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Anxiety Disorders

by: Gina

Anxiety Disorders PSYC 3005 31


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About this Document

These notes cover the lecture on anxiety disorders, including an example case study in the beginning of the notes.
Abnormal Psychology
Donalee Brown
Class Notes
abnormal psych, Psychology
25 ?




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This 5 page Class Notes was uploaded by Gina on Friday September 30, 2016. The Class Notes belongs to PSYC 3005 31 at Fairleigh Dickinson University taught by Donalee Brown in Fall 2016. Since its upload, it has received 11 views. For similar materials see Abnormal Psychology in Psychology at Fairleigh Dickinson University.


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Date Created: 09/30/16
How do fears relate to anxiety? How do they evolve over time?  When you’re a child, you may fear the dark, strangers, someone or a monster under your bed  When you’re 20, you fear student loans, failure, not doing well at work/school Example Case Study  Bob Donaldson, 22  Carpenter  Reference to psychiatric outpatient program  He was visibly distressed  A lot of data is gained from mental status  Bob is fidgeting lots  Very agitated  A lot of audible sighing, couldn’t seem to catch his breath  Constantly changing his positioning sitting down  Says he believes he’s going crazy, it’s been a terrible month  He can’t concentrate  He forgets what he’s going to do while he’s going to do it  He starts to get dizzy, can feel his heart beating in his chest  Everything around him looks shimmery, he doesn’t feel there  He feels like he’s going to die when this happens  It doesn’t last long, the very intense feeling lasts for only a couple seconds  He begins to worry about what happens if this feeling arises when he’s driving or when he’s with his friends  This wondering causes him to panic  He thinks he hides these spells very well  He’s disconnected himself from his friends, he stays at home and watches tv, but he loses interest in the tv shows too  He feels like he’s exhausted all the time o He missed work for a few times due to how he was feeling Anxiety from time to time is normal, and it can be helpful in some cases, but when it begins to interfere with someone’s ability to live a functional life, then it is  When someone experiences anxiety, they feel fear and feel as though they are in danger  Someone whose life was actually in danger would have the same clinical appearance of someone with anxiety  This sense of fear triggers the fight or flight response  Anxiety orders are primitive – the bundle of responses that people have when they experience fear or danger date back to prehistoric time  Because we try to avoid dangerous situations, our anxiety responses can be useful – we don’t want to experience the feeling of fear Diagnostic and Statistical Manual has identified a group of disorders that share symptoms of clinical anxiety  Anxiety disorders effect 25 – 29% of the united state population  We start with anxiety disorders since they’re the most common  We see it more often in women than men  It can have detrimental effects on a person’s quality of life and ability to function  A number of medical conditions can be caused by anxiety disorders (examples of this are asthma, chronic pain, IBS, etc.)  Stress and Anxiety disorders  Stress has 2 components; the stressor and the response o Stressors are very unique to each person o Our response to a stressor is dependent on how we perceive the stressor  How we judge the situation, and how well we think we can handle it determines how anxious it makes us  The bundle of resposnes we have are in the nervous system, in both the central nervous system and the peripheral nervous system  Central Nervous system o Brain o Spinal cord  Peripheral Nervous System – o Sensory o Motor  Somatic  Autonomic  Sympathetic – Heightens those bundles of responses when face with anxiety  Parasympathetic – Lowers those bundles when the anxiety has passed  Automatic Nervous System  Fear and Anxiety Response Patters  Fear: Basic emotion, fight or flight  Anxiety: Blended emotions and cognition (diffuse future oriented)  Both have components of: cognitive (feeling fear sense of dread), physiological (raised heart rate), and behavioral (fidgety) Anxiety Disorders  All have unrealistic or irrational fears or disabling intensity 1. Specific Phobia 2. Social Anxiety Disorder (social phobia) 3. Panic Disorder 4. Agoraphobia 5. Generalized Anxiety Disorder (GAD)  Good videos that show these disorders on 8, 11, 12, and 14 Specific Phobia  A persistent and very strong fear that is triggered by certain objects or situations  People will phobias may know that their phobia is irrational and exaggerated  There are 5 subtypes  Animal  Natural  Environmental  Situational  Other  They’re quite common, many people will have them at some point in their life  Causes:  Psychodynamic perspective: it’s too anxiety inducing to think about something and bring up your past so you have a phobia of it  Behavioral perspective: Phobias are developed by modeling a phobia (mother afraid of bridges, so the child is afraid of them)  Biological perspective: If someone is shy, they may be more afraid of things  Treatments  Exposure therapy: controlled exposure to the trigger for the fear, slowly exposes the patient to their fear very slowly through graduated exposure  Systematic desensitization: you systematically desensitize the patient to their trigger, the patient is also taught relaxation techniques Social Anxiety Disorder (Social Phobia)  Disabling fear of 1 or more specific social situations  Embarrassment  Humiliation  People with this disorder avoid these situations, or endure them with great discomfort  Most people with social phobias have other phobias as well  Cognitive factor: they tend to tell themselves things that rationalize these fears  These can be caused by classical conditioning  Treatment:  Reconditioning  Identifying maladaptive thought patters Generalized Anxiety Disorder (GAD)  Free floating anxiety  Excessive anxiety and worry about many different events  Causes  Sociocultural: we live in a time when it’s hard to not be afraid of many things Panic Disorder  Period short bursts of panic  Number of symptoms involved Agoraphobia  Usually comes with panic disorder Obsessive Compulsive  Two parts: Obsessions (persistent and recurrent thought, want, urge) and the compulsion (a repetitive behavior that the person feels compelled to perform to avoid the obsession)  Types: Obsessive compulsive disorder  Body dsymorphic disorder  Hoarding disorder  Trichotillomania  Excoriation They believe the repetitive behavior will somehow relieve their anxiety caused by the obsessions


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