Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd) 10/2/2014

Size: px
Start display at page:

Download "Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd) 10/2/2014"

Transcription

1 Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 18 Anxiety Disorders Theories: Anxiety Disorders Biological changes in the brain Neurotransmitters are associated with anxiety. low levels of GABA (inhibits the reactivity of neurons) is assoc with anxiety. Dopamine system involved in pathophysiology of OCD. High levels of norepinephrine have been related to panic attacks. Theories: Anxiety Disorders (cont'd) Abnormal control of glutamate plays role in anxiety disorders. Hormonal changes in pregnant women affect certain anxiety disorders. Lactic acid may precipitate anxiety. **Caffeine and nicotine may trigger panic attacks. 1

2 Theories: Anxiety Disorders (cont'd) Genetic theories: strong evidence for familial or genetic predisposition for anxiety disorders Theories: Anxiety Disorders (cont'd) Psychosocial theories: in psychoanalytic theory, anxiety is viewed as sign of psychologic conflict; anxiety is the outcome of repressing forbidden impulses Theories: Anxiety Disorders (cont'd) Behavioral theory** Anxiety is a learned response that can be unlearned. Compulsive behavior is a maladaptive attempt to alleviate anxiety. Behavior modification teaches new ways to behave. 2

3 Theories: Anxiety Disorders (cont'd) Humanistic theories: Environmental stressors, biological factors, and intrapsychic fears cannot be dealt with separately but rather as they interact with one another. Treatment approaches are integrative. Anxiety** A universal experience A normal response that usually helps cope with threatening situations Anxiety disorders are characterized by anxiety so disabling as to adversely affect day-to-day functioning Affects all age groups Question #1 In assessing a client with panic disorder, the nurse determines that a predisposition to anxiety disorders likely exists in the family. This determination is related to: 3

4 Question #1 1.Genetic theories. 2.Biologic theories. 3.Psychosocial theories. 4.Behavioral theories. Anxiety (cont'd)** Anxiety disorders are the most common of mental illnesses All anxiety disorders have in common excessive, irrational fear and dread Anxiety is either a dominant disturbance or an avoidance behavior Free-floating anxiety is unrelated to a specific stimulus Anxiety (cont'd)** Panic disorder Phobia Agoraphobia Social phobia Specific phobia GAD-Generalized Anxiety DO 4

5 Anxiety (cont d)** OCD-Obsessive-Compulsive DO PTSD-Post-traumatic Stress DO ASD-Acute Stress DO Question #2 The nurse is assessing a client who exhibits great discomfort and anxiety and continually asks to go home, as he is certain he will lose bladder control if he does not leave soon. This behavior is consistent with a diagnosis of: Question #2 1.Acute stress disorder. 2.Obsessive-compulsive disorder. 3.Agoraphobia. 4.Acrophobia. 5

6 Question #6 The nurse is assessing a client who appears to be experiencing both anxiety and depression. Based on the dominant symptom reported, the nurse determines that the client likely has an anxiety disorder. Which of the following symptoms is characteristic of anxiety rather than depression? Question #6 1.Global negativism 2.Agitation 3.Hopelessness 4.Slowed motor activity Question #7 The client experiences feelings of extreme fear that occur for no apparent reason and are accompanied by intense physical symptoms. The priority nursing intervention would be to: 6

7 Question #7 1.Encourage the client to verbalize feelings. 2.Counsel the family on therapeutic responses. 3.Stay with the client. 4.Teach relaxation techniques. Anxiety* continued.. Obsessive-Compulsive Disorder Anxiety develops when indiv tries to resist an obsession or compulsion. Post-Traumatic Stress Disorder Re-experiencing a traumatic event. Acute Stress Disorder Development of anxiety and dissociative symptoms that occur within 1 month of an extremely traumatic event. Anxiety (cont'd)** Dissociation Emotional numbing Impaired social relationships Separates emotions from behaviors Consciousness, memory, identity, and/or perceptions of the environment are impaired. 7

8 Common Themes Anxiety disorders and dissociative identity disorder originate in childhood.** Major common theme = disabling anxiety** Other common features: personality and mood changes, distorted perceptions, inability to concentrate, memory impairment, defense mechanisms Common Themes (cont'd)** Both anxiety and dissociative disorders may have underlying comorbid illnesses like depression or substance abuse. Both disorders profoundly affect quality of life. Common Themes (cont'd) Psychotropic medications and teaching adaptive coping are mainstays of treatment. A holistic approach is best for caring for these clients. 8

9 Your Assessment Approach: The Client with an Anxiety Disorder Physiological Assessment How often do you experience palpitations? Psychological Assessment Do you feel sad and/or hopeless? Your Assessment Approach: The Client with an Anxiety Disorder Cognitive Assessment Do you think about the same things over and over? More at Your Assessment Approach: Anxiety Disorder page401* Your Assessment Approach: The Client with Panic Attack To determine the psychological effects of panic on your client, ask: How do you feel right now? When did you start feeling this way? 9

10 Your Assessment Approach: The Client with Panic Attack To determine the somatic effects of panic on your client, ask: Are you having chest pains or shortness of breath? Have you felt dizzy or faint? More at Your Assessment Approach: Panic Attack page 402* Your Assessment Approach: The Client with PTSD Questions to help assess PTSD When was the last time you struck out in anger? How would you describe your mood right now? Happy? Sad? Depressed? How much time do you spend thinking the same thing over and over? Your Assessment Approach: The Client with PTSD Questions to help assess PTSD How do you sleep at night? Any nightmares or repetitive dreams? More at Your Assessment Approach: PTSD page 402* 10

