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27 Cards in this Set

  • Front
  • Back

Anxiety

Negative mood state


Physical tension


Apprehension about future


No control



Fear

Alarm reaction to danger


Autonomic system - emotional alarm - surge of energy to FLEE


Immediate reaction to current danger

Panic attack

disrupts experience of intense fear or acute discomfort


Heart palpitations, chest pain, short breath


Bad time

Anxiety causes

Bio:


Pic runs in families, associated with specific brain circuits


Low GABA


Corticotropin - releasing factor - central to anxiety and depression


Liebig system - mediator between brainstem and cortex

Behavioural inhibition system

Activated by signals of the brainstem of unexpected events



Brain imaging

People with anxiety make limbic system over responsive to stimulation or new information



Cigarette smoking as a teen

Tightened risk for developing anxiety

20 cigs a day = 15 x more likely for panic disorder


Freud + anxiety

Thought it was a psychic reaction to fear

Behaviourists

A product of classical conditioning


Control/uncontrol that happens can develop anxiety later on in life

Social contributions

Stressful life events trigger bio and psycho vulnerabilities to anxiety and can trigger physical reactions (headaches)

Triple vulnerability model

1. Gen psycho vul:


world is dangerous and out of control


2. Gen bio vul:


not sufficient for inheritance to produce anxiety itself


3. Specific bio vul:


Learn from early experience DANGER



Comorbidity

Disorders co-occur


Share same vulnerabilities

GAD

6 months of excessive worrying and anxiety - intense unfocused


Difficult to turn off


Muscle tension, dif sleeping and mental agitation

Treatments:

Drugs, CBT


Psychological treatments focus on the worry process and avoid feelings of anxiety

Agoraphobia

Fear and avoidance of situations


Unknown when symptoms can occur


5.3% Canadians

Causes of Ago

Bio, psycho and soci & treatment

Develops after a person has unexpected panic attacks


Drugs, therapy, virtual reality SSRI

Specific Phobia- 4 most

Irrational fear of a specific objects r situation that interferes with individual's ability to function 6.4%


Animal


Natural Environment


Blood Injury


Situational

Specifo Causes & treatments

Can be post-traumatic

experience false-alarm


Learn vicariously


Social and cultural factors




Treatment - exposure therapy, virtual reality


Social Phobia:

Extremely shy - fear of being called for performance that is judged e.g. public speaking


7.2%



Causes & Treatment of SoPho

Bio predisposed to fear angry, critical rejecting people


Hyperarousal with new stimuli


Treatments: Antidep (SSRI, PAXIL) CBT, social support

Selective Mutism

Lack of speech in one or more settings where speech is expected

PTSD

Events experienced with death, injury, sexual violation



Causes & Treatment

Bio - genetic predisp


Family instability


Social cultural - support


Hippocampus - memory




Treatment:


Exposure, narrative of experience, CBT, EMDR (eye movement desensitization)

0CD & TYPES

Fear of unwanted and intrusive thoughts (obsessions)


Repeated ritualistic actions or thoughts (compulsions) 1.6-2.3%




1. Symmetry


2. Forbidden Thoughts


3. Contamination


4. Hoarding

Causes & Treatment OCD

Bio, pscyho precursors of anxiety


Responsibility and guilt - society


SSRI, Psycho treatments (exposure and ritual prevention)

Body Dysmorphic disorder


Causes & Treatments

Imagined bodily appearance


1-2% 2-13% in students


Society - social anxiety


SSRI, Prozac, Exposure and response

Other OCD related disorders

Hoarding, trichotillomania (hair pulling)


Excoriation (skin picking)