Week 5 - Social Anxiety Disorder Flashcards

1
Q

What is SAD?

A
  • A specific type of anxiety disorder characterized by an intense fear of social situations and of being humiliated, judged, and/or rejected
  • Different from being shy or introverted
  • Causes clinically significant distress and dysfunction in daily living
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

SAD Epidemiology:

A
  • Lifetime prevalence in canada is 8-13%
  • 12 month prevalence is 2.6% in men and 3.4% in women-
  • Avg. onset is 13y
  • Duration - life long
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Common co-morbidities?

A
  • COPD
  • Substance-use disorder
  • Depressive disorder
  • Cardiovascular disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Diagnosis?

A

1) Assess risk factors
- Environmental
- Parenting
- Socioeconomic status
- Sex

2) Screening tools
- Leibowitz SAS

3) DSM-V
- Marked fear of one or more situation where exposed to scrutiny by others
- Fear will act/show anxiety that leads to being negatively evaluated
- Social situation provoke anxiety
- Social situations avoided/endured with intense fear of anxiety
- Fear/anxiety is out of proportion to actual threat
- Fear/anxiety/avoidance 6+ months
- Fear/anx/avoidance leads to sig. distress/functional impairment
- Fear/anx/avoidance is not due to a medical condition/drug
- Fear/anx/avoidance is not due to another mental disorder
- Fear/anx/avoidance is unrelated to or excessing considering existing medical condtion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

SAD symptoms?

A

1) Cognitive
- Fear of being judged
- Fear of embarrassing themselves
- Overestimate negative consequences of social situations

2) Physiological
- Blushing
- Nausea
- Racing heart
- SOB
- Trembling
- Dizziness
- Sweating
- Muscle tension

3) Behavioural
- Quiet
- Avoid centre of attention
- Avoid eye contact
- Leaves events early
- Drink to settle anxiety
- Analyze previous situations to identify flaws in interactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Treatment? (4)

A

1) Psychotherapy
2) Pharmacotherapy
3) Alternative - CBD, herbs, exercise/nutrition
4) Consideration
- combined therapeutics
- co-morbidities
- youth (psychotherapy > pharmacotherapy)
- future treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nursing considerations:

A

1) Screening
- Anxiety is most common
- Onset adolescence
- Risk = children/adults, women > men, pregnant/post-partum, comorbid, health challenges, older adults

2) Assessment
- Biological
- Psychological
- Sociological

3) Interventions
- Biological
- Psychological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Looking forward?

A
  • Reduce stigma
  • Increase health professional training
  • Online consultations
  • Virtual reality therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly