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Defining Anxiety And Anxiety Disorders. Anxiety An unpleasant emotion characterized by a general sense of danger, dread, and physiological arousal. Common Components of Anxiety. Anxiety Disorders. Trait Anxiety
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Defining Anxiety And Anxiety Disorders • Anxiety An unpleasant emotion characterized by a general sense of danger, dread, and physiological arousal
Anxiety Disorders • Trait Anxiety An individual’s tendency to respond to a variety of situations with more or less anxiety • State Anxiety An individual’s level of anxiety at a specific time
Anxiety Disorders • Generalized Anxiety Disorder Chronic, pervasive, and debilitating nervousness Chronic (>6 months), pervasive anxiety Difficulty controlling the anxiety The anxiety includes three or more of the following: Restlessness Fatigue Difficulty concentrating Irritability Muscle Tension Sleep disturbance
Anxiety Disorders • Panic Disorder Panic attacks that cause ongoing distress or impairment • Panic attack Discrete episode of acute terror in the absence of real danger • Criteria for Panic Disorder Episodes of intense panic (panic attacks) Persistent concern about having additional attacks, worry about the consequences of an attack, or changes in behavior because of the attack
Anxiety Disorders • A Panic Attack Cycle
Anxiety Disorders • Criteria for Panic Disorder
Anxiety Disorders • Phobias An intense, persistent, and irrational fear and avoidance of a specific object or situation
Anxiety Disorders • Types of Phobias Social phobia Agoraphobia Specific phobia
Anxiety Disorders • Social Phobia A phobia in which fears are focused on social situations or other activities where there is a possibility of being observed and judged Example: Stage Fright
Anxiety Disorders • Agoraphobia A fear of wide open spaces or crowded places
Anxiety Disorders • Specific phobias Any phobia that is not a social phobia or agoraphobia Four common types: animals natural environment blood/injection/injury situational
Anxiety Disorders • Obsessive-Compulsive Disorder An anxiety disorder in which distressing and unwanted thoughts lead to compulsive rituals that significantly interfere with daily functioning • Obsessions Unwanted and upsetting thoughts or impulses • Compulsions Irrational rituals that are repeated in an effort to control or neutralize the anxiety brought on by obsessional thoughts
Anxiety Disorders • Criteria for Phobias
Anxiety Disorders • Obsessive-Compulsive Disorder
Anxiety Disorders • Postraumatic and Acute Stress Disorders • Trauma An emotionally overwhelming experience in which there is a real or perceived possibility of death or serious injury to oneself or a loved one
Anxiety Disorders • Acute stress disorder Significant posttraumatic anxiety symptoms that occur within one month of a traumatic experience. • Posttraumatic stress disorder Significant posttraumatic anxiety symptoms occurring more than one month after a traumatic experience
Anxiety Disorders Diagnostic Criteria for Posttraumatic Stress Disorder (continued)
Anxiety Disorders • Advantages and Limitations of the DSM-IV-TR Anxiety Disorder Diagnoses Comorbidity The presence of two or more disorders in one person, or a general association between two or more different disorders.
Anxiety Disorders • Classification in Demographic Context Age Separation Anxiety Disorder (SAD) Gender Disproportionate rates of anxiety disorders in women have noted that traditional female gender roles have not typically emphasized assertion and self-sufficiency — skills that are important for overcoming anxiety. Class People living in poor urban environments are at increased risk for developing PTSD.
Explaining and TreatingAnxiety Disorders • Biological Components The Autonomic Nervous System sympathetic nervous system parasympathetic nervous system flight-or-fight response Genetic factors= predisposition
Explaining and TreatingAnxiety Disorders • Limbic System amygdala hippocampus hypothalamus
Explaining and TreatingAnxiety Disorders • Biological Interventions Barbiturates Benzodiazepines
Anxiety Disorders • Biological Interventions Panic Disorder and Agoraphobia SSRIs prozac, zoloft, paxil Tricyclics tofranil, elavil, and sinequan
Anxiety Disorders • Biological Interventions Obsessive-Compulsive Disorder SSRIs benzodiazepines and neuroleptics to augment neuroleptic
Anxiety Disorders • Biological Interventions Post Traumatic Stress Disorder SSRIs Wellbutrin (bupropion)
Anxiety Disorders • Biological Interventions Social Phobias SSRIs Beta-blockers
Anxiety Disorders • Biological Interventions Generalized Anxiety Disorder Paxil BuSpar Effexor
Anxiety Disorders • Behavioral Components Classical conditioning Little Albert (Watson & Raynor)
Anxiety Disorders • Behavioral Components Operant conditioning Modeling
Anxiety Disorders • Behavioral Interventions Phobias systematic desensitization in vivo desensitization relaxation training flooding
Anxiety Disorders • Behavioral Interventions Panic Disorder systematic desensitization in vivo desensitization flooding
Anxiety Disorders • BehavioralInterventions Obsessive-Compulsive Disorder exposure and response prevention
Anxiety Disorders • Behavioral Interventions Post Traumatic Stress Disorder prolonged imaginal exposure
Anxiety Disorders • Cognitive Components Cognitive schemas
Anxiety Disorders • Cognitive Components
Anxiety Disorders • Cognitive Interventions
Anxiety Disorders • Psychodynamic Components Freud repression
Anxiety Disorders • Psychodynamic Components Phobias displacement Oedipus complex projection
Anxiety Disorders • Psychodynamic Components isolation of affect undoing Cheat on wife Buy wife a mink coat
Anxiety Disorders • Psychodynamic Interventions resistance transference
Anxiety Disorders • Humanistic and Existential Components maladaptive emotional scheme A humanistic term for patterns of thought and feeling that emerge around salient emotional experiences (usually in childhood) and are activated in similar situations during adulthood.
Anxiety Disorders • Humanistic and Existential Interventions development of a strong therapeutic alliance that allows for the recognition and exploration of painful emotional experiences
Anxiety Disorders • Multiple Causality in Anxiety Disorders Integrated cognitive and behavioral approaches Cognitive-psychodynamic overlap Combined behavioral-biological