Chapte 5 Notes--Anxiety, OCD, & Related Disorders
Chapte 5 Notes--Anxiety, OCD, & Related Disorders PSY240
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This 4 page Class Notes was uploaded by Jen Ferrante on Friday February 13, 2015. The Class Notes belongs to PSY240 at University of Miami taught by Dr. Zwibelman in Fall. Since its upload, it has received 60 views. For similar materials see Abnormal Psychology in Psychlogy at University of Miami.
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Date Created: 02/13/15
Chapter 5 Anxiety 0CD 63 Related Disorders 0 A varied group of clinical presentations that all have anxiety as an essential feature 0 O 0 May or may not recognize that their anxiety is excessiveunreasonable Rationally know that there is little to be afraid of in anxiety provoking situations but are afraid anyway anxiety is g of proportion to the actual threat or danger of the situation Might not know how their fears began but some do Continuum dimensional paradigm between normality and abnormality mildly anxious severely anxious Anxiety Vs Fear Anxiety Fear Alarm moodemotional I39m ream t Tension ex muscle tension elevated heart rate somatic Restlessnessfidgeting motor Worry cognitive of 0 Anxiety Normal vs Abnormal O 0000 O l intensity D duration F frequency J justi cation C consequences Anxiety is a selfperpetuating cycle 0 6 Anxiety Disorders 0 00000 1 Generalized Anxiety 2 Panic Disorder 3 Agoraphobia 4 Speci c Phobia 5 Social Anxiety 6 ObsessiveCompulsive Disorder OCD be careful of quotmedical school syndrome when students learn about disorders and start to diagnose themselvesfriendsfamiy 1 Generalized Anxiety disorder 0 O 0 Excessive or ongoing anxiety about every day events across many situations for at least 3 months Increased restlessnessmuscle tension Behavior may be affected by anxietyworry 0 Signi cant distress or impairment 2 Panic Disorder 0 Panic attack 0 O Abrupt experience of intense fear Appears at inappropriate times not associated with an actual threat Heart palpitations trembling chest pains etc Surprisingly common in successful people who sometimes believe their success has been all luck and fear it will eventually end Feelings of detachment After rst panic attack Anxiety about the possibility of another attack Persistent 1 month or more Symptoms can include Palpitations pounding heart accelerated heart rate Sweating Tremblingshaking Shortness of breathchoking Nauseaabdominal distress Feeling detached from oneself Fear of dying of heart attack Chillshot ashes Urge to eeescape 3 Agoraphobia fear of large crowds O 0 0 0 Anxiety about and avoidance of places and situations from which escape might be difficult or in which help might not be available in the event of a panic attack agora literally means quotmarket placequot in ancient Greek and phobia means fear People systematically avoid crowded situations and their lives are often disrupted Some forms are so extreme that people never leave their homes 4 Speci c Phobia persistent and irrational fear of particular objects activities or situations 0 O 0 Ex heights ying public speaking spiders Anxiety is out of probortion to the actual threat or danger of the situation Maymay not recognize their anxiety is unreasonable or how their fears started 5 Social Anxiety fear of being around other people based on extreme discomfort in being noticed by others or potential embarrassment 6 ObsessiveCompulsive Disorder 0CD o 2 components Obsessions unwanted persistent intrusive thoughts ideas or images Compulsions repetitive speci c behaviors irrational and excessive feel they must perform to reduce anxiety but does not bring pleasure greatly disrupts their lives 0 Obsessivelike concerns quotChecking behaviorquot an individual will go back many times to ensure they have done something locked the door turned the stove off etc checking reduces the anxiety caused by fear of something bad happening 0 Repetitiveactions compulsions Reduce anxiety but do not produce pleasure o 4 obsessivecompulsive related disorders 1 Hoarding Disorder 2 Trichotillomania hairpulling disorder 3 Excoriation Disorder skinpicking disorder 4 Body Dysmorphic Disorder preoccupation with imagined or misperceived defect in one s appearance usually in the face and strictly the individual s dissatisfaction Generalized Anxiety Disorder Explanations o 1 Societal and Multicultural factors 2 Psychodynamic perspective 3 Humanistic perspective 4 Cognitive perspective 5 Biological perspective OOOO Agoraphobia amp speci c phobias behavioral perspective Social Anxiety disorder cognitive perspective Panic disorder biological and cognitive perspective Obsessivecompulsive disorder psyc h ody na mic perspective behavioral perspective cognitive perspective biological perspective F Anxiety Disorders Treatments 0 1 Avoid avoidance fear must be confronted to be resolved avoidance reinforces the fearful behaviors OOOO o 2 Systematic Desensitization Associating deep relaxation with visualizations of anxietyprovoking situations replacement of anxiety with more comfortable images hierarchy of fears visualizing the situation is key start w least anxietyprovoking situation and then implement relaxation techniques 0 3 Exposure amp Response Prevention ERP
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