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Psych 333 Chapter 4- lecture 4
Terms in this set (45)
Subjective component to anxiety
sense of unease, worry, dread, sense of being unable to predit or control future threat
behavioral component to anxiety
appearing worried, fidigeting, active avoidance
physiological component in anxiety
elevated heart rate and muscle tension
a negative mood state characterized by bodily symptoms of physical tension and apprehension about the future
an emotional response to real or perceived imminent threat
subjective component to fear
thoughts of immediate danger
behavioral component to fear
physiological component to fear
surge of autonomic arousal (fight or flight)
How many symptoms must occur during a panic attack to classify for a panic disorder out of 13?
4 symptoms of 13
1. concern or worry about more panic attacks and
2. a change in behavior to avoid attacks must be on going for how long?
at least one month
tendency to catastrophize the meaning of anxiety related bodily sensations
proneness to experience negative emotions
biological contributions to panic disorder
1. over activity in the noradrenergic system
2. diminished GABA receptor binding sites
social contributions to panic attacks
stress and modeling
psychological contributions to panic attacks
conditioning (association of internal and external cues)
dysfunctional beliefs (physical sensations mean something terrible is going to happen)
heightened interoceptive awareness (increased awareness of internal sensations)
medication used to treat panic disorder/panic attacks
therapy used to treat panic disorder/panic attacks
exposure-based treatment (gradual exposure exercises sometimes with anxiety reducing coping strategies)
panic control treatment (exposes clients to interoceptive sensations associated with an attack)
when a person has a diagnosis for more than one disorder
a distinct disorder (apart from panic disorder) associated with anxiety about being in places or situations from which escape might be difficult in the event of panic symptoms or other unpleasant physical symptoms.
In order to be diagnosed with generalized anxiety disorder, the client must be experience anxiety more days than not about a number of events or activities for how long?
True or False: an individual with generalized anxiety disorder finds it difficult to control the worry and may think it is out of their control.
how many symptoms must a client be experiencing in generalized anxiety disorder to be diagnposed? (out of 6 symptoms)
3+ out of 6 symptoms
-restlessness or feeling "keyed" up
-being easily fatigued
-difficulty concentrating or mind going blank
To be diagnosed with generalized anxiety disorder clients must be experiencing distress or impairment in social, occupational, or other important areas of functionioning
what portion of the risk for developing GAD is genetic?
what biological contribution could lead to GAD?
possible functional deficiency in GABA
what are psychological contributions to GAD?
-History of experiencing unpredictable and uncontrollable stress.
-Perceived lack of control
-attentional bias toward perceived threats
Which neurotransmitter system do benzodiazapines most directly affect?
Thereapy for GAD patients
Cognitive Behavioral Therapy (CBT)- more effective in the long run than medication alone.
First criteria for diagnosing a client with specific phobia
Marked fear or anxiety about a specific object or situation that is different from "normal" transient fears that commonly occur in the population
fear or anxiety must be intense or severe- may take form of a panic attack
True or False: To be diagnosed with specific phobia, the phobic object or situation must almost always provoke fear or anxiety. Also, the object or situation is actively avoided to avoid fear or anxiety. Also, the fear or anxiety must be out of proportion to the actual danger posed by the object or situation.
individual intentionally behaves in ways that are designed to prevent or minimize contact with phobic stimulus
How long must a person experience fear, anxiety, or avoidance to be diagnosed with Specific Phobia?
must last 6 months or longer- distinguishes specific phobia from transient fears
A panic attack in response to a phobic stimulus would be classified as:
an expected panic attack
a specifier is:
additional standardized "tags" or add-ons that can be applied to a primary diagnosis in order to better characterize the specific manifestation of the disorder.
specific phobia specifiers include:
biological contributions to Specific Phobia:
psychological contributions to Specific Phobia:
-a vulnerability to anxiety (person must develop anxiety by focusing on feared outcome or event0
Therapy for specific phobia includes:
-Exposure therapy (controlled gradual exposure)
-systematic desensitization (controlled gradual exposure w/ relaxation techniques)
-participant modeling (therapist calmly models interacting with phobic object or situation)
what is the difference between exposure therapy and systematic desensitization?
Systematic desensitization involves relaxation techniques.
How long must fear, anxiety or avoidance persist in an individual to be diagnosed as social anxiety disorder?
6 months or longer
Biologicval contributions to social anxiety disorder:
-First degree biological relatives of individuals with social anxiety disorder have a 2-6 times greater chance of developing the disorder
-a trait of behavioral inhibition is heritable and is evident as ear as 4 months of age.
Psychological contributions to social anxiety disorder:
attention and memory biases towards critical expressions
-post-event processing (PEP) of negative social experiences
medication for social anxiety disorder:
Therapy for social anxiety disorder:
Cognitive behavioral Group Therapy (rehearsing and role-playing socially phobic situations with and in front of others with social anxiety disorder)(more effective than medication)
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