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Anxiety Kaplin

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Question
Answer
Anxiety   feeling of dread or fear in the absence of an external threat or disproportionate to the nature of the threat  
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What are the levels of anxiety   mild, moderate, severe, panic  
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Mild   Which anxiety is described with high degree of alertness, mild uneasiness, "butterflies in stomach"  
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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  
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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  
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Panic   Which anxiety is described with symptoms of severe anxiety and inability to function, dread, terror, and personality disorganization  
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_______ system with anxiety: increased pulse, blood pressure, and respiration, palpitations, chest discomfort/pain, perspiration, flushing and heat sensations, cold hands and feet, headache   Cardiovascular  
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______ 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  
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________ system with anxiety: poor comprehension, inability to follow directions, poor concentration, selective inattention, focus on detail, impaired problem solving, unable to communicate   Intellectual  
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_____ 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  
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Phobia   apprehension, anxiety, helplessness when confronted with phobia situation or feared object  
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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  
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bulimia   Characterized by all the characteristics of anorexia plus binge eating followed by induced vomiting; may be overweight or normal  
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Obsessive Compulsive Disorder (OCD)   obsession-repetitive, uncontrollable thoughts; compulsion-repetitive, uncontrollable acts, rituals, rigidity, inflexibility  
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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  
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Denial   Failure to acknowledge an intolerable thought, feeling, experience, reality  
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Displacement   Redirection of feelings to subject that is acceptable or less threatening  
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Projection   Attribution to others of one's own unacceptable thoughts, feelings, qualities  
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Undoing   An attempt to erase an unacceptable act or thought  
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Compensation   An attempt to overcome a real or imagined shortcoming  
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Symbolization   A less threatening object or idea is used to represent another  
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Substitutional   Replacing desired, impractical, or unobtainable onject with one that is attainable  
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Introjections   Characteristic of another incorporated into oneself  
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Repression   Unacceptable thoughts kept from awareness  
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Reaction formation   Expressing attitude directly opposite to unconscious one  
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Regression   Returning to an earlier stage of development  
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Dissociation   Detachment of painful emotional experience from consciousness  
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Rationalization   Attempts to justify, via logical or acceptable explanations, acts or feelings that are not logical or acceptable  
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Idealization   Glorifying another's characteristics  
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Identification   Incorporating certain attributes of another into one's own thoughts or behavior  
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Crisis   Period in which there is a major change in a person's life, either from an event or a percieved threat  
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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)  
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What process is used for a crisis intervention?   ADPIE  
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What does APIE stand for?   Assessment, diagnosis, Plan, Implement/intervention, Evaluate  
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What are the 5 stages of death and dying   Denial, anger, bargaining, depression, acceptance  
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Depression   Can be manifested as a single episode or recurrent pattern, varies according to age, race, gender; mood disorder  
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Anxiety   Negative affect; somatic symptoms of tension; apprehension; future-oriented.  
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Fear   An immediate reaction to current danger characterized by a strong escapist action.  
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Panic Attack   Abrupt experience of intense discomfort, anxiety, or fear.  
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3 Symptoms of a Panic Attack   Heart palpitations, shortness of breath, dizziness.  
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3 Types of Panic Attacks   Situationally bound, Unexpected, Situationally Predisposed  
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Situationally bound panic attack   Expected in a specific situation.  
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Unexpected panic attack   Unanticipated; occurs without warning. (Common in people with panic disorder)  
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Situationally predisposed panic attack   Occurs in a specific situation sometimes, but not always.  
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Biological contributions to anxiety   Can be inherited; low levels of GABA and seretonin; Limbic system  
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6 Anxiety Disorders   Generalized Anxiety Disorder (GAD), Panic Disorder, Phobias, Separation Anxiety, PTSD, OCD  
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Generalized Anxiety Disorder (GAD)   Excessive worry about minor life events  
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DSM-IV Criteria for GAD (4)   Excessive worry, ongoing more often than not, Persistent for at least 6 months, Physical symptoms  
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4 Physical symptoms of GAD   Muscle tension, fatigue, irritability, difficulty sleeping and/or focusing  
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Treatment of GAD   Benzodiazapines and/or Cognitive-behavioral therapy  
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Phobia   Extreme or irrational fear of a specific object or situation that interferes one's ability to function; chronic course, 11% prevalance.  
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Social Phobia   extreme and irrational fear/shyness, focused on social and/or performance situations; Most prevalent psychological disorder at 13%  
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Post-traumatic Stress Disorder   Interferes with one's ability to function;(Acute, Chronic), 7.8% prevalance.  
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Obsessive-Compulsive Disorder (OCD)   Cognitive-behavioral therapy is most effective; most afflicted with OCD are female; runs a chronic course.  
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OCD: Obsessions   Intrusive and nonsensical thoughts, images, or urges that one tries to resist or eliminate.  
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OCD: Compulsions   can be behavioral (hand washing, checking) or mental (counting, praying).  
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