11 Comprehensive Assessment** (cont'd) Conduct a history and physical exam. Gather subjective and objective information. Interview family member(s) if possible. Comprehensive Assessment (cont'd)** Complete psychosocial assessment to discover source of anxiety. Differentiate between anxiety and depression. Evaluate sleep and sleep quality. Comprehensive Assessment (cont'd) Complete suicide and homicide assessment. Major focuses for a client with dissociative disorder are identity, memory, and consciousness. 11

12 Plan of Care for Anxiety** Mild to moderate anxiety Use a calm, quiet approach Observe client s verbal/nonverbal behavior Encourage client to verbalize feelings Videos jnvxxg5o psychology crash course ami82xkec OCD Nnz9SM4g Howie Mandel Plan of Care for Anxiety (cont'd)** Mild to moderate anxiety Teach relaxation techniques (meditation, guided imagery, etc.) when anxiety is mild Simple physical activities often help reduce anxiety Develop goal-oriented contract 12

13 Plan of Care for Anxiety (cont'd)** Severe to panic levels of anxiety: First priority is to reduce anxiety to tolerable levels. Stay with the client. Provide a safe and supportive milieu. Use a firm voice and short, simple sentences. Plan of Care for Anxiety (cont'd)** Severe to panic levels of anxiety: Place client in quieter, smaller, less stimulating environment; focus the client s diffuse energy on repetitive task or tiring task. Administer antianxiety medication if ordered. Client/Family Education Medications used to treat anxiety disorders include benzodiazepines, tricyclics, SSRIs and SNRIs, lithium, beta blockers, alpha-adrenergic antagonists, atypical antipsychotics, and neuroleptics. Teach about medication indications, side effects, and drug drug interactions. 13

14 Client/Family Education (cont'd)** Teaching about medications Drowsiness is a common side effect. Do not drink alcohol while taking. Drink decaffeinated beverages. Do not take other medications or adjust dosage in any way without consulting health care provider. Client/Family Education (cont'd)** Nonpharmacologic measures comprise effective coping skills: CBT techniques (desensitization, reciprocal inhibition, cognitive restructuring) Relaxation training Individual or group therapy Exercise and nutrition Personal Challenges** Anxiety is contagious. The nurse may be impatient and irritated by somatic complaints. It is important to identify the source of one s own anxiety and consistently role-model adaptive behavior. 14

15 Personal Challenges (cont'd) A client s avoidance mechanism can be challenging to staff. Some nurses feel overwhelmed and helpless in the face of clients pain and catharsis. Ready answers are more likely to interfere with client s communication. Question #10 The nurse is finding it difficult to listen to a client s expression of pain, fear, anger, and other feelings. The nurse must focus on: Question #10 1.Listening attentively and with concern. 2.Providing quick and ready answers. 3.Giving advice. 4.Changing the subject to a more positive one. 15

16 Resources Anxiety Disorders Association of America The Anxiety Disorders Association of America (ADAA) is a national nonprofit organization dedicated to the prevention, treatment, and cure of anxiety disorders and to improving the lives of all people who suffer from them. Resources (cont'd) National Center for Posttraumatic Stress Disorder The National Center for Posttraumatic Stress Disorder Information Center provides information to interested individuals, including veterans and their family members. Resources (cont'd) Social Phobia/Social Anxiety Association The Social Phobia/Social Anxiety Association site offers further links to topics such as current news, treatment, and local group availability. 16

8/22/2016. Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd)

8/22/2016. Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd) Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 18 Anxiety Disorders Theories: Anxiety Disorders Biological changes in the brain Noradrenergic system is sensitive to norepinephrine;

More information

Contemporary Psychiatric-Mental Health Nursing. Theories: Anxiety Disorders. Theories: Anxiety Disorders - continued

Contemporary Psychiatric-Mental Health Nursing. Theories: Anxiety Disorders. Theories: Anxiety Disorders - continued Contemporary Psychiatric-Mental Health Nursing Chapter 18 Anxiety and Dissociative Disorders Theories: Anxiety Disorders Biological changes in the brain Noradrenergic system is sensitive to norepinephrine;

More information

Class Objectives: 8/31/2014. Anxiety is a future-oriented apprehension or sense of dread

Class Objectives: 8/31/2014. Anxiety is a future-oriented apprehension or sense of dread Chapter 8 Anxiety, Obsessive-Compulsive, and Trauma and Stressor-Related Disorders Class Objectives: What is Anxiety? How are anxiety, fear and panic similar? Different? What is Generalized Anxiety Disorder?

More information

Fortunately, panic disorder is one of the most treatable anxiety disorders. The illness can be controlled with medication and focused psychotherapy.

