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Unformatted text preview: Lecture 20: Anxiety , Anxiety Disorders, GABA & the Anxiolytics Today’s Lecture 1.What is anxiety? (A reprise from Tuesday) 2. Anxiety Disorders 3.GABA & Benzoid Receptors Anxiety 1. The Role of Anxiety in Everyday Life- anxiety is a part of every day life, it is not a disorder unless you have too much or too little. Sociopathic individuals don’t experience anxiety but probably should 2. Anxiety as a Motivator- we confer meaning on anxiety, if something is worth doing we have to earn it, it confers value 3. Anxiety as an Inhibitor- “I don’t want to do that because it makes me anxious” 4. Anxiety & Temperament- there can be a genetic component, there are people born anxious with higher levels of anxiety, babies are intense, placid 5. Anxiety & Early Experience- you may be born with a tendency to be anxious but experiences influence how you turn out too. We can’t really control anxiety but we can impact it. Anxiety can be part of the experience, you can be really good at something even if it is scary, anxiety has a lot to do with the relationship you have with yourself and your performance. Motivational speakers often try to make you trust yourself, anxious people often don’t trust themselves or other people. Being a professional in something you must gain a reliance or faith in your competence Some of the Defenses Against Anxiety in Everyday Life • Magical Thinking • Obsessions • Compulsions • Perfectionism • Rumination • Dissociation • Drugs, Alcohol Three-component Model of Anxiety- Potential Stressors- failures, personal losses, frightened events, ti me pressures, insults o Stressor perceived as a threat Bodily effects Upsetting thoughts (mental effects) Ineffective behavior- indecision, don’t really help Occurrence of OCD Symptoms- Obsessions-can’t stop thinking about something: most common- dirt, germs or environmental toxins- Compulsions- most common- ritualized hand washing, bathing or grooming Generalized Anxiety Disorders- anxiety so intense that it is a psychiatric disorder (not just - symptoms- chronic even though nothing provokes it, always expecting disaster, sometimes it may be something as simple as getting through the day causing anxiety- can’t shake concerns even though usually realize their anxiety is unwarranted- physical symptoms, lightheaded, out of breath, lump in throat- often startle more easily, like if their autonomic nervous systems is on high (constantly on “fight and flight ”)- don’t avoid social situations, unless it is severe- comes on gradually, usually comes on in childhood but can get it in adulthood too- Symptoms- Generalized anxiety disorder (GAD) is much more than the normal anxiety people experience day to day. It's chronic and exaggerated worry and tension, even though nothing seems to provoke it. Having this disorder means always anticipating disaster, often worrying excessively about health, money, family, or work. Sometimes, though, the source of the worry is hard to pinpoint. Simply the thought of getting through the day provokes -...
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This note was uploaded on 09/27/2011 for the course HD 370 taught by Professor Segal during the Spring '08 term at Cornell.
- Spring '08