Module 7 - Anxiety Disorders Flashcards

(39 cards)

1
Q

What is the difference between Fear and Anxiety

A

Fear:
Is a biological response to a real threat

Anxiety/worry
Is a response to the anticipation of a future threat

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2
Q

What are the characteristics of GAD

A
  1. The most common anxiety disorder Characterized by a global and persistent feeling of anxiety
  2. Unable to control worry - Interferes with daily functioning
    3.Symptoms -
    sweating, dizziness, shortness of breath
    insomnia, restlessness, muscle aches
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3
Q

What is the prevalence rate of GAD

A

3% general population
6% sometime during lifetime
Generally appears in early childhood/teens
females more likely to experience

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4
Q

What is the prevalence rate of specific phobia

A
7-9% US population
5% children
16% teens
2:1 ratio of women to men
Females: Animals, natural envir., situational
Males/females: blood, injection, injury
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5
Q

What is agoraphobia

A

Fear experienced when leaving home and traveling to public places - where escape is difficult such as a closed space, a large crowd, a bridge, tunnels or heights.

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6
Q

what is the difference between GAD and agoraphobia

A

Agoraphobia: Excessive worry or fear in a place where escape is difficult such as a closed space, a large crowd, a bridge, tunnels or heights. Generalized anxiety disorder: characterized by excessive worry over everyday occurrences that usually do not produce worry in the general population.

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7
Q

How is fear defined in the context of anxiety

A

Fear relates to a known or understood threat, whereas anxiety follows from an unknown, expected, or poorly defined threat.

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8
Q

Define Specific Phobia

A

characterized by excessive and irrational fear or anxiety specific to an object or a situation and —-
-*75% of individuals experience fear of more than one object

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9
Q

Define Social Anxiety Disorder

A

fear or anxiety related to social situations, especially when evaluation by others is possible

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10
Q

Define Panic Disorder

A

sudden or abrupt surge of fear or impending doom along with at least four physical or cognitive symptoms.

series of recurrent, unexpected panic attacks coupled with the fear of future panic attacks

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11
Q

What are the two components of a panic attack

A
  1. unexpected - Nothing triggers them
  2. recurrent - They occur multiple times
    * Causes additional anxiety because you never know when the will occur
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12
Q

What is required for a diagnosis for Panic disorder

A

at least four physical or cognitive symptoms

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13
Q

What are the cognitive symptoms of a Panic attack

A
  • derealization (feelings of unreality)
  • depersonalization (feelings of being detached from oneself), -
  • fear of losing control or ‘going crazy,’
  • fear of dying
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14
Q

What are the physical symptoms of a Panic attack

A
heart palpitations
sweating
trembling or shaking
shortness of breath
feeling as though they are being choked
chest pain
nausea 
dizziness 
chills or heat sensations
numbness/tingling
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15
Q

What are the symptoms of Social Anxiety Disorder

A
  • worried that they will be judged negatively
  • concerned that their anxiety symptoms will be obvious
  • social situations provoke this intense fear
  • Significant impact on ones social and occupational functioning
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16
Q

What are emotion-focused coping strategies?

A

emotion-focused coping is aimed at managing the emotions associated with the situation, rather than changing the situation itself.
**Women most likely to use - Less effective

17
Q

What are problem-focused coping strategies?

A

Problem-focused coping is that kind of coping aimed at resolving the stressful situation or event or altering the source of the stress

18
Q

Prevalence rates in Agoraphobia

A

1.7%
Females 2x as likely to have
Starts in childhood/shows up in late adolescence - early adulthood
tapers off in late adulthood

19
Q

Prevalence rates in Social anxiety disorder

A
7% of US population
Higher prevalence in US
Prevalence same for children-adults
decreases in late adulthood
Females have higher diagnosis
20
Q

Prevalence rates in Panic Disorder

A

2-3 % adults/teens
Females 2:1 ratio over males
Generally not observed in children under 14
Higher rates in American Indians and Non-latino white

21
Q

What was the little Albert experiment? What did it prove?

A

Experiment with white rat and loud noise. Little Albert learned to fear the white rat

Proved that phobias can be learned and therefore, unlearned

22
Q
  1. What variables are related to specific phobias?
  2. How often are individuals diagnosed with more than
    one specific phobia?
  3. Commonly diagnosed phobias?
A
  1. Excessive and irrational fears of an object/subject
  2. 75%
  3. Snakes, Spikers, rats (Animals)
    Heights, storms, water (Environment)
    Blood, Injections, Injury (
    Planes, elevators enclosed Places (Situational)
23
Q

what is needed for a diagnosis of agoraphobia

A

must be a presence of fear in at least TWO of the following circumstances:
using public transportation such as planes, trains, ships, buses;
being in large, open spaces such as parking lots or on bridges;
being in enclosed spaces like stores or movie theaters; being in a large crowd similar to those at a concert; being outside of the home in general
**symptoms are present every time the individual encounters these situations in order for a diagnosis

24
Q

What is the difference between Agoraphobia and GAD

A

fears are related to situations in which the individual is in public situations where escape may be difficult.

25
What are the comorbidities of Agoraphobia
Add'l anxiety disorders depressive disorders Substance abuse PTSD
26
What are the comorbidities of GAD
Other anxiety disorders | MDD
27
What are the comorbidities of Social Anxiety
Other anxiety disorders MDD substance abuse**** Self-medication Social anxiety commonly proceeds mental health disorders
28
What are the comorbidities of Panic Disorder
Rarely occurs in isolation Other anxiety disorders MDD substance abuse 1/3 of individuals with panic disorder will experience depressive symptoms prior to panic symptoms 1/3 of individuals with panic disorder will experience depressive symptoms prior to panic symptoms, whereas the remaining 2/3 will experience depressive symptoms concurrently or after the onset of panic disorder
29
What neurotransmitters are involved in the etiology of panic disorder
1. norepinephrine | 2. corticostriatal-thalamocortical (CSTC) circuit, also known as the fear-specific circuit
30
What brain structures are involved in anxiety disorders
``` amygdala hippocampus prefrontal cortex locus coeruleus corticostriatal-thalamocortical (CSTC) circuit in relation to panic disorder. ```
31
What is the most effective treatment for Panic disorder
``` CBT w/ 5 components Psychoeducation. Self-monitoring Relaxation training Progressive muscle relaxation. Cognitive restructuring ```
32
What are the specific types of exposure treatments?
Systematic desensitization in vivo exposure imaginal exposure Flooding
33
What is the most effective treatment for GAD
Exposure Therapy
34
What is the most effective treatment for Specific Phobia
Exposure Therapy
35
What is the most effective treatment for Agoraphobia
Agoraphobia alone - Exposure | Agoraphobia and panic disorder - exposure and CBT techniques
36
What is the most effective treatment for Social Anxiety Order
Exposure (starts with role-playing and then in social settings)
37
What are the fundamental beliefs of the cognitive etiology of anxiety disorders?
Psychological causes of anxiety disorders include maladaptive assumptions, the linking of events through classical conditioning, modeling, and stimulus generalization as it relates to GAD.
38
What are the fundamental beliefs of the cognitive etiology of panic attacks?
more susceptible to more frequent and intensive physiological symptoms quick to misevaluate their symptoms as a potential threat
39
What are the fundamental beliefs of the cognitive etiology of social anxiety
hold unattainable or extremely high social beliefs and expectations the belief they will behave incompetently in social situations obsessive reviewing of social event