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Anxiety: Phobias. Anxiety: apprehension over an anticipated problemPhobia: a disruptive fear of a particular object or situation that is out of proportion of the threat it actually posesSocial Phobia: persistent, unrealistically intense fear of social situationsExtreme fear of scrutinyCan be specific or generalTends to be chronic, especially general social phobia.
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1. Anxiety Disorders Adlyn Perez
PSYC 452
March 18, 2008
2. Anxiety: Phobias Anxiety: apprehension over an anticipated problem
Phobia: a disruptive fear of a particular object or situation that is out of proportion of the threat it actually poses
Social Phobia: persistent, unrealistically intense fear of social situations
Extreme fear of scrutiny
Can be specific or general
Tends to be chronic, especially general social phobia
3. Panic Disorder Panic Disorder: frequent panic attacks that are unrelated to specific situations
Panic attack: sudden onset of intense apprehension, terror, feelings of doom, sweating, nausea, feelings of choking, dizziness, trembling, fears of losing control, going crazy, or even dying.
With agoraphobia: anxiety about being in situations in which it would be difficult to escape if a panic attack occurred.
4. Generalized Anxiety Disorder GAD: persistent, excessive, uncontrollable, and long-lasting worry over typical, minor things
Content of worry is typical (relationships, finances, daily hassles), the extent is extreme
Typical onset is during adolescence and tends to be chronic
5. Obsessive-Compulsive Disorder OCD: persistent and uncontrollable thoughts (obsessions), accompanied by the need to repeatedly perform rituals (compulsions)
Obsessions: intrusive and recurring thoughts or images
Compulsions are thought to be a means to reduce or avoid anxiety
Individuals with OCD often recognize that their behavior is abnormal and are apprehensive about it.
6. Posttraumatic Stress Disorder PTSD: a continuous state of anxiety following a trauma
Reexperiencing the traumatic event (e.g. a loud noise reminds a veteran of bombs
Avoiding stimuli associated with the event
Numbing of emotion including disinterest and estrangement from others, and an inability to feel positive emotions
Hypervigilance, which includes difficulty sleeping, concentrating, and an exaggerated startle response
7. Risk Factors Cognitive
Little perceived control (e.g. authoritarian parenting)
Greater attention to threatening stimuli
Biological
Greater activity in amygdala and neural fear circuit
20-40% heritability according to twin studies
Actual threats
8. Treatments Cognitive treatment
Exposure: face the fear
Challenge person’s belief about the threats posed to them and the likelihood of negative outcomes
Medications
Anxiolytics, or sedatives
Benzodiazepines (Valium & Xanax)
Anti-depressants (tricyclic, SSRI’s)
9. References Kring, A. M., Davison, G. C., Neale, J. M. & Johnson, S. L. (2007). Abnormal psychology (3rd ed.). U.S.: John Wiley & Sons, Inc.