What are the symptoms of generalized anxiety disorder?
Excessive anxiety and worry for at least 6 months Difficulty controlling the worry Associated with 3 or more of the following: Restlessness Fatigue Difficulty concentrating Irritability Muscle tension Sleep disturbances
What are the differential DX of generalized anxiety disorder? (APA, 2013)
Any other anxiety related disorder
How does Freud (1926) conceptualize anxiety?
It’s a signal of impending danger and anticipated helplessness
Forewarning from the ego to avoid the experience
Repression is failing and it becomes too much
What are the 3 types of anxiety? (Freud, 1926)
Realistic - something in the real world that is an immediate threat
Moral - fear of punishment by the superego, threat comes from the internalized social world
Neurotic - fear of punishment or annihilation with or without a clear source of danger
What is the citation for Freud’s etiological perspective?
What is Fairbairn’s (1941) etiological perspective of anxiety?
The individual expectation to experience a lack of nurturance and love from current relationships which causes anxiety
Playing out drama of the past in present to try to master
What is Winnicott’s (1949) etiological perspective of anxiety?
Maternal deprivation results in person taking on a false self to appease others and the external world
Anything good for the self results in guilt and displeasure resulting in anxiousness as does inability to appease others and the world
What is Beck’s (1976) etiological perspective of anxiety?
Cognitive distortions (faulty information processing) results in over-predicting fear and danger A potential threat is detected and the faulty information processing emphasizes the fear and dangerousness and results in anxious feelings
What is the biological perspective of anxiety? (Stahl, 2010)
There are neurochemical abonormalities
GABA is decreased - GABA is an agonist and helps people relax
Benzodiazepines can be prescribed to increase GABA and reduce anxiety
What is the citation for the biological perspective?