Fortunately, panic disorder is one of the most treatable anxiety disorders. The illness can be controlled with medication and focused psychotherapy. Anxiety Disorders Anxiety disorders are the most common mental illness in America. More than 19 million Americans suffer from anxiety disorders, which include panic disorder, obsessive-compulsive disorder,

More information

Anxiolytics and anxiety disorders. MUDr. Vítězslav Pálenský Dept. of Psychiatry, Masaryk University, Brno

Anxiolytics and anxiety disorders. MUDr. Vítězslav Pálenský Dept. of Psychiatry, Masaryk University, Brno Anxiolytics and anxiety disorders MUDr. Vítězslav Pálenský Dept. of Psychiatry, Masaryk University, Brno Anxiety disorders 1. Panic disorders and agoraphobia 2. Specific phobia and social phobia 3. Obsessive

More information

Abnormal Child Psychology, 3rd Edition, Eric J. Mash, David A. Wolfe Chapter 7: Anxiety Disorders. Anxiety Disorders

Abnormal Child Psychology, 3rd Edition, Eric J. Mash, David A. Wolfe Chapter 7: Anxiety Disorders. Anxiety Disorders Anxiety Disorders Experiencing Anxiety Anxiety: characterized by strong negative emotion and tension in anticipation of future danger or threat Moderate amounts of anxiety is adaptive; helps us cope with

More information

Chapter 29. Caring for Persons With Mental Health Disorders

Chapter 29. Caring for Persons With Mental Health Disorders Chapter 29 Caring for Persons With Mental Health Disorders The Whole Person The whole person has physical, social, psychological, and spiritual parts. Mental relates to the mind. Mental health and mental

More information

Anxiety Disorders. Fear & Anxiety. Anxiety Disorder? 26/5/2014. J. H. Atkinson, M.D. Fear. Anxiety. An anxiety disorder is present when

Anxiety Disorders. Fear & Anxiety. Anxiety Disorder? 26/5/2014. J. H. Atkinson, M.D. Fear. Anxiety. An anxiety disorder is present when Anxiety s J. H. Atkinson, M.D. HIV Neurobehavioral Research Center University of California, San Diego Department of Psychiatry & Veterans Affairs Healthcare System, San Diego Materials courtesy of Dr.

More information

Name: Period: Chapter 14 Reading Guide Psychological Disorders

Name: Period: Chapter 14 Reading Guide Psychological Disorders Name: Period: Chapter 14 Reading Guide Psychological Disorders Introduction to Psychological Disorders (pg. 593-600) 1. List AND describe the 3 definitions of abnormal. A. Understanding Psychological Disorders

More information

Highs and Lows. Anxiety and Depression

Highs and Lows. Anxiety and Depression Highs and Lows Anxiety and Depression ANXIETY Anxiety is a normal reaction to stress and can actually be beneficial in some situations. For some people, however, anxiety can become excessive. However a

More information

1/22/2015. Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Dissociative Disorders. Theories: Dissociative Disorders (cont'd)

1/22/2015. Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Dissociative Disorders. Theories: Dissociative Disorders (cont'd) Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 19 Dissociative, Somatoform, and Factitious Disorders Theories: Dissociative Disorders Biological factors Serotonin Limbic system Physical

More information

Psychological Disorders: More Than Everyday Problems 14 /

Psychological Disorders: More Than Everyday Problems 14 / Psychological Disorders: More Than Everyday Problems 14 / Psychological Disorder(p.630) The presence of a constellation of symptoms that create significant distress; impair work, school, family, relationships,

More information

Feeling nervous? Class Objectives: 9/3/2008. Chapter 4-Anxiety Disorders. Discuss the paper guidelines

Feeling nervous? Class Objectives: 9/3/2008. Chapter 4-Anxiety Disorders. Discuss the paper guidelines Feeling nervous? Chapter 4-Anxiety Disorders Class Objectives: Discuss the paper guidelines How are anxiety, fear and panic similar? Different? What is GAD? Abnormal Psychology (PSY 210) Position Paper

More information

AP PSYCH Unit 12.1 Abnormal Psychology Anxiety Disorders

AP PSYCH Unit 12.1 Abnormal Psychology Anxiety Disorders AP PSYCH Unit 12.1 Abnormal Psychology Anxiety Disorders Defining Psychological Disorders Abnormal Psychology At various moments, all of us feel, think or act the same way disturbed people do much of

More information

2/9/2016. Anxiety. Early Intervention for childhood Mental Health issues. ANXIETY DISORDERS in Children and Adolescents.

2/9/2016. Anxiety. Early Intervention for childhood Mental Health issues. ANXIETY DISORDERS in Children and Adolescents. ANXIETY DISORDERS in Children and Adolescents. Joy Lauerer DNP PMHCNS BC Discussion Points Anxiety Early Intervention for childhood Mental Health issues Why? Important to long term health outcomes! What

More information

KNOW WHAT CATEGORY ANY DISORDER FITS INTO

KNOW WHAT CATEGORY ANY DISORDER FITS INTO KNOW WHAT CATEGORY ANY DISORDER FITS INTO Categories of Disorder: 1. Anxiety 2. Mood 3. Dissociative 4. Schizophrenia 5. Personality 6. Somatoform (Not in Book) 7. Facticious (Not in Book) Anxiety Disorders

More information

Helping Your Children Learn to Handle Their Own Anxiety Winter 2015

Helping Your Children Learn to Handle Their Own Anxiety Winter 2015 Helping Your Children Learn to Handle Their Own Anxiety Winter 2015 Daniel G. Shapiro, M.D. Developmental and Behavioral Pediatrics drdanshapiro@gmail.com www.raisingyourchallengingchild.com Aristotle

More information

10. Psychological Disorders & Health

10. Psychological Disorders & Health 10. Psychological Disorders & Health We will now study different psychological disorders and theories for treating psychopathology. We will also cover health, stress and how to cope with them. The sections

More information

AN OVERVIEW OF ANXIETY

AN OVERVIEW OF ANXIETY AN OVERVIEW OF ANXIETY Fear and anxiety are a normal part of life. Normal anxiety keeps us alert. Intervention is required when fear and anxiety becomes overwhelming intruding on a persons quality of life.

