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10.26-10.30 Notes

by: Lana Rose Betts

10.26-10.30 Notes CLP4143

Lana Rose Betts
GPA 4.0
Abnormal Psychology
Casey Strickland

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About this Document

Here is my second set of notes on fear & anxiety. I attended every lecture this week, and found the topics very interesting. A lot of you asked questions & gave opinions in class, so there is mor...
Abnormal Psychology
Casey Strickland
Class Notes
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This 4 page Class Notes was uploaded by Lana Rose Betts on Friday October 30, 2015. The Class Notes belongs to CLP4143 at Florida State University taught by Casey Strickland in Fall 2015. Since its upload, it has received 21 views. For similar materials see Abnormal Psychology in Psychlogy at Florida State University.


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Date Created: 10/30/15
CLP4143 Notes 10261030 FEAR amp ANXIETY CONT Prevalence amp Course Normative fear 50 Speci c phobia 1 1 o 90 of people with a phobia do not seek treatment Onset varies most phobias develop during childhood some develop in the mid205 and some develop after a speci c experience trauma observance Behavioral Theories Evolutionary fear is quotprepared classical conditioning o In a study participants were shocked after viewing either a neutral stimulus ex ower or aversive stimulus ex spider Like other classical conditioning experiments ex Pavlov s dogs they were meant to display an anxious response over time by viewing the stimulus not just when they were shocked However they were conditioned much quicker when the stimulus was a spider instead of a ower People more quickly associate pain with aversive stimuli than with neutral stimuli Diathesis stress model vulnerability bio amp psych experience speci c phobia 0 Biological vulnerability is broad If you re susceptible to anxiety it can take many forms anxiety disorder panic disorder phobias etc Exposure Therapy starting therapy with the most intense stimulus ex for a patient who has a spider phobia you would start therapy by making them hold a spider starting therapy with a weak stimulus and gradually working up to the stimulus the patient fears the most ex for a patient with a spider phobia you would start therapy by showing her a picture of a spider After she habituates to this you would show her one in real life Over time she would be able to hold one the measured amount of fear in a situation usually on a scale of 1100 For example the above patient may have a SUD of 10 for seeing a picture of a spider and have a SUD of 90 for holding a spider 0 Systematic desensitization therapy starts with a stimulus of around 2030 SOCIAL ANXIETY DISORDER SAD Fear of humiliation in social situations Not categorized as a speci c phobia because fear is not restricted to just one situation Severely disrupts daily life feared situations are avoided or endured with severe distress More comorbid w MDD amp substance use than w other anxiety disorders 0 Those who suffer from SAD recognize that the fear is unreasonable Types of SAD o less common more severe most common nonclinical fear less severe 0 People generally fear public speaking more than they do death SAD v quotlust Shy 48 of college students identify as shy but only 18 qualify for SAD The distinguishing factor as with most anxiety disorders is whether or not this fear causes DISTRESS Prevalence amp Course 10 of people have SAD at some point during their lifetime Fear of public speaking is more common at 15 Women experience social anxiety much more than men do but men are more likely to seek treatment 0 Why Because of dating In our culture men are supposed to be the ones to initiate romance Therefore men who suffer from SAD take a greater hit in their love lives than women with SAD For more than half of patients SAD onsets prior to adolescence amp is chronic Cognitive Theory of SAD People exaggerate the likelihood of being negatively evaluated ex Rory has a hole in the butt part of his jeans and worries that every single person he meets that day will notice it They also exaggerate the costs of negative evaluation ex Rory worries that when people see the hole in his jeans they ll think he s a lazy slob amp hate him Behavioral Theory of SAD Safety behaviors lead to attention biases o Overpreparation Rory practices his speech so often that when he nally speaks he sounds like a robot Thus his speech does not go as well as planned and reinforces his fear of public speaking o Avoiding eye contact Rory doesn t look at Lola when they re talking thus he can t gage her reactions She may be enthralled with what he s talking about but that won t ease his social anxiety because he s not even watching her Substance use in order to feel relaxed in social situations people with SAD may turn towards alcohol or other drugs Thus they attribute their ease with others to substance use and continue it CognitiveBehavioral Therapy 0 Systematic EXPOSURE Insession amp real life Stops reinforcing effects of avoidancesafety behaviors allows practice of skills provides evidence against dysfunctional thoughts 0 Examples having the patient 0 Make phone calls 0 Intentionally op in public 0 Ask customer service for help 0 Give speeches 0 Ask someone on a date Eeeling anxious does not equal looking anxious and if you do look anxious it s not the end of the world 0 Group Therapy 0 Small groups around 6 0 Can be more effective due to observational learning amp exposure GENERALIZED ANXIETY DISORDER GAD WORRY about many different subjects 0 Difficulty controlling this worry 0 3 symptoms of physical tension insomnia dgety etc Prevalence amp Course 0 5 of people have GAD for 1 year 0 14 of people have GAD at some point in their life course 0 50 onset in childhoodadolescence Life stressors initiate amp exacerbate symptoms 0 Chronic but uctuates often worse during times of stress such as tests 0 Women are at greater risk VERY FREQUENTLY COMORBID WITH MDD they are the 2 most commonly comorbid disorders in the DSM They share symptoms such as insomnia However GAD is more likely to be comorbid with MDD than MDD is likely to be comorbid with GAD This is because GAD behaviors impair daily life amp cause distress which can then make the sufferer depressed What do people with GAD worry about 0 Family Money Workschool Illness GAD patients worry ve times more 5 hours than those without GAD 1 hour Biological Theories de ciency GABA is a neurotransmitter that inhibits the ring of more neurotransmitters it hits the breaks amp stops a response People with GAD have less GABA amp thus cannot stop worrying Genetic Theory biological vulnerability to GAD is inherited Cognitive Theories The symptoms of GAD are centered on thought processes therefore a cognitive focus is the most important 0 People with GAD are more oriented toward threats 0 They overpredict the likelihood amp cost of aversive outcomes eX quotI am going to get every question wrong on this test amp unk out of college 0 They underpredict the ability to cope eX quotIf I unk out of college I will homeless amp unemployed for the rest of my lifequot GAD is maintained through cognitive amp behavioral avoidance and antici pation 0 Ex Procrastination is a sign of GAD A student may worry about a paper assuming she will fail it She knows that once she starts it her anxiety will shoot up By not writing it she maintains a low level of anxiety Hence she waits until the last minute to write it


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