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Psych Test 2
Anxiety Related disorders
62
Health Care
Professional
08/31/2012

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Term
the reaction to a real threat
Definition
Fear
Term
being threatened by something not necessarily real
Definition
anxiety
Term
Generalized Anxiety Disorder Characterized by at least
Definition
6 months of persistent and excessive anxiety or worry that interferes with normal functioning
Term
The worry and anxiety are difficult for the patient to control and are associated with
Definition
edginess or restlessness, easy fatigability, difficulty concentrating, irritability, muscle tension, or sleep disturbance
Term
Patient with GAD usually complain of
Definition
feeling uptight or constantly nervous
Term
Worries are typically about
Definition
routine life circumstances
(The magnitude of worry is out of proportion to the severity of the situation)
Term
GAD Physical Symptoms
Definition
Muscle aches
Twitching, trembling
Sweating
Dry mouth
Headaches
GI symptoms
Urinary frequency
Term
Anxiety Due to a General Medical Condition Characterized by
Definition
prominent symptoms of anxiety that are judged to be a direct physiological consequence of a general medical condition
Term
Substance-induced anxiety disorder Characterized by
Definition
prominent symptoms of anxiety that are judged to be a direct physiological consequence of a drug of abuse, a medication, or toxin exposure
(Corticosteroids are associated with high levels of anxiety)
Term
Differential Diagnosis for GAD
Definition
Cardiovascular problems
Pulmonary embolism
Arrhythmias
Neurological conditions (such as vestibular dysfunction)
Term
Relaxation techniques
Uses muscle-relaxation therapy
such as
Definition
Hypnosis
Biofeedback
meditation
Term
Adjustments decreased
Definition
muscle tension and also anxiety levels
Term
A discrete period in which there is the sudden onset of intense apprehension, fearfulness, or terror
Intensity increases over a 10 minute period
Typically lasts for approximately 30 minutes
Often associated with feelings of impending doom
Definition
Panic Attack
Term
Unexpected (untriggered or uncued)
or
Situationally bound (always environmentally or psychologically cued)
or
Situationally predisposed (sometimes, but not invariably, cued)
are all characteristic of
Definition
Panic Attack
Term
Shortness of breath
Palpitations
Chest pain or discomfort
Choking or smothering sensations
Fear of “going crazy” or losing control
Excessive sweating
Rubbery or “jelly” legs
are all symptoms of
Definition
Panic Attack
Term
Panic attacks Occur in a number of anxiety disorders other than a panic disorder such as
Definition
Social phobia
Specific phobia
Obsessive compulsive disorder
Post traumatic Stress disorder
Term
A panic attack is not considered to be a
Definition
psychiatric disorder
Term
Often, it is the anxiety and worry BETWEEN panic attacks (called ______________) that becomes the most disabling feature
Definition
anticipatory anxiety
Term
Certain occurrences can mimic a panic attack
such as
Definition
Caffeine or other stimulants (cocaine, amphetamines)
Asthma and other pulmonary diseases
Angina, cardiac arrhythmias, hyperthyroidism, hyperparathyroidism, TIAs and seizure disorders
Term
_____________ is widely considered to be involved in the pathogenesis of panic
Definition
Serotonin (can be too much or too little
Term
Panic disorder is _________ higher in families with diagnosed panic disorder
Definition
3 to 5 times
Term
Anxiety about, or avoidance of, places or situations from which escape might be difficult (or embarrassing) or in which help may not be available in the event of having a panic attack or panic-like symptoms
Definition
Agoraphobia
Term
an excessive and UNREASONABLE degree of fear triggered either by exposure or anticipation of a specific object or circumstance
Definition
phobia
Term
Fear of being alone
Definition
Autophobia
Term
* Fear of bacteria
Definition
Bacteriophobia
Term
Fear of storms
Definition
Brontophobia
Term
* Fear of enclosed spaces
Definition
Claustrophobia
Term
* Fear of insect stings
Definition
Cnidophobia
Term
Fear of sexual intercourse
Definition
Coitophobia
Term
* Fear of vomiting
Definition
Emetophobia
Term
* Fear of needles or pins
Definition
Enetophobia
Term
Fear of work
Definition
Ergophobia
Term
* Fear of crossing bridges
Definition
Gephyrophobia
Term
Fear of public speaking
Definition
Glossophobia
