5 Written Questions

1. help client learn new ways to cope with anxiety, decrease stress...punishment for obsessive thoughts (ex. rubber band on wrist gets snapped every time person has obsessive thoughts)
2. fear of being looked at, judged, embarrassed, or scrutinized by others...either avoids situations or goes into intense anxiety in situations...interferes with ability to function
3. "doubting disease", repetition of normal doubts and daily routines, doubt own senses
   -obsessive though...compulsive behavior
   -recognize as abnormal but cant control
4. lack of unconditioned positive regard...overly critical of one's self as an adult
5. most effective is medication and cognitive therapy...systematic desensitization, flooding, implosion, identify negative thoughts that trigger phobia (Anti-anxiety and anti-depressants)

5 Matching Questions

1. Generalized Anxiety Disorder (GAD)
2. Social cognitive explanation (OCD)
3. Psychoanalytic explanation (phobias)
4. Treatment of GAD
5. Behavioristic explanation (OCD)

1. a best way is a combination between medicine and psychotherapy (social-cognitive)...REBT- identify triggers, get patient to see that attack is independent of trigger so trigger loses its power, differentiate between realistic and unrealistic thoughts, learn how to cope with different situations, relaxation techniques
2. b threatening impulses->unable to repress-> intrusions become crystallized in the form of fearful fantasies->fantasies attach to external object that symbolizes internal damage-> displaces fear to an actual/tangible object that he/she can avoid
3. c learned helplessness, irrational thoughts
4. d obsessive thoughts->anxiety, compulsive behaviors reduce anxiety (reinforcer)...superstitious behavior...reinforced-able to control one aspect of their lives while unable to control others
5. e unfocused/persistent anxiety (generalized), may be unable to identify cause of anxiety/unable to control anxiety, all symptoms of autonomic nervous system arousal (sweating), difficulty concentration, feelings of dread, irritability, excessive or chronic anxiety...most common anxiety disorder, 2X more likely in women, 4 % of population

5 Multiple Choice Questions

1. Beta blockers-reduce physiological symptoms, Benzodiazepines - reduce symptoms in short time/can be addictive (Xanax), Buspirone- must be taken consistently for 2 weeks to notice effects...not addictive or sedative...does not eliminate anxiety entirely
   1. Anti-anxiety drugs
   2. Medication (OCD)
   3. Treatment of GAD
   4. Anti-depressants
2. genetic (25% have at least one close relative with OCD), difference in brain of person with OCD (larger cortex), drugs help but could have serious side effects
   1. Biological explanation (GAD)
   2. Behavioristic explanation (OCD)
   3. Biological explanation (OCD)
   4. Biological explanation (phobias)
3. anal stage (control issues), obsessive thoughts are disguised expressions of forbidden impulses (compulsive acts counter forbidden impulse)...ex. repetitive washing = suppressed anxiety over "dirty thoughts"...id, ego, superego imbalance
   1. Psychoanalytic explanation (phobias)
   2. Humanistic explanation (GAD)
   3. Psychoanalytic explanation (GAD)
   4. Psychoanalytic explanation (OCD)
4. help the client identify and change irrational thoughts
   1. Medication (OCD)
   2. Cognitive therapy (OCD)
   3. Behavior therapy (OCD)
   4. Social cognitive therapy (OCD)
5. classical conditioning (with or without generalization)...observation...operant conditioning- avoidance reduces anxiety (positive reinforcement for avoiding behavior)
   1. Biological explanation (phobias)
   2. Behavioristic explanation (phobias)
   3. Behavioristic explanation (OCD)
   4. Humanistic explanation (phobias)

5 True/False Questions

1. Social cognitive therapy (OCD) → help the client identify and change irrational thoughts

   True        False

2. Treatment of OCD → best way is a combination between medicine and psychotherapy (social-cognitive)...REBT- identify triggers, get patient to see that attack is independent of trigger so trigger loses its power, differentiate between realistic and unrealistic thoughts, learn how to cope with different situations, relaxation techniques

   True        False

3. Biological explanation (GAD) → genetic (25% have at least one close relative with OCD), difference in brain of person with OCD (larger cortex), drugs help but could have serious side effects

   True        False

4. Phobic disorders → unrealistic fear that is out of proportion to the actual threat (ex. fear of spiders when none around), fear becomes phobia when it interferes with normal living and keeps you from doing things you want to do...1/10 people, 2X more likely in women...RECOGNIZE FEAR AS EXCESSIVE

   True        False

5. Existentialist explanation (GAD) → linked to neurotransmitters...too little serotonin, too much norepinephrine, abnormal levels of GABA (inhibitory...low levels means cant get back to calm state)

   True        False