Chap 4: Anxiety disorders Flashcards

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1
Q

Define anxiety. What is abnormal anxiety?

What are the 3 elements of anxiety?

A

A common emotion characterized by physical symptoms, future-oriented thoughts, and escape of avoidance behaviors

Abnormal anxiety

  • When it causes functional impairment
  • When it is developmentally inappropriate
  • When it is disproportionate to the stimulus or situation

Elements:

  • physiological response
  • worry
  • escape or avoidance
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2
Q

Define anxiety disorder.

A

Group of disorders characterized by heightened physical arousal, cognitive distress, and and behavioral avoidance of feared objects, situations, or events

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3
Q

Define panic attacks and provide 3 symptoms. What are the two types?

A

A sudden and often inexplicable attack of alarming symptoms

  • Rise in heart rate
  • Trembling or shaking
  • Feeling dizzy or faint

Two types
- expected and unexpected

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4
Q

Define agoraphobia and provide 3 situations that could cause anxiety.

A

Cluster of fears centering on public places and being unable to escape or find hep should one become incapacitated

  • public transportation
  • enclosed spaced
  • lines/crowds
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5
Q

Define generalized anxiety disorder (GAD).

A

Excessive anxiety and worry occurring more days than not for 6+ months, about a number of events or activities (such as work or school performance)

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6
Q

Define social anxiety disorder.

A

Marked for fear/anxiety in 1+ social situations involving possible scrutiny.

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7
Q

Define specific phobias.

A

Marked fear or anxiety about a specific object or situation (ex: animal, natural environment etc.)

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8
Q

Define separation anxiety disorder (SAD)

A

Developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom the individual is attached.

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9
Q

Define selective mutism.

A

Consistent failure to speak in specific social situations in which there is an expectation for speaking despite speaking in other situations.

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10
Q

What are the 5 types of obsessive compulsive disorders?

What are some common fears for OCD?

A
Obsessive-compulsive disorder (OCD) 
- bodily disfunction, aggression or violence
Body dysmorphic disorder (BDD)
Hoarding disorder 
Trichotillomania (hair-pulling disorder)
Excoriation (skin-picking) disorder
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11
Q
  1. Define body dysmorphic disorder (BDD)
  2. Define hoarding disorder
  3. Define trichotillomania
  4. Define excoriation
A
  1. Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others
  2. Persistent difficulty discarding or parting with possessions, regardless of their actual value
  3. hair pulling disorder (uncontrollable, repeated cannot be better explained by the symptoms of another medical condition/disorder)
  4. Skin picking disorder (same as hair pulling)
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12
Q

What are the 5 disorders that exist under trauma and stressor-related disorder?

A

Post-traumatic stress disorder (PTSD)
Acute stress disorder (ASD)
Adjustment disorder
Reactive attachment disorder (RAD)

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13
Q

Define PTSD. What is unique about the definition of PTSD in the DSM 5?
What are 3 classic symptoms of PTSD in children?

A

Exposure to actual or threatened death, serious injury, or sexual violence in 1+ of the following ways..
Unlike the definitions of other disorders, PTSD includes part of its presumed etiology

PTSD in children

  • Traumatic play
  • Bed-wetting
  • Attentional problems
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14
Q

Define adjustment disorder. When is it clinically significant?

A

Emotional or behavioral symptoms in response to identifiable stressor, within 3 months or stressor

When
- distress + impaired functioning occur

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15
Q

Define attachment disorders.

What are the two types?

A

Disturbed and developmentally inappropriate attachment behaviors in children. Result of early stress due to inadequate or abusive child-rearing practices.

  1. Reactive attachment (socially inhibited, emotionally withdrawn, unexplained strong emotional reactions)
  2. Disinhibited social engagement disorder (reduced fear of unfamiliar adults, diminished check-in with caregivers)
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16
Q

What are the three biological explanations for trauma/stressor related disorders?

A

Genetics (family studies, twin studies, heritability estimates etc.)
Neuroanatomy (brain structure and functioning/neurotransmitters)
Temperament (early inhibition associated with anxieties and phobias)

17
Q

What are the behavioral explanations for trauma/stressor related disorders?

A

Anxiety is learning via classical and operant conditioning
Vicarious learning theory
Information transmission

18
Q

What are the cognitive theories for trauma/stressor related disorders?

IMMAD

A
Information processing 
Misinterpretations 
Maladaptive thoughts 
Attentional bias 
Distorted cognitions or faulty beliefs
19
Q

What kinds of medications (3) and psychosurgeries (3) are available to treat T&S disorders from a biological perspective

A

Medications

  • selective serotonin reuptake inhibitors (SSRIs)
  • serotonin norepinephrine reuptake inhibitors
  • benzodiazepines

Psychosurgery

  • cingulotomy
  • capsulotomy
  • deep brain stimulation
20
Q

What are the 4 behavioral approaches to treatment?

A

Exposure therapy
Systematic desensitization
Prolonged exposure therapy
Social skills training (SST)

21
Q

What are the 4 cognitive approaches to treatment

A

CBT
Relaxation training
Biofeedback
Mindfulness and acceptance and commitment therapy (ACT)