Anxiety Flashcards
Anxiety
Apprehension, uneasy, uncertain, dread
Threat (from negative thinking)
can erode self worth
Mild Anxiety
Definition and Symptom (1)
tension of day-to-day
increased alertness/awareness
wide perception
motivates learning and creativity
SX: Slight discomfort Fidgeting
Moderate anxiety
Nervous/Agitated
focus on immediate concerns
narrows perceptual field
SX:
Selective inattention:
only certain things seen/heard
SNS: increased tension, restless, increase HR, RR (Mild somatic: tummy hurts, gotta pee!)
Severe Anxiety
one detail at a time
cannot complete task
SX:
HA, dizzy, insomnia, hyperventilation, impending doom.
Automatic beh
Panic
Fight, Flight, Freeze
No comprehension
Possible psychosis
Behvior: screaming, pacing, running, shouting, extreme withdrawal
Repression
involuntary
body takes away memory
Supression
voluntary
you seclude memory
(trouble when its excessive)
When is anxiety pathologic?
Interferes with life
Which populations are more at risk for anxiety? (gender, age, environment)
Women
<45 y/o
Divorced
Low SES
Children stats for anxiety
separation / OCD
more likely to exhibit SI
Elderly stats for anxiety
depressive and anxiety
decreased social functioning, somatic sx more common
High suicide risk
Anxiety Neurotransmitters
Decrease GABA/Seratonin
Increase Norepineprhine
Anxiety limbic system
Hippocampus (memory relates to FEAR)
Psychodynamic - Freud
(anxiety)
repressed unconscious childhood conflicts
Ego defense mechanism used
Interpersonal- Sullivan
(anxiety)
early needs unmet
Cognitive
(anxiety)
negative thinking
Behavioral - Learning
(anxiety)
learned response that you cant unlearn
ANXIETY IS CONTAGIOUS!
Active avoidance- cannot avoid
Passive avoidance- stay away
Separation Anxiety Disorder
Normal: 8 mo
Peaks: 18mo
Abnormal: inappropriate level of concern away from s/o
Risks: major life change/environment or trauma
Panic attacks
(Onset, SX )
sudden onset - Rapid, intense, escalating anxiety
—-few min to 15 min
Unpredictable: does not occur immediately before of on expose to trigger (fear the fear)
SX: palpation, sweating, tremor, SOB, CP, fear fear fear
Panic disorder
reoccurring unexpected panic attacks
1mo+ of concern about another, change of behavior
can lead to phobia
Specific phobia
Irrational fear to trigger
GREEN OLIVESSSSS
Agoraphobia
fear of being in situations where unable to leave freely
fear to leave house
Spongebob with chip, paperclip and penny
Arachnophobia
(spiders) - Ron Wesley
Acrophobia
height
Belonephobia
needles
Hematophobia
blood
Zoophobia
all animals
Claustrophobia
spaces
taphophobia
buried alive
Generalize Anxiety Disorder
(Onset, dx factors, sx)
chronic, unrealistic
most days for 6mo+
impairment of day to day
depression common
restless, fatigue easy, difficulty concentrating, irritable
Obsessive-Compulsive Disorder
recurrent obsessions/compulsions
(severe, take more than 1hr)
Recognizes that thoughts/actions are excessive but w/o cause discomfort (exclude children*)
Obsessions
unwanted, recurrent, intrusive, persistent ideas
contamination, harm to self/others, aggression, sexual, religion, symmetry urges
Compulsions
unwanted repetitive rituals/patterns
washing/cleaning, repeating, checking, touching, counting, ordering, hoarding, praying
Trichotillomania
Hair - Pulling
Trichophagia
swallowing pulled fair
Massess –> Rapunzel syndrome
Excoriation Disorder
Skin picking disorder
face - head, cuticles, back, arms, legs, hands/feet
Hoarding disorder
cannot part with posessions
food/pets (LILLIE!)
SSRI/Therapy
Body dysmorphic disorder
belief body is deformed/defective
– mirror checking/camouflage
False assumptions, disgust, high suicide risk
Assessment of anxiety
presense of sx
physical/neuro
severity (beck)
screen/self-harm
support?
Displacement
transfer of emotion on to another
compulsion (DEFENSE MECH)
undoing
(making up for act)
Reaction-formation
avoid/expresses opposite of negative feelings
intellectualization
attends to details but not feelings
Nursing interventions for Anxiety
assess level
promote safety
decrease stimulation
WITH PANIC
remain with client, soothe, simple directions w repetition, deep breathing
Family education for Anxiety
manage triggers/symptoms of escalating anxiety
Increasing self care
coping, hope, self-esteem enhancement, relaxation
nutrition/fluid intake, hygiene/grooming, elimination, sleep
phobia interventions
explore perception of threat, discuss reality, coping strats
Therapists -
systematic desensitization (pictures of plane –> get on plane)
flooding (implosion therapy) - uncomfortable just jumping in
OCD interventions
don’t be judgmental or disapproving
provide structure
gradually decrease ritual time
recognize/reduce family accommodation behaviors
OCD Exposure and Response Prevention
“fear hierarchy”
Interventions of trichotillomania/excoriation
non-judgemental, let them know they can stop
habit reversal, competing response, social support/stress management
