CLASS NOTES

CLASS NOTES - October 28th Anxiety disorders Five groups of...

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October 28 th Anxiety disorders Five groups of anxiety disorders: –panic disorder –generalized anxiety disorder –phobias –obsessive-compulsive disorder –acute and posttraumatic stress disorders Anxiety itself is not a bad thing. Anxiety disorders effect the functioning of a person. Panic disorder are the most prevalent. Very few people know what's happening when they have a panic disorder. Generalized anxiety disorder (GAD) is very common, but won't be discussed. There are several kinds of phobia OCD is relatively prevalent, obsessive ideas particularly Panic disorder includes panic attacks as a symptom, they're not a disorder. It can be present in all kinds of anxiety disorders. Panic attacks: intense fear with somatic symptoms; can occur in all anxiety disorders –1. Situationally predisposed: tendency to have attacks in response to stimulus –2. Unexpected: attacks occur without warning Very intense emotion of fear followed by physical symptoms but without any physical threat. Sensation of fear is so powerful that it becomes debilitating (Ex: patient doesn't drive over a bridge). Panic attacks become hard to diagnose because they have real physical manifestations (heart problems. ..). Panic disorder Panic disorder: severe apprehension and feelings of impending doom lasting minutes to hours; recurrent unexpected attacks and at least one month worry about another attack – Sometimes develops into agoraphobia – Lifetime prevalence: 3.5 percent; two times more likely in women Panic disorder is in DSM IV Panic disorders have 2 dimensions they can be specific to a situation (panic attack), a second very important dimension is the fear that it could happen again. It can have debilitating effect on the patient's life, this anticipation. If it goes untreated it can generalize to other situations. If it generalizes into multiple situations it can lead to agoraphobia or fear of going outside. Panic attacks are themselves specific to a situation. Possibly more prevalent than 3.5%. Panic attacks are understood through the cognitive model. There are 3 critical components to panic attacks that are tightly interrelated. The first thing a person will notice is an intense sensation of fear. This emotion of fear can be without any real threat. Fear is normal and adaptive but not in this case. The second important component is behaviour which refers to the physiological reaction of the body.
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The body prepares for fight or flight. Avoidance can reinforce anxiety problems. One of the worst things is to withdraw from these panic attacks. Panic attacks are relatively short because the intense sensation of fear has a physical effect that cannot be sustained for hours. The third aspect is cognition, as human beings we try to make sense of our experience, we have
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CLASS NOTES - October 28th Anxiety disorders Five groups of...

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