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Lesson 11 & 12:

                           Applying a Biopsychosocial
                                 Framework to
                               Anxiety Disorder




Monday, 3 September 2012
No exam question because just had SAC :)




Monday, 3 September 2012
WHAT ARE
                    YOU SCARED
                      OF .....

Monday, 3 September 2012
Snakes


                                 Spiders




                                  Heights



                           Small places

Monday, 3 September 2012
Generalised
                                Anxiety Disorder

                       Axis I   Phobic Disorder

 Anxiety Disorders
        Feelings of extreme
                                 Panic Disorder
        apprehension, fear,
         stress and unease      Obsessive-Compulsive
                                      Disorder


                                 Post Traumatic
                                 Stress Disorder


Monday, 3 September 2012
We will be focusing on Simple Phobia
                   for our studies


              Simple Phobia - also known as
             specific phobia is the fear of a
           single specific object or event that
                triggers a panic response




Monday, 3 September 2012
Woman with a Chicken Phobia




Monday, 3 September 2012
Man with peaches phobia




Monday, 3 September 2012
Agoraphobia




Monday, 3 September 2012
Age of Onset


                    Generally develop in
                       childhood and
                    eventually disappear

Monday, 3 September 2012
Applying Biopsychosocial Model to
                           Anxiety


                           Biological



                              Psychological



                               Social

Monday, 3 September 2012
Biological Factors
                                     Stress Response:
              Amygdala:
                                    Fear elicits a strong
     Critical role in
                                   stress response (flight
     anxiety and fear
                                          or fight)

   Gamma-Amino Butyric Acid (GABA): GABA
  reduces feelings of anxiety. Low level GABA
      levels -> higher levels of anxiety.

            Genetic Predisposition: Amygdala,
     neurotransmitters and stress response can
     be inherited leading to predisposition to
                      phobias
Monday, 3 September 2012
Biological Treatments

             Involve medications -
             particularly targeting
                      GABA


Monday, 3 September 2012
Neurotransmitter - GABA




Monday, 3 September 2012
GABA in ACTION




Monday, 3 September 2012
Valium - GABA targeted




Monday, 3 September 2012
Psychological Factors

             Perceptual                    Behavioural
         Phobias unresolved               Phobias are a
        conflicts linked with               result of
         oedipal and electra              environmental
         complexes in phalic             factors through
        stage of personality              classical and
         development (Freud)                 operant
                                          conditioning

                         Cognitive
        Phobias based on our thought processes and
                         feelings

Monday, 3 September 2012
Psychological Treatments
    Unconscious (hypnosis)                    Classical & Operant
    - uncovering what the                        Conditioning
    ‘symbols’ really mean                     - pairing positive
                                           experiences with stimuli
      Cognitive Behavioural                 to extinguish the fear
             Therapy
     - As like classical and                      Flooding
    operant, but with thought              Exposure for prolonged
            processes                    periods to anxiety causing
                                                   stimuli
                             Systematic Desensitisation
                     - Counter conditioning (reverse classical
                      conditioning) which weakens association
                     between the CS and CS by slowing exposing
                              person to feared stimuli
Monday, 3 September 2012
Social Factors



                              Observational learning
                           - parent fears = child fears



           Cultural factors
  - Non religious people fear death,
however those that believe in heaven do
                  not

Monday, 3 September 2012
Social Treatments


              Linked closely with psychological
                         treatments

          Focus on questioning thinking about
                        stimuli

                           Counter-conditioning




Monday, 3 September 2012
Best to use aspects from all areas!!!!




