A/An _____ crisis occurs throughout life (most people have these but can handle the stress)
Looking at things differently, Looking at outcomes are all examples of ______ stress reduction.
Learning to say no, and knowing It is alright to have limits are all examples of something learned in ______ .
Sleep, Exercise, Decreased caffeine intake, Music, Pets, and massage are all excellent _______.
Physiologic signs of ____ includes slight discomfort Increased perceptual field, Increased ability to learn, Mild tension relieving behaviors such as nail biting, fidgeting, Grasps more information, Is alert, Able to work effectively toward a goal, Physical characteristics of mild anxiety, A slight discomfort, Attention seeking behaviors Restless, irritable, May see finger tapping or fidgeting.
Physiologic signs of ____ includes occasional SOB, selective inattention, narrowed perceptual field-sees, hears and grasps less information, learning and problem solving are still in place-may need help with directions, physical signs of moderate anxiety, butterflies in stomach and other somatic complaints, facial twitches, voice tremors, increased pulse, perspiration, trembling lips, change in voice pitch, muscle tension, may pace, bang hands on table
Physiologic signs of ____ includes distorted perceptions, can't see connections between details, extremely narrowed , perceptual field- only focuses on one thing or self. Difficulty problem solving, not able to learn
Physical signs of ____ includes Frequently experience hyperventilation, increased HR, PVC's, BP, dry mouth, upset stomach, gastric symptoms, Somatic complaints, Purposeless activity, Feeling of dread
Assessing for ______ remember to rule out medical conditions like hypoglycemia, hyperthyroidism, hypoparathyroidism, mitral valve prolapse, drug withdrawal, mental illness-mood & eating disorders, schizophrenia
Someone in the _____ may experience SOB, smothering feeling, decreased BP, chest pain, palpitations (can feel very similar to MI), loss of control, agitation, trembling, completely disrupted perceptual field, hallucinations, may lead to exhaustion, may not be able to talk, feelings of terror and/or severe shakiness
when trying to reduce the _____we need to be calm and direct, gentle voice, simple directions direct them to take slow deep breaths, use of imagery, let them express their fears.
For it to be considered_____ Persistent or recurrent dysphoric mood lasting at least 1 month
Will exhibit at least 4 of the following
Difficulty concentrating, Sleep disturbance, Fatigue or low energy, Irritability, Worry, Cry easily, hyper-vigilance, anticipate the worst, hopeless, low self-esteem (Have to have at least 4 of these to say it is a disorder)
GAD (general anxiety disorder)
Examples of ______ include Panic Disorder, social phobia, OCD (obsessive compulsive disorder), PTSD
General anxiety disorder, Chronic disorder, Persistent anxiety without panic attacks
____ for anxiety includes things like that persistent "never go away" worry and that nagging feeling that something bad is about to happen.
Signs of ____ includes excessive worrying, overall fatigue-have trouble sleeping, muscle tension, restlessness-keyed up, difficulty concentrating, sleep disturbances, stomach aches, diarrhea, headaches, irritable , impairment of social, occupational functioning
Goal is to limit unpleasant symptoms to return person to a higher level of functioning
____ work for anxiety because of dysregulation of 5-HT and NE-Trofranil (Effexor(SSRI), Lexapro, and Paxil)
blocks 5-HT, making it better than benzodiazepines, it has Less sedation effects, although you won't see an immediate effect, doesn't interact with alcohol
Cognitive Behavioral Therapy (CBT)
______ includes thought stopping, seek support, education and self-monitoring, relaxation training-deep breathing, cognitive therapy, graduated behavioral practice, cognitive restructuring, guided self-dialog, control worrying thoughts
Treatment of _____ goal is to reduce intensity and frequency of panic attacks, decrease anticipatory anxiety, and treat associated depression. SSRI's, antihistamines. Takes up to 4 weeks for a response. Some people take 8-12 weeks. May combine anti-anxiety with antidepressants for a quicker response
Fear of losing control, Fear of appearing inadequate, Defense against threats to self esteem, Perfectionist standards of behavior
Anxiety disorders characterized by excessive and irrational fear of, and consequent attempted avoidance of, specific objects or situations. Dominated by fear
______ OCD-assessment includes asking what kinds of things do you feel a need to check and recheck, How much time do you spend checking? Describe any movements you are forced to repeat. What kinds of things do you count?
______ OCD-assessment includes describing feeling of anxiety. What happens when you feel out of control. Describe significant other relationships . Greatest fears
_______ OCD-assessment includes: Qualities you like about yourself. What are your thoughts about compulsive behavior?
Would you like to decrease your need for compulsive behavior?
How much time a day do you spend doubting what you have done?
Post-traumatic stress disorder
an anxiety disorder associated with serious traumatic events and characterized by such symptoms as survivor guilt, reliving the trauma in dreams, numbness and lack of involvement with reality, or recurrent thoughts and images
Symptoms of ______ occur within the first 3 months after trauma. May see a delay of months or years.
behavioral characteristics of Hyper-alertness, Aggressive or bizarre behavior, Avoidance of stimuli associated with the trauma, Exaggerated startle reflex, Difficulty sleeping
characteristics of ______ PTSD includes Chronic tension, Anxiety, Guilt Numb emotions, Cognitive, Memory loss, or Flashbacks, Self-devaluation
PTSD _______ assessment, Difficulties with concentration, Memory problems, How often recurrent thoughts, Nightmares?
the _____ aspect of PTSD includes being distant from family and friends, changes in communication patterns.
Treatment of ____ includes Help with depression, sleep, suppress intrusive thoughts, jumpiness, and explosive anger.
The best are the antidepressants. Zoloft and Paxil are approved. May use beta blockers to reduce anxiety and restlessness. CBT, Exposure therapy, Family therapy
Acute stress disorder
With _______ we expect the pt experienced or witnessed an extreme traumatic stressor.
Acute stress disorder
_______ Occurs within a month of event, lasts for 2 days and goes away in 4 weeks. the pt experiences subjective sense of numbing, experience recurrent images and flashbacks. detachment, reduction in awareness of surroundings, derealization, depersonalization, or dissociative amnesia.
Amnesia, fugue, DID, depersonalization (abuse related) are all examples of _______.
Dissociative and somatoform disorders
when assessing for ____ we must rule out MS, Brain tumors, Hyperparathyroidism, Lupus, Myasthenia gravis, hyperthyroidism, 50-70% of people with a mental illness present with a somatic complaint initially.
______ the expression of psychological stress through physical symptoms, Precipitated by a traumatic event. and are complex mind body interactions.
a dissociative disorder in which a person suddenly and unexpectedly travels away from home or work and is unable to recall the past
emotional dissociative disorder in which there is loss of contact with your own personal reality accompanied by feelings of unreality and strangeness
Dissociative identity disorder
a rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities. Also called multiple personality disorder. Most severe form.
disorders characterized by physical symptoms for which no known physical cause exists
Conversion, hypochondriasis, somatization disorder, pain disorder, body dysmorphic disorder are all example of ___.
Must include all of these in order to be a ______ History of pain in at least 4 different sites or functions, At least 2 GI symptoms At least 1 sexual symptom, History of 1 symptom suggesting neuro disorder
Sensorimotor symptoms, Impaired balance, Paralysis Dysphagia, Seizures, gait disturbances, Precipitated by trauma
Only 1 symptom, Show a lack of emotional concern about the symptoms
a mental disorder characterized by the conversion of mental conflict into somatic forms (into paralysis or anesthesia having no apparent cause)
a condition in which an individual acts as if he or she has a physical or mental illness when he or she is not really sick; previously known as Munchausen syndrome