More information

WHAT ARE PERSONALITY DISORDERS?

WHAT ARE PERSONALITY DISORDERS? CHAPTER 16 REVIEW WHAT ARE PERSONALITY DISORDERS? How is abnormal behaviour defined? Statistically infrequent Violates of social norms Personally distressful Disability or dysfunction Unexpected DSM-IV

More information

Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health

Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health What is anxiety? What causes anxiety? When is anxiety a problem? What is the size of the

More information

Management of Care for Individuals with Psychiatric Disorders. Anxiety and Sleep Disorders

Management of Care for Individuals with Psychiatric Disorders. Anxiety and Sleep Disorders FADavis_Ch07.qxd 10/8/08 2:52 AM Page 131 Management of Care for Individuals with Psychiatric Disorders Anxiety and Sleep Disorders C 7 KEYWORDS acrophobia compulsions cynophobia depersonalization depersonalization

More information

Answer Key for Case Studies. Grading for each case study. All Case Studies

Answer Key for Case Studies. Grading for each case study. All Case Studies Answer Key for Case Studies Grading for each case study All Case Studies *give 5 points for listing at least four accurate symptoms of the disorder *give 3 points for listing 2 symptoms of the disorder

More information

Final Practice Examination Answer Key. Answer Key

Final Practice Examination Answer Key. Answer Key G r a d e 1 2 P s y c h o l o g y Final Practice Examination Answer Key Name: Student Number: Attending q Non-Attending q Phone Number: Address: For Marker s Use Only Date: Final Mark /100 = % Comments:

More information

Introduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist

Introduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist Introduction into Psychiatric Disorders Dr Jon Spear- Psychiatrist Content Stress Major depressive disorder Adjustment disorder Generalised anxiety disorder Post traumatic stress disorder Borderline personality

More information

Brief Notes on the Mental Health of Children and Adolescents

Brief Notes on the Mental Health of Children and Adolescents Brief Notes on the Mental Health of Children and Adolescents The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems

More information

Some newer, investigational approaches to treating refractory major depression are being used.

Some newer, investigational approaches to treating refractory major depression are being used. CREATED EXCLUSIVELY FOR FINANCIAL PROFESSIONALS Rx FOR SUCCESS Depression and Anxiety Disorders Mood and anxiety disorders are common, and the mortality risk is due primarily to suicide, cardiovascular

More information

Feeling nervous? What is Anxiety? Class Objectives: 2/4/2013. Anxiety Disorders. What is Anxiety? How are anxiety, fear and panic similar? Different?

Feeling nervous? What is Anxiety? Class Objectives: 2/4/2013. Anxiety Disorders. What is Anxiety? How are anxiety, fear and panic similar? Different? Feeling nervous? Anxiety Disorders Chapter 5 Class Objectives: What is Anxiety? How are anxiety, fear and panic similar? Different? What is Generalized Anxiety Disorder? What is Panic Disorder? What is

More information

This is because the situation is demystified and the element of fear of the unknown is eliminated.

This is because the situation is demystified and the element of fear of the unknown is eliminated. This is more or less along the lines of the strategies we have already discussed for stress. These include common sense measures such as engaging in healthy lifestyle activities: exercising, eating well,

More information

Who has Schizophrenia? What is Schizophrenia? 11/20/2013. Module 33. It is also one of the most misunderstood of all psychological disorders!

Who has Schizophrenia? What is Schizophrenia? 11/20/2013. Module 33. It is also one of the most misunderstood of all psychological disorders! What is Schizophrenia? Module 33 It is also one of the most misunderstood of all psychological disorders! Who has Schizophrenia? A middle-aged man walks the streets of New York with aluminum foil under

More information

Anxiety, Somatoform & Dissociative Disorders. Chapter 16, Sections 2-3

Anxiety, Somatoform & Dissociative Disorders. Chapter 16, Sections 2-3 Anxiety, Somatoform & Dissociative Disorders Chapter 16, Sections 2-3 Anxiety Disorders Do Now (Discussion) What is anxiety? How is it different from worry or fear? Anxiety Disorders Anxiety disorders

More information

PSYCHOLOGICAL DISORDERS CHAPTER 13 MEYERS AND DEWALL

PSYCHOLOGICAL DISORDERS CHAPTER 13 MEYERS AND DEWALL PSYCHOLOGICAL DISORDERS CHAPTER 13 MEYERS AND DEWALL OVERVIEW What are Psychological Disorders? Anxiety Disorders, OCD, and PTSD Substance Use and Addictive Disorders Mood Disorders Schizophrenia Additional

More information

General Psychology. Chapter Outline. Psychological Disorders 4/28/2013. Psychological Disorders: Maladaptive patterns of behavior that cause distress

General Psychology. Chapter Outline. Psychological Disorders 4/28/2013. Psychological Disorders: Maladaptive patterns of behavior that cause distress General Psychology Jeffrey D. Leitzel, Ph.D. Chapter 1: Behavioral (Psychological) Disorders 1 Chapter Outline Defining abnormality Historical perspectives on abnormality Classifying/identifying disorders

More information

WORD WALL. Write 3-5 sentences using as many words as you can from the list below.

