Stress, Anxiety, and Somatic Disorders Flashcards Preview

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Flashcards in Stress, Anxiety, and Somatic Disorders Deck (17):
1

Fight or Flight Syndrome: HEENT

Eyes Dilate, inc secretion from lacrimal glands

2

Fight or Flight Syndrome: Resp.

Inc rate/depth
Bronchioles and pulmonary blood vessels dilate

3

Fight or Flight Syndrome: C/V

Inc contractility, output, HR, and BP

4

Fight or Flight Syndrome: GI

Dec motility and secretions
Sphincters contract
Liver glycogenolysis and gluconeogenesis is increased and glycogen synthesis is decreased
Fat cells undergo lipolysis

5

Fight or Flight Syndrome: Kidneys

Inc ureter motility

6

Fight or Flight Syndrome: Bladder

Smooth muscle contracts while sphincter relaxes

7

Fight or Flight Syndrome: Endocrine

Secretion from sweat glands increased

8

Sustained stress

HPA axis stimulates release of:
ACTH
Mineralocorticoids
Vasopressin
Growth hormone
TSH
Gonadotropins

9

Internal or external environmental cues perceived as

Within ability to cope
Exceeding resources, or
Endangering well-being

10

Primary Appraisal: Individual's judgment of stressor

Irrelevant
Benign-positive
Stress:
-Harm/loss already experienced
-Threat anticipated (focus on threat)
-Challenge: Focus on potential gain/growth

11

Secondary Appraisal: assessment of coping

Resources
Knowledge
Ability to cope

12

Outcome of stress appraisal

Interaction between primary/secondary appraisal
Determines individual's quality of adaptation response

13

Anxiety

An awareness of impending danger:
-Insidious, diffuse, vague, apprehension to unknown threat
-Unpleasant feelings of unease or helplessness
-Internal perception of threat, dread, either imminent or in the future

14

Mild Anxiety

-Tensions of day-to-day living; not perceived as problematic; senses are sharpened; motivation, alertness, and learning are increased
-Adaptive and necessary for survival

15

Moderate Anxiety

1. Confessional state with selective attention; inability to concentrate, learning is impaired; perceptions are distorted

2. Muscular tension increases; restless

3. In use of defense mechanisms

16

Severe Anxiety (Pathological)

1. Concentration diminished or scattered
2. Attention severely limited
3. Inability to learn effectively
4. Physiological/somatic symptoms increase
5. Behavior aimed at relieving anxiety
6. Responses not proportionate to danger or threat
7. Responses continue beyond the potential danger
8. Intellectual, cognitive, social, or occupational functioning impaired
9. Neurosis

17

Fight or Flight Syndrome (Initial Response)

Hypothalamus stimulates sympathetic nervous system
SN stimulates adrenal medulla
Adrenal medulla releases epinephrine and NE into the bloodstream