Understanding anxiety

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  • 06/01/12 Good Morning share some quixk sttistics with you as we prepare for todays class on Understanding Anxiety STATISTICS With such significant statistics out there about anxiety, it is highly lilkely tht ayou have had a personal experiecne with it – or you know someone who has. So before we go any furhter – let’s startw with what you know. Call roll and as “tell me something that you know about anxiety” Thanks - You all have gotten us off to a great to start.
  • 06/01/12 Anxiety disorders are the most common mental illness in the US affectingadults in the United States age 18 and older.
  • 06/01/12 People with an anxiety disorder are three to five times more likely to go to the doctor repeatedly for relief from symptoms that mimic physical illnesses
  • 06/01/12 To further our understanding of anxiety lets look at the following objectives: This is what we are going to be focusing on today.
  • 06/01/12 You all have share your personal experiences and knowledge about anxiety. But what exactly is it?
  • 06/01/12 It changes the way that a person thinks, feels and acts. It can seriously affect your work, personal life, and the lives of others.
  • 06/01/12 Here is the definition of anxiety feeling of worry:  nervousness or agitation, often about something that is going to happen psychiatry  extreme apprehension:  a medical condition marked by intense apprehension or fear of real or imagined danger It is important to distinguish between anxiety as a feeling or experience, and an anxiety disorder as a psychiatric diagnosis. A person may feel anxious without having an anxiety disorder. In addition, a person facing a clear and present danger or a realistic fear is not usually considered to be in a state of anxiety. In addition, anxiety frequently occurs as a symptom in other categories of psychiatric disturbance. Anxiety is a feeling of apprehension or fear. The source of this uneasiness is not always known or recognized, which can add to the distress you feel. Anxiety disorders are a group of psychiatric conditions that involve excessive anxiety.
  • 06/01/12 Anxiety Facts Anxiety is highly treatable (up to 90% of cases), but only one-third of those who suffer from it receive treatment Depression often accompanies anxiety disorders
  • 06/01/12 Deal or no deal…
  • 06/01/12 Compulsions are repetitive behaviors or rituals performed by the OCD sufferer, performance of these rituals neutralize the anxiety caused by obsessive thoughts, relief is only temporary. Cleaning . Repeatedly washing their hands, showering, or constantly cleaning their home; Checking . Individuals may check several or even hundreds of times to make sure that stoves are turned off and doors are locked; Repeating . Some repeat a name, phrase or action over and over;
  • 06/01/12 Exposure to traumas such as a serious accident, a natural disaster, or criminal assault can result in PTSD. When the aftermath of a traumatic experience interferes with normal functioning, the person may be suffering from PTSD.
  • 06/01/12 Reexperiencing the event, which can take the form of intrusive thoughts and recollections, or recurrent dreams; Avoidance behavior in which the sufferer avoids activities, situations, people,and/or conversations which he/she associates with the trauma; A general numbness and loss of interest in surroundings; Hypersensitivity, including: inability to sleep, anxious feelings, overactive startle response, hypervigilance, irritability and outbursts of anger.
  • 06/01/12 The abrupt onset of an episode of intense fear or discomfort, which peaks in approximately 10 minutes, and includes at least four of the following symptoms:
  • 06/01/12 Good Morning share some quixk sttistics with you as we prepare for todays class on Understanding Anxiety STATISTICS With such significant statistics out there about anxiety, it is highly lilkely tht ayou have had a personal experiecne with it – or you know someone who has. So before we go any furhter – let’s startw with what you know. Call roll and as “tell me something that you know about anxiety” Thanks - You all have gotten us off to a great to start.
  • Understanding anxiety

    1. 1. UnderstandingAnxiety Nicole Hall Wilkins MS, LPC Training Director Pitt County Government
    2. 2. Anxietyaffects 40millionadults
    3. 3. Three to five times more likely…to go to the doctor repeatedly for symptoms mimicking physical illness
    4. 4. Course Objectives• Review the signs and symptoms of anxiety• Identify various anxiety disorders• Understand the impact that anxiety can have on daily life• Identify various methods for treatment and self help
    5. 5. WHAT ISANXIETY ?
    6. 6. Anxiety is a medicalcondition that affects aperson’s mood, thoughts, behaviors, & body.
    7. 7. WORRYNervousness FEARApprehension AGITATION
    8. 8. Anxiety is a feeling of apprehension or fear. The source of this uneasiness is not always known or recognized, which can add to the distress you feel
    9. 9. Anxiety is Pathological if: So intense become incapable of speech, movement or thought Occurs so frequently & unpredictably in an attack-like manner Persists over extended periods of time (chronic) Leads to avoidance behavior, ritualistic behaviors, always feel uptight
    10. 10. Highly Treatablebut only one-thirdof those who sufferfrom it receivetreatmentDepressionoften accompaniesanxiety disorders
    11. 11. DIAGNOSING ANXIETY A thorough medical and psychiatric history A complete psychiatric evaluation which includes a review of your symptoms, current life stresses, treatment history, personal and family history, a risk assessment and a thorough examination of your thoughts and feelings.
    12. 12. Contributors/Causes of AnxietyStressLife ExperiencesBrain ChemistryPersonalityPhysical Illness
    13. 13. Additional Contributing FactorsHeredityPersonalitySituationsMedical ConditionsMedicationsSubstance Abuse
    14. 14. Types of AnxietyDisordersGeneralized Anxiety DisorderPanic DisorderPhobiasObsessive Compulsive Disorders (OCD)Post Traumatic Stress Disorder (PTSD_
    15. 15. Generalized Anxiety Disorder• Excessive uncontrollable worry about everyday things. This constant worry affects daily functioning and can cause physical symptoms.• GAD can occur with other anxiety disorders, depressive disorders, or substance abuse.
    16. 16. Generalized Anxiety Disorder• The focus of GAD worry can shift, usually focusing on issues like job, finances, health of both self and family; but it can also include more mundane issues such as, chores, car repairs and being late for appointments.• The intensity, duration and frequency of the worry are disproportionate to the issue
    17. 17. Generalized Anxiety Disorder• Excessive anxiety or worry• Restlessness or keyed up• Easily fatigued, insomnia• Difficult concentrating, blank mind• Irritability, muscle tension• Complications: alcohol or drug abuse• Co-morbidity is the rule
    18. 18. Obsessive-Compulsive Disorder uncontrollable Characterized by obsessions and compulsions which the sufferer usually recognizes as being excessive or unreasonable.
    19. 19. Recurrent thoughts or impulsesIntrusive or inappropriate thoughts Thoughts about contamination, for example, when an individual fears coming into contact with dirt, germs or "unclean" objects; Persistent doubts, for example, whether or not one has turned off the iron or stove, locked the door or turned on the answering machine; Extreme need for orderliness;
    20. 20. OCD Example - Compulsions • Checking • Cleaning, washing • Doing things in a certain order • Doing things a certain number of times • Need for symmetry
    21. 21. OCD Example - Obsessions• Repeated Doubts (did I turn off the stove? Did I lock the door?)• Worries about becoming dirty or contaminated• Fears that you may injure someone• Magical thinking (If I step on a crack……)
    22. 22. Obsessive-Compulsive Disorder Repetitive behaviors or rituals Cleaning Checking Repeating Hoarding Slowness
    23. 23. Obsessive-Compulsive Disorder In order for OCD to be diagnosed, the obsessions and/or compulsions must take up a considerable amount of the sufferers time, at least one hour every day, and interfere with normal routines .• http://www.youtube.com/watch?v =dSZNnz9SM4g
    24. 24. Post-Traumatic Stress Disorder Trauma Accident Natural Disaster Criminal Assault War
    25. 25. PTSD SymptomsThreatened/witnessed death or serious injuryResponse of intense fear, helplessness, horrorNumbing & avoidance of stimuli associated with the eventEvent persistently reexperiencedPersistent symptoms of increased arousalPTSD is a normal responsehttp://www.youtube.com/watch?v=E6mrHPyie0g
    26. 26. Social Phobia/Anxiety• Fear of social or performance situations where you are exposed to scrutiny by others• Fear of behaving in a humiliating or embarrassing manner• In extreme cases this intense uneasiness can progress into a full blown panic attack.
