Unexpected panic attacks Anxiety worry or fear of another attack Persists for 1

Unexpected panic attacks anxiety worry or fear of

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Unexpected panic attacks Anxiety, worry, or fear of another attack Persists for 1 month or more Agoraphobia : Fear or avoidance of situations/events Avoidance can be persistent Ex: fear of something leads to you not leaving your house for years Use and abuse of drugs and alcohol SPECIFIC PHOBIAS ARE THE MOST COMMON Social Anxiety Disorder (SAD) Clinical Description Extreme/ irrational concern about being negatively evaluated by other people Sometimes (not always) manifests as Shyness Leads to significant impairment and/or distress Avoidance of feared situations, or endurance with extreme distress Subtype Performance only: Anxiety only in performance situations Some people get louder when on stage, high functioning anxiety Posttraumatic Stress Disorder (PTSD) Trauma exposure Continued re-experiencing (e.g., memories, nightmares, flashbacks) Some experience hyper arousal or a dissociative type where they are so removed that they don't pay attention to it Avoidance Emotional numbing Reckless or self-destructive behavior Interpersonal problems Refers to problems that persist for more than one month after the trauma Acute stress disorder assigned for post-traumatic symptoms lasting less than a month You may just only be exposed to witness a traumatic event, and have PTSD Example from Textbook: Marcie was attacked by a dog and had ptsd, and her siblings who saw this occur had PTSD
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too. The older brother who took the dog off marcy had the most ptsd symptoms. Obsessive Compulsive Disorder (OCD) Obsessions Intrusive and nonsensical Thoughts, images, or urges (impulses) Attempts to resist or eliminate Compulsions Thoughts or actions in order to suppress the obsessions Provide relief from obsessive thoughts Function of compulsions is to reduce discomfort with obsessions Obsessions: 60% have multiple obsessions Need for symmetry (26%) The desire to have order Forbidden thoughts or actions (21%) Ex: a woman is scared and guilty that she might cuss at church, so she avoids churches Cleaning and contamination (16%) Hoarding (15.4%) TB says this is one of the hardest ones to treat Compulsions: 4 major categories Checking/avoidance Ordering Arranging/Collecting Washing/cleaning Relevant DSM-5 criteria emphasized in class Statistics on disorder GAD 3.1% of the population meets criteria in a given 1 year period. 5.7% at some point in life. Prevalent in older adults (>10%) than in children and adolescents (1.1%) ⅔ of individuals are female in both clinical and epidemiological study Median age of onset = 31 Most common age group 45+, least common 15 - 24 PD Approx. 2.7% of the population meet criteria during a given 1 year period. 4.7% met them at some point in life, ⅔ of them women
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1.4% developed agoraphobia without having full-blown panic attacks Onset in early adult life (midteens - 40) Median age 20-24 Most initial unexpected panic attacks begin at or after puberty
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  • Fall '09
  • zalava
  • Professor Navarro

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