Week 11: Client Living with Anxiety Disorders

Question 1

anxiety

Answer 1

feeling of apprehension uneasiness, uncertainty resulting from real or perceived threat

Question 2

anxiety disorder

Answer 2

• family of disorders that share excessive anxiety that interferes in everyday life as a core symptom
• interferes with quality of life and function
• greater than expected in intensity and duration

Question 3

generalized anxiety disorder

Answer 3

• enduring anxiety across life situations
• functioning associated physical symptoms (QOL)
• early onset
• chronic course with severe symptoms following acute stressors

Question 4

generalized anxiety disorder diagnosis

Answer 4

anxiety associated with 3+ of the following for more days than not for 6 months:
- restlessness or feeling on edge
- being easily fatigued
- difficulty concentrating or mind going blank
- irritability
- muscle tension
- sleep disturbances

Question 5

social anxiety disorder

Answer 5

• intense fear of social situations
• impacts QOL and support system
• early onset in adolescence
• clinical course is generalized to all social situations; specifically isolated to 1-2 specific situations

Question 6

panic disorder

Answer 6

• repeated episodes of panic; abrupt surges of fear/discomfort associated with multiple physical/cognitive symptoms
• impacts QOL; social/occupational engagement
• onset more common in women and in early adulthood
• chronic course with remissions and exacerbations

Question 7

PTSD

Answer 7

• triggered by terrifying event either experiencing or witnessing it
• onset follows traumatic event
• symptoms include flashbacks; nightmares; severe anxiety; uncontrollable thoughts

Question 8

OCD

Answer 8

• severe obsessions
• impacts functioning, reality, judgment
• early 20-mid 30s & can affect children

Question 9

hoarding disorder

Answer 9

• excessive acquisition of and inability to discard material possessions
• impacts functioning social/occupational/engagement/health/family/insight
• increase in severity with age
• often co-occuring with mood/anxiety disorder, OCD, ADHD

Question 10

trichotillomania

Answer 10

• severe obsession/compulsion for hair pulling

Question 11

Excoriation disorder

Answer 11

• severe obsession/compulsion for skin picking

Question 12

long-term risks of anxiety

Answer 12

• BP
• Anemia
• Immune system
• bones

Question 13

health teaching

Answer 13

• substance use (what to avoid)
• sleep patterns (sleep hygiene)
• physical activity (change negative associations)
• nutrition (decreased stimulant sources)
• breathing control (interrupt or treat panic attacks)
• relaxation tools (medication, mindfulness)

Question 14

psychological therapies

Answer 14

• positive self-talk (positive coping statements)
• distraction (shift attention from physical sensations)

Question 15

CBT

Answer 15

• functional analysis (assessment of the anxiety experience)
• psychoeducation (discuss therapeutic tools, support behaviour evaluation)
• trying new behaviours (changing emotions and behaviours)
• cognitive approach (propose alternative thoughts)

Question 16

what goes into choosing a medication for anxiety?

Answer 16

• comorbid conditions
• response and side effects during previous use
• client preference
• side effects
• med interactions
• simplicity of use
• cost and availability