Anxiety Flashcards
Anxiety
- Normal, physiological and psychological reaction to anticipation of future threat to one’s body, lifestyle, values or loved ones.
- an emotional + physiological state that everyone experiences
- Survival function designed to keep up safe. Lets us go into fight/flight mode. Super motivating
Fear
Normal, physiological and psychological reaction to imminent threat to one’s body, lifestyle, values or loved ones.
Anxiety Disorders
A group of conditions with persistent anxiety the person cannot control and that interferes with their activities of daily living.
Panic level of anxiety
everything is perceived of a threat, can be seen as psycmptoms of psycosis. This is a brief state as a body cannot sustain a panic mode for that long.
Panic disorder duration is 1 month
incapable of telling real from imaginary stimuli
concentration, learning, problem solving virtually impossible
emotional pain, may appear psychotic-like
unable to do simple tasks
Separation Anxiety Disorder
separation triggers the anxiety
Selective Mutism
sometimes people will have the words ready but cannot get them out
Agoraphobia
fear of open public spaces
Anxiety Disorder due to another Medical Condition
brain injury, have respiratory condition so experience the physical symptoms of anxiety
Specific Phobia
phobia related to a specific thing
Panic Disorder /
Panic Attack (Specifier)
Panic Disorder – a series of events
Panic Attack (Specifier) – a specific event
Substance Induced/Medication Induced Anxiety Disorder
ex. SSRIs common side effect is anxiety
Social Anxiety Disorder (Social Phobia)
?
Generalized Anxiety Disorder
worry a lot
List 5 treatment goals for anxiety
- Safety – suicide risk assessment
- Decrease symptoms of anxiety & depression
- Increase protective factors
- Enhance coping mechanisms and relaxation strategies
- Explore current stressors (solution focused)
- Identification & examination of mistaken beliefs
- Assertiveness training & problem-solving
- Relapse prevention
- Refer to community based-programs
- Discharge from hospital
- Decrease avoidance
Window of Tolerance
the zone where intense emotional arousal can be processed in a healthy way, allowing you to function and react to stress or anxiety effectively.
DBT says skills before pills (this refers to rescues meds). If you just give meds it feeds into the belief that they cannot do it. Pause them. Tell me how your feeling. Lets sit and talk for a bit, lets try some medication.
Lets have strategies that when this med wears off we can have a strategy in place to try to cope.
Relaxation Techniques Interventions
Breathing control
Progressive muscle relaxation
Guided imagery
Grounding exercises
Mindfulness practices
Cognitive Interventions
Positive self-talk
Coping self-statements
Distraction
“Worry lists”
“Worry time”
Assertiveness training
Problem-solving skills
Response prevention
Counselling approaches
Cognitive behavioural therapy
Mindfulness-based therapy
Somatic therapies
Coping Self-Statements
Relabel
Reattribute
Refocus
Revalue
Relabel: Educate yourself that obsessive thoughts are biochemical tics, like an eye twitch or a hiccup.
Reattribute: You cannot force the thought to stop but you don’t have to act on it.
Refocus: Delay action by refocusing on a pleasant activity and statement.
Revalue: Accept that your thoughts may continue to occur, they are not a personal fault.
Medication
SSRI/SNRI
Triclinic Antidepressants
Benxodiazepines
Selective Serotonin and Serotonin- Norepinephrine Reuptake Inhibitors (SSRI’s & SSNRI’s)
Useful for long-term treatment of anxiety and related disorders
Carry risk of serotonin syndrome
Benzodiazepines
Helpful for short-term relief and panic symptoms
Carry risk of misuse and dependence
Risk of benzodiazepine withdrawal
Tricyclic Antidepressants
Not to be prescribed to persons experiencing suicidal ideation
Clomipramine often helpful with OCD
Carry risk of serotonin syndrome
Milieu Therapy
Starts with a trusting relationship
Aim to empower the client
Engage with client and help identify triggers
Practice relaxation exercises together first
Encourage family involvement
Promote soothing atmosphere
Environment should include interventions that involve senses
Separate spaces for social and alone time
SMART Goal
Specific
Measurable/Meaningful
Attainable
Realistic
Time framed
Challeges to recovery oriented care
Acuity and crisis focus
Lack of time allowed for interaction
Professional support
Culture of service
Physical environment
Lack of peer support
Ways to build trust
Focus on the person and ask open questions
Ask permission to gather information or do a procedure
listen to the person’s assessment of the problem:
how do you describe the problem
what do you think caused the problem
what worries do you have about the problem
what do you hope to gain from care
Checking your understanding what you heard; ask if information is accurate
