Social Phobia and Panic Attacks Flashcards
Exam 1
6 months; almost always occurs
Fear/anxiety of social situations in which the person is being observed or has to perform
Social Phobia
3 types of social phobias
- Social interaction
- Observed (public eating)
- Performing (public speaking)
Social phobia patients also have a fear of
showing anxiety symptoms
How do social phobia patients handle their fear stimuli?
Avoidance with impairment or tolerated with distress
Is social phobia common?
Yes
What are the specific causes of anxiety? (3)
- Dysfunctional cognitions/beliefs
- Catastrophic beliefs
- Attention focusing
Overestimating the likelihood of consequences
Dysfunction cognitions
“looking stupid, getting rejected, offending someone, etc. will be AWFUL” is an example of
catastrophic beliefs
Focus on the threat (self focused or on others actions)
Attention
What are the full causes of social phobia? (think more scientific)
- conditioning
- Prepared learning
- Safety behaviors
Early aversion to social experiences (like embarrassing ourselves as a kid)
conditioning
Learn to quickly fear critical, rejecting, angry faces
Prepared learning
Avoid situations/eye contact; cope with substance use or be silent
Safety behaviors
Why are safety behaviors bad?
They allow patients to never learn that the feared outcome WON’T happen
What is abrupt experience of intense fear?
Panic attack
Symptoms of a panic attack
Increased HR, chest pain, sweating, etc. (any sympathetic response)
Panic attack patients cognitively believe that
they are losing control/their mind
Two types of panic attacks
- Expected/cued
- Unexpected/un-cued
Attacks that can be predicted due to phobias/environments
Expected/cued
Random attacks that are unpredictable
Unexpected/un-cued
People who have panic attack disorder have (unexpected/expected) panic attacks
Unexpected
What is the clinical description of panic attack disorder?
Recurrent unexpected panic attacks
What are the two required symptoms of panic disorder (one of two)?
- Persistent concern about additional attacks/consequences
- Significant maladaptive change in behavior related to the attacks
What are the 3 associated characteristics with Panic disorder?
- Avoidance
- Drugs/alcohol
- Interoceptive avoidance
What is agoraphobia?
Fear of the marketplace (crowds)
What is avoidance in panic attacks?
Fear/avoidance of situations in which a person feels unsafe or unable to escape
The avoidance of inherited sensation
Interoceptive avoidance
What are the specific causes of panic attack disorders? (4)
- Avoidance of interoceptive cues
- Conditioning
- Anxious apprehension/ hypervigilance
Extinction learning in panic disorders do no occur if they avoid
interoceptive cues