Quiz #1: Anxiety/OCD/Crisis/PTSD Flashcards Preview

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Flashcards in Quiz #1: Anxiety/OCD/Crisis/PTSD Deck (67)
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1

What is anxiety?**

-A vague sense of apprehension that is accompanied by feelings of uncertainty, helplessness/intimidation, isolation and insecurity.
-A person senses that the core of his/her personality is being threatened.

2

Anxiety: Emotion/Fear

-Emotion WITHOUT specific object.
-Fear has a specific object/source

3

How is anxiety communicated?

Interpersonally

4

Anxiety is about

Self preservation

5

Anxiety and Hospitalization

Rarely hospitalized for anxiety alone - usually comorbid with suicidal patients or MDD.

6

Levels of Anxiety: Mild

Day-to-day living; grasps more information

7

Levels of Anxiety: Moderate

Person focuses only on immediate concerns and involves narrowing of the perceptual fields (selective inattention)

8

Levels of Anxiety: Severe

Marked by significant reduction in the perceptual field.

9

Levels of Anxiety: Panic

Dread and terror as the person experiences panic and is unable to do things, even with direction.

10

Etiology of Anxiety

-Anxiety is related to decrease in GABA (an inhibitory neurotransmitter (decreases excitability))
-Other inhibitory neurotransmitters include dopamine and serotonin -> calms the brain
-Excitatory neurotransmitters increases stimulation (dopamine (both excitatory and inhibitory), NE and epinephrine)
-Substances such as alcohol and benzodiazepines, increase GABA levels to allow the brain to balance the excitement.

11

Types of Anxiety Disorders

-Generalized Anxiety Disorder*
-Separation Anxiety Disorder (usually <18 y/o)
-Panic Disorders
-Specific Phobia
-Social Anxiety Disorder

12

Panic Disorder

-Sudden onset of fear and impending doom
-Cause cannot be identified
-Severe, recurrent, intermittent attacks lasting from 5-30 minutes

13

Specific Phobias

-I.e acrophobia (heights), agoraphobia (crowds/open places), claustrophobia (closed-in spaces), hydrophobia (water), nyxtophobia (dark), thanatophobia (death)
-With fear there is specific stimulation
-Bottom line is anxiety

14

Anxiety Defense Mechanisms Include

-Denial
-Displacement
-Dissociation
-Identification
-Intellectualization
-Isolation
-Projection
-Rationalization
-Reaction Formation
-Regression
-Repression
-Splitting
-Suppression

15

Defense Mechanisms: Denial

avoidance of reality; unconscious failure to acknowledge an event, thought, or feeling

16

Anxiety Defense Mechanisms: Displacement

shift emotion from a person/object to another

17

Anxiety Defense Mechanisms: Dissociation

disruption in consciousness, memory, identity, or perception (compartmentalizing uncomfortable or unpleasant aspect of oneself)

18

Anxiety Defense Mechanisms: Identification

try to be like someone they admire

19

Anxiety Defense Mechanisms: Intellectualization

excessive reasoning / logic

20

Anxiety Defense Mechanisms: Isolation

splitting off emotions

21

Anxiety Defense Mechanisms: Projection

putting thoughts/impulses to another person

22

Anxiety Defense Mechanisms: Rationalization

justify an unacceptable feeling/behavior using logical explanations

23

Anxiety Defense Mechanisms: Reaction Formation

attitudes/behaviors opposite of real feelings

24

Anxiety Defense Mechanisms: Regression

retreat to earlier levels of development

25

Anxiety Defense Mechanisms: Repression

involuntary exclusion of thoughts from memory

26

Anxiety Defense Mechanisms: Splitting

(two meanings in mental health)
1. Viewing people/situations as all good or bad
2. Viewing and treating one person as good and another as bad

27

Anxiety Defense Mechanisms: Suppression

intentional exclusion of feelings/ideas

28

Page 305 of HESI review
Page 283 textbook

...

29

Anxiety DSM-5 Criteria

A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as school or work performance)
B. The individual finds it difficult to control the worry.
C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months). (Note: only one item is required in children) 1) restlessness or feeling keyed up or on edge 2) being easily fatigued 3) difficulty concentrating or mind going blank 4) irritability 5) muscle tension 6) sleep disturbance.
D. The anxiety, worry or physical symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning
E. The disturbance is not attributable to the physiological effects of a substance or another medication condition
F. The disturbance is not better explained by another mental disorder.

30

Defense Mechanisms

-A type of coping mechanism that to help alleviate anxiety and discomfort so you can manage.
-Most are unconscious. Except for SUPRESSION. It’s a conscious effort.