361 - 11
Popular in Abnormal Psychology
Popular in Psychology (PSYC)
This 2 page Class Notes was uploaded by Tricia Mae Fortuna on Friday October 14, 2016. The Class Notes belongs to 361 at Towson University taught by DR. ERIN GIRIO-HERRERA in Fall 2016. Since its upload, it has received 5 views. For similar materials see Abnormal Psychology in Psychology (PSYC) at Towson University.
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Date Created: 10/14/16
361 10/11/2016 What are some concerns/reasons we may not use “breathing and relaxation” as our go to approach? o Go to your happy place o Don’t push those feelings away Differential Diagnosis: differentiate different diagnosis Generalized Anxiety Disorder (GAD): Chronic Worry o Overview and defining features Excessive uncontrollable anxious apprehension and worry about multiple areas of life (e.g., work, relationships, health) Persists for 6 months or more Physical symptoms (e.g., muscle tension, restlessness, fatigue, irritability, concentration difficulties, sleep disturbance) – need to have some of these prototypical symptoms DSM-5 GAD Criteria: o Excessive anxiety and worry (apprehensive expectation), occurring more days than not than not for at least 6 months about a number of events or activities (such as work or school performance) o The individual finds it difficult to control the worry o The anxiety and worry are associated with at least 3 (or more) of the following symptoms (with at least some symptoms present for more days than not for the past 6 months) Only one item is required: Restlessness or feeling keyed up or on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance o The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning o The disturbance is not due to the direct physiological effects of a substance (e.g. drug abuse, a medication) or a general medical condition and is not better explained by another mental disorder. From American Psychiatric Association (2013). Diagnostic and Statistical manual of mental disorders (5 Ed.) Washington, DC. GAD Statistics o 3.1% of the general population per year; 5.7% lifetime o Females outnumber males approximately 2:1 o Onset is often acute, beginning in early adulthood o Very prevalent among the elderly o Tends to run in families o One of the most common anxiety disorders o Why is this the least treated anxiety disorder? – less sense of urgency GAD Associated features o Persons with GAD have been called “autonomic distresses” Less physiological response to stress than people with other anxiety disorders Low high blood pressure, lower heart rate, etc. Except? tension o Very sensitive to threat Focus attention on sources of threat Early stressful experiences: Things are out of their control The world is dangerous “What if…” Maybe they can’t cope Thinking hard about upcoming problems (left frontal lobes) Integrative Model of GAD 361 Treatment of GAD o Physiological interventions: CBT o Psychotherapy Benzodiazapines – often prescribed Anti-depressants o Accepting rather than avoidance of distressing thoughts o Meditation therapy o Combined treatments Meds are equivalent to psychological treatments for short term Psychological more effective in long-term Specific Phobias: An Overview o Extreme avoidance of a specific object or situation o Persons will go to great lengths to avoid phobic objects o Most recognize that the fear and avoidance are unreasonable o Markedly interferes with functioning DSM-5 Specific Phobias Criteria o Marked fear or anxiety about a specific object or situation typically lasting for 6 months or more o The phobic object or situation almost always provokes immediate fear or anxiety and is avoided or endured with intense fear or anxiety o The fear or anxiety is out of proportion to the actual danger posed by the specific object or situation, and to the sociocultural context o The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning o The disturbance is not better explained by the symptoms of another mental disorder. From American Psychiatric Association (2013). Diagnostic and Statistical manual of mental disorders (5 Ed.) Washington, DC.
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