Abn chapter4

Abn chapter4 - 0 Chapter 4 Anxiety Disorders Nature of...

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Chapter 4 Anxiety Disorders 0
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Nature of Anxiety and Fear Fear – The Present-Oriented Mood State Immediate fight or flight response to danger or threat Involves abrupt activation of the sympathetic nervous system Strong avoidance/escapist tendencies Marked negative affect 0
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Nature of Anxiety and Fear Anxiety – The Future-Oriented Mood State Apprehension about future danger or misfortune Somatic symptoms of tension Characterized by marked negative affect Anxiety and Fear are Normal Emotional States 0
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From Normal to Disordered Anxiety and Fear Characteristics of Anxiety Disorders Pervasive and persistent symptoms of anxiety and fear Involve excessive avoidance and escape Cause clinically significant distress and impairment 0
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The Phenomenology of Panic Attacks What is a Panic Attack? Abrupt experience of intense fear or discomfort Several physical symptoms (e.g., breathlessness, chest pain) Fear as an alarm response 0
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The Phenomenology of Panic Attacks (continued) DSM-IV-TR Subtypes of Panic Attacks Situationally bound (cued) Unexpected (uncued) Situationally predisposed 0
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0 Fig. 4.1, p. 126
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Biological Contributions to Anxiety and Panic Genetic Vulnerability Anxiety and brain circuits Depleted levels of GABA Corticotropin releasing factor (CRF) and HYPAC axis 0
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Biological Contributions to Anxiety and Panic (continued) Limbic (amygdala) and the septal- hippocampal systems Behavioral inhibition (BIS) Anxiety Fight/flight (FF) systems Fear 0
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Psychological Contributions to Anxiety and Fear Began with Freud Anxiety is a psychic reaction to fear Anxiety involves reactivation of an infantile fear situation 0
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Psychological Contributions to Anxiety and Fear (continued) Behavioral and Cognitive Views Invokes conditioning and cognitive explanations Anxiety and fear are learned responses Catastrophic thinking and appraisals play a role 0
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Psychological Contributions to Anxiety and Fear (continued) Early Childhood Contributions Experiences with uncontrollability and unpredictability Social Contributions Stressful life events trigger vulnerabilities 0
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An Integrated Model Integrative View – Triple Vulnerability Model Generalized biological vulnerability Generalized psychological vulnerability Specific psychological vulnerability 0
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An Integrated Model (continued) Common Processes: The Problem of Comorbidity Comorbidity is common across the anxiety disorders Major depression is the most common secondary diagnoses 0
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An Integrated Model (continued) About half of patients have two or more secondary diagnoses Comorbidity Suggests Common factors A relation between anxiety and depression 0
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This note was uploaded on 11/09/2009 for the course PSY 3315 taught by Professor - during the Spring '08 term at Texas State.

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Abn chapter4 - 0 Chapter 4 Anxiety Disorders Nature of...

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