Exam 3 Anxiety Flashcards
Social Anxiety disorder used to be called
social phobia
What is social anxiety?
Severe anxiety or fear of exposure to a social or performance situation that could be evaluated negatively by others
What are Examples of social anxiety disorder (fears)?
Saying something foolish in public
*Not being able to answer questions
*Looking awkward while eating or drinking in public
*Performing badly on stage
Smaller children with social anxiety disorder may do what?
hide behind parents or be “mute” in publicc
Older kids and adolescents with social anxiety disorder may what?
be paralyzed by fear when having to speak in class or interjustact with peers
The most common manifestation of social anxiety disorder is?
fear of public speaking
Panic disorders are diagnosed when there are at least 4 of what panic attack symptoms?
physical sensations
Palpitations
Shortness of breath
Smothering sensation
Chest pain
Nausea
*Depersonalization
*Fear of dying/insanity
*Chills/hot flashes
Panic disorder attacks are _____
unpredictable- come out of the blue
Panic disorder attacks last about __ minutes, then subside
10
Panic disorder attacks are characterized as FEAR THE FEAR which means?
fear of having panic attacks that can be debilitating
Panic disorder is comorbid with
major depression
What is a panic attack?
the sudden onset of extreme apprehension or fear, usually associated with feelings of impending doom.
Physical symptoms of panic attacks
Chest pain
*Smothering sensation
*Choking
*Breathing difficulty
*Dizziness
*Palpitations
*Sweating
Chills or hot flashes
Generalized anxiety disorder is characterized by
think time as well
chronic and excessive anxiety on more days than not for at least 6 months
What are Symptoms of general anxiety disorder?
- Restlessness
- *Fatigue
- *Poor concentration
- *Irritability
- *Tension
- *Sleep disturbance
- *Interferes with daily activity
GAD can cause?
think more outside of the mind
muscle tension. These patients will have physical complains due to the prolonged tense feelings
If a patient has GAD you will see avoidance of
stressful activities as it takes longer to prepare to do them and increased anxiety related to the activites
Patients with GAD will ___
procrastinate
Patients with GAD are anxious about making
decisions
Anxious persons often seek what?
Reassurance and then feel bad about needing that reassurance
What are OCD (obsessions)?
Recurrent, intrusive, and persistent ideas, thoughts, images, or impulses despite efforts to ignore them
What are OCD (complussions)?
Ritualistic behaviors an individual feel compelled to perform in an attempt toreduce anxiety
What are Other 3 Anxiety Related Disorders?
- Trichotillomania
- Excoriation Disorder
- Hoarding Disorder
Patients with body dysmorphic disorder tend to have a ____ appearance?
“normal”
You may see ____ with imagined defect in appearance (body dysmorphic patients)
preoccupation
Body Dysmorphic Disorder can lead to ____ thinking. What can that lead to?
obsessional thinking- compulsive behaviors
What is mirror checking?
Seen in Body Dysmorphic patients- camouflaging
Do patients with body dysmorphic disorder have insight or awareness of this distorted thinking?
They may or may not
Patient with body dysmorphic disorder may seek
surgery/repairs
Patients with body dysmorphic disorder are at high risk for
suicide
Body dysmorphic disorder is related to ____ and common with _____
OCD; Major Depressive Disorder
What is Interpersonal theory?
early needs go unmet
- anxiety has been modeled by parents or peers
What are cultural variances?
for examples, somatic manifestations of anxiety
What is Cognitive therapy?
flooding/exposure/response prevention
Antidepressants are the first line of defense for?
anxiety and OCD related disorders
Other meds for anxiety?
Benzos, Buspar, Antihistamines
What are some Stress reduction methods?
group or social support
- mediation, yoga, biofeedback
- time management
- self-hypnosis
- creative imagery
- thought stopping
- breathing exercises
- proper nutrition
- regular exercise
- relaxation response (quiet environment, passive attitude, comfortable position)
Grounding tools for anxiety?
- 5 things you can see
- 4 things you can touch
- 3 things you can hear
- 2 things you can smell
- 1 thing you can taste
Side effects of medication to watch for?
- sedation
- ataxia
- decreased cognitive function
Do not change dose or frequency of medication without consulting who>
doctor
What three things should you avoid when taking anxiolytic meds?
alcohol
- caffeine
- other anti anxiety drugs
What anxiolytic is ok for pregnant women?
Buspirone
Cessation of a bento 3-4 months can lead to
withdrawal symptoms
Anxiety meds should be taken
with or shortly after meals to reduce gastric distress
Antacids if taken with anxiolytics may delay
absorption
Nursing Diagnosis for anxiety patients
Anxiety
- Ineffective coping
- Social isolation
- Disturbed thought process
- Post-trauma syndrome
- Insomnia
- Fatigue
- Self-care deficit
Goals for anxiety patients
Provide safe environment
- Minimize symptoms
- Minimize risk (self harm)
- Improve coping
- Improve functioning
Examples of Therapeutic communication for anxiety patients?
Don’t minimize or challenge the client’s feelings (At least….Things could be worse, etc)
*Don’t give nonchalant reassurance (Don’t worry, you are fine)
Instead:
*Factual observations (You are hyperventilating)
*Offering Concrete interventions (Let’s try some breathing techniques)
- You want to PROMOTE dialogue, not shut it down
How do we enhance self-esteem of anxiety patients?
Enhance self esteem :
*Focus on past achievements
*Give positive feedback
*Provide unconditional positive regard in the present
Teaching will not be effective during a?
crisits
Once you can teach, teach anxiety patients
relaxation
*problem solving
*coping
*breathing
