Anxiety and Stress Related Disorders Flashcards
eustress
good stress, butterflies in stomach
distress
bad stress
healthy defense mechanisms X4
altruism
sublimination
humor
suppression
intermediate defense mechanisms X6
repression
displacement
reaction formation
somatization
undoing
rationalization
immature or primitive defense mechanisms X8
passive aggression
acting out
dissociation
devaluation
idealization
splitting
projection
serotonin is decreased/increased in stress
decreased
norepinephrine is decreased/increased in stress
increased
PTSD
exposure to actual or threatened death, injury or sexual violence
PTSD s/s
presence of intrusion symptoms
avoidance of associated stimuli
negative alt in cognitions/mood
altered arousal and reactivity
symptoms must last longer than a month
intrusion symptoms
flashbacks, dreams and emotional symptoms
how is arousal and reactivity altered in PTSD
hypervigilant, altered startled responses
TRAUMA acronym for PTSD
Traumatic event
Re-experiencing trauma
Avoiding things associated with trauma
Unable to focus
for 1 Month
Increased Arousal
PTSD tx
CBT
exposure therapy
EMDR
adaptive disclosure
SSRI’s
acute stress disorder
exposure to actual or threatened death, injury or sexual violence
acute stress disorder s/s
negative mood
dissociative and avoidance symptoms
arousal alterations
acute stress disorder dx
resolution of symptoms within 1 months
acute stress disorder treatment
may resolve without treatment
benzos PRN for severe symptoms
depersonalization
experiences of unreality or detachment from one’s mind, self or body
derealization
experiences of unreality or detachment from one’s surroundings
DID
formerly known as multiple personality disorder
dissociative amnesia
unable to recall information about self
dissociative amnesia with fugue
amnesia for one’s identity may involve travel or wandering
acute anxiety
something changes or threatens sense of security
pathological anxiety
long term disturbances in functional ability
mild anxiety features
heightened awareness
still able to work, learn and solve problems
slight psychomotor agitation
mild anxiety nursing interventions X6
reframing
allow venting
activity to release energy
ID triggers
focus on communication
monitor level of anxiety
moderate anxiety features
narrowed perceptual field
selective inattention
less able to problem solve
HR and RR up
somatic complaints
moderate anxiety nursing interventions X2
all of the mild ones
PRN anxiolytic
severe anxiety features
perceptual field limited
scattered attention
distorted perceptions
diminished problem-solving ability
tunnel vision
sense of impending doom
somatic symptoms
severe anxiety nursing interventions X5
remain calm
stay with patient
low-pitched voice
slow down speech
PRN anxiolytics
panic level anxiety features
unable to focus on environment
feeling of doom
disorganized thinking
no problem solving
emotional paralysis
increased HR, RR
irrational
agitation
panic level anxiety nursing interventions X6
stay with patient
remain calm
simple direct statements
assure safety
PRN anxiolytic
minimize environmental stimulation
panic disorder dx
recurrent and unexpected panic attack followed by 1 month of fear of reoccurence
r/o drug induced factors
panic disorder tx modalities
CBT - reframing
benzos - acute
antidepressants - chronic
phobic D/O dx
persistent and irrational fear of specific object/activity resulting in avoidance behaviors
agoraphobia dx
marked fear of 2+ situations that require leaving a safe space
fear must be disproportionate to the risk of danger and cause distress/impairment
social anxiety d/o dx
fear of rejection or of exposure to social or performance situations
specific phobias dx
fear of 1+ specific object or situation
phobic d/o tx modality
CBT
assertiveness training
systematic desensitization
social skills training
generalized anxiety dx
uncontrollable worry/anxiety on more days than not for over 6 months
must cause a disturbance in personal, scholastic or employment performance
GAD tx
CBT
stress management
physical activity
anxiolytics
anxiety r/t other medical condition dx
symptoms are a direct result from a medical condition
OCD dx
presence of obsessions and/or compulsions that are unsuppressable
OCD obsessions
recurrent and persistent thoughts urges or images which are unwanted and intrusive
OCD compulsions
repetitive behaviors that the individual is compelled to perform in response to related obsession
OCD tx
exposure/response prevention
SSRI’s
OCD related D/O’s X4
body dysmorphic disroder
hoarding disorder
trichotillomania
skin picking disorder
