Chapter 15: Anxiety and Obsessive-Compulsive Disorders Flashcards
anxiety
apprehension, uneasiness, uncertainty, or dread from real or perceived threat
fear
reaction to specific danger
what is the similarity between anxiety and fear
body will react similarity
normal anxitey
necessary for survival
levels of anxiety
mild
moderate
severe
panic
mild anxitey
everyday problem solving leverage
sharp focus
problem solving becomes more effective
moderate anxiety
perceptual field narrows
some details excluded from observation
problem solving is reduced
physical symptoms manifest
(tachycardia, tension, pounding heart, increase respiration, diaphoresis)
Severe anxiety
perceptual field is greatly reduced
learning and problem solving are not possible
appears dazed and confused
somatic symtoms increase
panic
markedly disturbed behavior
- running, shouting, screaming, pacing
loss of touch with reality
hallucinations
what are defense mechanisms
automatic coping styles
what do defense mechanisms protect
people from anxiety
are defense mechanisms healthy or unhealthy
both
who developed defense mechanisms
freud
seperation anxitey disorder
when is it diagnosed
childhood
seperation anxitey disorder
essential feature
excessive anxiety concerning separation by a child from the home or those to whom the person is attached
phobias
persistent
irrational
fear of a specific object, activity, or situation that leads to a desire for avoidance of it
phobias fun in
families
social anxiety disorder
is also called
social phobia
social anxiety disorder
definition
severe anxiety or fear provoke by exposure to a social or a performance situation that will be evaluated negatively by others
social anxiety disorder
what common fear falls under this
fear of public speaking
social anxiety disorder
may cause
immobility or physical complaints
panic disorders
recurrent, unexpected panic attacks of sudden onset are a clinical symptom of this disorder
agoraphobia
fear of open spaces
excessive anxiety of fear about being in places or situations from which escape might be difficult or embarrassing
panic disorder without agoraphobia
recurrent unexpected panic attacks about which the individual is persistently concerned
panic disorders with agoraphobia
recurrent panic attacks accompanied by fear of being in an enviornment or situation from which escape might be difficulty or embarrassing or in which help may not be available
generalized anxiety disorder
excessive worry that lasts for months
out of proportion
constantly anticipate disaster, irritable, tense muscles
sleep disturbances
substance induced anxiety disorder
symptoms of anxiety develop with the use of substance or within a month of stopping use of the substance
what is a common medical condition that is associated with anxiety
asthma
what are some other medical conditions that can cause anxiety
hyperthyroidism
PE
cardiac dysrhythmias
obessions
thoughts
compuslions
ritualistic behavior
obsessive compulsive disorder exist along a
continuum
body dysmorphic disorder
preoccupation with imagined defective body part
hoarding disorder
accumulation of belongings
trichotillomania
hair pulling disorder
excoriation disorder
dermotillomania
skin picking disorder
substance induced obsessive compulsive
related to illicit or prescribed substance use
freud developed
defense mechanisms
Sullivan developed
interpersonal theory
behavior theories believe that anxiety is a _______ response
learned
cognitive theories anxiety is distortion in _________________
thought/perception
what is important with the assessment
self assessment
is anxiety a nursing diagnosis
yes
do these patents normally require inpatient admission
no
if you have mild to moderate anxiety are you able participate in plan of care
yes
if you have severe to panic levels of anxiety are you able to participate in plan of care
no
primary goal is safety
pharm interventions
SSRI
SNRI
TCA
MAOI
Benzos
Buspar
beta blockers, antihistamine, anticonvulsants
therapy
cognitive therapy
behavioral therapy
cognitive behavioral therapy