Term
Fear of nudity
Definition
Gymnophobia
Term
Fear of women
Definition
Gynophobia
Term
* Fear of blood
Definition
Hemaphobia
Term
* Fear of doctors
Definition
Iatrophobia
Term
* Fear of poisons
Definition
Iophobia
Term
* Fear of germs
Definition
Microphobia
Term
Fear of night
Definition
Noctiphobia
Term
Fear of Gaining Weight
Definition
Obesophobia
Term
Fear of eating
Definition
Phagophobia
Term
Fear of thinking
Definition
Phonemophobia
Term
* Fear of urine
Definition
Urophobia
Term
- Fear of driving or riding in vehicles
Definition
Amaxophobia
Term
- Fear of men
Definition
Androphobia
Term
Medications used to treat phobias:
Definition
Beta-blockers, antidepressants, benzodiazepines, MAO inhibitors
Term
Cognitive behavioral therapy works for people with phobias by
Definition
Challenges the accuracy of their perceptions
They learn how to decrease their physiological responses
Term
Patient Characteristics
Denies problem and its importance
Is reluctant to discuss problem
Problem is identified by others
Show reactance when pressured
High risk of argument
Definition
Precontemplation
Term
Clinician strategies
Ask permission to discuss problem
Inquire about patient’s thoughts
Gently point out discrepancies
Express concern
Ask patient to think, talk, or read about situation between visits
Definition
Precontemplation
Term
Patient Characteristics
Shows openness to talk, read, and think about problem
Weighs pros and cons
Dabbles in action
Definition
Contemplation
Term
Clinician Strategies
Elicit patient’s perspective first
Help identify pros and cons of change
Ask what would promote commitment
Suggest trials
Definition
Contemplation
Term
Patient Characteristics
Understands that change is needed
Begins to form commitment to specific goals, methods, and timetables
Can picture overcoming obstacles
May procrastinate about setting start date for change
Definition
Preparation/Determination
Term
Clinician strategies
Summarize patient’s reason for change
Negotiate a start date to begin some or all change activities
Encourage patient to announce publicly
Arrange a follow-up contact at or shortly after start date
Definition
Preparation/Determination
Term
Patient Characteristic
Follows a plan of regular activity to change problem
Can describe plan in detail (unlike dabbling in action of contemplator)
Shows commitment in facing obstacles
Resists slips
Is particularly vulnerable to abandoning effort impulsively
Definition
Action
Term
Clinician Strategies
Show interest in specifics of plan
Discuss difference between slip and relapse
Help anticipate how to handle a slip
Support and reemphasize pros of changing
Help to modify action plan if aspects are not working well.
Arrange follow-up contact for support
Definition
Action
Term
Patient Characteristics
Has accomplished change or improvement through focused action
Has varying levels of awareness regarding importance of long-term vigilance
May already be losing ground through slips or wavering commitment
Has feelings about how much the change has actually improved life
May be developing life-style that precludes relapse into former problem
Definition
Maintenance
Term
Clinician Strategies
Show support and admiration
Inquire about feelings and expectations and how ell they were met
Ask about slips, any signs of wavering commitment
Help create plan for intensifying activity should slips occur
Support life-style and personal redefinition that reduce risk of relapse
Reflect on the long term-and possibly permanent-nature of this stage as opposed to the more immediate gratification of initial success
Definition
Maintenance
Term
Patient Characteristics
Consistent return to problem behavior after period of resolution
Begins as slips that are not effectively resisted
May have cycled back to precontemplation, contemplation, or determination stages
Lessening time spent in this stage is a key to making greater progress toward fully integrated, successful, long-term change
Definition
Relapse
Term
Clinician Strategies
Frame relapse as a learning opportunity in preparation for next action stage
Ask about specifics of change and relapse
Remind patient that contemplation work is still valid (reasons for changing)
Use “when” rather than “if” in describing next change attempt
Normalize relapse as the common experience on the path to successful long-term change
Definition
Relapse
Term
Fear of Bees
Definition
Apiphobia
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