Anxiety

Question 1

Anxiety

Answer 1

• 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

Question 2

Fear

Answer 2

Normal, physiological and psychological reaction to imminent threat to one’s body, lifestyle, values or loved ones.

Question 3

Anxiety Disorders

Answer 3

A group of conditions with persistent anxiety the person cannot control and that interferes with their activities of daily living.

Question 4

Panic level of anxiety

Answer 4

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

Question 5

Separation Anxiety Disorder

Answer 5

separation triggers the anxiety

Question 6

Selective Mutism

Answer 6

sometimes people will have the words ready but cannot get them out

Question 7

Agoraphobia

Answer 7

fear of open public spaces

Question 8

Anxiety Disorder due to another Medical Condition

Answer 8

brain injury, have respiratory condition so experience the physical symptoms of anxiety

Question 9

Specific Phobia

Answer 9

phobia related to a specific thing

Question 10

Panic Disorder /
Panic Attack (Specifier)

Answer 10

Panic Disorder – a series of events
Panic Attack (Specifier) – a specific event

Question 11

Substance Induced/Medication Induced Anxiety Disorder

Answer 11

ex. SSRIs common side effect is anxiety

Question 12

Social Anxiety Disorder (Social Phobia)

Answer 12

?

Question 13

Generalized Anxiety Disorder

Answer 13

worry a lot

Question 14

List 5 treatment goals for anxiety

Answer 14

• 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

Question 15

Window of Tolerance

Answer 15

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.

Question 16

Relaxation Techniques Interventions

Answer 16

Breathing control
Progressive muscle relaxation
Guided imagery
Grounding exercises
Mindfulness practices

Question 17

Cognitive Interventions

Answer 17

Positive self-talk
Coping self-statements
Distraction
“Worry lists”
“Worry time”
Assertiveness training
Problem-solving skills
Response prevention

Question 17

Counselling approaches

Answer 17

Cognitive behavioural therapy
Mindfulness-based therapy
Somatic therapies

Question 18

Coping Self-Statements

Relabel
Reattribute
Refocus
Revalue

Answer 18

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.

Question 19

Medication

Answer 19

SSRI/SNRI
Triclinic Antidepressants
Benxodiazepines

Question 20

Selective Serotonin and Serotonin- Norepinephrine Reuptake Inhibitors (SSRI’s & SSNRI’s)

Answer 20

Useful for long-term treatment of anxiety and related disorders
Carry risk of serotonin syndrome

Question 21

Benzodiazepines

Answer 21

Helpful for short-term relief and panic symptoms
Carry risk of misuse and dependence
Risk of benzodiazepine withdrawal

Question 22

Tricyclic Antidepressants

Answer 22

Not to be prescribed to persons experiencing suicidal ideation
Clomipramine often helpful with OCD
Carry risk of serotonin syndrome

Question 23

Milieu Therapy

Answer 23

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

Question 24

SMART Goal

Answer 24

Specific
Measurable/Meaningful
Attainable
Realistic
Time framed

Question 25

Challeges to recovery oriented care

Answer 25

Acuity and crisis focus
Lack of time allowed for interaction
Professional support
Culture of service
Physical environment
Lack of peer support

Question 26

Ways to build trust

Answer 26

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