WORD WALL. Write 3-5 sentences using as many words as you can from the list below. WORD WALL Write 3-5 sentences using as many words as you can from the list below. Suicide Phobia Bipolar Obsessive compulsive disorder(ocd) Anxiety Depression Mood Post traumatic stress disorder (PTSD)

More information

PSYCHOLOGICAL DISORDERS

PSYCHOLOGICAL DISORDERS PSYCHOLOGICAL DISORDERS 1. Anxiety Disorder a state of uneasiness that occurs in response to a vague or imagined danger a. Phobic Disorders b. Panic Disorders c. Generalized Anxiety Disorders d. Obsessive-Compulsive

More information

Active listening. drugs used to control anxiety and agitation. Antianxiety drugs

Active listening. drugs used to control anxiety and agitation. Antianxiety drugs Active listening empathic listening in which the listener echoes, restates, and clarifies. A feature of Rogers' client-centered therapy. Antianxiety drugs drugs used to control anxiety and agitation. Antidepressant

More information

Dr. Catherine Mancini and Laura Mishko

Dr. Catherine Mancini and Laura Mishko Dr. Catherine Mancini and Laura Mishko Interviewing Depression, with case study Screening When it needs treatment Anxiety, with case study Screening When it needs treatment Observation Asking questions

More information

8/23/2016. Chapter 34. Care of the Patient with a Psychiatric Disorder. Care of the Patient with a Psychiatric Disorder

8/23/2016. Chapter 34. Care of the Patient with a Psychiatric Disorder. Care of the Patient with a Psychiatric Disorder Chapter 34 Care of the Patient with a Psychiatric Disorder All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Care of the Patient with a Psychiatric

More information

Treatment of Anxiety Disorders Controlled Substance Workshop. Shonda Phelon MSN, FNP-BC, APMHNP-BC MNA Convention 2011

Treatment of Anxiety Disorders Controlled Substance Workshop. Shonda Phelon MSN, FNP-BC, APMHNP-BC MNA Convention 2011 Treatment of Anxiety Disorders Controlled Substance Workshop Shonda Phelon MSN, FNP-BC, APMHNP-BC MNA Convention 2011 Term used to describe both symptoms and disorders Occurs normally Very common symptom

More information

Mental Health Nursing: Anxiety Disorders. By Mary B. Knutson, RN, MS, FCP

Mental Health Nursing: Anxiety Disorders. By Mary B. Knutson, RN, MS, FCP Mental Health Nursing: Anxiety Disorders By Mary B. Knutson, RN, MS, FCP A Definition of Anxiety Diffuse apprehension that is vague in nature and associated with feelings of uncertainty and helplessness

More information

Visualizing Psychology

Visualizing Psychology Visualizing Psychology by Siri Carpenter & Karen Huffman PowerPoint Lecture Notes Presentation Chapter 13: Psychological Disorders Siri Carpenter, Yale University Karen Huffman, Palomar College Lecture

More information

DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder

DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder PTSD When an individual who has been exposed to a traumatic event develops anxiety symptoms, re-experiencing of the event, and avoidance

More information

Chapter 5 - Anxiety Disorders

Chapter 5 - Anxiety Disorders Chapter 5 - Anxiety Disorders I. PANIC DISORDER A. Description - with &without Agoraphobia 1. PD w/o Agora - panic attacks - feeling of imminent death - numerous symptoms (racing heart, sweating, dizziness)

More information

What is Schizophrenia?

What is Schizophrenia? What is Schizophrenia? Module 33 What symptoms would you expect this person to display? It is also one of the most misunderstood of all psychological disorders! 1 Who has Schizophrenia? A middle-aged man

More information

Anxiety, Stress and Health Disorders. Mr. Mattingly Abnormal Psychology

Anxiety, Stress and Health Disorders. Mr. Mattingly Abnormal Psychology Anxiety, Stress and Health Disorders Mr. Mattingly Abnormal Psychology What is Anxiety? Anxiety = state of apprehension, tension or worry AKA: Fearful Behavior Distinction: Adaptive Fear vs. Maladaptive

More information

Comorbidity Rates. Comorbidity Rates. Males: Females:

Comorbidity Rates. Comorbidity Rates. Males: Females: Comorbidity Rates Males: Any Diagnosis: 88% Alcoholism 52% Depression 48% Conduct Disorder 43% Drug Abuse 35% Phobia 31% Kessler, et al. (1995) Comorbidity Rates Females: Any Diagnosis 78% Depression 49%

More information

Anxiety: Cure For Anxiety, Fear, Panic & Techniques For Stress By Zac Dixon READ ONLINE

Anxiety: Cure For Anxiety, Fear, Panic & Techniques For Stress By Zac Dixon READ ONLINE Anxiety: Cure For Anxiety, Fear, Panic & Techniques For Stress By Zac Dixon READ ONLINE Learn more about anxiety disorders, including types, causes, symptoms, diagnosis, treatment, and prevention. Panic,

More information

Mental/Emotional Health Problems. Mood Disorders and Anxiety Disorders

Mental/Emotional Health Problems. Mood Disorders and Anxiety Disorders Mental/Emotional Health Problems Mood Disorders and Anxiety Disorders Mood Disorders: When a person experiences extreme or prolonged moods. Mental Health Problems Anxiety Disorders: extreme worries about

More information

Average? Anyone at the extremes is? Violating social norms? Cultural Norms? Experiencing subjective discomfort? Maladaptive Behavior?

