ch5anxiety3
DESCRIPTION
Chapter 5 anxiety correctedTRANSCRIPT
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Features and Epidemiology
Causes and Prevention
Assessment and Treatment
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Physical symptoms
• Thoughts
• Behaviors
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Uncued panic attacks– AND:– Worry about panic attacks– Change in behavior
• With or without agoraphobia
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Click to see example video:
– panic disorder video part 1
– (will open in separate tab)
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
Significant interference with daily living or functioning or marked distress about
having the disorder
Marked and persistent fear of social or performance situations and fear of acting
in a way that causes personal humiliation or embarrassment
Exposure to the feared social situation causes anxiety that may come in the form
of a situationally bound or predisposed panic attack
Recognition that the fear is excessive or unreasonable
Feared social or performance situations are avoided or endured with intense anxiety
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Intense fear
• Avoidance
• Impairment of
functioning
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
Muscle Tension
Sleep Disturbance
Restlessness
Easily Fatigued
Trouble Concentrating
Irritability
Extreme, persistent, uncontrollable worry, plus:
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Obsessions
AND/OR
• Compulsions
Last more than one hour per day
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Re-experiencing
• Avoidance and/or detachment
• Physical arousal
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
Prevalence Rate
0 5 10 15 20 25 30
Any Anxiety Disorder28.8
18.1
Generalized Anxiety Disorder5.7
3.1
12.5
8.7Specific Phobia
Agoraphobia without Panic.8
1.4
Panic Disorder2.7
4.7
Lifetime prevalence
rate
12-month prevalence
rate
Social Anxiety Disorder12.1
6.8
Post-Traumatic Stress Disorder6.8
3.5
Separation Anxiety Disorder.9
5.2
Obsessive-Compulsive Disorder1.6
1.0
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
Amygdala
Prefrontal cortex Basal ganglia
Caudate nucleus
Thalamus
Anterior cingulate
Bed nucleus of stria
terminalis
Septal-hippocampal system
Locus coeruleus
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
Biological vulnerabilities/early predispositions: (Genetic contributions,
brain and neurochemical changes, behavioral inhibition
Early problematic interactions with anxious parents: (Poor attachment, social and play isolation, parental withdrawal of child from
social activities)
Difficulties in elementary school: (Modeling of avoidance, poor development of social and coping skills, failure to master social and evaluative
anxiety/sense
of lack of control)
Difficulties in middle and high school: (Trouble making friendships or cooperating
in team projects, social rejection, increased anxiety in social and evaluative situations, increased social avoidance and isolation, excessive
worry about future social and evaluative situations)
Possible social anxiety disorder
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
Benzodiazepines
Antidepressants
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
Examining the Evidence
Hypothesis Testing
Decatastophizing
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Systematic desensitization
• Flooding
• Interoceptive exposure
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment
• Click for video case study of treatment for panic disorder:
• panic disorder video part 2
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Features and
Epidemiology
Causes and
Prevention
Assessment and
Treatment