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Investigating Anxiety Disorders

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Christian Christian

on 20 March 2014

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Transcript of Investigating Anxiety Disorders

Generalized Anxiety Disorder
Treatment
Anti-anxiety Medications
Benzodiazepines
Cognitive-Behavioral therapy
Symptoms
Worry Continually
Jittery
Agitated
Sleep Deprived
Excessive sweating
Depression
Hiding
Overview
Worst Case Scenario
Person can't identify
Definition
The Biological Perspective
Modern fears have an
evolutionary
explanation
Ex
:
fear of flying may come from our biological predisposition to fear confinement and height
Compulsive acts typically exaggerate behaviors that contributed to our species survival (checking territorial boundaries)

Obsessive Compulsive Disorder
Overview
definition
therapy
statistics
behavior therapy
symptoms
fun facts
Post Traumatic Stress
Obsessive Compulsive
Panic
Disorders
Generalized Anxiety
2
1
3
4
Phobias
5
The 2 Perspectives
Learning
Biological
Anxiety Disorders
2
1
The learning Perspective
Fear Conditioning
Fear Conditioning
Observational learning
Phobias
Agoraphobia
Darwin
most common form of anxiety disorder
5.1%-12.5%
Most common with women
Post Traumatic Stress Disorder
cognitive behavioral therapy
Panic Disorder
Treatment
Symptoms
Overview
definition
symptoms
diagnosis
worst case scenario
treatment
Definition
Long unpredictable experience of:
terror
chest pain
choking
Cognitive Behavioral Theraphy
Funny
Cognitive Therapy
Overview
Form of treatment
developed to expose client to gradually triggers and supply a means of escape
Subjective process
still proven to be more effective than drugs alone
effective form of therapy
Not psychoanalysis
Definition (textbook)
Can't deal with or avoid it's cause
Free Floating - Sigmund Freud
Panic Attack
Treating Disorders
Cognitive Behavioral Therapy
Diagnostic and Statistical Manual of Mental Disorders

Anxiety
is manifested:
biologically

Brain
generates
series of mental hiccups

Brain Areas
are elevated with:
anxiety disorders

anterior cingulate cortex
(
brain region that monitors actions and checks for errors)
hyperactive in those with OCD

The
biological increase
can’t explain
all aspects of anxiety disorders


sharp increase
in
the anxiety levels of
children
college students
Over the last half-century,
related to family breakup

Fun Facts
The Brain
Genes matter
predisposed to anxiety more than others


Vulnerability
to anxiety disorders rises
an afflicted relative is an identical twin

Identical twins
may develop similar
phobias, even when raised apart

Researchers
have found
17 genes

Genes
influence disorders by
regulating neurotransmitters

anxiety gene
affects
brain levels of serotonin
neurotransmitter glutamate

Genes
Natural Selection
Overview
Natural Selection
Genes
The Brain
helps maintain our phobias and compulsions after they arise
Reinforcement
Observational learning
2 types
when a person is attacked by a fierce dog and later fears all dogs

Stimulus Generalization
2 Types of specific learning processes
stimulus generalization
reinforcement)
Fear Conditioning
Observational learning
Stimulus Generalization
reinforcement
Overview
Fun Facts
2.2 million
2%-3%
Genetics
Preventive measures
Effectiveness
Rational Emotive Behavior
Form of therapy in which the therapist helps clients identify their primary irrational thoughts that produce distress, depression, anxiety, and so on, and then teaches them to challenge these irrational (and almost invariably negative) ideas that are impeding their lives
Medications

Therapy
subsets
of OCD:
anorexia nervosa
bulimia nervosa
Behavior therapy
Anxious
Worried
Obsessed
Doubtful
Symptoms
Statistics
unwanted:
Definition
6.8 million
3.1 percent
2/3
Most prevalent in women
Ratio is 2/3
Women
Diagnosis
Occurs years after
Older you are...Less chance
Genetics

Continually :
Tense
Apprehensive
ANS arousal
Hiding
Disorder
Definition
Hiding?
Women?
Medications
Therapy
symptoms appear later (at least 1 month)
2o%
8.5% of Manhattan
1/10 women and 1/20 men
Symptoms
stone age
Trojan War
Da Costa's syndrome
History
Post Traumatic Growth
positive:
psychological changes

How it works
Therapy
definition
symptoms
therapy
Post-traumatic growth
fun facts
Fun Facts
STATS
haunting memories
nightmares
social withdrawal
jumpy anxiety
insomnia
Definition
overview
Social Phobia
Extreme shyness
Avoids all risks of embarrassment





Worst Case Scenario
persistent
irrational fear
Behavior Therapy
Psychoanalysis
Pharmacological treatment
Therapy
Overview
Fun Facts
Definition
Definition
Symptoms
Statistics
Worst case scenario
Therapy
1/75
6 million
Smokers
Medical History Test
psychotherapy
medications
Cognitive behavioral therapy (CBT),
Diagnosis
Fun Facts
Worst Case Scenario
Repeated Panic Attacks
shortness of breath
choking sensations
dizziness
Heart palpitations
trembling
extreme fear

