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psych 2 > Anxiety > Flashcards

Anxiety Flashcards

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1
Q

Anxiety

A

Apprehension, uneasy, uncertain, dread

Threat (from negative thinking)

can erode self worth

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2
Q

Mild Anxiety

Definition and Symptom (1)

A

tension of day-to-day
increased alertness/awareness
wide perception
motivates learning and creativity

SX: Slight discomfort Fidgeting

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3
Q

Moderate anxiety

A

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!)

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4
Q

Severe Anxiety

A

one detail at a time
cannot complete task

SX:
HA, dizzy, insomnia, hyperventilation, impending doom.
Automatic beh

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5
Q

Panic

A

Fight, Flight, Freeze

No comprehension
Possible psychosis

Behvior: screaming, pacing, running, shouting, extreme withdrawal

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6
Q

Repression

A

involuntary

body takes away memory

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7
Q

Supression

A

voluntary

you seclude memory
(trouble when its excessive)

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8
Q

When is anxiety pathologic?

A

Interferes with life

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9
Q

Which populations are more at risk for anxiety? (gender, age, environment)

A

Women
<45 y/o
Divorced
Low SES

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10
Q

Children stats for anxiety

A

separation / OCD

more likely to exhibit SI

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11
Q

Elderly stats for anxiety

A

depressive and anxiety

decreased social functioning, somatic sx more common

High suicide risk

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12
Q

Anxiety Neurotransmitters

A

Decrease GABA/Seratonin

Increase Norepineprhine

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13
Q

Anxiety limbic system

A

Hippocampus (memory relates to FEAR)

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14
Q

Psychodynamic - Freud
(anxiety)

A

repressed unconscious childhood conflicts

Ego defense mechanism used

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15
Q

Interpersonal- Sullivan
(anxiety)

A

early needs unmet

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16
Q

Cognitive
(anxiety)

A

negative thinking

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17
Q

Behavioral - Learning
(anxiety)

A

learned response that you cant unlearn

ANXIETY IS CONTAGIOUS!

Active avoidance- cannot avoid

Passive avoidance- stay away

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18
Q

Separation Anxiety Disorder

A

Normal: 8 mo
Peaks: 18mo

Abnormal: inappropriate level of concern away from s/o

Risks: major life change/environment or trauma

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19
Q

Panic attacks
(Onset, SX )

A

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

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20
Q

Panic disorder

A

reoccurring unexpected panic attacks

1mo+ of concern about another, change of behavior

can lead to phobia

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21
Q

Specific phobia

A

Irrational fear to trigger

GREEN OLIVESSSSS

22
Q

Agoraphobia

A

fear of being in situations where unable to leave freely
fear to leave house

Spongebob with chip, paperclip and penny

23
Q

Arachnophobia

A

(spiders) - Ron Wesley

24
Q

Acrophobia

A

height

25
Q

Belonephobia

A

needles

26
Q

Hematophobia

A

blood

27
Q

Zoophobia

A

all animals

28
Q

Claustrophobia

A

spaces

29
Q

taphophobia

A

buried alive

30
Q

Generalize Anxiety Disorder
(Onset, dx factors, sx)

A

chronic, unrealistic

most days for 6mo+

impairment of day to day

depression common

restless, fatigue easy, difficulty concentrating, irritable

31
Q

Obsessive-Compulsive Disorder

A

recurrent obsessions/compulsions
(severe, take more than 1hr)

Recognizes that thoughts/actions are excessive but w/o cause discomfort (exclude children*)

32
Q

Obsessions

A

unwanted, recurrent, intrusive, persistent ideas

contamination, harm to self/others, aggression, sexual, religion, symmetry urges

33
Q

Compulsions

A

unwanted repetitive rituals/patterns

washing/cleaning, repeating, checking, touching, counting, ordering, hoarding, praying

34
Q

Trichotillomania

A

Hair - Pulling

35
Q

Trichophagia

A

swallowing pulled fair
Massess –> Rapunzel syndrome

36
Q

Excoriation Disorder

A

Skin picking disorder

face - head, cuticles, back, arms, legs, hands/feet

37
Q

Hoarding disorder

A

cannot part with posessions
food/pets (LILLIE!)

SSRI/Therapy

38
Q

Body dysmorphic disorder

A

belief body is deformed/defective
– mirror checking/camouflage

False assumptions, disgust, high suicide risk

39
Q

Assessment of anxiety

A

presense of sx
physical/neuro
severity (beck)
screen/self-harm
support?

40
Q

Displacement

A

transfer of emotion on to another

41
Q

compulsion (DEFENSE MECH)

A

undoing
(making up for act)

42
Q

Reaction-formation

A

avoid/expresses opposite of negative feelings

43
Q

intellectualization

A

attends to details but not feelings

44
Q

Nursing interventions for Anxiety

A

assess level
promote safety
decrease stimulation
WITH PANIC
remain with client, soothe, simple directions w repetition, deep breathing

45
Q

Family education for Anxiety

A

manage triggers/symptoms of escalating anxiety

46
Q

Increasing self care

A

coping, hope, self-esteem enhancement, relaxation

nutrition/fluid intake, hygiene/grooming, elimination, sleep

47
Q

phobia interventions

A

explore perception of threat, discuss reality, coping strats

Therapists -
systematic desensitization (pictures of plane –> get on plane)

flooding (implosion therapy) - uncomfortable just jumping in

48
Q

OCD interventions

A

don’t be judgmental or disapproving

provide structure

gradually decrease ritual time

recognize/reduce family accommodation behaviors

49
Q

OCD Exposure and Response Prevention

A

“fear hierarchy”

50
Q

Interventions of trichotillomania/excoriation

A

non-judgemental, let them know they can stop

habit reversal, competing response, social support/stress management

51
Q
A

psych 2 (10 decks)

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