Midterm 2 Flashcards
Stress
response to perceived demands that are a little bit beyond you
fear
present oriented response to actual danger
panic
a sudden rush of intense fear with no real objective danger
Anxiety
future oriented
possibility that something bad could happen
4 reasons why anxiety would become a disorder
intensity
frequency
excessive amounts
causes impairment
anxiety disorder course
often chronic
what’s the largest mental health problem in North America
anxiety disorders
which cultures do anxiety disorders not exist in
none
what % of people with anxiety also have depression
50
genetic cause for anxiety
a genetic predisposition to experience negative emotions
biochemical (Nurotransmitter) causes for anxiety
depleted GABA
something wrong with serotonin circuits
biochemical (brain region) causes for anxiety
hyperactive amygdala
less active prefrontal cortex
something wrong with hippocampus
amygdala implication with anxiety
when hyper active it has an abnormal threat assessment and will trigger the HPA easier
PFC implication with anxiety
an inability to recall extinction of HPA
Hippocampus implication with anxiety
the disfunction causes
reduced capacity to distinguish safe/dangerous
insensitivity to cortisol (shuts doen HPA)
3 parts of Barlow triple vulnerability model
genetic predisposition
general psychological vulnerability
specific psychological vulnerability
5 types of anxiety disorders
panic disorder
specific phobia
agoraphobia
social phobia
generalized anxiety
characteristics of a panic attack
unexpected terror
physiological symptoms
worrying about getting them before and after
sudden rush of symptoms
4 subtypes of panic attacks
cued- set off my certain trigger
situationally predisposed - some situations and not others
unexpected - can’t identify trigger
limited symptom - not all symptoms
biological contributors to panic attacks
neurochemical disturbance
30-40% genetically transmitted
cognitive contributions to panic attacks
misconceptions about the severity of their symptoms
treatment of panic disorders
CBT - education, exposure to triggers,
medication - can sometimes cause bodily sensations which trigger panic attacks
Specific Phobia characteristics
persistant fear that is excessive and unreasonable
cued by presence/anticipation of certain object/situation
5 types of phobia
animal
natural environment
blood injury injection
situational
other
phobia learning contributions
2-factor learning theory
rochman: 3 pathways
2-factor learning theory
1- classical conditioning –> emotional response becomes attached to thing
2- operant conditioning –> when you react to remove negative stimuli = negative reinforcement
rochman 3 pathways
direct conditioning- eg. attacked by dog
vicarious conditioning - eg. watched others be afraid
informational transmission - eg. you heard you should be afraid
specific phobia treatment
in vivo treatment
cognitive modification (education)
Agoraphobia characteristics
anxiety about being in situations where escape is hard
avoided completely
entered w/ safe person only
treatment of agoraphobia
CBT - education, in vivo, relaxation, breathing
social anxiety disorder characteristics
persistant fear of one or more social situations
fear of doing something embarrassing
social anxiety comorbidity
substance abuse
depression
social anxiety biological contributors
non specific genetic - heightened reaction to others reactions
social anxiety treatment
CBT - more effective
SSRI- works faster
Generalized anxiety disorder characteristics
excessive worrying
difficulties controlling worry
physical tension
genetic contributors to GAD
under active GABA
Small inheritability
GAD cognitive models
cognitive avoidance - focus on future to distract from present
intolerance of uncertainty
treatment of GAD
CBT - worry discrimination
SSRI
5 somantic symptom disorders
somantic disorder
illness anxiety disorder
conversion disorder
factitious disorder
malingering
what do Somantic symptom disorder comorbid with
PTSD
Depression
somantic symptom disorder characteristics
suffering is authentic
excessive time and worry devoted to health
reporting of vague symptoms
somantic symptom disorder treatment
explanatory therapy - eduction on anxieties involvement