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Addictions > Anger & Stress > Flashcards

Anger & Stress Flashcards

1
Q

“an emotional state that varies in intensity from mild irritation to intense fury & rage”

A

definition of anger-Charles Spielberger Ph.D. psychologist

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2
Q

3 Aspects of Anger

A
  1. thinking
  2. physiology
  3. behaviour
  • thinking-takes a nanosecond to make a mental interpretation of an event
  • physiology-anger interpretations into physical reactions; faster heartbeat, tense muscles, Fight or Flight.
  • behaviour-angry thoughts & body reactions affect behaviours
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3
Q

Solve to Act

A

S-state the problem
O-outline the solutions
L-list alternatives (brainstorm)
V-visualize consequences
E-evaluate results

A-accept what we cannot change
C-change what we can
T-treat yourself well

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4
Q

The Anger Cycle

A
  1. triggering event
  2. negative thoughts
  3. emotional response
  4. physical symptoms
  5. behavioural response
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5
Q

Difference between Fear & Anxiety

A

Fear- response to threats here & now (known/comprehensible)
Anxiety- future-focused fear (unknown/poorly defined threat) uneasy, apprehensive, worried

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6
Q

Anxiety (clinically defined)

A

diffuse, unpleasant, apprehension, uneasy, worried

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7
Q

A.C.E.’s

A

Adverse Childhood Experiences
traumatic events in childhood 0-17yrs old

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8
Q

The A.C.E. Study (Kaiser-Permanente ‘95-‘97)

A

one of the largest investigations of child abuse, neglect, household challenges, later-life health, well-being. (began in obesity clinic)
2 waves of data collection, 17,000+

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9
Q

A.C.E.’s 3 Categories

A
  1. abuse
  2. neglect
  3. household challenges
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10
Q

A.C.E.’s definitions (6) [first 18yrs of life]

A
  1. emotional abuse
  2. physical abuse
  3. sexual abuse
  4. household challenges
  5. Emotional Neglect
  6. Physical Neglect
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11
Q

3 Part Brain

A

Triune Brain Model by Paul D. MacLean (physician/neuroscientist)
1. reptilian
2. mammalian
3. neomammalian

  1. reptilian (brain stem) innermost, survival instincts, autonomic body processes
  2. mammalian (limbic, midbrain) midlevel, processes emotions, conveys sensory relays
  3. neomammalian (cortex, forebrain) outer area, most highly evolved part, cognitive processing, decision making, learning, memory, inhibitory functions
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12
Q

Trauma

A

situation/event person can’t cope w/, leaving them in extreme state of fear.e.g. imminent death, destruction, physical/mental harm

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13
Q

Anger Iceberg

A

we see the tip of the iceberg, angry actions/words. Don’t see the hidden reasons/feelings fueling anger underneath

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14
Q

Anger

A

secondary emotion. result of other emotion. Comes from feelings frustrated, hurt, sad, rejected, etc. not inherently bad or dangerous. An emotion w/physiological effects.

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15
Q

Relapse Prevention (4 main ideas)

A
  1. gradual process, distinct stages. Chances of success greatest in recognization in early stages
  2. personal growth w/developmental milestones
  3. cognitive therapy, mind-body relaxation, healthy coping skills
  4. relapses focus 5 basic rules: 1. change your life, 2. honesty 3. ask for help 4. self-care 5. don’t bend the rules
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16
Q

Types of Relapse

A

Emotional
Mental
Physical

17
Q

Post-Traumatic Stress Disorder (PTSD)

A

significant intrusive response to traumatic event. Includes:
1. reliving traumatic events
2. Avoidance of reminders of events
3. Increased arousal as result of event

18
Q

Continuum of Trauma

A

1.Traumatic stress: involuntary reaction to stressful situation, but doesn’t interfere significantly in life
2. PTSD: symptoms ongoing, organizing principle of life, Interfere significantly w/life, debilitating.
3. Delayed PTSD: includes all PTSD responses, but symptoms occur much later after event. Months to years later.
4. Complex PTSD: trauma @early age, chronic & ongoing, direct impact on brain development & attachment. W/in close relationship, profoundly disrupting, chronic self-destructive behaviours. (most severe form)

19
Q

Trauma-Informed Practice (T.I.P.)