Average? Anyone at the extremes is? Violating social norms? Cultural Norms? Experiencing subjective discomfort? Maladaptive Behavior? Psychopathology: scientific study of abnormal behavior Historically, things haven t always gone well Trepanning in ancient times (frees demons) Hippocrates: humors out of balance Middle Ages: demonic possession

More information

Panic Disorder with or without Agoraphobia

Panic Disorder with or without Agoraphobia Panic Disorder with or without Agoraphobia LPT Gondar Mental Health Group www.le.ac.uk Panic Disorder With and Without Agoraphobia Panic disorder Panic versus anxiety Agoraphobia Agoraphobia without panic

More information

PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY Psychosocial Health: Being Mentally, Emotionally, Socially, and Spiritually Well

PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY Psychosocial Health: Being Mentally, Emotionally, Socially, and Spiritually Well PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 2 Psychosocial Health: Being Mentally, Emotionally, Socially, and Spiritually Well Defining Psychosocial Health What is it? Complex interaction

More information

Chapter 18: Psychological Disorders

Chapter 18: Psychological Disorders Chapter 18: Case Study: Not Guilty by Reason of Insanity Section 1: Understanding Section 2: Anxiety and Mood Disorders Section 3: Dissociative and Somatoform Disorders Section 4: Schizophrenia Section

More information

Mental Health and Stress

Mental Health and Stress Mental Health and Stress Learning Objectives Ø Define mental health and discuss the characteristics of mentally healthy and selfactualized people Ø Describe the various mental disorders and appropriate

More information

ANXIETY: SCREENING, DIFFERENTIAL DIAGNOSIS, TREATMENT MONITORING

ANXIETY: SCREENING, DIFFERENTIAL DIAGNOSIS, TREATMENT MONITORING Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences ANXIETY: SCREENING, DIFFERENTIAL DIAGNOSIS, TREATMENT MONITORING DEB COWLEY MD OCTOBER 20, 2016 OBJECTIVES At the

More information

Disorders

Disorders CHAPTER 22 Disorders 416. A mental disorder is generally defined as: (A) Not knowing the difference between right and wrong (B) A prolonged problem that interferes with an individual s ability to cope

More information

Anxiety Disorders Overview

Anxiety Disorders Overview Anxiety Disorders Anxiety Disorders Overview What is anxiety? Categories of anxiety disorders Generalized Anxiety Disorder Panic Disorder Specific Phobia/Social Phobia Obsessive Compulsive Disorder DSM-IV

More information

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,

More information

Mental Illness and Disorders Notes

Mental Illness and Disorders Notes Mental Illness and Disorders Notes Stigma - is a negative and often unfair about mental illness and disorders can cause people with these to not seek help. Deny problem, feel shame and -feel as if they

More information

An Overview of Anxiety Disorders. Made available to ACT courtesy of Freedom From Fear. Jack D. Maser, Ph.D. National Institute of Mental Health

An Overview of Anxiety Disorders. Made available to ACT courtesy of Freedom From Fear. Jack D. Maser, Ph.D. National Institute of Mental Health An Overview of Anxiety Disorders Made available to ACT courtesy of Freedom From Fear Jack D. Maser, Ph.D. National Institute of Mental Health Fear and anxiety are a normal part of life, even adaptive in

More information

ANXIETY DISORDERS IN DSM5

ANXIETY DISORDERS IN DSM5 ANXIETY DISORDERS IN DSM5 Dr Robin Lawrence robinlawrence@mac.com 117a & 96 Harley St 02074860506 PLAN FOR THIS EVENING Diagnostic Systems ICD10 & DSM5 compared A Philosophical Perspective Historic Perspective

More information

Anxiety Disorders NCLEX

Anxiety Disorders NCLEX Anxiety Disorders NCLEX Study online at quizlet.com/_dluaq 1. A cab driver, stuck in traffic, suddenly is lightheaded, tremulous, diaphoretic, and experiences tachycardia and dyspnea. An extensive workup

More information

Anxiety vs. Fear. Anxiety. Fear. Both involve physiological arousal. Both can be adaptive. Apprehension about a future threat

Anxiety vs. Fear. Anxiety. Fear. Both involve physiological arousal. Both can be adaptive. Apprehension about a future threat Anxiety Disorders Anxiety vs. Fear Anxiety Apprehension about a future threat Fear Response to an immediate threat Both involve physiological arousal Sympathetic nervous system Both can be adaptive Fear

More information

Chapter 4: Stress Consequences

Chapter 4: Stress Consequences Chapter 4: Consequences There are a huge amount of researches that introduce evidence that stress can affect psychological and physical health directly by changes in physiology or indirectly, through health

More information

Psychology, Abnormal Psychology, 2

Psychology, Abnormal Psychology, 2 Psychology, Abnormal Psychology, 2 Psychology, Abnormal Psychology, 3 Psychology, Abnormal Psychology, 4 Phobic Disorders A phobia is an intense and irrational fear of a particular object or situation;

More information

a guide to living with ANXIETY Information provided by Mental Health Foundation

a guide to living with ANXIETY Information provided by Mental Health Foundation www.mentalhealthireland.ie a guide to living with ANXIETY Information provided by Mental Health Foundation 1 a guide to living with anxiety about Mental Health Ireland (MHI) is a national voluntary organisation.

