course notes 9-29-15 anxiety disorders
course notes 9-29-15 anxiety disorders PSY 3604-003
U of M
Popular in Introduction to Abnormal Psychology
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This 8 page Class Notes was uploaded by Tegan Harty on Tuesday September 29, 2015. The Class Notes belongs to PSY 3604-003 at University of Minnesota taught by Dr. Shmuel Lissek in Fall 2015. Since its upload, it has received 37 views. For similar materials see Introduction to Abnormal Psychology in Psychlogy at University of Minnesota.
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Date Created: 09/29/15
92915 lecture 09292015 Tests 35 multiple choice each worth 2 points short answers given 5 choices choose 3 to answer 10 points each 60 of material on test is covered in lecture 40 of material on test is taken from book hour and fteen minutes to take the test study guide posted on moodle site focus more on conceptual information rather than details Lecture anxiety disorders Class thoughts on anxiety that would be considered a disorder and anxiety that would not be Frequency Impact on daily life How debilitating Whether the thing that you are worried about it a genuine threat if it is its adaptive Normal v pathologic anxiety Normal Signal of survival threats Anxiety is usually adaptive o Majority of anxiety experienced in the world is normal Pathologic Present in absence of genuine survival threats 0 Primary types of anxiety disorders according to the DSM5 Speci c phobia Social anxiety disorder SAD Generalized anxiety disorder GAD panic disorder PD speci c phobia fears that are speci c or circumscribed to a speci c stimulus presence anticipation of speci c situation there is excessive fear phobic situation is avoided or endured with intense anxiety or distress person realizes the fear is excessive o interferes signi cantly with the person s functioning or quality of life common speci c phobias snakes spiders 0 animals enclosed spaces elevators 0 heights 0 blood darkness through the course of evolution all of these things had an adaptive component Although Phobias can be learned in speci c instances but the overall underlying factors are evolutionarily adaptive Social anxiety disorder heightened fear of social scrutiny heightened fear of embarrassment avoidance of social situations avoidance of situations where one may be negatively evaluated fear of negative evaluation marked fear of 1 or more social performance situations in which social scrutiny is possible 0 fear of acting in a way that will be humiliating anticipatory anxiety exposure to feared situation almost inevitably leads to anxiety person recognizes fear is excessive the feared situation is avoided or endured with distress specify if restricted to performance situations speci ed if anxiety only occurs in performance situations public speaking sporting event etc generalized social anxiety disorder is diagnosed when anxiety occurs in more situations than ones involving anxiety Generalized anxiety disorder not an intense fear of social humiliation necessarily Fear of a diverse number of things Ex Economic concerns health concerns getting anxious in large crowds concern in health of others Presents as quotthis person is stressed out by the daily parts of lifequot o If the trigger of the anxiety does not follow into the other type of anxiety disorders it may be considered generalized anxiety 0 Excessive anxiety worry about a number of events 0 3 or more of the following symptoms OO O O O O restlessness easily fatigued difficulty concentrating anxiety uses resources that would otherwise be used to concentrate on other things irritable high level of arousal muscle tension sleep disturbance sleep disturbance is a key symptom of many different disorders 0 experience these symptoms as being difficult to control 0 focus of anxiety is not con ned to features of another axis 1 disorder POPCARD which anxiety disorder is most associated with agoraphobia Panic disorder if you are in public when you have a panic attack you may have to deal with embarrassment of being in public while having a panic attack Panic disorder acute panic attacks intense fear response Symptoms are very physical In addition to panic attacks you must also worry about future attacks or avoid certain things to prevent attacks recurrent unexpected panic attacks panic attack abrupt surge of intense fear peaking within minutes that includes 4 of the following o palpitations or rapid heart rate sweating o trembling or shaking shortness of breath feeling of choking chest pain or discomfort chills or hot ushes o nausea o feeling dizzy or faint derealization o tingling at least 1 attack must be followed by 1 month or more of the following at least 1 persistent worry about having additional attacks 0 worry about the implications of the attacks 0 loosing control 0 having a heart attack 0 gomg crazy 0 about to die 0 signi cant change in behavior because of the attacks attack cannot be better accounted for by 0 speci c phobia SADOCD PTSD specify with or without agoraphobia 3050 do agoraphobia fear of the marketplace clinically refers to fear of being in places or situations from which escape may be difficult cyclical of nature of panic disorder 1 panic attack 2 apprehension or worry about having a panic attack or about any distressing situation 3 body sensations trigger stimulus ex Exercise excitement anger sexual arousal coffee psychoactive drugs 4 interpretation of sensations as catastrophic interpreting the sensations as the onset of a panic attack 5panic attack repeat part of the therapeutic process is to help people learn to differentiate between body sensations that are normal and the start of an actual panic attack panic attacks are not always triggered by a stressor like misidentifying a bodily sensation they can also occur out of the blue obsessivecompulsive disorder was it the right choice for the DSM to remove OCD from anxiety disorders 2 components obsessions thought to cause anxiety compulsions things the person does that helps relieve their anxiety cleaning washing obsessions Compulsions contamination fears gt cleaningwashing fears of harming oneself or others gt checking fear of discarding things gt hording fear of doom gt ritualcounting doing c things in speci c orders much of 0CD symptoms marked by an extreme difficulty with uncertainty threat obsessions and or compulsions obsessions o recurrent thoughts impulses or images that are intrusive and inappropriate and cause marked anxiety 0 not simply excessive real life worries person attempts to ignore suppress there things or neutralize with other thoughts or actions compulsions repetitive behaviors driven by obsession behaviors acts aimed at lowering distress or preventing some dreaded situation 0 person recognizes that obsessions compulsions are obsessive both marked distress lasts more than an hour every day 0 interfere with the persons normal routine or function treatment for anxiety disorders exposure therapy based on the idea that people with anxiety disorders avoid what they are afraid of and thus never get to learn that their anxiety is unwarranted confront people place things sensations associated with fear and anxiety systematic desensitization slowly desensitizing a person to things related to what they are afraid of ending with the thing the person is the most afraid of relaxation techniques taught 0 deep breathing 0 muscle relaxation o imagery confront thoughts and emotions related to disorder 0 imagina exposure 0 cognitive restructuring 0 gain mastery over thoughts and feelings group therapy medications SSRI s and benzodiazepines
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