Think of the last time you were REALLY nervous.. What does it feel like? PHYSICALLY? PSYCHOLOGICALLY?

Think of the last time you were REALLY nervous.. What does it feel like? PHYSICALLY? PSYCHOLOGICALLY?

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

Generalized? Free-floating Excessive or unrealistic worry about life circumstances 6 months or more I can t get my mind to stop it s driving me crazy!"

Biological: Genetics Serotonin & GABA Treatments: Anti-anxiety meds (Valium) SSRI s

Cognitive-Behavioral Symptoms get worse when stressed Alter thinking patterns: How can we change this? He s late - he was supposed to be here 20 minutes ago! Oh my, he must have been in an accident! Relaxation techniques

Period of intense fear Symptoms Shortness of breath, dizziness, rapid heart rate, shaking, sweating, choking, nausea, & / or other distressing discomfort.

Biological: Genetics Serotonin & GABA Suffocation Alarm Mechanism (medulla) misfires SSRI s

Cognitive-Behavioral Stressful life events Alter thinking patterns It is only uneasiness, it will pass. Relaxation techniques

Claustrophobia - Fear of enclosed spaces Acrophobia - Fear of heights Arachnophobia - Fear of spiders Zoophobia - Fear of animals

Glossophobia- Fear of speaking in public or of trying to speak. Bibliophobia- Fear of books. Coulrophobia- Fear of clowns. Cyclophobia- Fear of bicycles. Ergophobia- Fear of work

Specific : 6 months You know it is unreasonable AVOIDANCE!

Hippopotomonstrosesquipedaliophobia http://phobialist.com/

Fear: can t escape Avoid: being alone outside of the home, in a car, or crowded area.

Behavioral (learned) EXPOSURE therapy Systematic desensitization Flooding

Performance (scrutiny by others); fear of embarrassment 6 months

..."Being in show business, it was embarrassing to come out with this disorder, which at the time I didn't even know what it was called. I just thought I was crazy. I can't even tell you how important it is to know that you aren't alone and others have suffered and gotten through it." Donny Osmond

Obsessions: repetitive thoughts Know they are illogical Examples: contamination, symmetry THOUGHTS CREATE ANXIETY

Compulsions: actions Reduce the distress Reinforces behavior Example: hand washing, checking, praying, counting, repeating words silently

Howie Mandel Howard Hughes " In my mind [my hand] is like a petri dish Otherwise I would spend the day, as I have in the past in my life in the men's room rubbing and scrubbing and scalding https://www.youtube.com/watch?v=dsznnz9sm4g

Biology Serotonin Anterior cingulate cortex (hyperactive) Genetics SRI s (Anafranil) SSRI s (Prozac, Luvox)

Behaviorism Learned behaviors; reinforced (like superstitions) Exposure therapy

Trauma Combat, personal assault (terrorism, rape, natural disasters) Fear, helplessness, horror Re-experiences trauma (replay memory, dreams, acting/feeling like event is happening again)

SSRI s Exposure therapy Eye Movement Desensitization & Reprocessing (EMDR) Talk about event, focus on other stimuli (eye movements, hand taps, or sounds) Controversial

III. Types of Psych Disorders Causes of Anxiety Disorders 1. Psychodynamic - repressed urges that surface abnormally as obsessions & compulsive behavior(no longer believed) 2. Learning Theorist - phobias are learned in childhood through association - Learned by watching parents get scared

III. Types of Psych Disorders 3. Cognitive View - - People feel helpless to control situations. Creates Anxiety 4. Biological View - Genetics - Twin studies show a 45% chance of anxiety in both twins Both - Panic disorder: may be biologically prone to overreact w/panic. After 1st panic, fear of another panic attack takes over