Panic Attack
Investigating Anxiety Disorders
Christian Duffoo
Michael Kidd-Phillips
Schan Lartigue

Diagnostic and Statistical Manual of Mental Disorders
Professional Use
Mulitaxial Diagnosis
Helps clinician plan treatment and predict outcome
Axis 1: Clinical Disorders
Axis 2: Personality Disorders
Axis 3: General Medical Conditions
Axis 4: Psychosocial and environmental problems
Axis 5: Global assessments of a person's overall level of functioning on a scale from 1 to 100
Two Purposes
1) source of diagnostic information to enhance clinical practice / research / education

2) communicate diagnostic information to others
Overview
Primary manual of psychiatric classification
Published by
American Psychiatric Association

Volumes of DSM
Chief Criticism
The DSM has no separate categories or criteria for the diagnosis of children

(it is updated every twelve years, so maybe in the future this may be addressed)
DMS by the Numbers
Classifies over 300 specific psychological disorders
1st published in 1952
4th edition published in 1994
2000 (Turkington Version) most recent
Minutes Long
Anticipation of a dreadful act
Untreated Panic Attacks
Heart Attack
Psychiatric History Test
Doctor Examination
Begins in Adolescence
Celebrity Game
Celebrity with Anxiety Disorders
? - L.R
Who Am I?
Information from others
When our son Willie died of Typhoid Fever in 1862, he but was always edgy and shaking, but was able to hid it from the public and social events
Awards
At the age of 15, she won an American Music Award, 2 Grammy awards, 3 Academy of Country Music Awards, and 4 Billboard Music Awards
Life Span - 1975 – Present
Occupation (Male)
? - D.B.
Who Am I?
Education
Reason For Seeking Treatment
Born: - Leytonstone, London, England, UK
attended Bobby Charlton's football school in Manchester, and won a spot in a training session at FC Barcelona as a child
Professional Athlete
Snapped at his wife for not putting his clothes in the right order
Information from others
Everything has to be in order, specifically pairs. He needs to have even numbers or he becomes very uncomfortable
Observation from interviewer
I gave him a soccer ball, but he threw it out because it wasn’t even. Later that day he bought 2
Life Span - 1809 - 1865
Occupation
? - A.L
Who Am I?
Education
Reason For Seeking Treatment
Born: - Hodgenville, Kentucky, USA
few months in a rural schoolhouse was his only "formal" education, but he borrowed heavily from the small libraries of Pigeon Creek, Indiana!
World Leader
always tense, apprehensive, and in a state of autonomic nervous system arousal
Information from others
When our son Willie died of Typhoid Fever in 1862, he but was always edgy and shaking, but was able to hid it from the public and social events
Observation from interviewer
No physical problems, but looks anxious
Observation from interviewer
patient information is confidential in this case ☺
Life Span - 1982 - Present
Born- Jackson, Mississippi, USA
Occupation (Female)
Country Singer/Actor/Writer
Reason For Seeking Treatment
needs to re-learn coping tools for the significant anxiety that comes with being a celebrity
Education
For sake of convenience, she withdrew from school and continued her education with a tutor. While a private education only helped L.R. excel, it also effectively withdrew her For sake of convenience, she withdrew from school and continued her education with a tutor. While a private education only helped L.R. excel, it also effectively withdrew her
Marital Status
Eddie Cibria (22 April 2011 - present)
Dean Sheremet (23 February 2002 - 19 June 2010) (divorced)

TV/Movie Awards
American Idol, Coyote Ugly, and Smallville

Abraham Lincoln
Leann Rimes
David Beckham
Marital Status
Victoria Adams (4 July 1999 - present) (4 children) *Spice Girl
Awards
Teen Choice Award (Won)- Male Athlete Award (2013)
TV/Movies
Movies made about him, has been on numerous talk shows/daily shows
G.A.D.
G.A.D.
O.C.D.
Life Span -1963 – Present
Occupation (Male)
? - J.D.
Who Am I?
Education
Reason For Seeking Treatment
Born - Owensboro, Kentucky, USA
Dropped out of school at age 15 in the hopes of becoming a rock musician
Actor/Producer/Musician
hasn't stopped having _____ for years, Arrested for getting in a fight with the paparazzi in front of a restaurant in London (1999)
Information from others
doesn't speak about them very often, but the disorder is well known
Observation from interviewer
Very quiet, but had looked very disturbed
Marital Status
Has dated several female celebrities, and has been engaged to Sherilyn Fenn, Jennifer Grey, Winona Ryder and Kate Moss. Married to Lori Anne Allison in 1983 but they divorced her in 1985
Awards
Oscar (Nominee)- Best Performance by an Actor in a Leading Role Sweeney Todd: The Demon Barber of Fleet Street (2007), Empire Award (won)- Best Actor Charlie and the Chocolate Factory (2005), Hollywood Film Festival (won)- Actor of the Year (2003)
TV/Movies
Edward Scissorhands, 21 Jump-Street, Rango, and Cry-Baby
Johnny Depp
Panic Disorder
? - K.O
Who Am I?
Information from others
I was in a relationship with this woman, but she would freak out when I touched her!
Awards
At the age of 15, she won an American Music Award, 2 Grammy awards, 3 Academy of Country Music Awards, and 4 Billboard Music Awards
Observation from interviewer
irrational fear and frequently avoids being touched
Life Span -1984 - Present
Born - Westminster, London, England, UK
Occupation (Female)
Actress/Producer
Reason For Seeking Treatment
hospitalized after fainting on the set of Fashion Police (2002) on March 7, 2013 after a random man touched her hair
Education
Dropped out of the 10th grade
Marital Status
Engaged to Matthew Mosshart [July 30, 2013]
TV/Movie Awards
The Fashion Police, Brit Awards (2005), and Dancing with the Stars (2009)
Awards: Teen Choice Award (Won)- Choice TV Reality/Variety Star - Female


