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Anxiety Disorders

Anxiety Disorders - Anxiety Disorders Fear Anxiety...

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Anxiety Disorders 1/9 Fear, Anxiety, & Avoidance Disorders I. Disorders with excessive Anxiety 0. Fear - response to a serious threat to your well-being 1. Anxiety - vague sense of being in danger or an uncomfortable feeling of apprehension neurosis – any of a broad class of nonpsychotic conditions characterized by unwanted anxiety as well as other clinical features; the term is no longer used in the DSM 2. Anxiety Disorders a condition in which anxiety consistently interferes with, rather than facilitates, functioning severe and long-lasting experiences of anxiety that interfere with daily functioning most common mental disorder 3. State vs. Trait Anxiety State anxiety - situational anxiety Trait anxiety - a general personality characteristic A. Generalized Anxiety Disorder 4. generalized anxiety disorder GAD vague, generalized feelings of anxiety most of the time feelings of significant anxiety and exaggerated worries (apprehensive expectations) about a wide range of life events/activities – more days than not for at least 6 months. Cognitive components 0. catastrophic thinking, worrying , doubts Physical/emotional components 1. tension, fatigue, insomnia, restlessness Prevalence and age of onset – aprox 3% of the GP. For most individuals – they report that they have felt this way all there lives – in over ½ the cases diagnosis is made in childhood or adolescence. BUT onset after 20 is not uncommon. More common in females. Course – chronic but fluctuates in times of stress GAD Etiology: Sociocultural & Psychodynamic 5. Sociocultural Perspective
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Anxiety Disorders 2/9 related to real threatening or dangerous life situations 2. poverty, crime, illness, etc. 6. Psychodynamic Perspective defense mechanisms break down GAD Etiology: Humanistic & Cognitive 7. Humanistic Perspective conditions of worth placed on person causes feelings of worthlessness, self-doubt, anxiety 8. Existential Anxiety the universal fear of life and death 9. Cognitive Perspective faulty thinking, irrational beliefs pessimistic, negative belief system The content of anxious thoughts The nature and function of worry 10. Behavioral Perspective stimulus generalization to learned fears GAD Etiology: Biological 11. Biological Perspective genetic/heredity factors 3. higher incidence rate of GAD in families – but findings are weak 4. cannot rule out environmental influences biochemical factors 5. certain drugs cause decreases in anxiety 0. GABA neurotransmitter 0. inhibits arousal and anxiety 1. several classifications of drugs effect anxiety 1. side effects & interaction effects GAD Treatments 12. Psychodynamic free association, dream analysis, long-term psychotherapy 13. Humanistic/Existential individual/group therapy 6.
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