PANIC AND SOCIAL PHOBIA Flashcards
1
Q
panic disorder DSM-5
A
- recurrent, unexpected panic attacks
- followed by month of persistent anxiety about having panic attacks
- closely related to social anxiety
2
Q
panic disorder symptoms
A
- difficulty breathing
- heart palpitations
- nausea
- chest pains
- sweating
- dizziness
- terror
- trembling
3
Q
social anxiety disorder
A
- characterised by panics as well
- specifically during social situations that trigger anxiety
4
Q
course of social anxiety disorder and panic disorder
A
- onset mostly adolescence
- pattern of symptoms – chronic/episodic
- after 10 years, 30% will be symptom free
5
Q
associated features of panic/social anxiety disorders
A
- impact interpersonal relationships
- co-occurs with major depressive disorder
- co-morbidity with other anxiety disorders
- linked to IBS, asthma etc.
6
Q
pyshiology of fear
A
- bio theories of panic based on dysregulation of fight or flight response
- noradrenergic overactivity
- chronic hyperventiliation
7
Q
clark’s panic cycle (1986)
A
- trigger stimulus (internal or external)
- percevied threat
- apprehension
- body sensations
- interpretation of sensations as catastrophic
8
Q
safety behaviours
A
- behaviours believed to prevent catastrophic outcome
- counterproductive by preventing people from gathering real evidence about experiences
- reinforces view of threat
9
Q
treatments - drugs
A
- SSRIs
- benzodiazepine
not recommended for social anxiety as a first line treatment
10
Q
treatment - CBT
A
- psychoeducation/informational intervention
- cognitive interventions
introceptive exposure:
- exposure to internal sensations
- provide opportunities to examine negative predictions about internal sensations
- increase tolerance/acceptance of internal sensations through repeated exposure
- systematic exercises that induce feared internal sensations (Otto et al., 2010)