A

strengths-based framework in understanding/responsiveness to impact of trauma. Emphasizes physical, psychological, emotional safety for all.

20
Q

T.I.P. examples

A

child abuse, neglect, violence/witnessing, disrupted attachment, accidents, natural disaster, war, unexpected loss

21
Q

Trauma-informed approaches

A

developmentally appropriate (age, mental capacity)
need for continuum of services both specialized & non-specialized
respond to trauma experiences, mental health, S.U. concerns concurrently
1. trauma awareness
2. safety, trustworthiness
3. choice, collaboration, connection

22
Q

Signs of Trauma

A

-craving control
-agreeing just to keep the peace
-on guard all the time
-neg. worldview, no trust
-seek constant escape
-chronic emptiness
-reckless impulses, no personal safety
-flashbacks

23
Q

Intergenerational Trauma

A

traumatic event reverberates thru generations of a family, includes maternal care, offspring’s cognitive development; psychological, emotional effects experienced by those who live w/trauma survivors

24
Q

Anxiety Disorders (6)

A

Panic- panic attacks. Terrified with no warning.
Social Phobia- intensely fearful of social situations
Specific Phobia- irrational fear of object or environment
PTSD- victim reliving terrifying trauma. Threatened/suffered physical, mental, emotional harm
OCD- persistent unwanted thoughts, behavioural habits (compulsions), can’t control them
Generalized- excessive worry ordinary situations/events, up to 8hrs a day

25
Q

Amygdala

A

-threat detection centre
-can be overactive
-constant looking for, seeing, assessing threat
result-feel intensely anxious, vulnerable, fearful

26
Q

Hippocampus

A

-centre for processing memories
-can be underactive
-memories hung up in present-day loop
result-intrusive, disturbing, uncomfortable recollections

27
Q

Cortex

A

-centre for executive control
-interrupted by survival-oriented instincts
result-instincts overrule logical thinking, diminish cognitive processing, decrease ability to to inhibit behaviour

28
Q

Triangle of Resilience

A

Mind- insight, awareness, intention, focused attention
Relationship- attachments impact physical brain structure
Brain- extended nervous system in our body

29
Q

The 4 R’s

A
  1. realize- org-wide understanding how trauma effects people
  2. recognize- signs of trauma
  3. response- to trauma, system-wide, informs all behaviours, language, programs, policies
  4. resist re-traumatization- of patients, clients, staff, org.’s can unintentionally create conditions re-traumatize
30
Q

A.B.C.’s (vicarious trauma)

A

Awareness- of needs, emotions, limits
Balance- between work, leisure time, rest
Connection- to ourselves, others, something greater (spiritual higher power)

31
Q

Neglect (2)

A
  1. Emotional Neglect- feel unimportant, not special, unloved, no source of strength or support
  2. Physical Neglect- no protection, no one to take care of you, no doctor visits, not enough to eat, parent’s too inebriated, wear dirty clothes, no hygiene
32
Q

3 Stages of Addiction Recovery w/Trauma View

A

Judith Herman (author, therapist)
1. safety & stabilization (beginning the journey)
-establishing stability thru abstinence, harm reduction
-coping skills
-mindfulness, self-care, support groups
- longest stage
2. remembering & mourning
-stabilization to freedom, present & grounded
recognize experience, but doesn’t define you
-coping with triggers
3. reconnecting & integration
-healing from traumas
-setting goals
-improving quality of life

33
Q

The 7 Desires of Addictive Behaviours

A
  1. stay safe
  2. escape memories
  3. soothe pain
  4. be in control
  5. create a world you can tolerate
  6. treat yourself
  7. redefine who you are
34
Q

Epigenetics

A

epi means beyond, investigates influence of env. stimuli; stressors, life adversity on the genome (genetic material of an organism)

Addictions (14 decks)

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