Anxiety - Anxiety Common in all phases of life Most...

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1 Anxiety Common in all phases of life Most prevalent mental disorders in the U.S. Afflicting 28.7% of the population (life span); 19.3% over a 12-month period 1 in 4 people with an anxiety disorder is correctly identified, diagnosed, and treated Client’s symptoms are not primarily due to organic factors Stress, fear, anxiety, depression
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3 Types of Anxiety (DSM-IV) Panic disorder – acute anxiety Specific phobia; social phobia; Obsessive-compulsive disorder Posttraumatic stress disorder Generalized anxiety disorder
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4 Types of Anxiety (DSM-IV) –cont’d Acute stress disorder – immediately after the event Anxiety disorder due to a general medical condition Substance-induced anxiety disorder Others – Adjustment disorders featuring anxiety Separation anxiety Sleep disorder of insomnia
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5 Symptoms of Anxiety Disorders Motor tension - trembling, feeling shaky, muscle tension, muscle aches, restlessness Autonomic nervous system hyperactivity – shortness of breath, feeling of being smothered, heart rate↑, sweating or feel cold, clammy hands, dry mouth, dizziness, Hypervigilance – feeling edgy, difficulty concentrating, irritability
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6 Dynamics of anxiety Theories - Freud, Sullivan, Selye Primary gain - desire to relieve anxiety Secondary gain - attention gained from others
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7 Process of Coping Stressor Anxiety Neurochemical/physiological reactions Adaptive Palliative Coping Maladaptive Dysfunctional
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8 Levels of Anxiety Mild +1 - slight fidgeting, alert, feeling challenged, ready for constructive action, Moderate +2 - irritability ↑, confidence ↓ concentrating↓, ready for protective action Severe +3 - hypersensitivity, distorted perceptions, ready for flight or fight, Panic +4 - actual flight/fight or immobilization, rage, disorganized, distorted sensory awareness
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9 Intervention in levels of anxiety Mild +1 – take as natural; benefit from it Moderate +2 - ↓anxiety by crying, exercising, refocusing; using medications Severe +3 - ↓anxiety & stimuli; use simple directions, use time out (seclusion); using medication (IM) Panic +4 – guide firmly, restrains if needed, using medication (IM)
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10 Interventions to Reduce Anxiety
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This note was uploaded on 09/08/2010 for the course NURS 127A at San Jose State.

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Anxiety - Anxiety Common in all phases of life Most...

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