ANXIETY AND MOOD Flashcards

(44 cards)

1
Q

Whats the two types of anxiety disorder and explain it ?

A

Fear - emotional response to real or perceived immenient threats
Anxiety - anticipation of future threats

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2
Q

Describe anxiety disorders persistence?

A
  • Persistent (typically lasting 6 months or more) rather
    than short-term fear or anxiety,
  • Excessive (i.e., overestimation of the danger,
    unrealistic, out of proportion),
  • Affects everyday functioning and cannot be controlled
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3
Q

What is anxiety disorder?

A

• Excessive worry and anxiety (challenging to control)
• Often have an early onset - teens or early twenties
• Many develop in childhood and tend to persist
• Most occur more frequently in girls than in boys
(approx. 2:1 ratio)
• Diagnosed only when the symptoms are not
attributable to the physiological effects of a
substance/medication or to another medical
condition
• High comorbidity and specificity

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4
Q

Whats teh symptoms of anxiety disorder?

A

• Somatic/physical (e.g., poor sleep, goosebumps,
tense muscles/muscle aches, increased heart rate,
accelerated or deepened respiration, dilated pupils,
decreased salivation)
• Affective/emotional (e.g., irritability, sense of
dread, terror, restlessness)
• Cognitive (e.g., poor concentration, anticipation of
harm, exaggeration of danger, hypervigilance)
• Behavioural (e.g., escape, avoidance, aggression,
freezing

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5
Q

Define specific phobias?

A

Fearful or anxious about or avoidant of specifc objects or situations like animals, natural environment and situational

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6
Q

Whats social anxiety disorder?

A

Fearful, anxious avoidant of social interactions and situations that involve the possibility of being scrutinised

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7
Q

Whats generalised anxiety disorder?

A

Persistent and excessive anxiety and worry about various domains, including work and school performance

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8
Q

Whats panic disorder?

A

Recurrent unexpected panic attacks (i.e., intense fear
and/or discomfort)
Persistently concerned or worried about having
more panic attacks
Maladaptive behavioural changes because of the
panic attacks (e.g., avoidance of exercise or of
unfamiliar locations)

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9
Q

How many young adults have occasional panic attacks, especially during times of intense stress?

A

40%

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10
Q

What is a panic disorder?

A

Frequent occurrence and worry about having attacks

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11
Q

How many first degree-relatives have Panic disorder?

A

10%

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12
Q

Whats neurotransmitters?
- norepinephrine?

A

Poorly regulated especially in the brain stem, serotonin, gamma-aminobuytric and cholecytokinin also implicated

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13
Q

Whats the cognitive model?

A
  1. close attention to bodily sensations; 2. misinterpret bodily sensations in a negative way; 3. engage in snowballing catastrophic thinking,
    exaggerating their symptoms and the consequences of the symptoms,
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14
Q

In panic disorder what did you brain misinterpret the situation?

A

Your brain thinks its a life or death scenario and acts accordingly, releasing buckets of adrenaline into your body

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15
Q

Whats the fight or flight reflex?

A

This adrenaline creates those feelings of intense fear, making your sweat, increasing you heart-rate, causing palpitations, nausea and excess energy or jitters

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16
Q

Whats the snowball effect?

A

As you relive, emotionally, that you’ve begun to lose contol of your body your stress levels increase, worsening the situation. You may start to feel detached from yourself or the situation, choking, difficulty breathing and intense fear of going crazy

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17
Q

Whats the blood flow Change?

A

During panic attack, your brain redirects blood flow from your extremeites into your vital organs. This creates feelings of dizziness and sometimes numbness or pins and needles in you hand and feet

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18
Q

Whats the your amygdala flips out?

A

Scientists have found that during a panic attack you area of brain responsible for emotional regulation the amygdala lights up like a firework

19
Q

Whats the you’re nervous system gets a message?

A

As you start to come down from the attack, your nervous sytem all through your body light up, sending signals to you parasympathetic system.

20
Q

What happens int he anxiety cycle?

A

Your parasympathetic system then kicks into gear and starts to slow your heart rate as the adrenaline finally runs its purse and finally everything goes back to normal

21
Q

Whats the interventions in panic disorder?

