Abnormal Psych Ch. 6 Anxiety Disorders

Patients with increase lactic acid are _____ ,... similar effects with caffeine

more prone to panic attacks

Overwhelming experience of terror that is very intense, has a sudden onset with no obvious trigger

panic attack

High levels of anxiety are associated with

pessimistic thoughts and feelings, poor concentration, poor performance, extreme self focus

Persistent irrational fear of an object or situation that leads to avoidance behaviors

phobia

Uncontrollable and excessive worry about several different events or activities that causes significant impairment in functioning.

Generalized anxiety disorder

Have been used for OCD and Panic disorders, Less likely to be addictive, unpleasant side effects non compliance

Tricyclic Antidepressants

_____ contains neurons that fire when monkeys are frightened, trigger norepinephrine lead to panic attacks

locus ceruleus

repetitive, intrusive thoughts, images or impulses that cause anxiety and have no obvious triggers

Obsession

Specific Phobia specifiers include:

1 Animal 2 Natural Environment 3 Blood - Injection Injury 4 Situational 5 Other

Psychological Factors contributing to anxiety include,.. Prior learning experiences

1 Classical Conditioning 2 Operant Conditiong 3 Observational Learning

For Generalized Anxiety disorder: Symptoms must last 6 months and include 3 of the following, 1 in children

1 Restlessness, feeling keyed up 2 Easily Fatigued 3 Difficulty Concentrating 4 Irritability 5 Muscle Tension 6 Sleep Disturbance

In OCD compulsions take up at least ______ per day, 1 year prevalence rate is _____%, Lifetime Prevalence rate is _____ %

1 hour, 1.2 2.3

Social factors contributing to anxiety disorder include

1. Poor relationships with parents as a kid 2. Parental Neglect/abuse 3. Maternal Prenatal Stress 4. Insecure attachment 5. Stressful Life events 6. Danger Violence 7. Relationship Problems

Generalized Anxiety Disorder has a 1 year prevalence rate of ______% and is ___ times more likely among females

3, 2

_______% with an anxiety disorder also meet the criteria for a second anxiety disorder or mood disorder

50

_____% with a mood disorder also have an anxiety disorder

60

Specific Phobia has a ____ year prevalence rate, _____ more common among females

9%, 3 times

Anxiety about being in situations where escape might be either difficult or embarrassing

Agoraphobia

Neural pathway for response to danger involves the

Amygdala

Anxiety drugs that act on serotonin transmission, not reactive with alcohol. Slow Acting

Azaprones

OCD patients exhibit high activity in several areas of the brain, including ?

Basal Ganglia Orbital prefrontal cortex Anterior Cingulate Cortex

Tranquilizers that reduce anxiety by binding to receptor sites associated with GABA, thus increasing GABA, Common ex xanax valium. Effective for all types except specific phobia and OCD. 40% exp withdrawal, reactive with alcohol. Fast Acting

Benzodiazepines

Repetitive behaviors or mental acts that the person feels driven to perform in response to obsession or according to rigidly applied rules.

Compulsion

______ behaviors are aimed at reducing anxiety/distress or preventing a dreaded event/situation but are unrealistic or obsessive

Compulsive

Provided first clinical descriptions of anxiety states, argued that all have a common underlying features, believed that anxiety is adaptive, biological impulses, learning, social experiences, and thoughts all contribute to anxiety disorders

Freud

Presence of Obsessions, Compulsions or both

OCD

______ is linked to a predisposition to anxiety in general

OCD

Name the disorder; Recurrent Panic Attacks, At least one attack followed by one month with concerns about future attacks or their consequences, or changes in behavior resulting from the attacks, 1 year prevalence rate 3%, 2x more common among females

Panic Disorder

Anxiety Disorders with Biological predispositions include

Panic Disorder, Generalized Anxiety Disorder, Social Phobia

Psych Factors contributing to anxiety.,, Cognitive factors

Perceived Lack of Control Heightened Sensitivity to threats Distorted Thoughts Misinterpretations

Drug of choice for anxiety, As effective as the other anxiety drugs with fewer side effects and fewer addictive properties, commonly used for GAD, Panic Disorder, Social Phobia and more, Best option for clients who have co morbid depression.. ex Prozac Zoloft Paxel

SSRI

Anxiety is linked to what brain chemicals?

Serotonin, GABA, & Dopamine

Intense fear or avoidance of social situations including social interactions, being observed, performing in front of others. Underlying issue is fear of embarrassment or rejection that could lead to social rejection or offending others

Social Anxiety Disorder

Intense fear of a specific object or situation that is excessive or unreasonable, object or situation always provokes immediate anxiety and is actively avoided or endured with intense fear

Specific Phobia

Anxiety disorders are typically ______, Only ______% ever seek treatment

chronic, 25

Repetitive behaviors or rituals used to reduce anxiety or depression

compulsion

Anxiety disorders can emerge at any age, but are less common among the ____. Those with anxiety disorders typically had it at younger ages

elderly

OCD is ________ among males and females, ______% of cases begin by age _____ , avg age of onset is _____

equally common 25, 14 19-20yrs old

Anxiety disorders are found cross culturally, though the _____ of the anxiety may differ

focus

Strongest genetic linked anxiety disorders include_____, weakest link include _____

generalized anxiety disorder and Panic Disorder, Specific Phobia

Agoraphobia must include anxiety about 2 of the following, 1 year prevalence rate, females 2x more common

public transportation, open spaces, enclosed spaces, standing in a line or crowd, outside of home alone