Understanding Anxiety
Anxiety vs. Fear <ul><li>ANXIETY </li></ul><ul><li>Reaction to an unspecified danger </li></ul><ul><li>FEAR </li></ul><ul>...
13-3 Anxiety operationally defined (Fig. 13-1) Menu F B
Yerkes-Dodson Anxiety Graph
Mild Anxiety <ul><li>Perceptual field heightened </li></ul><ul><li>Grasps what is happening </li></ul><ul><li>Identifies d...
Moderate Anxiety <ul><li>Perceptual field narrows </li></ul><ul><li>Selective inattention </li></ul><ul><li>Needs to have ...
Severe Anxiety <ul><li>Perceptual field greatly reduced </li></ul><ul><li>Attention scattered </li></ul><ul><li>Self-absor...
Panic Level Anxiety <ul><li>Unable to focus on environment </li></ul><ul><li>Terror, emotional paralysis </li></ul><ul><li...
Defenses against Anxiety <ul><li>Manage conflict and affect </li></ul><ul><li>Are relatively unconscious </li></ul><ul><li...
13-9 Sublimation Menu F B
13-10 Humor Menu F B
13-11 Suppression Menu F B
13-12 Menu F B
13-14 Identification Menu F B
13-15 Repression Menu F B
Menu F B
13-17 Menu F B
13-18 Somatization Menu F B
Conversion <ul><li>This blind referee is an an example of  conversion -a somatization that is displayed in the  central ne...
13-19 Undoing Menu F B
13-20 Menu F B
13-21 Regression Menu F B
13-22 Projection Menu F B
13-23 Denial Menu F B
Interventions: Mild to Moderate Anxiety <ul><li>Help identify anxiety and antecedents to anxiety </li></ul><ul><li>Anticip...
Interventions: Severe to Panic Anxiety <ul><li>Maintain calm manner </li></ul><ul><li>Remain with client </li></ul><ul><li...
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Understanding anxiety online

  1. 1. Understanding Anxiety
  2. 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. 3. 13-3 Anxiety operationally defined (Fig. 13-1) Menu F B
  4. 4. Yerkes-Dodson Anxiety Graph
  5. 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. 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. 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. 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. 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. 10. 13-9 Sublimation Menu F B
  11. 11. 13-10 Humor Menu F B
  12. 12. 13-11 Suppression Menu F B
  13. 13. 13-12 Menu F B
  14. 14. 13-14 Identification Menu F B
  15. 15. 13-15 Repression Menu F B
  16. 16. Menu F B
  17. 17. 13-17 Menu F B
  18. 18. 13-18 Somatization Menu F B
  19. 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. 20. 13-19 Undoing Menu F B
  21. 21. 13-20 Menu F B
  22. 22. 13-21 Regression Menu F B
  23. 23. 13-22 Projection Menu F B
  24. 24. 13-23 Denial Menu F B
  25. 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. 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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