Anxiety Etiology (lesson 3) Flashcards
Biological perspective of anxiety
1.Over-reactivity of fear circuitry in the brain
-overactivity of amygdala
-behavioural inhibition system(brain circuit)
-fight/flight (FFS) system
2.Deficiency of neurotransmitters
3.Specific genetic contributer
4.Gene-environment interaction
Psychological dimension of anxiety
Personality: neuroticism
Behavioral perspective:
Learned associations:1. Social learning 2. Conditioning
Cognitive perspective:
1.irrational /catastrophic thought
2. Lack of self-control and self-efficacy
4.worry about worries:worry about possible anxiety
Social and sociocultural dimensionof anxiety
Stressful life events!!!
-daily environmental stress
-poor family relationship
-early childhood experience
-gender differences
-culture factors like discrimination and prejudice
-Ethinicity
What are the drawback of taking medication?
- There are side effects
- High relapse rates after discontinuation of medication
What are the treatments of anxiety disorders?
- medication
2, cognitive and behavioral therapy
-Psychoeducation
-Cognitive restructuring
-exposure therapy(systematic desensitization)- coping strategy
Name some coping strategies for anxiety.
Breathing exercises, meditation
What is the aim of cognitive and behavior therapy
Identify and modify the worrisome thought.
What are the psychological treatment of Phobias?
Cognitive Behavioral Therapy: systematic desensitization
relaxation
What are the psychological treatment of social anxiety disorder?
Cognitive Behavioral Therapy: (highly effective)
- Challenging of anxious thoughts about the consequences of social
judgment
-Exposure to anxiety-provoking situations
– what actually happens if you shout over somebody?
-Rehearsal
-Role-play
What are the causes of Panic Disorder?
- Generalized psychological vulnerability
▪ Anxiety about future attacks – Some people believe that their panic attack
will lead them to something terrible, OR the panic attack will be recurrent. - Specific psychological vulnerability
▪ Interpret normal physical sensation in a catastrophic way
▪ A vicious cycle between physical sensation and anxiety via the
sympathetic nervous system
Causes of Specific Phobias
- Direct experience (e.g., car crash survivors)
- Experiencing a false alarm
- Social Learning:
▪ Vicarious experience – seeing someone else encounter a feared object
▪ Learned from others about a situation/object being dangerous
Causes of Social Anxiety Disorder
- Biological vulnerabilities:
▪ Propensity toward anxiety
▪ react to angry faces with greater activation of the amygdala
and less cortical control of regulation
Generalized psychological vulnerabilities
▪ Belief that threatening events are uncontrollable
▪ Traumatic social experiences
Experience of intense teasing or bullying
* Specific psychological vulnerabilities:
▪ Learned growing up that social evaluation can be dangerous.
▪Having parents with SAD
Why are we predisposed to fearing / avoiding hostile, angry people?
Prepared Learning
it is easier for us to acquire phobias of things that would
have been useful for our ancestors to fear