More information

Bipolar and Affective Disorders. Harleen Johal

Bipolar and Affective Disorders. Harleen Johal + Bipolar and Affective Disorders Harleen Johal hkj1g11@soton.ac.uk + Affective (mood) disorders n Depression n Bipolar disorder n Anxiety n Treatment + Depression: Definition n Pervasiveand persistent

More information

Agoraphobia. An anxiety disorder marked by fear of being in situations in which escape may be difficult or impossible.

Agoraphobia. An anxiety disorder marked by fear of being in situations in which escape may be difficult or impossible. Agoraphobia An anxiety disorder marked by fear of being in situations in which escape may be difficult or impossible. (See page 634) Antisocial personality disorder (APD) A personality disorder marked

More information

Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment

Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment Jamie E. Pardini, PhD Sports Medicine and Concussion Specialists Banner University Medical Center-Phoenix University

More information

Chapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating

Chapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating Chapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating the past and current level of functioning of the client

More information

Diagnosis and Management of Anxiety Disorders

Diagnosis and Management of Anxiety Disorders Diagnosis and Management of Anxiety Disorders V International Symposium on HIV Neuropsychiatry Barcelona - Spain Milton L. Wainberg, MD Columbia University May 24, 2012 Anxiety Normal reaction to a stressor

More information

Psychopathology Psychopathy (con t) Psychopathy Characteristics High impulsivity Thrill seeking Low empathy Low anxiety What is the common factor? Callous Self-Centeredness N M P Dr. Robert Hare

More information

International Childbirth Education Association. Postpartum Doula Program

International Childbirth Education Association. Postpartum Doula Program International Childbirth Education Association Postpartum Doula Program Part 3: Postpartum Emotions Objective: Describe the range of possible postpartum emotions. List two factors that affect postpartum

More information

Post-traumatic Stress Disorder

Post-traumatic Stress Disorder Parkland College A with Honors Projects Honors Program 2012 Post-traumatic Stress Disorder Nicole Smith Parkland College Recommended Citation Smith, Nicole, "Post-traumatic Stress Disorder" (2012). A with

More information

Psych Grand Rounds. Disclosure. My books

Psych Grand Rounds. Disclosure. My books for Asperger Syndrome and Other Related Disorders Practical Strategies for Assessment Practical Strategies and for Treatment Assessment and Treatment Illustrated by Laura S. Kowalski A Simple Technique

More information

Treatment of Anxiety (without benzos)

Treatment of Anxiety (without benzos) Treatment of Anxiety (without benzos) Alison C. Lynch MD MS Clinical Professor Departments of Psychiatry and Family Medicine University of Iowa Health Care None Disclosures Overview/objectives Review common

More information

Teen Stress and Anxiety Wayne Hills Counseling Dept. June, 2017

Teen Stress and Anxiety Wayne Hills Counseling Dept. June, 2017 Teen Stress and Anxiety Wayne Hills Counseling Dept. June, 2017 True or False? 1. Even something positive, such as being selected for an award, can be stressful 2. The amount of stress you feel depends

More information

Νευροφυσιολογία και Αισθήσεις

Νευροφυσιολογία και Αισθήσεις Biomedical Imaging & Applied Optics University of Cyprus Νευροφυσιολογία και Αισθήσεις Διάλεξη 19 Ψυχασθένειες (Mental Illness) Introduction Neurology Branch of medicine concerned with the diagnosis and

More information

Neurofeedback and Counseling as Integrative Treatment

Neurofeedback and Counseling as Integrative Treatment 2015 Singapore Asia s First Neurofeedback Conference 8th 10th January 2015, Singapore Expo Convention and Exhibition Centre Neurofeedback and Counseling as Integrative Treatment Prof. Dato Dr See Ching

More information

Neurology and Trauma: Impact and Treatment Implications Damien Dowd, M.A. & Jocelyn Proulx, Ph.D.

Neurology and Trauma: Impact and Treatment Implications Damien Dowd, M.A. & Jocelyn Proulx, Ph.D. Neurology and Trauma: Impact and Treatment Implications Damien Dowd, M.A. & Jocelyn Proulx, Ph.D. Neurological Response to a Stressor Information from the senses goes to the thalamus which sends the information

More information

Copyright 2014 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill

Copyright 2014 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Copyright 2014 All rights reserved. No reproduction or distribution without the prior written consent of CHAPTER PREVIEW Defining/Explaining Abnormal Behavior Anxiety-Related Disorders Mood-Related Disorders

More information

COURSES ARTICLE - THERAPYTOOLS.US

COURSES ARTICLE - THERAPYTOOLS.US COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Individuals with Agoraphobia Phobia Problems. Individual Planning: A Treatment Plan Overview for Individuals Suffering

More information

Introductions. Subject-Matter Experts. Secondary Research

Introductions. Subject-Matter Experts. Secondary Research Introductions Subject-Matter Experts Kevin Hodgson, Manager of Programs, Hockey Education Reaching Out Society (HEROS Hockey). His 15-year career in the Human Services sector has exclusively focused on

More information

Chapter 3 Self-Esteem and Mental Health

Chapter 3 Self-Esteem and Mental Health Self-Esteem and Mental Health How frequently do you engage in the following behaviors? SCORING: 1 = never 2 = occasionally 3 = most of the time 4 = all of the time 1. I praise myself when I do a good job.