    27. 27. SocialPhobia/Anxiety• Common anxiety provoking social situations include: – public speaking – talking with people in authority – dating and developing close relationships – making a phone call or answering the phone – interviewing – attending and participating in class – speaking with strangers – meeting new people – eating, drinking, or writing in public – using public bathrooms – driving – shopping
    28. 28. Panic Disorder
    29. 29. Panic Disorder The abrupt onset of an episode of intense fear or discomfort, which peaks in approximately 10 minutes, and includes at least four of the following symptoms: • A feeling of imminent danger or doom • The need to escape • Palpitations • Sweating • Trembling • Shortness of breath or a smothering • feeling • A feeling of choking • Chest pain or discomfort
    30. 30. Symptoms – PanicA feeling of imminent danger or doomThe need to escapePalpitationsSweatingTremblingShortness of breath or a smotheringfeelingA feeling of chokingChest pain or discomfort
    31. 31. Types of Panic Attacks Unexpected - the attack "comes out of the blue" without warning and for no discernable reason. Situational - situations in which an individual always has an attack, for example, upon entering a tunnel. Situationally Predisposed - situations in which an individual is likely to have a Panic Attack, but does not always have one. An example of this would be an individual who sometimes has attacks while driving.• http://www.youtube.com/watch?v=eQgxdrPb3DM
    32. 32. Role of Medication Different meds work for different people Never stop taking medication suddenly Length of time a person stays on meds varies widely Feeling better doesn’t necessarily mean you should stop taking the medication
    33. 33. Self HelpLaugh: be able to laugh at yourself and withothers; increases endorphin levels anddecreases stress hormonesExerciseLet go of frustrations – Practice RelaxationDo not judge self harshly: don’t expect morefrom yourself than you do othersAccept your faults – Tame the inner critic
    34. 34. Specific Disorder Facts• Generalized Anxiety Disorder – Women are twice as likely to be afflicted than men. – Very likely to exist along with other disorders.• Obsessive Compulsive Disorder – It is equally common among men and women. – One third of afflicted adults had their first symptoms in childhood.• Panic Disorder – Women are twice as likely to be afflicted than men. – Occurs with major depression in very high rates. 2003 Anxiety Disorders Association of America
    35. 35. Specific Disorder Facts• Posttraumatic Stress Disorder – Women are more likely to be afflicted than men. – Rape is the most likely trigger of PTSD, 65% of men and 45.9% of women who are raped will develop the disorder. – Childhood sexual abuse is a strong predictor of lifetime likelihood for developing PTSD.• Social Anxiety Disorder – It is equally common among men and women.• Specific Phobia affects – Women are twice as likely to be afflicted as men 2003 Anxiety Disorders Association of America
    36. 36. Summary and Conclusion• Anxiety Disorders are very common• The symptoms can be quite disabling Fairly easy to diagnosis• Good treatment outcomes
    37. 37. What type of anxiety disorder is said to be the most difficultto diagnose?1. Obsessive-compulsive disorder2. Agoraphobia3. Specific phobias4. Generalized anxiety disorder Correct answer: Generalized anxiety disorder Generalized anxiety disorder is the most difficult to diagnose, since it often lacks objective symptoms.
    38. 38. What condition is usually caused by some shocking lifeexperience?1. Obsessive-compulsive disorder2. Post-traumatic stress disorder3. Specific phobias4. Depression Correct answer: Post-traumatic stress disorder Post-traumatic stress disorder most often targets a person, who lived through a terrifying event, witnessed something dangerous and was shocked by it.
    39. 39. What brings a relief to a person suffering from obsessive-compulsive disorder?1. Performing certain rituals2. Being in crowded places3. Being alone4. Falling asleep Correct answer: Performing certain rituals A person, suffering from obsessive-compulsive disorder, has disturbing thoughts or images (called obsessions) and performs certain rituals (compulsions) in order to get rid of those obsessions.
    40. 40. What is a specific feature of panic disorder1. Suffering from episodes of very intense fear2. Experiencing short periods of anxiety3. Having panic attacks4. All the statements are true Correct answer: All the statements are true Panic disorder specific feature is that the illness manifests itself through the strong usually short (10 minutes) episodes of uncontrollable terror, called panic attacks, which can happen any time, even during the sleep.
    41. 41. What disorder tends to develop in the childhood?1. Agoraphobia2. Post-traumatic Stress disorder3. Obsessive-compulsive disorder4. Panic Disorder Correct answer: Obsessive-compulsive disorder Obsessive-compulsive disorder is the condition which tends to develop during childhood.
    42. 42. What causes anxiety disorders?1. Genetic predisposition2. Lifestyle3. Life experience4. All of the above mentioned Correct answer: All of the above mentioned There is not just one cause for the development of mental disorders; common or possible reasons are genetic predisposition; peculiarities of lifestyle, such as the use of stimulants and narcotics; life events, and stress.
