Anxiety Flashcards
Anxiety definition
Mood characterized by apprehnsion and worry
3 components of anxiety
Physiological, cognitive, behavioral
Fear
IMMEDIATE alarm reaction
Common feature of anxiety disorders
Presence of extreme or disabling anxiety in the abscene of a real threat or danger that results in disruption of mood cognition or behavior
Generalized anxiety disorder
Excessive anxiety across most situations and about most things longer than 6 months; worry is difficult to control
6 signs of GAD
Restlessness, easily fatigue, muscle tension, sleep disturbance, difficulty concentrating, irritable
Percentage female of GAD
66%
Ease of treat for GAD
Hard to treat, chronic
Specific phobia
More intense, persistent and excessive; fear of a specific object or situation
Preparedness
More phobias of life threatening things
Social anxiety
Unwarranted fear of social situation in which the person is exposed to unfamiliar people or to possible scrutiny by others
Prevalence of social phobia
8% in a year and 13% in lifetime
Onset of social phobia
Peak onset during adolescence
Percentage of people who seek treatment for social phobia
40%
Percent of treatment for generalized anxiety disorder
43%
Prevailance of generalizing anxiety disorder
4% in a year 6% in a lifetime
Panic
Experience of intense fear accompanied by physical symptoms which occurs in the absence of real danger
Panic attack
Adrupt surge of intense fear that peaks within minutes
How many symptoms required for generalized anxiety disorder
3
How many symptoms required for panic attack
4
Types of panic attacks
Unexpected and expected
Panic disorder
Reccurent unexpected panic attacks; Persistent concern about having another attack or worry over the implications or consequences of the attack; significant change and behavior related to the attacks
Prevalence of panic disorder
3% in a year 5% in lifetime
How many women suffer from panic disorder
66%
When does panic disorder Begin
Adolescence
How many people are being treated for panic disorder
59%
Agoraphobia
Anxiety about being in public or in a crowd or an open spaces or an enclosed space
Obsessions
Persistent, intrusive and nonsensical thoughts, images or urges; attempt to ignore/suppress/neutralize
Compulsions
Repetitive and rigid behaviors or mental acts that people feel they must do to prevent or reduce anxiety
OCD
The obsessions or compulsions cause marked distress, are time consuming, or significantly interfere with the person‘s daily routine
Common obsessions( five)
Contamination, aggressive impulses, sexual content, somatic concerns like physical health, symmetry keeping things in order/doing things in a particular 
Four most common compulsions
Checking, ordering/arranging, washing, cleaning
Prevalence of OCD in lifetime
Two or 3%
Gender affected most by OCD
Boys
Onset of OCD
Early adolescence or young adulthood
How easy is it to treat ocd
Chronic as hell
Three factors in triple vulnerability theory 
Biological factors like inherited vulnerability/psychological factors/social factors
What are the biological factors of the vulnerability theory
Dysfunction and GABA, norepinephrine, serotonin systems; overactive fear circuit; over active hypothalamus pituitary adrenal axis
Psychological factors of vulnerability theory
Early experience, behavioral conditioning, cognitive errors
Social factors of vulnerability theory
Stress
What two ideas does Mauer’s to factor model combine
Classical conditioning and operant conditioning. Once you are classically conditioned avoiding that stimulus reduces your fear which is operant conditioning
Three ways conditioning can take place
Direct experience, vicarious experience, false alarm/unexpected panic attack
Behavioral causes a social phobia
Negative social experiences, modeling, conditioning mechanisms
Cognitive errors of social phobia
Higher standards for self, negative beliefs about consequences of own behavior, high self monitors
Inhibited cause of social phobia
Shy temperament, biological, genetic factor
What is the vicious cycle of panic disorder
Biological dysfunction plus increase sensitivity to bodily cues plus misinterpretation of body cues
Sociocultural view of generalized anxiety disorder
Dangerous, stressful societal conditions
Psychodynamic development of generalized anxiety disorder
High early anxiety, poor defense mechanisms
Humanistic development of generalized anxiety disorder
Lack of unconditional positive regard, overly critical of self
Cognitive view of generalizing anxiety disorder ellis beck
Basic irrational assumptions
Second generation cognitive explanations for generally anxiety disorder
Intolerance of uncertainty, metal-cognitive theory, worry as avoidance
Biological reasons for a generalized anxiety disorder
GABA an activity, fear circuit over activity
Psychodynamic view of OCD
Obsessions are the id, compulsions are the ego
Behavioral view of OCD
Operant conditioning of compulsive behavior
Cognitive view of OCD
Predisposition to repetitive thoughts, acting sh thoughts with thought suppression and thought action fusion
Biological view of OCD
Over activity in the orbital frontal cortex, caudate nucleus, anterior cingulate, low serotonin
4 approaches to anxiety treatment
Pharma logical, behavioral therapy exposure therapy, cognitive behavioral therapy which combines exposure with cognitive restructuring, relaxation training progressive muscle relaxation deep breathing techniques and imagery and meditation
What is a social mishap exposure (social phobia treatment)
Embarrassing social situations, repeatedly or for a prolonged periodmTo reduce fear eventually
Three types of exposure treatments for phobias
Systematic desensitization, flooding, modeling
What percentage of people improve for phobia treatment
70%
Treatment for OCD
Exposure and response prevention (behavioral)
Three treatments for panic disorder
Psycho education, promote accurate interpretation, interoceptive exposure
2 mechanisms of exposure
Habituation which is the need to habituate during exposure trial in between trials reduction of fear, inhibitory learning is about building competing associations and violating expectancies