Term
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Definition
Characterized by recurrent panic attacks, the onset of which are unpredictable and manifested by intense apprehension, fear, or terror, often associated with feelings of impending doom and accompanied by intense physical discomfort
Chills, chest pain, dizzy, SOB, fear of death, numbness or tingling= sounds like heart attack |
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Term
| Generalized anxiety disorder (GAD) |
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Definition
Characterized by chronic, unrealistic, and excessive anxiety and worry
6 months to diagnose
Possible Signs & Symptoms:
restlessness, feeling on edge, being easily fatigued, difficulty in concentration, irritability, muscle tension, sleep disturbance |
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Term
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Definition
| Excessive fear of situations in which the affected person might do something embarrassing or be evaluated negatively by others |
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Term
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Definition
| Marked, persistent, and excessive or unreasonable fear when in the presence of or when anticipating an encounter with, a specific object or situation |
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Term
| Obsessive-Compulsive Disorder (OCD) |
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Definition
| Recurrent obsessions or compulsions (don’t have to have both) that are severe enough to be time-consuming or to cause marked distress or significant impairment. |
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Term
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Definition
| a recurrent thought or image |
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Term
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Definition
| reoccurring action or ritual you must feel compelled to do |
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Term
| Post-Traumatic Stress Disorder (PTSD) |
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Definition
Development of characteristic symptoms following exposure to an extreme traumatic stressor involving a personal threat to physical integrity or to the physical integrity of others
Characteristic symptoms include re-experiencing the traumatic event, a sustained high level of anxiety or arousal, or a general numbing of responsiveness
Intrusive recollections or nightmares of the event are common |
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Term
| Nursing dx commonly associated w/ anxiety disorders |
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Definition
Panic anxiety (panic disorder and GAD)
Powerlessness (panic disorder and GAD)
Fear (phobic disorder)
Social isolation (phobic disorder)
Ineffective coping (OCD)
Ineffective role performance (OCD)
Post-trauma syndrome (PTSD)
Complicated grieving (PTSD) |
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Term
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Definition
Is able to recognize signs of escalating anxiety and intervene before reaching panic level (panic and GAD)
Functions adaptively in the presence of the phobic object or situation without experiencing panic anxiety (phobic disorder).
Is able to maintain anxiety at a manageable level without resorting to the use of ritualistic behavior (OCD) |
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Term
| Interventions for individuals experiencing anxiety disorders are aimed at |
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Definition
Maintaining anxiety at manageable level
Problem-solving to increase client’s level of personal control
Helping the client learn to function in the presence of the phobic object without experiencing panic anxiety
Assisting the client to overcome fear of leaving home alone |
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Term
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Definition
Nature of the illness
Management of the illness
Medication
Stress management
Support services |
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Term
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Definition
| therapy for your thinking; restructuring thinking |
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Term
| Behavior therapy (systematic desensitization) |
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Definition
| patient is gradually introduced to fear |
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Term
| Behavior Therapy (implosion therapy [flooding]) |
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Definition
| not gradually introduced to fear |
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Term
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Definition
Tried first in treating anxiety disorders r/t effectiveness and minimal abuse potential
SSRIs effective with anxiety disorders |
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Term
| Antihypertensive (beta-blockers) |
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Definition
| treat situational anxiety |
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Term
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Definition
CNS depression (potentiates effects of alcohol)
Potential for abuse & addiction
Examples: Alprazolam, Chlordiazepoxide, Clonazepam, Diazepam, Lorazepam
Side Effects: CNS depression (sedation, drowsiness, confusion, lethargy), orthostatic hypotension, paradoxical excitement, amnesia |
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Term
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Definition
| reduces level anxiety to learn to cope |
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Term
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Definition
Azaspirones: buspirone (BuSpar)
Not recommended for PRN use r/t delayed therapeutic onset
No physical dependence or addiction potential
Less potential for tolerance
Therapeutic delay of 10-14 days |
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