negative
  • Behavioral therapy - systematic desnsitization; flooding; response prevention; thought stopping
  • Cognitive-behavioral therapy: cognitive therapy plus psycho-education, breathing and muscle relaxation; self-monitoring
Term
What type of medication is given to those who have anxiety disordres?
Definition
Antidepressants
Term
Name some antidepressents
Definition

Selective seretonin reuptake inhibitors

Tricyclics (Anafranil) has too many side effects

monoamine oxidase inhibitors; Risk of hypertensive crisis

Sertonin-norepinephrine reuptake inhibitors (SNRI: venlafaxifine/effexor)

Anxiolytics ( Benzodiazpines - short time use)

Antihistamine (adjunctive)

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