Anxiety_x_Tx_modality

Anxiety_x_Tx_modality - Anxiety - Introduction Common in...

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1 Anxiety - Introduction 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 R with stress, fear, anxiety, depression
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2 Anxiety - Definition It is a sense of psychological distress but not caused by organic factors It a sense of apprehension that shares many of the same symptoms as fear but builds more slowly and lingers longer It interferes with daily activities It is different from normal response to stress It might related to neurological and psychodynamic factors
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4 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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5 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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6 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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7 Dynamics of anxiety Theories - Freud, Sullivan, Selye Primary gain - desire to relieve anxiety Secondary gain - attention gained from others
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8 Process of Coping Stressor Anxiety Neurochemical/physiological reactions Adaptive Palliative Coping Maladaptive Dysfunctional
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9 Continuum 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
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10 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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11 Interventions to Reduce Anxiety Calm & quiet environment To identify what and how they feel To describe & discuss their feeling To identify the possible causes To listen carefully - assess suicidal attempt Do something - to release nervous energy; to discourage preoccupation with the self.
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12 Panic disorder Happen unexpected or situationally bound Spontaneous attacks of intense fear and
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Anxiety_x_Tx_modality - Anxiety - Introduction Common in...

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