Kelly Osbourne
Phobias
? - E.M
Who Am I?
Information from others
Has had panic attacks since her youth and continues to deal with them
Awards
Ranked #5 on Askmen's list of the top 99 "most desirable" women for 2013, Golden Globe (Nominee) - Best Performance by an Actress in a Motion Picture - Comedy or Musical Easy A, MTV Movie Award (Won) - Best Comedic Performance Easy A (2010)
Life Span - 1969 - Present
Occupation (Male)
? - M.M
Who Am I?
Education
Reason For Seeking Treatment
Born: - Uvalde, Texas, USA
grew up in Longview, Texas where he graduated from the local High School (1988), attended the University of Texas in Austin, originally wishing to be a lawyer.
Actor/Producer/Soundtrack
Fined $300,000 because he failed to complete the tunnel scene in Fool’s Gold
Information from others
I was on a date with this man, but when we got to restaurant he refused to go in because of the revolving door
Observation from interviewer
We went on a drive, but refused to go through the tunnel, He stated that he jump out the door if we went through the tunnel
Observation from interviewer
During the interview, she had a 3 minute-long episode of intense dread and displayed frightening sensations
Life Span - 1988 – Present
Born - Phoenix, Arizona, USA
Occupation (Female)
Actor/Writer/Soundtrack
Reason For Seeking Treatment
numerous panic attacks to the point where she developed agoraphobia
Education
acting as a child as a member of the Valley Youth Theatre in Phoenix, Arizona
Marital Status
relationship with actor Andrew Garfield since 2011

TV/Movie Awards
The Help, The Amazing Spider-man, and Easy A

Emma Stone
Matthew McConaughey
Marital Status
Camila Alves (9 June 2012 - present) (3 children)
Awards
Oscar (Won)- Best Performance by an Actor in a Leading Role Dallas Buyers Club (2013), Critics Choice Award (Nominee)- Best Supporting Actor Magic Mike (2012), People’s Choice Award (Won)- Favorite Male Action Star (2006)
TV/Movies
Dazed and Confused, Fool’s Gold, Mud, and We are Marshall
Panic Disorder
Phobia
fear of tunnels and revolving doors
avoidance of a specific:
1. object
2. activity
3. situation
trauma
family influences
social influences
How do they start
most stressful and serious phobia
Definition
Afraid to :
Leave home
Be apart from a safe person
Cause:
intense anxiety
panic.
No
partying
speaking up
Characterized by
avoid:
alcohol/drugs
isolation
anger
becoming a "workaholic"
cues
struggling with
challenging circumstances
life crisis
From
Similar to ASD
Vietnam war
1980
officially classified
No attention until:
Ancient times
Children
Play therapy: (using)
drawings
games
Children

disruptiveness
acting out
associated with:
survivors of accidents
disasters
violent/sexual assaults
8 percent of adults develop PTSD
very prevalent in veterans
Example: Iraq war
limbic system

increases vulnerability
nightmares
flashbacks
hallucinations
difficulty falling asleep
nausea
include:
repetitive thoughts (obsessions)
actions (compulsions)
(anti-depressants )
clomipramine - (
Anafranil)
fluoxetine - (Prozac)
fluvoxamine-(Luvox)
works to identify irrational. demanding, or excessive thoughts
replace and eliminate "must" or "should
"I must be loved by everyone"
Cognitive Therapy
Most Common with
teens
Psychologist
Behavior Therapy
attacks illogical thinking process
helps clients recognize their negative thoughts, biased interpretations, and errors in logic
"over generalization"
Help

substance abuse
triggers growth of OCD
objects about which they are obsessed
exposed to
occurs during childhood
by observing others’ fears
(child watching parent)
• When bad events happen unpredictably and uncontrollably anxiety often develops (classical conditioning)
• Anxious people are usually hyper attentive to possible threats, they learn to associate anxiety with certain cues
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