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Published on : Jul 26, 2014
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Anxiety Disorders WEB

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Anxiety as a Normal and an Abnormal Response Some amount of anxiety is “normal” and is associated with optimal levels of functioning. Only when anxiety begins to interfere with social or occupational functioning is it considered “abnormal.”

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The Fear and Anxiety Response Patterns Fear Panic Anxiety Anxiety Disorder

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The Bell Curve

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An Important Law- The Yerkes Dodson Law

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Another Bell Curve- Courtesy of Our Good Buddies Yerkes-Dodsen

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Phobic Disorders Phobias Specific phobias Social phobia Agoraphobia

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Specific Phobias

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Specific Phobias Psychosocial causal factors Genetic and temperamental causal factors Preparedness and the nonrandom distribution of fears and phobias Treating specific phobias

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Social Phobia General characteristics Fear of being in social situations in which one will be embarrassed or humiliated

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Social Phobia Interaction of psychosocial and biological causal factors Social phobias as learned behavior Social fears and phobias in an evolutionary context Preparedness and social phobia

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Social Phobia Interaction of psychosocial and biological causal factors Genetic and temperamental factors Perceptions of uncontrollability Cognitive variables

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Panic Disorder With and Without Agoraphobia Panic disorder Panic versus anxiety Agoraphobia Agoraphobia without panic

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Panic Disorder Prevalence and age of onset Comorbidity with other disorders Biological causal factors The role of Norepinephrine and Serotonin

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Panic and the Brain

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Panic Disorder Genetic factors Cognitive and behavioral causal factors Interoceptive fears

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Panic Disorder: The Cognitive Theory of Panic

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Panic Disorder: The Cognitive Theory of Panic Perceived control and safety Anxiety sensitivity as a vulnerability factor for panic Safety behaviors and the persistence of panic Cognitive biases and the maintenance of panic

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Treating Panic Disorder and Agoraphobia Medications Behavioral and cognitive-behavioral treatments

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Generalized Anxiety Disorder General characteristics Prevalence and age of onset Comorbidity with other disorders

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Generalized Anxiety Disorder: Psychosocial Causal Factors The psychoanalytic viewpoint Classical conditioning to many stimuli The role of unpredictable and uncontrollable events A sense of mastery: immunizing against anxiety

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Generalized Anxiety Disorder: Biological Causal Factors Genetic factors A functional deficiency of GABA Neurobiological differences between anxiety and panic

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Obsessive-Compulsive Disorder Obsessions- repetitive unwanted ideas that the person recognizes are irrational Compulsions- repetitive, often ritualized behavior whose behavior serves to diminish anxiety caused by obsessions

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Obsessive-Compulsive Disorder Prevalence and age of onset Characteristics of OCD Types of compulsions Comorbidity with other disorders

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Obsessive-Compulsive Disorder: Psychosocial Causal Factors Psychoanalytic viewpoint Behavioral viewpoint The role of memory Attempting to suppress obsessive thoughts

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Obsessive-Compulsive Disorder: Biological Causal Factors Genetic influences Abnormalities in brain function The role of serotonin

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Post-Traumatic Stress Disorder Critical Component Symptoms occurs AFTER a traumatic stressor

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Symptoms Categories Intrusive distressing recollections dreams flashbacks psychological trigger reactions physiological trigger reactions

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Symptoms Categories Avoidance avoid thoughts, feelings or discussions avoid activities, places memory blocks anhedonia (without pleasure) numb alexithymia (emotions unknown) feeling of doom

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Symptom Categories Hyperarousal Symptoms sleep disturbance anger problems concentration startle response “on guard” hypervigilence

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Diagnoses Acute Stress Disorder new to DSM-IV (1994) symptoms 2 days to 4 weeks following traumatic event PTSD new to DSM-III (1980) symptoms beyond 4 weeks delayed onset

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Who Is Vulnerable? All ages Both genders Across Cultures and ethnic groups

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Some Stats Andrews, Wahlberg, Montgomery (1993)

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Employment

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Depression

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Types of Traumas Natural earthquakes floods fires Human induces war crimes of violence

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Co-Morbid Diagnoses Alcoholism 75% for Vietnam Veterans with PTSD Depression 77% of firefighters with PTSD also have depression Generalized Anxiety Panic Attacks

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