11 Anxiety Disorders Flashcards
normal anxiety
healthy response to stress
-essential for survival
___ + ___ can occur if anxiety is elevated or persistent
behavior changes _ impairment
mild anxiety
- restless
- incr motivation
- irritable
mod anxiety
- agitation
- muscle tightness
severe anxiety
- inability to function
- ritualistic behavior
- unresponsiveness
panic anxiety
- distorted perception
- loss of rational thought
- immobility
6 types of anxiety disorders
1 separatn anxiety 2 specific phobias 3 agoraphobia 4 social anxiety 5 panic disorder 6 generalized anxiety disorder
Separation Anxiety Disorder
excessive fear/anxiety when separated fr an individual to which client is emotionally attached
specific phobias
irrational fear of certain objects or situation
agoraphobia
extreme fear of certain places where client feels vulnerable/unsafe
panic disorder
recurrent panic attacks
generalized anxiety disorder [GAD]
uncontrollable, excessive worry for atleast 6 months
T/F OCD is an anxiety disorder
FALSE
-it has similar effects
types of OCD
1 OCD
2 hoarding
3 body dysmorphic
OCD
intrusive thoughts of unrealistic obsession
-tries to control these thoughts w compulsive behaviors
hoarding disorder
difficulty w parting w possessions
-results in extreme stress + functional impairment
body dysmorphic disorder
preoccupation w perceived flaws or defects in physical appearance
anxiety + OCD have a ____ link
genetic + neurological link
anxiety disorders + related disorders and sex
- anxiety + OCD is more common w fem
- hoarding is more common w men
acute medical conditions that can induce anxiety
- hyperthyroidism
- pulmonary embolism
substance-induced anxiety
r/t current use of chem substance or to withdrawal fr a substance
panic attacks typically last…
15-30 min
4 of the following manifestations are present during a panic attack
- palpitation
- SOB
- choking/smothering sensation
- chest pain
- nausea
- feeling of depersonalization
- fear of dying/insanity
- chills or hot flashes
manifestations of GAD
- restless
- muscle tension
- avoidance of stressor
- incr time + effort required to prep for stressor
- procrastination in decision making
- sleep disturbance
hamilton rating scale is for..
anxiety
fear questionnaire is for..
phobias
yale-brown
OCD scale
first line of Tx for anxiety + OCD
SSRI antidepressant
-sertraline or paroxetine
SNRI
venlafaxine/duloxetine
-effective for anxiety disorders
short-term anti-anxiety medications
benzodiazepine
-helps w manifestations of anxiety
long-term anti-anxiety medications
buspirone
-helps manage anxiety
__ + __ decrease anxiety
beta blockers + antihistamines
___ are used as mood stabilizers for pt experiencing anxiety
anticonvulsants
cognitive behavioral therapy
cognitive reframing helps pt ID neg thoughts, examine cause, + dvlp supportive ideas that replace neg self-talk
behavioral therapy
teaches ways to decr anxiety or avoidant behavior
-allows opportunity to practice techniques
types of behavioral therapy
- relaxation training
- modeling
- systemic desensitization
- flooding
- response prevention
- thought stopping
relaxation training
-controls pain, tension, + anxiety
systemic desensitization begins w…
mastering relaxation techniques
flooding
exposes pt w great deal of undesirable stimulus in attempt to turn off anxiety response
response prevention
focus on preventing client fr performing compulsive behavior
-hoping anxiety will diminish
thought stopping
client says STOP when ned thought/compulsive behavior arise
-sub w POSITIVE thought
pounding heart, tachycardia indicates
severe anxiety
dysfunction in speech, delusions/hallucinations, irrational thoughts may indicate
PANIC level
fear vs anxiety
fear: response to perceived threat that is recognized as danger
anxiety: emo response to anticipation of danger
acute stress disorder
exposure to traumatic event
- numbing, detachness, amnesia about event
- for atleast 3 days but no more than 1 month following the event
PTSD vs acute stress disorder
ptsd can last for years. last MORE than 1 month after the event occured
separation anxiety disorder
starts from before age 18, displayed excessive anxiety when away from home or significant other
-must be at least 4 weeks in kids/adolescence; 6 months in adults
panic disorder needs 4 or more of the following manifestations
- palpitation
- SOB
- choking, smothering feeling
- chest pain
- nausea
- feelings of depersonalization
- fear of dying/insanity
- chills/hot flashes
how to help GAD
help structure their day
acrophobia
mysophobia
zoophobia
agoraphobia
acro: heights
myso: germs
zoo: animals
agora: open spaces, crowds
first line meds for OCD
SSRI
