lecture 9 - anxiety 1

Question 1

What are the 4 responses in anxiety?

Answer 1

physiological, cognitive, affective, behavioural

Question 2

What is the physiological response to anxiety?

Answer 2

autonomic nervous system - sympathetic - ‘fight or flight’

Question 3

What is the cognitive response to anxiety?

Answer 3

perception of danger, threat loss. changes in cognition (sharp mind, confusion, foggy, etc.)

Question 4

What is the affective response to anxiety?

Answer 4

What we feel - nervous, fearful, anxious, etc.

Question 5

What is the behavioural response in anxiety?

Answer 5

Actions taken - fight, flight, freeze, avoid, safety behaviours

Question 6

What is abnormal anxiety?

Answer 6

When the degree of fear or anxiety is greatly disproportionate to the risk and severity of possible danger. Occurs or continues to occur even when no objective danger exists. Impairs functionality

Question 7

What are the 6 key anxiety disorders?

Answer 7

Panic disorder, agoraphobia, specific phobia, separation anxiety, social phobia, generalised anxiety disorder

Question 8

What are the 3 anxiety related disorders?

Answer 8

Obsessive Compulsive disorder, post traumatic stress disorder, acute stress disorder

Question 9

What is a panic attack?

Answer 9

An intense, abrupt surge of fear that peaks within 10 minutes and includes 4 or more of the symptoms listed in the DSM-5 (palpitations, sweating, chest pain, nausea, etc.)

Question 10

What is the DSM-5 criteria for Panic Disorder?

Answer 10

1.) Recurrent unexpected panic attacks
2.) persistent concern about additional attacks or their consequences AND/OR significant maladaptive behavioural changes due to attacks.
3.) This is not attributable to drugs or physical conditions,
4.) is not better explained by another mental disorders

Question 11

What is the DSM-5 criteria for Agoraphobia?

Answer 11

1.) marked anxiety about two or more (public transport, open spaces, enclosed spaces, lines or crowds, leaving house)
2.) fear or avoidance of situations as concerned about inability to escape or get help
3.) almost always provoke fear
4.) need a companion or will avoid
5.) anxiety out of proportion to actual danger posed
6.) persistent - 6months +
7.) causes significant distress and functional impairment

Question 12

What is the DSM-5 criteria for Specific Phobia?

Answer 12

1.) Marked fear or anxiety of specific object or situation
2.) almost always provoke immediate fear
3.) avoided or endured with intense anxiety
4.) fear is recognised as excessive/unreasonable
5.) persistent - 6 months +
6.) avoidance impairs functioning

Question 13

What are the 3 key identifiers of specific phobias in children?

Answer 13

avoidance, somatic symptoms (feeling sick, ‘sore tummy’), crying/tantrums/clinginess

Question 14

What is the DSM-5 criteria for Separation Anxiety Disorder?

Answer 14

Developmentally innapropriate and excessive fear concerning separation as evidenced by 3 or more of:
1.) distress when anticipating separation
2.) worry about loss of harm of attachment figure
3.) worry about event that causes separation
4.) reluctance to go out in case of separation
5.) reluctance to be alone
6.) refusal to sleep away from home
7.) nightmares of separation
8.) physical symptoms when separated (nausea, headache, etc.)
Persistent - 4 weeks for child, 6 months for adult
significant distress of functional impairment