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Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
Unit4 understanding anxiety online
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Unit4 understanding anxiety online

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  • 1. Understanding Anxiety
  • 2. Anxiety vs. Fear <ul><li>ANXIETY </li></ul><ul><li>Reaction to an unspecified danger </li></ul><ul><li>FEAR </li></ul><ul><li>Reaction to a specific danger </li></ul>Menu F B
  • 3. 13-3 Anxiety operationally defined (Fig. 13-1) Menu F B
  • 4. Yerkes-Dodson Anxiety Graph
  • 5. Mild Anxiety <ul><li>Perceptual field heightened </li></ul><ul><li>Grasps what is happening </li></ul><ul><li>Identifies disturbing things </li></ul><ul><li>Can work toward a goal </li></ul><ul><li>Can examine alternatives </li></ul><ul><li>Experiences slight discomfort </li></ul><ul><li>Restlessness, irritability </li></ul><ul><li>Mild tension relieving behaviors </li></ul>Menu F B
  • 6. Moderate Anxiety <ul><li>Perceptual field narrows </li></ul><ul><li>Selective inattention </li></ul><ul><li>Needs to have things pointed out </li></ul><ul><li>Problem solving ability moderately impaired </li></ul><ul><li>Benefits from guidance </li></ul><ul><li>Shaky voice, concentration difficult </li></ul><ul><li>Sympathetic nervous system symptoms </li></ul><ul><li>Somatic complaints </li></ul>Menu F B
  • 7. Severe Anxiety <ul><li>Perceptual field greatly reduced </li></ul><ul><li>Attention scattered </li></ul><ul><li>Self-absorbed </li></ul><ul><li>Can ’ t attend to events or see connections </li></ul><ul><li>Perceptions distorted </li></ul><ul><li>Feelings of dread/doom </li></ul><ul><li>Sympathetic nervous system symptoms </li></ul><ul><li>Confusion, purposeless activity </li></ul>Menu F B
  • 8. Panic Level Anxiety <ul><li>Unable to focus on environment </li></ul><ul><li>Terror, emotional paralysis </li></ul><ul><li>Hallucinations/delusions </li></ul><ul><li>Muteness, severe withdrawal </li></ul><ul><li>Immobility or extreme agitation, severe shakiness </li></ul><ul><li>Disorganized, irrational thinking </li></ul><ul><li>Unintelligible speech </li></ul><ul><li>Sleeplessness </li></ul><ul><li>Heart attack symtoms </li></ul>Menu F B
  • 9. Defenses against Anxiety <ul><li>Manage conflict and affect </li></ul><ul><li>Are relatively unconscious </li></ul><ul><li>Are discrete from one another </li></ul><ul><li>Are often hallmarks of psychiatric syndromes </li></ul><ul><li>Are reversible </li></ul><ul><li>Are adaptive as well as pathological </li></ul>Menu F B
  • 10. 13-9 Sublimation Menu F B
  • 11. 13-10 Humor Menu F B
  • 12. 13-11 Suppression Menu F B
  • 13. 13-12 Menu F B
  • 14. 13-14 Identification Menu F B
  • 15. 13-15 Repression Menu F B
  • 16. Menu F B
  • 17. 13-17 Menu F B
  • 18. 13-18 Somatization Menu F B
  • 19. Conversion <ul><li>This blind referee is an an example of conversion -a somatization that is displayed in the central nervous system Sometimes described as hysterical blindness or hysterical paralysis. </li></ul><ul><li>No physical cause. </li></ul>
  • 20. 13-19 Undoing Menu F B
  • 21. 13-20 Menu F B
  • 22. 13-21 Regression Menu F B
  • 23. 13-22 Projection Menu F B
  • 24. 13-23 Denial Menu F B
  • 25. Interventions: Mild to Moderate Anxiety <ul><li>Help identify anxiety and antecedents to anxiety </li></ul><ul><li>Anticipate anxiety-provoking situations </li></ul><ul><li>Demonstrate interest </li></ul><ul><li>Encourage talk about feelings and concerns </li></ul><ul><li>Keep communication open </li></ul><ul><li>Use clarification to understand </li></ul><ul><li>Encourage problem solving </li></ul><ul><li>Use role playing, modeling </li></ul><ul><li>Explore behaviors used in past </li></ul><ul><li>Provide outlets for excess energy </li></ul>Menu F B
  • 26. Interventions: Severe to Panic Anxiety <ul><li>Maintain calm manner </li></ul><ul><li>Remain with client </li></ul><ul><li>Minimize environmental stimuli </li></ul><ul><li>Use clear, simple statements and repetition </li></ul><ul><li>Low pitched voice; speak slowly </li></ul><ul><li>Reinforce reality if distortions occur </li></ul><ul><li>Listen for themes </li></ul><ul><li>Meet physical and safety needs </li></ul><ul><li>Set verbal limits/physical limits </li></ul><ul><li>Assess need for medication or seclusion </li></ul>Menu B

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