Clip 5: Fear Flashcards
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anxiety & OCD
welk chapter is anxiety
chapter 5
welk chapter is ocd and related
chapter 6
anxiety syndromes soorten
- separation anxiety syndrome
- selective mutism
- specific phobia
- social anxiety syndromes
- panic syndromes
- panick attack specifier
- agoraphobia
wanneer panic attack specifier
wanneer paniek aanvallen voorkomen in andere syndromen
specific phobia A=
marked fear or anxiety about a specific object or situation
specific phobia B=
The phobic object or situation almost always provokes immediate fear or anxiety
specific phobia C=
The phobic object or situation is actively avoided or endured with intense fear or anxiety
specific phobia D=
The fear or anxiety is out of proportion to the actual danger posed by the specific object or situation and to the sociocultural context
specific phobia E=
The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.
social anxiety syndrome A=
Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others.
Examples include
- social interactions (e.g., having a conversation,
- meeting unfamiliar people),
- being observed (e.g., eating or drinking),
- performing in front of others (e.g., giving a speech).
social anxiety B=
The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated (i.e., will be humiliating or embarrassing; will lead to rejection or offend others).
social anxiety C=
The social situations almost always provoke fear or anxiety
social anxiety D=
The social situations are avoided or endured with intense fear or anxiety.
social anxiety E=
The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context.
panic attack (specifyer) =
an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time 4 or more symptoms occur:
- Palpitations, pounding heart, or accelerated heart rate.
- Sweating.
- Trembling or shaking.
- Sensations of shortness of breath or smothering.
- Feelings of choking.
- Chest pain or discomfort.
- Nausea or abdominal distress.
- Feeling dizzy, unsteady, light-headed, or faint.
- Chills or heat sensations.
- Paresthesias (numbness or tingling sensations).
- Derealization (feelings of unreality) or depersonalization (being detached from
oneself). - Fear of losing control or “going crazy.”
- Fear of dying.
panic syndrome A=
recurrent unexpected panic attacks
panic syndrome B=
at least one of the attacks has been followed by 1 month (or more) of one or both of the following:
1. persistent concern or worry about additional panic attacks or their consequences
2. a significant maladaptive change in behaviour related to the atttacks (dus bijvoorbeeld niet exercisen of niet in unfamiliar situations komen)
wat is het belangrijke aan panic syndrome (tov panic attacks as specifier)
unexpected attacks!!! + anxiety about having the attacks
(bijvoorbeeld panic attack tijdens sociale situatie: is social phobia met panic attack as specifier)
agoraphobia A criteria
Marked fear or anxiety about two (or more) of the following five situations:
- Using public transportation (e.g., automobiles, buses, trains, ships, planes).
- Being in open spaces (e.g., parking lots, marketplaces, bridges).
- Being in enclosed places (e.g., shops, theaters, cinemas).
- Standing in line or being in a crowd.
- Being outside of the home alone
agoraphobia B=
The individual fears or avoids these situations because of thoughts that escape might be difficult or help might not be available in the event of developing panic-like symptoms or other incapacitating or embarrassing symptoms (e.g., fear of falling in the elderly; fear of incontinence).
agoraphobia C=
The agoraphobic situations almost always provoke fear or anxiety.
agoraphobia D=
The agoraphobic situations are actively avoided, require the presence of a companion, or are endured with intense fear or anxiety.
agoraphobia E=
The fear or anxiety is out of proportion to the actual danger posed by the agoraphobic situations and to the sociocultural context.
Obsessive-compulsive and related syndromes =
- Obsessive-Compulsivesyndrome
- Body Dysmorphic syndrome
- Hoarding syndrome
- Trichotillomania (Hair-Pulling syndrome)
- Excoriation (Skin-Picking) syndrome
obsessive compulsive syndrome A =
presence of obsessions, compulsions or both
obsessions =
1+ 2:
1) Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress.
2)The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion).
compulsions =
1+ 2
- Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.
- The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive. Note: Young children may not be able to articulate the aims of these behaviors or mental acts.
compulsions =
- repetitive behaviours (washing hands, ordering, checking), or mental acts (praying, counting, repeating the words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied today
- the behaviours or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviours are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive
Obsessive compulsive syndrome B =
the obsessions or compulsions are time-consuming (eg. meer dan 1 uur), or cause significant distress or impairment in social/occupational/other functioning
wat is karakteristiek aan ocd
de gedachtes zijn unwanted, het is niet een soort stemmetje (dan is het een hallucination), mensen weten dat het een gedachte is, maar ze voelen zich niet helemaal alsof zij de controle hebben
paresthesias=
tingling
