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Anxiety Disorders

Nursing

QuestionAnswer
Define anxiety Feelings of uneasiness, uncertainty, and helplessness It is also a response to a real or imagined threat or stress.
Levels of anxiety Mild, moderate, severe, and panic
Mild anxiety Vs remain stable. Usually there is an identifiable cause. Can can an increased motivation, and possibly irritability
Moderate anxiety Slightly elevated vs. Can be redirected. Causes agitation ,muscle tightness, and selective inattention
Severe anxiety Not easily redirected. Rational thought is gone. Inability to function. Ritualistic habits may develop. Fight or flight (sympathetic) time distortion. Vs increased.
Panic Loss of rational thought,distorted perceptions, possible delusions unable to take in stimuli may feel completely out of control.
Panic Disorder Panic attacks, brief periods of fear or discomfort. Symptoms develop abruptly, peak at 10 minutes, and are usually gone within 15.
Panic attack criteria Must have at least 4: palpitations, pounding or accelerated hr, Sweating Trembling/shaking Soa Chest pain Nausea Feeling dizzy/faint Feelings of unreality (derealization) Fear of dying Fear of losing control Paresthesia Chills or hot
2 types of panic disorder Agoraphobic Non agoraphobic
Phobic disorders Agoraphobic Non agoraphobic like spiders Internal fear reaction
OCD Obsessed, thoughts. Compulsive, the behavior in reaction to the thoughts. Equal in men and women They are aware that they are behaving irrationally but can't stop.
Treatment for phobias Systematic desensitization - exposed 1 step at a time flooding- rapidly and repeatedly exposing them.
Generalized Anxiety Disorder (GAD) Broad long lasting excessive anxiety. Usually develops in adolescents. Can't concentrate long enough to complete a task. Sleep disturbances, tension, IBS, headaches, and substance abuse
Risk factors for anxiety Female Traumatic event Triggers Substance induced anxiety
Defense Mechanism Helps to avoid negative emotions. Not consciously aware of the use of these.
Displacement (Defense Mechanism) Redirecting to another person Ex: my boss yelled at me so I am going to yell at you.
Undoing (Defense Mechanism ) "Take away" inappropriate action Ex: honey I am so sorry I beat you here are some roses
Reaction formation (Defense Mechanism ) Dude thinks that he might be gay so he bangs a shit load of chicks
Intellectualization (Defense Mechanism ) Focusing on the technical or logical aspects Ex: my husband died because he was supposed to get his bp medicine at 3 and you brought it at 315
Isolation (Defense Mechanism ) A soilder humorously describes how he was wounded in battle
Stress reaction Behavioral and emotional response to a stressful event
Acute stress disorder Lasts 2 to 4 weeks Usually 4 weeks to 1 month after the event
PTSD 3 months post event May last 3 months or longer PHD = Magic number 3
Interventions for anxiety Cognitive reframing helping a person develop + thoughts to replace the - thoughts. Relaxation techniques Modeling imitation of desired behavior
Additional interventions for anxiety Medication monitor for side effects Positive reinforcement reward or praise good behavior structured and safe environment
Medication for anxiety Anxiolytics like diazepam or valium Non barbiturate like BuSpar Mood stabilizer like lithium
Created by: 100000839384613