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Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
Chapter 4  anxiety disorders
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Chapter 4 anxiety disorders

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  • Transcript

    • 1. Anxiety and the Anxiety Disorders Chapter 4
    • 2. Defining Anxiety And Anxiety Disorders
      • Anxiety
      • An unpleasant emotion characterized by a general sense of danger, dread, and physiological arousal
    • 3. Common Components of Anxiety
    • 4. Anxiety Disorders
      • Trait Anxiety
      • An individual’s tendency to respond to a variety of situations with more or less anxiety
      • State Anxiety
      • An individual’s level of anxiety at a specific time
    • 5. Classifying Anxiety Disorders ( DSM-IV-TR)
    • 6. Anxiety Disorders
      • Generalized Anxiety Disorder
      • Chronic, pervasive, and debilitating nervousness
      • Chronic (>6 months), pervasive anxiety
        • Difficulty controlling the anxiety
        • The anxiety includes three or more of the following:
        • Restlessness
        • Fatigue
        • Difficulty concentrating
        • Irritability
        • Muscle Tension
        • Sleep disturbance
    • 7. Anxiety Disorders
      • Panic Disorder
      • Panic attacks that cause ongoing distress or impairment
      • Panic attack
      • Discrete episode of acute terror in the absence of real danger
      • Criteria for Panic Disorder
      • Episodes of intense panic (panic attacks)
      • Persistent concern about having additional attacks, worry about the consequences of an attack, or changes in behavior because of the attack
    • 8. Anxiety Disorders
      • A Panic Attack Cycle
    • 9. Anxiety Disorders
      • Criteria for Panic Disorder
    • 10. Anxiety Disorders
      • Phobias
      • An intense, persistent, and irrational fear and avoidance of a specific object or situation
    • 11. Anxiety Disorders
      • Types of Phobias
      • Social phobia
      • Agoraphobia
      • Specific phobia
    • 12. Anxiety Disorders
      • Social Phobia
      • A phobia in which fears are focused on social situations or other activities where there is a possibility of being observed and judged
      • Example:
      • Stage Fright
    • 13. Anxiety Disorders
      • Agoraphobia
      • A fear of wide open spaces or crowded places
    • 14. Anxiety Disorders
      • Specific phobias
      • Any phobia that is not a social phobia or agoraphobia
      • Four common types:
      • animals
      • natural environment
      • blood/injection/injury
      • situational
    • 15. Anxiety Disorders
      • Obsessive-Compulsive Disorder
      • An anxiety disorder in which distressing and unwanted thoughts lead to compulsive rituals that significantly interfere with daily functioning
      • Obsessions
      • Unwanted and upsetting thoughts or impulses
      • Compulsions
      • Irrational rituals that are repeated in an effort to control or neutralize the anxiety brought on by obsessional thoughts
    • 16. Anxiety Disorders
      • Criteria for Phobias
    • 17. Anxiety Disorders
      • Obsessive-Compulsive Disorder
    • 18. Anxiety Disorders
    • 19. Anxiety Disorders
      • Postraumatic and Acute Stress Disorders
      • Trauma
      • An emotionally overwhelming experience in which there is a real or perceived possibility of death or serious injury to oneself or a loved one
    • 20. Anxiety Disorders
      • Acute stress disorder
      • Significant posttraumatic anxiety symptoms that occur within one month of a traumatic experience.
      • Posttraumatic stress disorder
      • Significant posttraumatic anxiety symptoms occurring more than one month after a traumatic experience
    • 21. Anxiety Disorders
    • 22. Anxiety Disorders Diagnostic Criteria for Posttraumatic Stress Disorder (continued)
    • 23. Anxiety Disorders
    • 24. Anxiety Disorders
      • Advantages and Limitations of the DSM-IV-TR Anxiety Disorder Diagnoses
        • Comorbidity
      The presence of two or more disorders in one person, or a general association between two or more different disorders.
    • 25. Anxiety Disorders
    • 26. Anxiety Disorders
      • Classification in Demographic Context
      • Age
      • Separation Anxiety Disorder (SAD)
      • Gender
      • Disproportionate rates of anxiety disorders in women have noted that traditional female gender roles have not typically emphasized assertion and self-sufficiency — skills that are important for overcoming anxiety.
      • Class
      • People living in poor urban environments are at increased risk for developing PTSD.
    • 27. Anxiety Disorders
      • Cultural and Historical Relativism
      • Latinos
      • nervios = GAD
      • ataque de nervios = panic attack
      • Chinese
      • Shenjing shuairuo is similar to anxiety and mood disorders symptoms.
      • Japanese
