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Unit4 understanding anxiety online

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Transcript

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