Other anxiety disorders slides

Other anxiety disorders slides - Separation anxiety...

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Unformatted text preview: Separation anxiety disorder: Separation anxiety disorder: • Age­inappropriate, excessive, disabling • • • • anxiety about being away from parents Vague feelings of anxiety, nightmares, specific concerns (older children) Clingy, shadow parents, difficulty going to school/camp and sleeping alone Fear new situations; physical symptoms May become depressed and withdrawn Separation anxiety disorder: Separation anxiety disorder: • Most common anxiety disorder of childhood—10% • Equally common in boys and girls • Most have another anxiety disorder, depression, school reluctance/refusal • Onset 7­8 after major stressor Generalized anxiety disorder: Generalized anxiety disorder: • Excessive and uncontrollable anxiety and • • • • worry about many events on most days Nothing obvious to provoke worry Unable to relax; physical symptoms Anxiety doesn’t converge on one topic, but is widespread Expect worst outcome; underestimate ability to cope Generalized anxiety disorder: Generalized anxiety disorder: • Self­conscious, self­doubting, worried • • • • • about meeting others’ expectations Constantly seek approval and reassurance Self­critical Common—3­6%; no gender differences Overlaps with depression and other anxiety disorders Onset 10­14 Specific phobia: Specific phobia: • Occurs at inappropriate age, is irrational or exaggerated, leads to avoidance, causes impairment in routines • Extreme fear of objects that pose little threat • Extreme dread, physiological arousal, feared anticipation • Go to great lengths to avoid Specific phobia: Specific phobia: • • • Enough distress to interfere with activities Children may not realize fears are extreme Subtypes – Animal – Natural environment – Blood­injection­injury – Situational – Other • 2­4% of children, onset 7­9, co­occur with other anxiety disorders Social phobia (Social anxiety): Social phobia (Social anxiety): • Persistent fear of social or performance • • • • requirements that expose them to scrutiny and possible embarrassment Avoid situations or endure with effort Often blush, fall silent, cling, hide Fearful in mundane situations as well as ones that cause others anxiety Highly emotional, socially fearful, inhibited, sad and lonely Social phobia: Social phobia: • Anxiety can produce stammering, panic • • • • attacks, sweating, upset stomach Worries that physical symptoms will expose anxiety 1­3% of children; more girls than boys Most have another anxiety disorder; many have depression Rare in children under 10; develops in puberty Panic attacks: Panic attacks: • Sudden and overwhelming sense of fear • • • • or discomfort with physical symptoms Usually short Sense of imminent danger and impending doom with urge to escape Hard to identify in children; adolescence is peak time for onset 3­4% of teenagers, onset 15­19, more common in females Panic disorder: Panic disorder: • • • Unexpected panic attacks Concern about having another Avoidance of locations in which an attack might occur or help might not be available (agoraphobia if intense) • Less common than panic attacks • Depression and other anxiety disorders are common Post traumatic stress disorder: Post traumatic stress disorder: Acute stress disorder: • Persistent anxiety following trauma that is outside the range of normal human experiences – Actual or threatened death or injury – Play, nightmares, reenactment • Re­experiencing of trauma • Avoidance • Extreme arousal PTSD, Acute stress disorder: PTSD, Acute stress disorder: • Intense fear, helplessness, and horror • • • • • expressed as agitation/disorganization Developmental regression Pessimistic, numb Antisocial or aggressive behavior Acute stress disorder—same symptoms, but does not persist 4­6%, more common in girls, associated with depression and substance use ...
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