Flashcards in 36: Worry and Anxiety- Streyffeler Deck (19):
the alert system that helps to keep us alive turns on quickly, but ____
shuts down more slowly
amygdala --> hypothalamus --> release of stress hormones to blood stream
a response to worried pts: the BATHE model
Background "tell me about the stressors in your life"
Affect "how do you feel about it"
Trouble "what troubles you most about it"
Handling "how are you handling or coping with it"
Empathy "that must be very difficult"
who is the 'affect regulator'
a response to a known and definite threat
a response to a threat that is sometimes known, but may also be unknown, internal, vague or conflictual
anxiety that is severe, persistent and disabling and persists beyond developmentally appropriate periods of times = disorder
one in ______ people meet the criteria for one disorder in their lifetime
more prevalent in women than men
prevalence increases with lower levels of socio-economic status
3 As of anxiety disorders
avoidance leads to ***
exposure leads to extinciton
developmentally inappropriate, excessive and recurring fear related to separation from home and/or attachment figures
adult- 6mos; child - 4wks
primary complication in panic attack
fear of future attacks
goals of panic attack interventions
- resolve or reduce panic attacks
- reduce general and anticipatory anxiety; and sensitivity to physical symptoms
- minimize avoidance behaviors
- treat any comorbidities
panic disorder =
at least one panic attack followed by 1 mo of persistent worry of another attack, or maladaptive behavioral changes to avoid an attack
heart disturbances, SOB, chest pain, fear of dying, dizzy/lightheaded
tx for panic disorder
fear of (at least 2):
being caught in a crowd or line
being outside the home alone
80% of diagnosed agoraphobia pts are
relief reinforces the avoidance and number of safe places narrows until pt is homebound
social anxiety disorder
marked fear/anxiety of social situations involving exposure to the possible scrutiny of others; concern for acting in a way that is humiliating or embarrassing
most common fear is public speaking
excessive anxiety/worry (more days than not) about a number of events or activities
gneralized anxiety disorder
including at least 3 of following
restlessness on edge
difficulty concentrating or mind goes blank
often seek attention for somatic complaint