A

Cognitive-behavioural therapy (CBT): identifying and challenging irrational thoughts and beliefs that contribute to panic attacks,
• Cognitive restructuring (identifying and challenging negative thought patterns); exposure therapy (gradual exposure to feared situations or sensations to reduce anxiety); relaxation techniques (e.g., breathing and
progressive muscle relaxation

22
Q

Whast the medication interventions in panic disorder?

A

Selective serotonin reuptake inhibitors (SSRIs), serotonin-
norepinephrine reuptake Inhibitors (SNRIs), benzodiazepines
• Mindfulness-based interventions
• Virtual reality therapy

23
Q

Whats the brain stimulation?

A
  • deep brain stimulation
  • vagal nerve stimulation
  • trans cranial magnetic stimulation
  • optogenetics
24
Q

Whats the psychotherapy interventions?

A
  • cognitive therapy
  • behavioural therapy
  • extinction -based methods
  • mindfulness methods
  • emotions regulation methods
25
Whats lifestyles interventions in panic disorders?
- nutrition - excerise - meditation
26
Whats mood disorders?
A mood disorder, also known as an affective disorder, is any of a group of conditions of mental and behavioural disorder where the main underlying characteristic is a disturbance in the person's mood. Bipolar and Related Disorders Depressive Disorders
27
Common symptoms in mood disorders?
▪ Changes in sleep patterns: insomnia or hypersomnia ▪ Changes in appetite: significant weight loss or gain ▪ Fatigue and low energy: feeling tired and lacking the energy to perform regular activities ▪ Difficulty concentrating: trouble focusing on tasks ▪ Feelings of hopelessness or worthlessness: persistent negative thoughts about oneself ▪ Loss of interest or pleasure (anhedonia) - a diminished interest in previously enjoyed activities ▪ Irritability or agitation
28
Whats bipolar 1 disorder?
Alternations between manic and other mood episodes; depressive episodes may also occur Average age on onset is 18 years, but can begin in childhood Tends to be chronic
29
Whats bipolar 2 disorder?
Characterised by recurring episodes of major depression and hypomania Average age on onset is 22 years; can begin in childhood (10 to 13% of cases progress to bipolar I disorder) Tends to be chronic
30
Whats cyclothymic disorder?
Chronic mood disturbances with periods of hypomania and mild depression that last for at least two years but do not meet the criteria for bipolar I or II disorders
31
Whats major depressive disorder?
Pervasive depressed mood, loss of interest and enjoyment (e.g., withdrawal from friends), feeling tired, poor concentration (e.g., missed school) Discrete episodes of at least 2 weeks’ duration (changes in affect, cognition)
32
Whats dysthymic/persistent depressive disorder?
Chronic mood disturbance continues for at least 2 years in adults or 1 year in children
33
Whats disruptive mood dysregulation disorder?
Characterised by severe and recurrent temper outbursts (verbal and/or behavioural) that are out of proportion (in intensity or duration) to the situation, Inconsistent with developmental level
34
Whats the neurobiological influences?
- low levels of serotonin - elevated cortisol - disturbed sleep and circadian rhythms
35
Whats arbitrary inferences?
Overemphasis the negative
36
Whats overgeneralisation?
Generalise negative to all aspects of a situation
37
Whats the integrative model for mood disorders?
Biological vulnerability Psychological vulnerability Stressful life event Mood disorder
38
Interventions in mood disorders?
Cognitive - behavioural therapy MDD - helps identify and challenge negative thought patterns, develop healthier cognitive patterns, and acquire coping skills
39
Whats bipolar disorder
adapted to address the cognitive and behavioural aspects of bipolar disorder, providing psychoeducation, mood tracking, and strategies for managing mood swings
40
Whats interpersonal therapy (IPT)
Improving interpersonal relationships ( can focus on social and interpersonal triggers)
41
Whats DBT?
Cognitive - behavioural techniques and mindfulness strategies
42
Whats electroconvulsive therapy?
Electrical currents are passed through the brain to induce controlled seizures Can be used for severe and treatment - resistant mood disorders, particularly major depressive disorder and bipolar disorder
43
Whats antidepressants medications?
Selective reboot in reuptake inhibitors, serotonin - norepinephrine reuptake inhibitors
44
Explain mood stabilisers
Lithium bipolar disorder - seems to a number of neurotransmitters systems, including serotonin, dopamine and glutamate - appears to be more effective in reducing the symptoms of mania than the symptoms of depression but can have serious side effects Antipsychotic medications may be used in combinations with moodstabilizers for bipolar disorder