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Perspectives on Anxiety

Anxiety Disorders: Biological and Behavioral Perspectives

Robin Popp

on 23 February 2017

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Transcript of Perspectives on Anxiety

Perspectives on

Generalized Anxiety Disorder


Obsessive Compulsive Disorders
Body Dysmorphic Disorder
Hoarding Disorder
Excoriation disorde

Social Anxiety Disorder

Panic Disorder
Biology of
Generalized Anxiety Disorder
Biology of
Obsessive Compulsive Disorder
Obsessive-Compulsive Spectrum Disorders

hoarding, trichotillomania, excoriation,
body dysmorphic disorder
Biological Treatments
Behavioral Aspects
of a
Nature and Nurture
vague sense of being in danger
DSM-5 Checklist

1. Presence of recurrent obsessions, compulsions, or both
2. The obsessions and/or compulsions are time-consuming or cause clinically significant distress or impairment.
DSM Checklist

1. Excessive or ongoing anxiety
and worry, for at least three months,
about two or more activities or events

2. Restlessnes and/or muscle tension

3. Behavior may be affected by anxiety
or worry.

4.Significant stress or impairment
Selected Serotonin Re-uptake Inhibitors
Antianxiety Drug Therapy
Behavioral Treatments
DSM-5 Checklist

Specific Phobia
1. Marked, persistent, and disproportional fear of a specific object or situation, typically lasting 6 months or more
2. Immediate anxiety is usually produced by exposure.
3. Avoidance of exposure
4. Significant distress or impairment
Systematic Desensitization
Counter Conditioning
Response Prevention
Overcoming a Dog Phobia, 8m LaunchPad
gamma-aminobutryic acid
Xanax, Ativan, Valium
John Madden
David Beckman
Howie Mandel
Justin Timberlake
Jessica Alba
Carly Simon
Barabara Streisand
Paula Deen
Charles Darwin
Earl Campbell
-low levels of serotonin (GABA, glutamate, and dopamine)

-frontal cortex basil gangalia activity thalamus
Explanations for
1. sociocultural perspective
2. psychodynamic perspective
3. humanistic perspective
4. cognitive perspective
maladaptive assumptions metacognitive theory
intolerance of uncertainty theory
avoidance theory
family pedigree studies - 15%
et al., p98
other neurotransmitters?
cause and effect?
Interaction results in outcome
Other Perspectives
that Explain OCD
Behavioral: accidental associations negative reinforcement
treatment - exposure and response prevention
Cognitive: self-blame, beliefs and expectations neutralizing
treatment: identify faulty thinking, challenge and change thoughts
cognitive + behavioral treatment = REBT
exceptionally high standards
thoughts equal actions
perfect control
habit, excessive, repetitive, impule-control disorders, addiction
antidepressant drugs
gamma-aminobutrytric acid
clomiprimine and fluoxetine
a persistent and unreasonable fear of a particular object, activity, or situation
modeling: buzzer shock
Tallis et al., 1994, p102
2. free association, transference,
resisitance, dreams
3. client centered therapy
Treatments for
p 117
Full transcript