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Anxiety Disorders

Terms in this set (24)

Unique among anxiety disorders due to its association with a terrifying or life-threatening event; Impairment result from re-experiencing the event either in dreams or flashbacks, or avoidance of specific places or situations.
Criteria:
1. The person has been exposed to a traumatic event with both of the following:
The person experienced, witnessed, or was confronted with an event that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others.
The person's response involved intense fear, helplessness, or horror
hypervigilance - can't turn this off at will
-very exhausting
The traumatic event is persistently re-experienced in one of the following ways:
-Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions.
-Recurrent distressing dreams of the event
-Acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated).
-Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event
use gentle approaches, calm environment and tone
-Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
-Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness as indicated by 3 or more of the following:
-Efforts to avoid thoughts, feelings, or conversations associated with the trauma
-Efforts to avoid activities, places, or people that arouse recollections of the trauma
-Inability to recall an important aspect of the trauma
-Markedly diminished interest or participation in significant activities
-Feeling of detachment or estrangement from others
-Restricted range of affect
-Sense of foreshortened future
Persistent symptoms of increased arousal (not present before the trauma), as indicated by 2 or more of the following:
-Difficulty falling or staying asleep
-Irritability or outbursts of anger
-Difficulty concentrating
-Hypervigilance
-Exaggerated startle response
-The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning