SlideShare a Scribd company logo
Anxiety Disorders
Dr Zahiruddin Othman
Department of Psychiatry
School of Medical Sciences
University Science Malaysia
14th July 2002
Anxiety, Fear, and Panic Attack
Anxiety
 Negative affect
 Somatic symptom
of tension
 Future-oriented
 Feeling that one
cannot predict or
control upcoming
events
Fear
 Negative affect
 Strong sympathetic NS
arousal
 Immediate alarm reaction
characterized by strong
escapist tendencies in
response to present
danger or life threatening
emergencies
Panic attack
 Fear occurring at an
inappropriate time
 3 types
 Situationally
bound (cued)
 Unexpected
(uncued)
 Situationally
predisposed
Biological Vulnerability
To experience anxiety
Stress
Due to negative life events
Anxious Apprehension
Psychological vulnerability
Worry Process
Focus on variety of
Minor life circumstances
Intense cognitive processing Avoidance of imagery
Restricted autonomic response
Modified by lack of
problem-solving skills
Generalized Anxiety Disorder
AnintegrativemodelofGAD
Typical Situations Avoided by a Person
With Agoraphobia
 Shopping malls
 Cars
 Buses
 Trains
 Subways
 Wide streets
 Tunnels
 Restaurants
 Theaters
 Being far from home
 Staying at home alone
 Waiting in line
 Supermarkets
 Stores
 Crowd
 Planes
 Elevators
 Escalators
Interoceptive Daily Activities Typically
Avoided by People With Agoraphobia
 Running up
flights of stairs
 Walking outside
in intense heat
 Hot, stuffy
rooms
 Hot, stuffy cars
 Hot, stuffy
stores or
shopping malls
 Walking outside
in a very cold
weather
 Aerobic
 Lifting heavy
objects
 Dancing
 Sexual relations
 Watching horror
movies
 Eating heavy
meals
 Standing quickly
from a sitting
position
 Having a sauna
 Getting angry
 Getting involved
in “heated”
debate
 Sports
Biological Vulnerability
To anxiety
Stress
Due to significant life events
False Alarm
Associated with interoceptive cues
e.g., pounding heart and dizziness
Learned Alarm
Psychological Vulnerability
Anxious apprehension
focusing on future alarm
Involuntary physical or cognitive
Symptoms of anxiety and additional
Physical cues trigger learned alarms
In an unpredictable manner
Possible development of
“agoraphobic” avoidance
Determined by cultural, social, and
Environmental factors and moderated by
Presence of or absence of safety signals
Amodelofthecausesofpanicdisorderwithor
withoutagoraphobia
Biological Vulnerability
To anxiety
Stress
Direct
Experience
Vicarious
Experience
Misinformation
True Alarm
Learned Alarm
Anxious Apprehension
Psychological vulnerability
False Alarm
Associated with specific
Prepotent / prepared situation
False Alarm
Anxious Apprehension
Psychological vulnerability
Specific
phobia

More Related Content

Similar to Anxiety disorders

TOPIC 4 DEFENSE MECHANISMS.pptx
TOPIC 4 DEFENSE MECHANISMS.pptxTOPIC 4 DEFENSE MECHANISMS.pptx
TOPIC 4 DEFENSE MECHANISMS.pptx
elphaswalela
 
anxiety_disorders-8.ppt
anxiety_disorders-8.pptanxiety_disorders-8.ppt
anxiety_disorders-8.ppt
PRIYANSHUBHADANA1
 
ANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESS
ANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESSANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESS
ANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESS
VandanaGaur15
 
Organic Brain Syndromes
Organic Brain SyndromesOrganic Brain Syndromes
Organic Brain Syndromes
Zahiruddin Othman
 
FCA 0911 - Psych
FCA 0911 - PsychFCA 0911 - Psych
FCA 0911 - Psych
V. Bonales, M.D.
 
Anxiety disorders include disorders that share features of excessi.docx
Anxiety disorders include disorders that share features of excessi.docxAnxiety disorders include disorders that share features of excessi.docx
Anxiety disorders include disorders that share features of excessi.docx
YASHU40
 
Anxiety disorders
Anxiety disordersAnxiety disorders
Anxiety disorders
ovalaz
 
Chapter 13 Lecture Disco 4e
Chapter 13 Lecture Disco 4eChapter 13 Lecture Disco 4e
Chapter 13 Lecture Disco 4eprofessorbent
 
SA 202 Week 6 lecture 1 anxiety disorders
SA 202 Week 6 lecture 1 anxiety disordersSA 202 Week 6 lecture 1 anxiety disorders
SA 202 Week 6 lecture 1 anxiety disorders
BealCollegeOnline
 
Anxiety pptt
Anxiety ppttAnxiety pptt
Anxiety pptt
Ambika Gaur
 
anxietydisordersandocd-140526085850-phpapp01 (1).pdf
anxietydisordersandocd-140526085850-phpapp01 (1).pdfanxietydisordersandocd-140526085850-phpapp01 (1).pdf
anxietydisordersandocd-140526085850-phpapp01 (1).pdf
SabicaCh1
 
Panic Disorder with Agoraphobia
Panic Disorder with AgoraphobiaPanic Disorder with Agoraphobia
Panic Disorder with AgoraphobiaVSo
 
anxiety disordejdjdhdhdhdhdhdhdhddr.pptx
anxiety disordejdjdhdhdhdhdhdhdhddr.pptxanxiety disordejdjdhdhdhdhdhdhdhddr.pptx
anxiety disordejdjdhdhdhdhdhdhdhddr.pptx
suhanimunjal27
 
Anxiety disorders and obsessive compulsive Disease
Anxiety disorders and obsessive compulsive DiseaseAnxiety disorders and obsessive compulsive Disease
Anxiety disorders and obsessive compulsive Disease
alyaqdhan
 
Anxiety disorders
Anxiety disorders Anxiety disorders
Anxiety disorders
mamtabisht10
 

Similar to Anxiety disorders (16)

TOPIC 4 DEFENSE MECHANISMS.pptx
TOPIC 4 DEFENSE MECHANISMS.pptxTOPIC 4 DEFENSE MECHANISMS.pptx
TOPIC 4 DEFENSE MECHANISMS.pptx
 
anxiety_disorders-8.ppt
anxiety_disorders-8.pptanxiety_disorders-8.ppt
anxiety_disorders-8.ppt
 
ANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESS
ANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESSANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESS
ANXIETY DISORDER IS A FEELING OF FEAR,DREAD,AND UNEASINESS
 
Anxiety Mini Med
Anxiety Mini MedAnxiety Mini Med
Anxiety Mini Med
 
Organic Brain Syndromes
Organic Brain SyndromesOrganic Brain Syndromes
Organic Brain Syndromes
 
FCA 0911 - Psych
FCA 0911 - PsychFCA 0911 - Psych
FCA 0911 - Psych
 
Anxiety disorders include disorders that share features of excessi.docx
Anxiety disorders include disorders that share features of excessi.docxAnxiety disorders include disorders that share features of excessi.docx
Anxiety disorders include disorders that share features of excessi.docx
 
Anxiety disorders
Anxiety disordersAnxiety disorders
Anxiety disorders
 
Chapter 13 Lecture Disco 4e
Chapter 13 Lecture Disco 4eChapter 13 Lecture Disco 4e
Chapter 13 Lecture Disco 4e
 
SA 202 Week 6 lecture 1 anxiety disorders
SA 202 Week 6 lecture 1 anxiety disordersSA 202 Week 6 lecture 1 anxiety disorders
SA 202 Week 6 lecture 1 anxiety disorders
 
Anxiety pptt
Anxiety ppttAnxiety pptt
Anxiety pptt
 
anxietydisordersandocd-140526085850-phpapp01 (1).pdf
anxietydisordersandocd-140526085850-phpapp01 (1).pdfanxietydisordersandocd-140526085850-phpapp01 (1).pdf
anxietydisordersandocd-140526085850-phpapp01 (1).pdf
 
Panic Disorder with Agoraphobia
Panic Disorder with AgoraphobiaPanic Disorder with Agoraphobia
Panic Disorder with Agoraphobia
 
anxiety disordejdjdhdhdhdhdhdhdhddr.pptx
anxiety disordejdjdhdhdhdhdhdhdhddr.pptxanxiety disordejdjdhdhdhdhdhdhdhddr.pptx
anxiety disordejdjdhdhdhdhdhdhdhddr.pptx
 
Anxiety disorders and obsessive compulsive Disease
Anxiety disorders and obsessive compulsive DiseaseAnxiety disorders and obsessive compulsive Disease
Anxiety disorders and obsessive compulsive Disease
 
Anxiety disorders
Anxiety disorders Anxiety disorders
Anxiety disorders
 

More from Zahiruddin Othman

Psychodynamic Theory
Psychodynamic TheoryPsychodynamic Theory
Psychodynamic Theory
Zahiruddin Othman
 
Depression & Brain Tumors
Depression & Brain TumorsDepression & Brain Tumors
Depression & Brain Tumors
Zahiruddin Othman
 
OCD vs. OCPD
OCD vs. OCPDOCD vs. OCPD
OCD vs. OCPD
Zahiruddin Othman
 
Antidepressants & anxiolytics
Antidepressants & anxiolyticsAntidepressants & anxiolytics
Antidepressants & anxiolytics
Zahiruddin Othman
 
Neuropsychiatric Manifestations of Huntington Disease (2021)
Neuropsychiatric Manifestations of Huntington Disease (2021)Neuropsychiatric Manifestations of Huntington Disease (2021)
Neuropsychiatric Manifestations of Huntington Disease (2021)
Zahiruddin Othman
 
Mental illness & crime 2020
Mental illness & crime 2020Mental illness & crime 2020
Mental illness & crime 2020
Zahiruddin Othman
 
Kesejahteraan Emosi di Tempat Kerja [2020]
Kesejahteraan Emosi di Tempat Kerja [2020]Kesejahteraan Emosi di Tempat Kerja [2020]
Kesejahteraan Emosi di Tempat Kerja [2020]
Zahiruddin Othman
 
Somatic Symptom and Related Disorders [2020]
Somatic Symptom and Related Disorders [2020]Somatic Symptom and Related Disorders [2020]
Somatic Symptom and Related Disorders [2020]
Zahiruddin Othman
 
Neurocognitive Disorders [2020]
Neurocognitive Disorders [2020]Neurocognitive Disorders [2020]
Neurocognitive Disorders [2020]
Zahiruddin Othman
 
Introduction to psychology II (2019)
Introduction to psychology II (2019)Introduction to psychology II (2019)
Introduction to psychology II (2019)
Zahiruddin Othman
 
Penyakit Berjangkit & Tidak Berjangkit
Penyakit Berjangkit & Tidak BerjangkitPenyakit Berjangkit & Tidak Berjangkit
Penyakit Berjangkit & Tidak Berjangkit
Zahiruddin Othman
 
Cognitive therapy
Cognitive therapyCognitive therapy
Cognitive therapy
Zahiruddin Othman
 
Non-delusional Morbid Jealousy [2019]
Non-delusional Morbid Jealousy [2019]Non-delusional Morbid Jealousy [2019]
Non-delusional Morbid Jealousy [2019]
Zahiruddin Othman
 
Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...
Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...
Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...
Zahiruddin Othman
 
Trichotillomania Comorbid with Schizophrenia
Trichotillomania Comorbid with SchizophreniaTrichotillomania Comorbid with Schizophrenia
Trichotillomania Comorbid with Schizophrenia
Zahiruddin Othman
 
Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...
Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...
Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...
Zahiruddin Othman
 
Isolated Cerebellar Stroke Masquerades as Depression
Isolated Cerebellar Stroke Masquerades as DepressionIsolated Cerebellar Stroke Masquerades as Depression
Isolated Cerebellar Stroke Masquerades as Depression
Zahiruddin Othman
 
Antidepressants & Anxiolytics
Antidepressants & AnxiolyticsAntidepressants & Anxiolytics
Antidepressants & Anxiolytics
Zahiruddin Othman
 
GCN512 behavioral disorders
GCN512 behavioral disordersGCN512 behavioral disorders
GCN512 behavioral disorders
Zahiruddin Othman
 
GCN512 dementia
GCN512 dementiaGCN512 dementia
GCN512 dementia
Zahiruddin Othman
 

More from Zahiruddin Othman (20)

Psychodynamic Theory
Psychodynamic TheoryPsychodynamic Theory
Psychodynamic Theory
 
Depression & Brain Tumors
Depression & Brain TumorsDepression & Brain Tumors
Depression & Brain Tumors
 
OCD vs. OCPD
OCD vs. OCPDOCD vs. OCPD
OCD vs. OCPD
 
Antidepressants & anxiolytics
Antidepressants & anxiolyticsAntidepressants & anxiolytics
Antidepressants & anxiolytics
 
Neuropsychiatric Manifestations of Huntington Disease (2021)
Neuropsychiatric Manifestations of Huntington Disease (2021)Neuropsychiatric Manifestations of Huntington Disease (2021)
Neuropsychiatric Manifestations of Huntington Disease (2021)
 
Mental illness & crime 2020
Mental illness & crime 2020Mental illness & crime 2020
Mental illness & crime 2020
 
Kesejahteraan Emosi di Tempat Kerja [2020]
Kesejahteraan Emosi di Tempat Kerja [2020]Kesejahteraan Emosi di Tempat Kerja [2020]
Kesejahteraan Emosi di Tempat Kerja [2020]
 
Somatic Symptom and Related Disorders [2020]
Somatic Symptom and Related Disorders [2020]Somatic Symptom and Related Disorders [2020]
Somatic Symptom and Related Disorders [2020]
 
Neurocognitive Disorders [2020]
Neurocognitive Disorders [2020]Neurocognitive Disorders [2020]
Neurocognitive Disorders [2020]
 
Introduction to psychology II (2019)
Introduction to psychology II (2019)Introduction to psychology II (2019)
Introduction to psychology II (2019)
 
Penyakit Berjangkit & Tidak Berjangkit
Penyakit Berjangkit & Tidak BerjangkitPenyakit Berjangkit & Tidak Berjangkit
Penyakit Berjangkit & Tidak Berjangkit
 
Cognitive therapy
Cognitive therapyCognitive therapy
Cognitive therapy
 
Non-delusional Morbid Jealousy [2019]
Non-delusional Morbid Jealousy [2019]Non-delusional Morbid Jealousy [2019]
Non-delusional Morbid Jealousy [2019]
 
Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...
Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...
Maintenance Electroconvulsive Therapy Augmentation on Clozapine-Resistant Psy...
 
Trichotillomania Comorbid with Schizophrenia
Trichotillomania Comorbid with SchizophreniaTrichotillomania Comorbid with Schizophrenia
Trichotillomania Comorbid with Schizophrenia
 
Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...
Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...
Combined Aripiprazole and Electroconvulsive Therapy in a Patient with Treatme...
 
Isolated Cerebellar Stroke Masquerades as Depression
Isolated Cerebellar Stroke Masquerades as DepressionIsolated Cerebellar Stroke Masquerades as Depression
Isolated Cerebellar Stroke Masquerades as Depression
 
Antidepressants & Anxiolytics
Antidepressants & AnxiolyticsAntidepressants & Anxiolytics
Antidepressants & Anxiolytics
 
GCN512 behavioral disorders
GCN512 behavioral disordersGCN512 behavioral disorders
GCN512 behavioral disorders
 
GCN512 dementia
GCN512 dementiaGCN512 dementia
GCN512 dementia
 

Recently uploaded

Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat EuropeLight House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
Lighthouse Retreat
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptxSURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
Bright Chipili
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
SwastikAyurveda
 
Pharma Pcd Franchise in Jharkhand - Yodley Lifesciences
Pharma Pcd Franchise in Jharkhand - Yodley LifesciencesPharma Pcd Franchise in Jharkhand - Yodley Lifesciences
Pharma Pcd Franchise in Jharkhand - Yodley Lifesciences
Yodley Lifesciences
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Oleg Kshivets
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAdv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
AkankshaAshtankar
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
addon Scans
 
Vision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of opticsVision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of optics
Sai Sailesh Kumar Goothy
 
Effective-Soaps-for-Fungal-Skin-Infections.pptx
Effective-Soaps-for-Fungal-Skin-Infections.pptxEffective-Soaps-for-Fungal-Skin-Infections.pptx
Effective-Soaps-for-Fungal-Skin-Infections.pptx
SwisschemDerma
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
ShashankRoodkee
 

Recently uploaded (20)

Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat EuropeLight House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptxSURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
 
Pharma Pcd Franchise in Jharkhand - Yodley Lifesciences
Pharma Pcd Franchise in Jharkhand - Yodley LifesciencesPharma Pcd Franchise in Jharkhand - Yodley Lifesciences
Pharma Pcd Franchise in Jharkhand - Yodley Lifesciences
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAdv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
 
Vision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of opticsVision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of optics
 
Effective-Soaps-for-Fungal-Skin-Infections.pptx
Effective-Soaps-for-Fungal-Skin-Infections.pptxEffective-Soaps-for-Fungal-Skin-Infections.pptx
Effective-Soaps-for-Fungal-Skin-Infections.pptx
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
 

Anxiety disorders

  • 1. Anxiety Disorders Dr Zahiruddin Othman Department of Psychiatry School of Medical Sciences University Science Malaysia 14th July 2002
  • 2. Anxiety, Fear, and Panic Attack Anxiety  Negative affect  Somatic symptom of tension  Future-oriented  Feeling that one cannot predict or control upcoming events Fear  Negative affect  Strong sympathetic NS arousal  Immediate alarm reaction characterized by strong escapist tendencies in response to present danger or life threatening emergencies Panic attack  Fear occurring at an inappropriate time  3 types  Situationally bound (cued)  Unexpected (uncued)  Situationally predisposed
  • 3. Biological Vulnerability To experience anxiety Stress Due to negative life events Anxious Apprehension Psychological vulnerability Worry Process Focus on variety of Minor life circumstances Intense cognitive processing Avoidance of imagery Restricted autonomic response Modified by lack of problem-solving skills Generalized Anxiety Disorder AnintegrativemodelofGAD
  • 4. Typical Situations Avoided by a Person With Agoraphobia  Shopping malls  Cars  Buses  Trains  Subways  Wide streets  Tunnels  Restaurants  Theaters  Being far from home  Staying at home alone  Waiting in line  Supermarkets  Stores  Crowd  Planes  Elevators  Escalators
  • 5. Interoceptive Daily Activities Typically Avoided by People With Agoraphobia  Running up flights of stairs  Walking outside in intense heat  Hot, stuffy rooms  Hot, stuffy cars  Hot, stuffy stores or shopping malls  Walking outside in a very cold weather  Aerobic  Lifting heavy objects  Dancing  Sexual relations  Watching horror movies  Eating heavy meals  Standing quickly from a sitting position  Having a sauna  Getting angry  Getting involved in “heated” debate  Sports
  • 6. Biological Vulnerability To anxiety Stress Due to significant life events False Alarm Associated with interoceptive cues e.g., pounding heart and dizziness Learned Alarm Psychological Vulnerability Anxious apprehension focusing on future alarm Involuntary physical or cognitive Symptoms of anxiety and additional Physical cues trigger learned alarms In an unpredictable manner Possible development of “agoraphobic” avoidance Determined by cultural, social, and Environmental factors and moderated by Presence of or absence of safety signals Amodelofthecausesofpanicdisorderwithor withoutagoraphobia
  • 7. Biological Vulnerability To anxiety Stress Direct Experience Vicarious Experience Misinformation True Alarm Learned Alarm Anxious Apprehension Psychological vulnerability False Alarm Associated with specific Prepotent / prepared situation False Alarm Anxious Apprehension Psychological vulnerability Specific phobia