361 - 12
Popular in Abnormal Psychology
Popular in Psychology (PSYC)
This 3 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 10/13/16 Specific Phobias: An Overview o Facts and Statistics 4:1; Females are over-represented 9% 1-year prevalence overall; 16% in adolescents Phobias tend to run a chronic course o Common Specific Phobias Animal Phobia: fears of animals and insects Natural environment (e.g., heights, storms): sometimes young people develop a fear in natural events Situational Phobia: Fear of public transportation or enclosed spaces Blood-injection-injury: fear and avoidance of exposure to blood, injury, or the possibility of an injection. Sometimes associated with unusual vasovagal response (fainting) - blood pressure drops Tensing not Relaxing keeps them from fainting Runs in the family Specific Phobias: Treatment o Psychological treatments of specific phobias Cognitive-behavior therapies are highly effective Development of a fear hierarchy o Client will develop a series of steps to get over from the fear o Starts with exposure of fear (hardest) o Look at a picture of the fear (easiest) Exposure are critical It’s easier to treat because it works mostly for people with phobias It never goes away but conditioning and exposure helps prevent it Developing a Fear Hierarchy: Clown o 1. Rubber figurine o 2. Picture – printed out o 3. Online image of clown – moving o 4. Watch tutorial of clown make-up o 5. Make friend dress up o 6. Dress self as a clown o 7. Meet person first then see clown after o 8. Circus o 9. Up close clown: 30, 20, 10 feet away o 10. Shake hand o Scared: face cannot be seen & not knowing who the person is 361 o Rate how scary the steps are (make exposure as intense as 6 – in order) Social Anxiety Disorder: An overview o Overview and defining features Extreme fear or discomfort in social and performance operation Avoid or Endure with great distress Fear of being negatively seen by others Mostly about their perception not the reality Markedly interferes with one’s ability to function Often avoid social situations or endure them with great distress Performance subtype: Anxiety only occurs in performance situations (e.g., public speaking) without anxiety in everyday interactions o Facts and Statistics Prevalence: 6.8% in 1-year period in general population; 12.1% lifetime nd (2 most common anxiety disorder) Affects males and females equally Onset is usually during adolescence Peak age of onset at about 13 years DSM-V Social Anxiety Disorder: o Marked by fear or anxiety about one or more social situations in which the person is exposed to possible scrutiny by others, with the fear that one will act in a way, or show anxiety symptoms, that will be negatively evaluated. o The social situations almost always provoke fear or anxiety and are avoided or endured with intense fear or anxiety o The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context o The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more and causes clinically significant distress or impairment in social, occupational, or other important areas of functioning o The fear, anxiety, or avoidance is not attributed to the effects of a substance or another medical condition and is not better explained by the symptoms of another mental disorder or condition Specify if: PERFORMANCE ONLY: If the fear is restricted to speaking or performing in public From American Psychiatric Association (2013). Diagnostic and Statistical manual of mental disorders (5 Ed.) Washington, DC. 361 o Behavioral Inhibition – inhibit or shy biologically (introversion might affect it) Treatment for social anxiety o Psychological treatment Cognitive-Behavioral Treatment (CBT) Exposures are critical What would exposures involve? Cognitive-behavioral group treatment (CBGT) Cognitive-behavioral therapies are highly effective For youth, interventions that included parent component, outperformed intervention without parent component Why? – treat parents as well to help reinforce exposure for the client o Mediation Treatment SSRIs Circumscribed performance anxiety may be treated with beta blockers or benzodiazepines Relapse rates are higher following medication discontinuation
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