Anxiety Disorders. “The Dark side of Fear”. What is Anxiety?. The unpleasant feeling of fear or apprehension we experience in response to some event or situation. Duration & intensity of anxiety --more severe in people with anxiety disorders than in people without. . Anxiety Disorders:.
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“The Dark side of Fear”
(e.g., A fear of snakes in the city is less a problem than in the country)
Lifetime prevalence: 7% (men) and 16% (women).
*Unpredictable events produce more anxiety than predictable ones.
Patients with GAD are easily drawn to stimuli associated with negative emotional content (traumas, physical harm, etc.)
Have patients focus on relaxing during low-level anxiety.
Lifetime prevalence: 2 % (men) & 5 % (women).
major depression, GAD, phobias, alcoholism, & personality disorders is high.
1.There may be symptoms of an illness that leads to panic attacks.
Patients with panic disorder may have an autonomic nervous system that is predisposed to be overly active.
1. Antidepressants & anxiolytics can reduce frequency of attacks.
Psychological: Barlow’s therapy (well validated):
1. Relaxation training-
2. A combination of Ellis & Beck type cognitive behavioral interventions
3. Exposure to the internal cues that trigger panic
Females: cleaning rituals most common
Fears of contamination
Victory Meyer (1966)
1.Patients with OCD expose (flooding) themselves to situations that elicit compulsions.
Treatment is partially effective in half of OCD patients.
(May 3rd, 1999-OK)
Symptoms of PTSD fall into 3 major categories. Symptoms in each must occur longer than 1 month.
3. Symptoms of increased arousal
difficulty concentrating (sleeping), hypervigilance