abnormal psych (9-22-09) - Abie Feuerstein Abnormal psych...

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Abie Feuerstein 9-22-09 Abnormal psych GAD In elderly Worry about failing health Up to 7% prevalence Use of minor tranquilizers: 17-50% o Medical problems o Sleep problems o Falls o Cognitive impairments GAD: Causes Inherited tendency to become anxious Neuroticism Less responsiveness (no physiological symptoms. No sweating, increased heart-rate, just muscle tension o Autonomic restrictors Threat sensitivity Frontal lobe activation o Left vs. right GAD: Treatments Pharmacological (there is no great treatment) o Benzodiazepines Risks vs. benefits o Antidepressants Psychological (works better) o Similar effects to pills, better long-term o Cognitive-behavioral treatments (CBT) Exposure to worry process Confronting anxiety-provoking images Coping strategies o Acceptance o Meditation o Similar benefits o Better long-term results Panic Disorder with and without Agoraphobia Clinical description o Unexpected panic attacks o Anxiety, worry, fear of another attack or implications and repercussion of panic attack you had o Persists for one month or more o Agoraphobia Fear or avoidance of situations/events that may trigger panic attack. Fear of being in a situation where escape is unavailable
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