anxiety and related disorders [instructor name] [class and section number]
TRANSCRIPT
Overview of Anxiety
Discussion Question:
What is the difference between adaptive and maladaptive anxiety?
Overview of Anxiety
Triple Vulnerability Model of Anxiety Disorder1. Biological vulnerabilities2. Psychological vulnerabilities3. Specific vulnerability
Generalized Anxiety Disorder
Worry as a core feature Scope Persistence Effect
What symptoms of GAD does Piglet exhibit?
A Case Presentation• What symptoms did this patient exhibit?• What types of things did they worry about?• How did the patient’s worry affect her relationships?• How did the patient’s disorder affect their work?• How do you think this patient would be best treated for
their disorder?• What do you think the most debilitating part of the disorder
is for the patient? • Was there anything surprising about this patient?• Are there any questions about things you feel like you need
to know about the patient to properly diagnose and/or treat them?
Panic Disorder (PD) & Agoraphobia
Physical Sensations Near-miss car accident
Difference between adaptive & maladaptive anxiety
Relationship between cues and agoraphobia
Specific Phobia
Name Those Phobias!
Difference between a fear and a phobia?
Features Heritability Comorbidity Prevalence
Conditioning & Learning in Specific Phobia
Bitten by a Golden Retriever at age 4
Fear of dogs
What is the unconditioned stimulus (US)?Unconditioned response (UR)?Conditioned stimulus (CS)?Conditioned response (CR)?
Generalization may contribute to development of dog phobia.
Sweetie
Social Anxiety Disorder (SAD)
Adaptive vs Maladaptive
Role of functional impairment
What role do social experiences play in the development of SAD?
Posttraumatic Stress Disorder (PTSD)
SymptomsRe-experiencing
Flashbacks Nightmares Thoughts
Avoidance Places Feelings
Hyperarousal Exaggerated startle reflex “On edge” Difficulty sleeping
Discussion
How are some of the symptoms of PTSD adaptive in combat zones?
When do symptoms become maladaptive?
Role of Learning in PTSD
TraumaTrauma World is DangerousWorld is Dangerous
HypervigilanceHypervigilance Nothing HappensNothing Happens
Hypervigilance Increases
Hypervigilance Increases
Obsessive-Compulsive Disorder
Strange thoughts can be normal.
OCD causes thoughts to get stuck.
Living with OCD
Disturbing thoughts & thought-action fusion
Learning and OCD
Strange Though
t
Strange Though
t
Stuck on
Thought
Stuck on
Thought
AnxietyAnxietyBehavior
Behavior
Feel BetterFeel
Better
Name That Disorder! Case Study 1: Zelda is extremely concerned with cleanliness. In fact, before she
retires at night, she goes through a cleaning ritual of her clothes and body that sometimes lasts for up to 2 hours. If she misses a step in the ritual or performs part of it imperfectly, she starts the ritual all over again.
Case Study 2: Alex periodically suffers from extremely high levels of anxiety but he cannot pinpoint the source or otherwise say why he is so anxious. He is terrified at times, his heart often races, he feels wobbly, and has difficulty concentrating.
Case Study 3: Karen worries excessively about developing a rare disease. When she meets friends or writes letters to her relatives, she is constantly discussing how she feels and expresses concern that even the most minor irregularities in the functioning of her body are symptoms of underlying diseases. She spends a good deal of time consulting doctors for a second opinion.
Case Study 4: Terry complains that he is experiencing recurrent episodes of lightheadedness, rapid breathing, and dizziness, especially as he attempts to leave his house. The symptoms have become so severe that, in fact, he is leaving his house less and less frequently. He now only goes to the grocery store in the company of his sister. Once in the store, he checks immediately for the exits and windows.
Treatment
How should anxiety disorders be treated?
What treatments work the fastest?
What treatments are most effective long term?
Treatment: Fear Hierarchy of Dogs10: Room with lots of dog toys20: Smelling a dog50: Hearing a dog60: Seeing small dogs70: Seeing big dogs that are not Golden Retrievers90: Golden Retrievers100: Sweetie the Golden Retriever Sweetie!
Photo AttributionSlide 1 and 13
Photo Credit: Berhooz Nobakht https://www.flickr.com/photos/73633138@N00/1137484283 https://creativecommons.org/licenses/by-nc-nd/2.0/
Slide 3Photo Credit: zetson http://www.flickr.com/photos/66814335@N00/3241975525/ https://creativecommons.org/licenses/by-nc-sa/2.0/
Slide 6Photo Credit: be_khe http://www.flickr.com/photos/16118776@N00/2237614948/ https://creativecommons.org/licenses/by/2.0/
Slide 8Photo Credit: Hina :-) http://www.flickr.com/photos/86927238@N00/518430055/ https://creativecommons.org/licenses/by-nc-nd/2.0/
Slide 10Photo Credit: Geralt http://pixabay.com/en/keyboard-button-panic-fear-anxiety-114439/ http://pixabay.com/go/?t=%2Fservice%2Fterms%2F%23download_terms
Slide 11Photo credit: Josch13 http://pixabay.com/en/spider-arachnid-insect-close-348786/ http://pixabay.com/go/?t=%2Fservice%2Fterms%2F%23download_terms
Slide 12 and 23Photo Credit: Kaz http://pixabay.com/en/dog-golden-retriever-golden-164675/ http://pixabay.com/go/?t=%2Fservice%2Fterms%2F%23download_terms
Slide 15Photo Credit: Chesi - Fotos CC http://www.flickr.com/photos/19132040@N04/2513823044/https://creativecommons.org/licenses/by-sa/2.0/
Slide 18Photo Credit: William Brawley http://www.flickr.com/photos/93841400@N00/4195919691/ https://creativecommons.org/licenses/by/2.0/
Slide 22Photo credit:tiyowprasetyo http://pixabay.com/en/counseling-stress-angry-99740/ http://pixabay.com/go/?t=%2Fservice%2Fterms%2F%23download_terms