Anxiety, Obsessive compulsive, trauma and stressors related disorder Flashcards
Causes of panic disorder
Genetics
Biochemical: > norepinephrine & heightened sensitivity to somatic symptoms
Cognitive behavioral theory
Life events
Psychoanalytic theory
Pharmacologic therapy of panic disorders
Fast acting: Benzodiazepines
Longer term: SSRIs, SNRIs
Beta-blockers: < stress hormone
Causes of GAD
Genetics: imbalance in serotonin, norepinephrine, GABA, and glutamate
Biochemical abnormalities: > in blood lactate
Psychosocial & environmental factors: children of more anxious parents
Stress = trigger not cause
Symptoms of GAD
SOB, tachycardia, palpitations, sweating, irritability, fatigue, trembling, headache, poor concentration, excessive anxiety/worry over minor matters
Treatment of GAD
Cognitive therapy
Cognitive behavioral therapy
Biofeedback training
Pharmacologic therapy for GAD
Benzodiazepines
SSRIs
SNRIs
Treatment of social anxiety disorder
Negative thought stopping: rubber band
Desensitization therapy
Relaxation techniques
cognitive behavioral therapy
Pharmacologic therapy
Social anxiety disorder
SSRIs
beta adrenergic blockers
Nursing interventions
Social anxiety disorder
encourage interaction
Progressive muscle relaxation
Gradual desensitization
How they normally cope with fear
Symptoms of specific phobias
Severe anxiety, low self-esteem, depression, feelings of weakness
Pharmacologic therapy of specific phobias
Benzodiazepines
SSRI
Risk factors for PTSD
limited social supports
Parental neglect
High anxiety
Low self-esteem
Hx of psychiatric disorders
Symptoms of Acute stress disorder
Generalized anxiety, hyperarousal, avoidance of reminders of traumatic event, physical restlessness, sleep disturbances, poor concentration
Mixed disturbance of emotions and conduct adjustment disorders
depression, anxiety, and symptoms of conduct disorder
Causes of adjustment disorders
Dev. diabilities, intellectual disorders, genetics
Early childhood trauma, children in foster families
Transactional model of stress/adaptation: continuous stress/sudden stressor. Different type of trauma
Causes of anxiety disorder
Genetics
Biochemical factors: biological makeup
Neuroanatomic factors: brain atrophy & underdeveloped frontal and temporal lobes
Traumatic life events
Medical conditions: hyperthyroid, respiratory/cardiovascular
Nursing interventions for agoraphobia
Assertiveness skills: self-confidence, motivated
Discuss feared object or situation
Systematic desensitization program
Administering medications
Nursing interventions for specific phobias
discuss
Assertiveness skill
Relaxation & though stopping techniques
Medication
Causes of PTSD
Traumatic event
Imbalance of serotonin
What is acute stress disorder
Syndrome of anxiety and behavioral disturbances that occur within 4 weeks of an extreme trauma
Depressed mood adjustment disorders
Have depression every time dealing with change
Anxiety adjustment disorders
Symptoms of anxiety related to change