anxiety disorders Flashcards
definition of panic attack
an abrupt surge of intense fear or discomfort that reaches a peak and subsides within minutes accompanied by at least 4 of the 13 physical/cognitive symptoms
13 signs of panic attack
page 119
what are the cognitive aspects
- fear of lsing control or ‘going crazy’
2. fear of dying ( heart attack)
types of panic attacks
expected and unexpected
unexpected; occurs out of the blue with no trigger e.g noctural attack, wake up from sleep in a state of panic
expected: the trigger is known, a feared object or situation
what if there is less than 4 signs
it’s called a limited symptom attack
whos more likely to get panice attacks
female
rf for panic attacks
smoking and asthma
descrivs. atypical panic disorder
THE ATTACKS ARE UNEXPECTED
the person is constantly worries about when there next attack will be
always worried about their health e.g a headache means a tumour, exhibit maladaptive behaviour in order to prevent a panic attack like agrophobia , visiting the hospital many times etc convinced hvaing a MI
key buzz word for panic disorder
‘i think i am going crazy ‘
Dx of focial phibia
normative shyness- shyness by itself is not pathological, only when it begins to cause social impairment and affect ur life
medical condtion - e.g trembling in parkinsosn
symptoms of geernalised anxiety
fatigue
muscle tension (trembling, twiching , muscle soreness)
irritable
restlessness - always on edge
difficulty concentrating /mind goes blank
sleep problems
key points of generlaised anxiety
the content of the worries tend to be age specific, e.g teens it’s schools + sports and adults its health and family
rf for anxierty disorders
childhood: over protective parents , lack of warmth
psychological factors: negative affectivity and behavioural inhibition
comorbity : anxiety disorders often coexist with other anxiety disorders, e.g panic disorders, GAD
TX FOR anxietty disorder
SSRI’S SNRI
Benzos used with caution because many people havea alcohol too
psychotherpay
anxiety patient freuwnetly have dual therapy with drugs and psychotherapy