           BioPsychoSocial


Monday, 3 September 2012
Essential Learning Activities

                              Activity 1: 
   Create a Triple Bubble Concept Map of the Biopsychosocial Model of
                                Anxiety


                             Activity 2:
 Construct a mind map that describes the psychotherapies for simple
phobia (CBT, Systematic Desensitisation & Flooding) include strengths
                   and limitations of each method


                              Activity 3:
    Choose one of the simple phobias listed below. Using systematic
  desensitisation, outline the steps involved in the treatment of your
                                 phobia

                                i. spiders
                                ii. heights
                            iii. public places
Monday, 3 September 2012

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Lesson 11 and 12 applying a biopsychosocial framework to anxiety disorder

  • 1. Lesson 11 & 12: Applying a Biopsychosocial Framework to Anxiety Disorder Monday, 3 September 2012
  • 2. No exam question because just had SAC :) Monday, 3 September 2012
  • 3. WHAT ARE YOU SCARED OF ..... Monday, 3 September 2012
  • 4. Snakes Spiders Heights Small places Monday, 3 September 2012
  • 5. Generalised Anxiety Disorder Axis I Phobic Disorder Anxiety Disorders Feelings of extreme Panic Disorder apprehension, fear, stress and unease Obsessive-Compulsive Disorder Post Traumatic Stress Disorder Monday, 3 September 2012
  • 6. We will be focusing on Simple Phobia for our studies Simple Phobia - also known as specific phobia is the fear of a single specific object or event that triggers a panic response Monday, 3 September 2012
  • 7. Woman with a Chicken Phobia Monday, 3 September 2012
  • 8. Man with peaches phobia Monday, 3 September 2012
  • 10. Age of Onset Generally develop in childhood and eventually disappear Monday, 3 September 2012
  • 11. Applying Biopsychosocial Model to Anxiety Biological Psychological Social Monday, 3 September 2012
  • 12. Biological Factors Stress Response: Amygdala: Fear elicits a strong Critical role in stress response (flight anxiety and fear or fight) Gamma-Amino Butyric Acid (GABA): GABA reduces feelings of anxiety. Low level GABA levels -> higher levels of anxiety. Genetic Predisposition: Amygdala, neurotransmitters and stress response can be inherited leading to predisposition to phobias Monday, 3 September 2012
  • 13. Biological Treatments Involve medications - particularly targeting GABA Monday, 3 September 2012
  • 15. GABA in ACTION Monday, 3 September 2012
  • 16. Valium - GABA targeted Monday, 3 September 2012
  • 17. Psychological Factors Perceptual Behavioural Phobias unresolved Phobias are a conflicts linked with result of oedipal and electra environmental complexes in phalic factors through stage of personality classical and development (Freud) operant conditioning Cognitive Phobias based on our thought processes and feelings Monday, 3 September 2012
  • 18. Psychological Treatments Unconscious (hypnosis) Classical & Operant - uncovering what the Conditioning ‘symbols’ really mean - pairing positive experiences with stimuli Cognitive Behavioural to extinguish the fear Therapy - As like classical and Flooding operant, but with thought Exposure for prolonged processes periods to anxiety causing stimuli Systematic Desensitisation - Counter conditioning (reverse classical conditioning) which weakens association between the CS and CS by slowing exposing person to feared stimuli Monday, 3 September 2012
  • 19. Social Factors Observational learning - parent fears = child fears Cultural factors - Non religious people fear death, however those that believe in heaven do not Monday, 3 September 2012
  • 20. Social Treatments Linked closely with psychological treatments Focus on questioning thinking about stimuli Counter-conditioning Monday, 3 September 2012
  • 21. Best to use aspects from all areas!!!! BioPsychoSocial Monday, 3 September 2012
  • 22. Essential Learning Activities Activity 1:  Create a Triple Bubble Concept Map of the Biopsychosocial Model of Anxiety Activity 2: Construct a mind map that describes the psychotherapies for simple phobia (CBT, Systematic Desensitisation & Flooding) include strengths and limitations of each method Activity 3: Choose one of the simple phobias listed below. Using systematic desensitisation, outline the steps involved in the treatment of your phobia i. spiders ii. heights iii. public places Monday, 3 September 2012