Week 5 - Important Concepts Flashcards
unpleasant emotion aroused by anticipation of awareness of impending danger
fear
emotion characterized by the apprehension or dread of a potentially life threatening or uncertain outcome
anxiety
Most common mental disorder type worldwide
Anxiety disorders
What do all anxiety disorders share as their core symptom?
What is the most important feature?
Excessive fear or anxiety
Client perceives symptoms as unacceptable to self
characterized by persistent and excessive anxiety and worry about occupational, social, and interpersonal situations or events that the individual finds difficult to control
GAD
What percentage of individuals will experience GAD?
10%
characterized by severe obsessions (repetitive, intrusive thoughts), compulsions (repetitive, ritualistic behaviours) or both
OCD
characterized by recurrent, unexpected ‘panic attacks’ and fear of triggering further attacks; typically accompanied by fear of death
panic disorder
discrete periods of fear or discomfort (10-30 minutes)
panic attacks
fear of situations in which escape is hard, or impossible
agoraphobia
pairing a somatic discomfort with impending panic attack – somatic symptom is the trigger
interoceptive conditioning
misrepresentation of mild physical sensations – get fear of death from this
catastrophic interpretation
What are the first lines of treatment for most anxiety disorders/
SSRIs and NSSRIs
Most management of anxiety disorders is done where?
in the community
PTSD history Civil war WWI WWII Vietnam War
Soldier’s heart/irritable heart
Shell shock
Battle fatigue
PTSD
What are the four symptom clusters of PTSD?
Re-experiencing - flashbacks
Avoidance - withdrawal from relationships
Negative cognitions in mood
Arousal - easily startled
idea is that by doing this, prevents PTSD from developing in the first place
trauma treatment
What are the components of trauma treatment?
Stabilization
trauma focused therapy
reconnection
imagining that the trauma happened to someone else; removing yourself mentally from the situation
dissociative symptoms
keep track of reality and desensitize triggers – way to bring the client back into the present moment using the senses
grounding
goal is to be able to live in the present and not be stuck in the past
integration of traumatic memories
associate traumatic memory with REM of sleep, create situation that while threatening when lived, now that the client is in the present moment, is less threatening
EMDR - eye movement desensitization and reprocessing
o Approaching, designing and implementing care based on consideration of what the person has gone through
trauma informed care