More information

A NEW MOTHER S. emotions. Your guide to understanding maternal mental health

A NEW MOTHER S. emotions. Your guide to understanding maternal mental health A NEW MOTHER S emotions Your guide to understanding maternal mental health It is not your fault It is treatable Understanding Maternal Mental Health Life with a new baby is not always easy and the adjustment

More information

ADULT History Form (To be filled out by the person seeking treatment)

ADULT History Form (To be filled out by the person seeking treatment) 1 ADULT History Form (To be filled out by the person seeking treatment) Client s Name Date: SS# - - DOB: / / Age: Person completing this form: Client Other: (give name) Who referred you to Namsate Counseling?

More information

Unit 12 REVIEW. Name: Date:

Unit 12 REVIEW. Name: Date: Name: Date: 1. Which of the following disorders is classified as a mood disorder? A) antisocial personality disorder B) agoraphobia C) catatonia D) generalized anxiety disorder E) bipolar disorder 2. Mania

More information

HDSA welcomes you to Caregiver s Corner. Funded by an educational grant from

HDSA welcomes you to Caregiver s Corner. Funded by an educational grant from HDSA welcomes you to Caregiver s Corner Funded by an educational grant from Caregiver s Corner Webinar, DATE Managing Psychiatric Symptoms Peg Nopoulos, M.D. Professor of Psychiatry, Neurology, and Pediatrics

More information

Doncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery

Doncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery Doncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery Aims of the session To introduce the role and function of Doncaster IAPT (improving access to psychological

More information

Depression Fact Sheet

Depression Fact Sheet Depression Fact Sheet Please feel free to alter and use this fact sheet to spread awareness of depression, its causes and symptoms, and what can be done. What is Depression? Depression is an illness that

More information

Anxiety can be one of a number of symptoms as a reaction to stressful situations. There are three common types of 'reaction' disorders.

Anxiety can be one of a number of symptoms as a reaction to stressful situations. There are three common types of 'reaction' disorders. Page 1 of 6 Anxiety Disorders Most people feel anxious from time to time. However, anxiety can become abnormal if it interferes with your day-to-day activities. Anxiety is a symptom of various 'anxiety

More information

Managing Stress and Anxiety. Fitchburg State College Expanding Horizons Program

Managing Stress and Anxiety. Fitchburg State College Expanding Horizons Program Managing Stress and Anxiety Fitchburg State College Expanding Horizons Program What is Anxiety? Anxiety is a feeling of dread about something unpleasant or threatening that might happen even when there

More information

DEPRESSION. There are a couple of kinds, or forms. The most common are major depression and dysthymic disorder.

DEPRESSION. There are a couple of kinds, or forms. The most common are major depression and dysthymic disorder. DEPRESSION OBJECTIVES: At the end of this class, you will be able to: 1.list and describe several kinds of depression, 2.discuss the signs of depression, and 3.relate the treatment of depression. INTRODUCTION

More information

P A N A N X I E T Y C

P A N A N X I E T Y C P A N A N X I E T Y C The terms panic attack and anxiety attack are used interchangeably, but they are not the same. Key characteristics distinguish one from the other, though they have several symptoms

More information

6/22/2012. Co-morbidity - when two or more conditions occur together. The two conditions may or may not be causally related.

6/22/2012. Co-morbidity - when two or more conditions occur together. The two conditions may or may not be causally related. Autism Spectrum Disorders and Co-existing Mental Health Issues By Dr. Karen Berkman Objective To present an overview of common psychiatric conditions that occur in persons with autism spectrum disorders

More information

Contemporary Psychiatric-Mental Health Nursing Third Edition. Introduction. Introduction 9/10/ % of US suffers from Mood Disorders

Contemporary Psychiatric-Mental Health Nursing Third Edition. Introduction. Introduction 9/10/ % of US suffers from Mood Disorders Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 17 Mood Disorders Introduction 12% of US suffers from Mood Disorders MD are a group of psychiatric DO characterized by physical, emotional

More information

Psychological Disorders

Psychological Disorders Chapter 12 Psychological 12-1 Abnormal Behavior The most commonly used criteria for distinguishing between normal and abnormal behaviors are: 12-2 Abnormal Behavior We can define behaviors as abnormal

More information

Learning Targets: To identify characteristics & symptoms of Anxiety, OCD & PTSD To discuss what life is like for people with Anxiety, OCD & PTSD

Learning Targets: To identify characteristics & symptoms of Anxiety, OCD & PTSD To discuss what life is like for people with Anxiety, OCD & PTSD Anxiety, OCD & PTSD Learning Targets: To identify characteristics & symptoms of Anxiety, OCD & PTSD To discuss what life is like for people with Anxiety, OCD & PTSD Anxiety Based Disorders They are in

More information

ACUTE STRESS DISORDER

ACUTE STRESS DISORDER ACUTE STRESS DISORDER BEHAVIORAL DEFINITIONS 1. Has been exposed to actual death of another or perceived death or serious injury to self or another that resulted in an intense emotional response of fear,

More information

CBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE

CBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences CBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE PATRICK J. RAUE,

More information

Personality disorders. Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C)

Personality disorders. Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C) Personality disorders Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C) Personality Enduring pattern of perceiving, relating to and thinking about the environment and oneself in a wide range

More information