      • Taijin kyofusho is an anxiety disorder recognized in Japan characterized by worry that one’s body or aspects of one’s body will be displeasing or offensive to others
    • 28. Explaining and Treating Anxiety Disorders
      • Biological Components
      • The Autonomic Nervous System
      • sympathetic nervous system
      • parasympathetic nervous system
      • flight-or-fight response
    • 29. Explaining and Treating Anxiety Disorders
      • Limbic System
      • amygdala
      • hippocampus
      • hypothalamus
    • 30. Explaining and Treating Anxiety Disorders
      • Neurotransmission
      • Gamma-aminobutyric acid (GABA)
      • Norepinephrine
      • locus coeruleus
      • Serotonin
    • 31. Explaining and Treating Anxiety Disorders
      • Autoimmune Disorders
      • basal ganglia
      • Genetic factors
    • 32. Explaining and Treating Anxiety Disorders
      • Biological Interventions
      • Barbiturates
      Benzodiazepines
    • 33. Anxiety Disorders
      • Biological Interventions
      • Panic Disorder and Agoraphobia
      • SSRIs
      • prozac, zoloft, paxil
      • Tricyclics
      • tofranil, elavil, and sinequan
    • 34. Anxiety Disorders
      • Biological Interventions
      • Obsessive-Compulsive Disorder
      • SSRIs
      • benzodiazepines and neuroleptics to augment
      neuroleptic
    • 35. Anxiety Disorders
      • Biological Interventions
      • Post Traumatic Stress Disorder
      • SSRIs
      • Wellbutrin (bupropion)
    • 36. Anxiety Disorders
      • Biological Interventions
      • Social Phobias
      • SSRIs
      • Beta-blockers
    • 37. Anxiety Disorders
      • Biological Interventions
      • Generalized Anxiety Disorder
      • Paxil
      • Azaspirones
      Effexor BuSpar
    • 38. Anxiety Disorders
      • Behavioral Components
      • Classical conditioning
      • Little Albert (Watson & Raynor)
    • 39. Anxiety Disorders
      • Behavioral Components
      • Classical conditioning
      • temporal contiguity
      • negative reinforcement
      • extinction
      • prepared conditioning
    • 40. Anxiety Disorders
      • Behavioral Components
      • Operant conditioning
      • Modeling
    • 41. Anxiety Disorders
      • Behavioral Components
      • principle of multiple causality
      • preceding variables
      • latent inhibition
      • accompanying variables
      • postevent variables
    • 42. Anxiety Disorders
      • Behavioral Interventions
      • Phobias
      • systematic desensitization
      • in vivo desensitization
      • covert desensitization
      • relaxation training
      • fear hierarchy
      • flooding
    • 43. Anxiety Disorders
      • Behavioral Interventions
      • Panic Disorder
      • systematic desensitization
      • in vivo desensitization
      • covert desensitization
      • interoceptive exposure
    • 44. Anxiety Disorders
      • Behavioral Interventions
      • Obsessive-Compulsive Disorder
      exposure and response prevention covert response prevention
    • 45. Anxiety Disorders
      • Behavioral Interventions
      • Post Traumatic Stress Disorder
      • prolonged imaginal exposure
    • 46. Anxiety Disorders
      • Cognitive Components
      • Cognitive schemas
    • 47. Anxiety Disorders
      • Cognitive Components
    • 48. Anxiety Disorders
      • Cognitive Interventions
    • 49. Anxiety Disorders
      • Psychodynamic Components
      • Freud
      • repression
    • 50. Anxiety Disorders
      • Psychodynamic Components
      • Phobias
      • displacement
      • Oedipus complex
      • projection
    • 51. Anxiety Disorders
      • Psychodynamic Components
      • isolation of affect
      • undoing
      Cheat on wife Buy wife a mink coat
    • 52. Anxiety Disorders
      • Psychodynamic Interventions
      • resistance
      • transference
    • 53. Anxiety Disorders
      • Humanistic and Existential Components
      • maladaptive emotional scheme
      • A humanistic term for patterns of thought and feeling that emerge around salient emotional experiences (usually in childhood) and are activated in similar situations during adulthood.
    • 54. Anxiety Disorders
      • Humanistic and Existential Interventions
      • development of a strong therapeutic alliance that allows for the recognition and exploration of painful emotional experiences
    • 55. Anxiety Disorders
      • Multiple Causality in Anxiety Disorders
      • Integrated cognitive and behavioral approaches
      • Cognitive-psychodynamic overlap
      • Combined behavioral-biological
    • 56. Anxiety Disorders
      • Connection Between Mind and Body
      • HPA axis
      • Brain changes in PTSD
      • Brain changes after behavioral interventions for OCD
    • 57. Anxiety Disorders
      • Case Vignettes
      • Arthur (panic disorder)
      • Greg (obsessive-compulsive disorder)

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