anxiety_disorders

anxiety_disorders - Anxiety Disorders Part 1 GAD/Panic...

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    Anxiety Disorders Part 1 GAD/Panic
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    Generalized Anxiety Disorder At least 6 months of excessive worry Ongoing and uncomfortable more days than not Major symptoms Chronic muscle tension Chronic worry Autonomic restrictors—distinguishes GAD from most anxiety disorders
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    Generalized Anxiety Disorder 4% 1-year prevalence Often seek help from primary care physicians About 2/3 female (in Western industrial samples) Extremely stable once developed One study suggests only 8% symptom free after 2 years (yonkers, et al. 1996) Highest in older adults Some studies show range 17-50% of older adults prescribed minor tranquilizers (typically benzos) Aaaaaahhhhh!!!!!!
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    Worry and GAD Worry does not generate much autonomic arousal and appears to be an avoidance behavior Worry is thought to inhibit emotional processing Worry appears to inhibit contact with the environment
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    GAD Treatment Benzodiazepines (Benzo’s) GABA agonist Reduces arousal Modest effects Poor choice for any chronic problem (esp. elderly) Cognitive/physical impairment Dependency problems Rebound anxiety if withdrawn
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    GAD Treatment Some evidence for antidepressants (TCA’s & SSRI’s
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    GAD Treatment Some evidence for CBT Relaxation training Exposure to worries Logical refutation of worries Better than medication tx Appears to confer longer lasting effects Few reach high end-state functioning
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    Third Wave Behavior Therapy Tom Borkovec Focus on the present moment Focus on intrinsic values Interpersonal and emotional deepening Effect sizes have improved nearly 80% over initial trials
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    Panic * at least 4 * at least 10 minutes 1. Pounding heart 2. Sweating 3. Trembling 4. Shortness of breath 5. Feelings of choking 6. Chest pain 7. Nausea/abdominal distress 8. Feeling dizzy, lightheaded 9. Derealization, depersonalization 10. Fear of losing control, going crazy 11. Fear of dying 12. Tingling/numbness 13. Chills or hot flashes
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    Panic Disorder Recurrent unexpected panic
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This note was uploaded on 06/19/2008 for the course PSY 311 taught by Professor Weinstein during the Spring '08 term at Ole Miss.

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anxiety_disorders - Anxiety Disorders Part 1 GAD/Panic...

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