ch 6 notes - CH 6 ANXIETY DISORDERS Anxiety disorders are...

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CH 6: ANXIETY DISORDERS Anxiety disorders are the most common type of abnormal behavior 18% of adults in the US have at least 1 anxiety disorder in any given year similarities with mood disorders: defined in terms of negative emotional responses may share common causes (stressful life events, cognitions, neurotransmitters) symptoms of anxiety disorders preoccupation with, or persistent avoidance of, thoughts or situations that provoke fear or anxiety Anxiety – associated with the anticipation of future problems Involves more general or diffuse emotional reactions Often associated with negative thoughts The emotional experience is out of proportion to the threat Maladaptive anxiety (Anxious apprehension) Barlow, BU High levels of diffuse negative emotion Sense of uncontrollability Shift attention to primary self -focus or –preoccupation Fear – experienced in the face of real, immediate danger Usually builds quickly in intensity Helps organize the person’s behavioral responses to threats Excessive Worry – a relatively uncontrollable sequence of negative, emotional thoughts that are concerned with possible future threats or danger
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Excessive in people with anxiety disorders Worriers are preoccupied with “self-talk” rather than unpleasant images Normal vs pathological worry Distinction hinges on quantity (how often) and quality (negative content, less control, less realistic) of worrisome thoughts Panic attack – sudden, overwhelming experience of terror or fright Emotional response more focused with panic vs more diffuse with anxiety More intense than anxiety and has a sudden onset Common physical sensations and cognitive symptoms (4 needed for diagnosis of panic disorder and must reach a peak w/in 10 min): heart palpitations, sweating, trembling, shortness of breath, feelings of choking, chest pain, dizzy/light headed, being detached from reality or oneself, fear of losing control or going crazy, fear of dying, numbing, chills or hot flashes) Described in situations in which they occur and person’s expectations about whether they will occur Cued – if it occurs only in the presence of a particular stimulus (expected) – outside of home, give a speech Unexpected – panic attacks appear without warning or expectation, as if out of the blue – typically occur in homes, or grocery store Case study: Johanna at grocery store checkout line Phobias – persistent, irrational, narrowly defined fears that are associated with a specific object or situation Cope through avoidance of feared object/situation Common phobias: Agoraphobia – fear of the marketplace/ public places, most complex and incapacitating phobic disorder Fear associated w being away from “safe” places Crowded street, church, public transportation/cars Acrophobia – fear of heights Claustrophobia – fear of enclosed spaces Hemophobia – fear of blood
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CH 6: ANXIETY DISORDERS Aerophobia – fear of flying on airplans Zoophobia – fear of small animals Obsessions - Repetitive, unwanted, anxiety-provoking thoughts, images, or impulses
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This note was uploaded on 01/04/2012 for the course PSY 242 taught by Professor Messman-moore&walker during the Spring '08 term at Miami University.

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ch 6 notes - CH 6 ANXIETY DISORDERS Anxiety disorders are...

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