Anxiety Disorders: Week 7 Flashcards
What did a recent survey say about % of Americans ?
Recent surveys have found that as many as 18% of Americans may be affected by one or more of them
Freuds theory?
toxic transformation of undischarged libido resulting from unconscious repression of sexual desires and fantasies.
Generalized Anxiety Disorder?
not focused on any one object or situation
most common anxiety disorder to affect older adults
Diagnostic Criteria: GAD
more days than not, for at least 6 months, about a number of issues
The person finds it difficult to control the worry
three or more symptoms: -restlessness, -feeling keyed up or on edge being easily fatigued -difficulty concentrating
risk factors for GAD
Women
african american
under 30 year
Comorbidities in GAD
Major Depres. Disorder
Social Anx.
Panic Dis.
Panic disorder
arises and peaks in less than ten minutes
can last for several hours
single largest category
phobias
Agoraphobia
Must have fear of 2 or more of the five situations
Inverse relationship with income and education
Social Anxiety Disorder (Social Phobia)
fear of negative public embarrassment
persistent (6+ months)
excessive/ unreasonable
Separation Anxiety Disorder
strongemotional attachment
persists in individuals under 18 for at least four weeks and adults for six months or more.
PTSD
Ex. Emily Dickenson- anxiety disorder
Selective Mutism.
Twice as many girls than boys have
difficulty speaking, laughing, reading aloud, singing aloud in front of people outside of their family or their “comfort zone
These children often have symptoms of social phobia as well
Must last for at least one month (not 1st month of school).
Not due to lack of knowledge of or comfort with the language in use.
It is now classified as an anxiety disorder, given that a large majority of children with selective mutism are anxious
Anxiety Disorders: Biological Causes
low GAB, alcohol, caffeine
Anxiety Disorders: Treatment
psychotherapy, meds, exercise
Cognitive-behavioral therapy
Can be highly effective for panic disorder and social phobia
Seeks to teach coping skills to deal with anxiety-provoking situations
Benzodiazepines Controversy (short term) 3 different viewpoints
that combined medication and psychotherapy more effective
While others show that pharmacological interventions are largely palliative
Meta-analyses show that psychotherapeutic interventions have better long-term efficacy
Obsessive-Compulsive Disorder
recurrent or persistent thoughts, impulses, or images that are experienced as intrusive or inappropriate and cause distress
person attempts to ignore or suppress thoughts or neutralize them with another thought or action
women, AA, under 30
examples of OCD
hoarding, BDD, Trichotilmania, Excoriation
