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Test1_Chapter 6A
Anxiety Kaplin
| Question | Answer |
|---|---|
| Anxiety | feeling of dread or fear in the absence of an external threat or disproportionate to the nature of the threat |
| What are the levels of anxiety | mild, moderate, severe, panic |
| Mild | Which anxiety is described with high degree of alertness, mild uneasiness, "butterflies in stomach" |
| Moderate | which anxiety is described with increased perspiration, light-headedness, muscle tension, urinary frequency, nausea, anorexia, diarrhea, heart-pounding, increased BP, dry mouth, cold, clammy pale skin, selective inattention, poor comprehension |
| Severe | Which anxiety is described with most symptoms of moderate anxiety intensified, hyperventilation, dizziness, vomiting, tachycardia, panic, inability to hear or speak, further decreased perception, hallucinations, delusions |
| Panic | Which anxiety is described with symptoms of severe anxiety and inability to function, dread, terror, and personality disorganization |
| _______ system with anxiety: increased pulse, blood pressure, and respiration, palpitations, chest discomfort/pain, perspiration, flushing and heat sensations, cold hands and feet, headache | Cardiovascular |
| ______ system with anxiety: nausea, vomiting, diarrhea, belching, heartburn, cramps | Gastrointestinal _______ system with anxiety: increased muscle tension, tendon reflexes, generalized fatigue, tremors, jerking of limbs, unsteady voice |
| ________ system with anxiety: poor comprehension, inability to follow directions, poor concentration, selective inattention, focus on detail, impaired problem solving, unable to communicate | Intellectual |
| _____ system with anxiety: feelings of helplessness and hopelessness, feelings of increased threat, dread, horror, anger, rage, and use of defensive mechanisms, crying, denial, shouting, withdrawal | social and emotional |
| Phobia | apprehension, anxiety, helplessness when confronted with phobia situation or feared object |
| anorexia nervosa | Most common in females 12-18 years old; characterized by fear of obesity, dramatic weight loss, distorted body image, anemia, amenorrhea, cathartics and enemas for purging, induced vomiting, excessive exercise, electrolyte Imbalance |
| bulimia | Characterized by all the characteristics of anorexia plus binge eating followed by induced vomiting; may be overweight or normal |
| Obsessive Compulsive Disorder (OCD) | obsession-repetitive, uncontrollable thoughts; compulsion-repetitive, uncontrollable acts, rituals, rigidity, inflexibility |
| conversion disorder | physical symptoms with no organic basis, unconscious behavior-could include blindness, paralysis, convulsions without loss of consciousness, stocking and glove anesthesia; lack of concern about symptoms |
| Denial | Failure to acknowledge an intolerable thought, feeling, experience, reality |
| Displacement | Redirection of feelings to subject that is acceptable or less threatening |
| Projection | Attribution to others of one's own unacceptable thoughts, feelings, qualities |
| Undoing | An attempt to erase an unacceptable act or thought |
| Compensation | An attempt to overcome a real or imagined shortcoming |
| Symbolization | A less threatening object or idea is used to represent another |
| Substitutional | Replacing desired, impractical, or unobtainable onject with one that is attainable |
| Introjections | Characteristic of another incorporated into oneself |
| Repression | Unacceptable thoughts kept from awareness |
| Reaction formation | Expressing attitude directly opposite to unconscious one |
| Regression | Returning to an earlier stage of development |
| Dissociation | Detachment of painful emotional experience from consciousness |
| Rationalization | Attempts to justify, via logical or acceptable explanations, acts or feelings that are not logical or acceptable |
| Idealization | Glorifying another's characteristics |
| Identification | Incorporating certain attributes of another into one's own thoughts or behavior |
| Crisis | Period in which there is a major change in a person's life, either from an event or a percieved threat |
| Precipitating factors that are characteristics of crisis would be: (3) | 1)developmental stages (birth, adolescence, midlife, retirement) 2) situational factors (natural disaster, financial loss) 3) threats to self-concept (loss of job, failure at school, onset of serious illness) |
| What process is used for a crisis intervention? | ADPIE |
| What does APIE stand for? | Assessment, diagnosis, Plan, Implement/intervention, Evaluate |
| What are the 5 stages of death and dying | Denial, anger, bargaining, depression, acceptance |
| Depression | Can be manifested as a single episode or recurrent pattern, varies according to age, race, gender; mood disorder |
| Anxiety | Negative affect; somatic symptoms of tension; apprehension; future-oriented. |
| Fear | An immediate reaction to current danger characterized by a strong escapist action. |
| Panic Attack | Abrupt experience of intense discomfort, anxiety, or fear. |
| 3 Symptoms of a Panic Attack | Heart palpitations, shortness of breath, dizziness. |
| 3 Types of Panic Attacks | Situationally bound, Unexpected, Situationally Predisposed |
| Situationally bound panic attack | Expected in a specific situation. |
| Unexpected panic attack | Unanticipated; occurs without warning. (Common in people with panic disorder) |
| Situationally predisposed panic attack | Occurs in a specific situation sometimes, but not always. |
| Biological contributions to anxiety | Can be inherited; low levels of GABA and seretonin; Limbic system |
| 6 Anxiety Disorders | Generalized Anxiety Disorder (GAD), Panic Disorder, Phobias, Separation Anxiety, PTSD, OCD |
| Generalized Anxiety Disorder (GAD) | Excessive worry about minor life events |
| DSM-IV Criteria for GAD (4) | Excessive worry, ongoing more often than not, Persistent for at least 6 months, Physical symptoms |
| 4 Physical symptoms of GAD | Muscle tension, fatigue, irritability, difficulty sleeping and/or focusing |
| Treatment of GAD | Benzodiazapines and/or Cognitive-behavioral therapy |
| Phobia | Extreme or irrational fear of a specific object or situation that interferes one's ability to function; chronic course, 11% prevalance. |
| Social Phobia | extreme and irrational fear/shyness, focused on social and/or performance situations; Most prevalent psychological disorder at 13% |
| Post-traumatic Stress Disorder | Interferes with one's ability to function;(Acute, Chronic), 7.8% prevalance. |
| Obsessive-Compulsive Disorder (OCD) | Cognitive-behavioral therapy is most effective; most afflicted with OCD are female; runs a chronic course. |
| OCD: Obsessions | Intrusive and nonsensical thoughts, images, or urges that one tries to resist or eliminate. |
| OCD: Compulsions | can be behavioral (hand washing, checking) or mental (counting, praying). |