Lecture 8 - Performance impairemtn 1 - Anxiety Flashcards
What are the three classifications of stuff in Performance impairment 1?
- anxiety disorders
- eating disorders
- depression (last week)
What are the symptoms of panic attacks?
- Palpitations, pounding heart, or accelerated heart rate •Sweating
- Trembling or shaking
- shortness of breath
- Feeling of choking
- Chest pain or discomfort
- Nausea or abdominal distress
- Feeling dizzy, unsteady, lightheaded, or faint •Derealization or depersonalization (feeling detached from oneself)
- Fear of losing control or going crazy
- Fear of dying
- Numbness or tingling sensations
- Chills or hot flushes
How many panic attacks do you need to have to be classed as having PAD
4 in 4 weeks
- or just 1, but the continual anxiety of having another one
What is the prevalence of PAD?
2-6% of general population
What is usually the cause of PAD
72% is caused by a significant life stressor
What are the characteristics of panic disorder? **
phsycial…..
- Unexpected - leads to continual worry and behavioural avoidance
- intense physical discomfort - often misintepreted as cardiac emergency
- Athletes find it hard to distinguish a panic attack from the rush of finishing a performance
What does the psychologist have to do when deciding it is panic disorder? - Social eval
******
- rule out any cardiac problems
- rule out drug abuse
- What situations does it occur in? - if its in sports contexts, it may just be social evaluation anxiety not PAD
Outline the treatment of panic disorder
- Cog
15 structured sessions, 2/3 on each of these:
- educates the person about anxiety and panic attacks
- Cognitive restructuring - they usually overestimate the threat, if it happened here before, it will happen again - but make them see thats not the case
- Controlled exposure to physiological stress - you can cope with this
- Controlled exposure to avoided situations
- Along the way - give them coping skills (breathing)
Define Anorexia
A) A restriction of energy intake leading to a significantly low body weight, in context of age, sex, developmental trajectory and physical health
B) Intense fear of gaining weight and becoming fat, or persistant behaviour that interfers weight gain, even though they are at a significantly low weight. Potentially denying this fear exists
C) Disturbance in the way in which ones body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistant lack of recognition of the seriousness of the current low body weight
What’s a limitation of this definition of Anorexia?
- If a psychologist had no knowledge of sport, he may diagnose loads of sports people for the amount of weight loss they have done. E.g. Lee Selby. But that was done in a controlled manner so it is okay
- Used to be female specific as you had to have a loss of menstruation for 3 months
Define Bulimia Nervosa
***** time periods. When can it not co-occur with other stuff
A) Recurrent episodes of binge eating, and a lack of control over these episodes
B) Recurrent inappropriate compensatory behaviour to prevent weight gain (purging)
C) Binging and Purging must happen at least once a week for 3 months
D) Self-evaluation unduly influenced by body shape and weight
E) This doesnt occur within periods of anorexia, it’s seperate
What characterises an episode of Binge eating?
Characterised by these 2 things:
1. Eating in a given period of time (e.g. 2 hours) an amount of food that is definitely larger than what most people would eat during a smiliar period of time, under similar circumstances.
- Lack of control over eating during an episode, e.g. feeling that they cannot stop or control how much they eat
What is OFSED?
Mix of anorexia and bulimia symptoms
- Other specified eating disorder
What is FED-NEC
Feeding and eating disorders not elsewhere classified
What is EDNOS?
Eating disorder not otherwise specified