    43. 43. Do mental disorders provoke physical symptoms?1. Yes, a person may sweat, tremble, have rapid heartbeatand feel dizzy or disoriented.2. No, the mental illnesses have only psychological signsand symptoms.Correct answer: Yes, a person may sweat, tremble, have rapid heartbeat and feel dizzy or disoriented. There are multiple physical symptoms caused by anxiety disorders: sweating, trembling, heart palpitations, dizziness, disorientation, high blood pressure, feelings of numbness or choking, etc.
    44. 44. What type of anxiety disorders is characterized by the fearof certain things (insects, animals, blood, height, etc.)?1. Social phobia2. Agoraphobia3. Specific phobias4. None of the above mentioned Correct answer: Specific PhobiaSpecific phobias are irrational intense fears of something that is actually of little or no danger at all (a fear of height, insects, blood, etc). The most common disorder is phobia of particular types of animals or insects.
    45. 45. Choose the correct statement:1. A person, suffering from anxiety disorder, never actuallyrealizes they are ill.2. Anxiety disorders specific sign is that a sufferer is alwaysaware of his/her illness.3. Realizing and understanding a problem by an anxietysufferer is an individual matter: some know they needprofessional help, others deny their sickness. Correct answer: Realizing and understanding a problem by an anxiety sufferer is an individual matter: some know they need professional help, others deny their sickness. Realizing the illness differs from person to person, since it depends on the type of the anxiety disorder, its severity, duration, and accompanying aggravating conditions.
    46. 46. Choose the correct statement:1. Many anxiety disorder sufferers go untreated2. Anxiety disorders are untreatable conditions3. Children never suffer from anxiety disorders4. Anxiety disorder sufferers always require hospitalization Correct answer: Many anxiety disorder suffers go untreated. The truth is that millions of people suffer from anxiety disorders, but go untreated due to different reasons, thus aggravating their condition.
    47. 47. The main cause of post-traumatic stress disorder is:1. A dreadful experience2. A personality disorder3. Depression4. An obsession Correct answer: A dreadful experience.
    48. 48. When was post-traumatic stress disorder observed for thefirst time?1. During World War II2. During Vietnam War3. During Gulf War4. During World War I Correct Answer: During World War I
    49. 49. What anxiety disorders cause continuous flashbacks?1. Generalized anxiety disorders and acute stress disorder2. Panic disorder with agoraphobia3. Social phobia and specific phobia4. Post-traumatic stress disorder and acute stress disorderCorrect answer: Post-traumatic stress disorder and acute stress disorder.
    50. 50. Which ones of the following anxiety disorders do notproduce avoidance?1. Phobias, panic disorders, acute stress disorder2. Agoraphobia, obsessive-compulsive disorder3. Obsessive-compulsive disorder, generalized anxietydisorder4. Generalized anxiety disorder, phobias Correct answer: Obsessive-compulsive disorder, generalized anxiety disorder
    51. 51. What is anxiety?1. A mental disorder2. A natural reaction of our body3. A physical problem4. An unmotivated fear Correct answer: A natural reaction of our body.
    52. 52. What type of function does anxiety perform?1. It prepares the body for a reaction2. It keeps dangers away3. It produces damage to the mind4. It has no function Correct answer: It prepares the body for a reaction.
    53. 53. Anxiety is:1. Abnormal2. Harmful3. Physiological4. Wrong Correct answer: Physiological
    54. 54. Which one of the following is not an anxiety disorder?1. Agoraphobia2. Social phobia3. Obsessive-compulsive disorder4. Anorexia nervosa Correct answer: Anorexia nervosa
    55. 55. Separation anxiety is a reaction that usually shows in:1. Elderly people2. Adult people3. Children4. Animals Correct answer: Children
    56. 56. One of the following symptoms does not show in anxietydisorders. Which one?1. Nausea2. Sweating3. Depersonalization4. Hallucinations Correct answer: Hallucinations
    57. 57. How long does a panic attack usually last?1. 30 seconds2. Some minutes3. Some hours4. A whole day Correct answer: Some minutes
    58. 58. What’s a phobia?1. A strong fear of making mistakes2. The fear of social situations3. The fear of animals4. An uncontrolled fear of things, people or specific situations Correct answer: An uncontrolled fear of things, people or specific situations
    59. 59. A compulsion is:1. A nervous tic2. A recurring thought3. A fixation4. A repetitive behavior or a mental action Correct answer: A repetitive behavior or a mental action
    60. 60. Questions? Nicole Hall Wilkins MS, LPC Training Director Pitt County Government

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