36: Worry and Anxiety- Streyffeler Flashcards Preview

CS3: Exam 3 > 36: Worry and Anxiety- Streyffeler > Flashcards

Flashcards in 36: Worry and Anxiety- Streyffeler Deck (19):
1

the alert system that helps to keep us alive turns on quickly, but ____

shuts down more slowly

2

fear system

amygdala --> hypothalamus --> release of stress hormones to blood stream

3

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"

4

who is the 'affect regulator'

provider

5

a response to a known and definite threat

fear

6

a response to a threat that is sometimes known, but may also be unknown, internal, vague or conflictual

anxiety

anxiety that is severe, persistent and disabling and persists beyond developmentally appropriate periods of times = disorder

7

one in ______ people meet the criteria for one disorder in their lifetime

four

more prevalent in women than men

prevalence increases with lower levels of socio-economic status

8

3 As of anxiety disorders

anticipation/appraisal
arousal
avoidance

9

avoidance leads to ***

anxiety

exposure leads to extinciton

10

developmentally inappropriate, excessive and recurring fear related to separation from home and/or attachment figures

separation anxiety

adult- 6mos; child - 4wks

11

primary complication in panic attack

fear of future attacks

12

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

13

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

14

tx for panic disorder

cognitive-behavioral therapy

family therapy

15

agoraphobia =

fear of (at least 2):
public transportation
open spaces
enclosed spaces
being caught in a crowd or line
being outside the home alone

16

80% of diagnosed agoraphobia pts are

female

relief reinforces the avoidance and number of safe places narrows until pt is homebound

17

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

18

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
easily fatigued
difficulty concentrating or mind goes blank
irritability
muscle tension
sleep disturbance

often seek attention for somatic complaint

19

suspicious anxiety

-onset of symptoms after age 35
-lack of a psychosocial history of anxiety
-no childhood issues related to anxiety
-lack of exacerbating life events
-lack of avoidance behaviors
-poor response to antianxiety medications