Exam 2: Middle Childhood Anxiety Flashcards
(18 cards)
Anxiety
excessive fear that causes significant distress and functional impairment
-strong genetic component
-structure and function of the amygdala
-parenting behaviors; overcontrol. lack of warmth, criticism and rejection
Generalized anxiety disorder
Being very worried about the future and bad things happening
Specific Phobia
Extreme fear about a certain situation or fear
Separation Anxiety Disorder
Developmentally inappropriate fear when away from a loved one
Social Anxiety
Specific phobia of social interactions (specifically with peers)
Selective Mutism
failure to speak when expected to
Panic Disorder
Intense fear after a panic attack with specific fears about the panic attack and having another
Agoraphobia
fear of being in spaces with a lot of people
Anxiety Treatment
CBT: strong evidence
Pharmacological intervention: efficacious with possible side effects
CBT Psychoeducation: Role of thoughts
CBT helps people to realize that we don’t jump straight from a situation to a feeling but that our thoughts mediate the connection between a situation and our feelings
CBT Psychoeducation: core beliefs
Our core beliefs (ie. i’m unlovable) impacts our intermediate beliefs (if and then statements; if I don’t do well on an exam then i’m a failure) and our automatic thoughts are based on our intermediate beliefs
CBT Psychoeducation: diagnosis specific education
Learn more about diagnosis
CBT Emotion Awareness Training
Be a detective for feelings and rate the severity
CBT Relaxation Training
Decrease somatic sensations associated with anxiety
-diaphragmatic breathing
-progressive muscle relaxation
-exposures should be more emphasized than relaxation training
CBT: problem solving
Problem solve anxiety provoking situations using step by step approach
Say what problem is
Think of solutions
Examine solutions
Pick a solution to try out
See if it worked
CBT: cognitive restructuring; thought record
keep record of:
-situation: what actually happened
-automatic thoughts: what thoughts did you have
-emotion: what emotion and how intense
-evidence: what makes you believe the automatic thought, what evidence do you have against it
-alternative thought: what is another way to think about this
-rate mood now: rate emotion intensity after completing entry
CBT Exposure (with response preventions)
Main ingredient of CBT for Anxiety
-Create exposure hierarchy using SUDS(subjective units of distress)
-review problem solving plan
-Conduct exposures and stay in each to ride the wave until anxiety passes
-assign exposure HW
-Move on to next exposure in hierarchy once SUDS indicates very low anxiety for current exposure
CBT: relapse prevention
Help develop exposure assignments on their own
create detailed plan
-review anxiety management techniques learned and used in therapy
-set up follow-up sessions
