Anxiety

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Anxiety Disorders - PTSD
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The Anxiety Disorders

• Panic Disorder / PD With Agoraphobia
• Agoraphobia
• Specific Phobias
• Social Phobia (social anxiety disorder)
• Generalized Anxiety Disorder
• Obsessive Compulsive Disorder
• Trauma and Stressor-Related Disorders now in own
  category in DSM-5

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Posttraumatic Stress Disorder
Clinical Description
Exposure to Traumatic Events War and Combat Rape
and Assault Car Accidents Natural Disasters IPV
and child neglect/abuse
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Symptom Clusters
1. Persistent re-experiencing/intrusions of
event A. Intrusive memories of the event
Ex.______________________ B. Recurrent,
distressing dreams/nightmares C.
Dissociative states flashbacks D.
Psychological distress at exposure to events
that symbolize or resemble an aspect of the
trauma. Ex. Anniversary dates.


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Symptom Clusters

2. Avoidance of stimuli associated with event
or numbing of responsiveness A.
Deliberate efforts to avoid thoughts or
feelings B. Deliberate efforts to avoid
activities/ situations that are reminders about
event C. Psychogenic amnesia (all or part
of event) D. Feeling detached from
others numbing unable to have loving
feelings

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Symptom Clusters

3. Symptoms of increased arousal A. Sleep
problems B. Irritability or outbursts of
anger C. Problems concentrating D.
Hypervigilence E. Exaggerated startle
response F. Physical reactivity to events
similar to trauma Ex. person
sexually assaulted in an elevator sweats when
entering elevator survivor guilt

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Posttraumatic Stress Disorder
Subtypes
Acute Stress Disorder lt 1 month PTSD gt 1
month Delayed Onset Symptoms Begin gt 6 Months
after event
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What qualifies as a traumatic experience?

• A. Person variables -predisposing factors
  (ex. prior trauma)
• -specific experience during events
• -persons evaluation during after event
• B. Stimulus properties of event
• ex. manmade or natural type of exposure
• C. Characteristics of post trauma environment
• (e.g., supportive or not)

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Posttraumatic Stress Disorder
Facts and Statistics
Occurs in ____ of Population ____
lifetime Most Common Traumas? Trauma Event is
Necessary, not Sufficient Severity of Event
Response Seems Important Runs a Chronic Course
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Posttraumatic Stress Disorder
Causes

• Only Disorder With ________________
• Biological Vulnerability
• Prior Experience With Events That are...
• Uncontrollable and Unpredictable
• Severity of Trauma and Ones Reaction
• _________________________
• Social Support / Acceptance Helps

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Treatment of Posttraumatic Stress
Disorder
Psychological Interventions
- Ensure Safety and Teach Coping Skills - Face
the Original Trauma - Is it Necessary? Imaginal
Reexposure - Telling the story remembrance
mourning - Arrange for Corrective Emotional
Learning - Problem of Secondary Gain Disability
and Compensation
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Treatment of Posttraumatic Stress
Disorder
Pharmacological Interventions
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