Anxiety and Disorders Flashcards
Anxiety
subjectively distressful experience activated by the perception of a threat
should have a psychological and physiological expression
Mild Anxiety s/s
increased questioning mild restlessness sleeplessness LEARNING TO ADAPT feelings of increased alertness/arousal
Moderate Anxiety s/s
voice tremors pitch changes muscle tremors facial twitches shakiness increased tension narrowed focus of attention SELECTIVELY INATTENTIVE LEARNING SLIGHTLY IMPAIRED slight increase in heart/respirations butterflies in stomach
Severe Anxiety s/s
hard to understand UNABLE TO RELAX INCREASED MOTOR ACTIVITY fearful look inability to focus severely impaired learning impaired judgement easily distracted tachycardia hyperventilation headache dizziness nausea
Panic Anxiety s/s
striking dread/terror accompanied by dissociation complete loss of control agitation trembling loss of coordination UNABLE TO LEARN distorted perception dyspnea palpitations choking chest pain paresthesia diaphoresis dilated pupils
Consequences of Anxiety mild/moderate s severe/panic
may have a positive impact or increase anxiety
can lead to injury to self or others
Anxiety RF
non-hispanic whites females lower SES 30s-50s families
Anxiety Diagnostic Tests
Beck Anxiety Inventory
Spence Children’s Anxiety Scale
Social Phobia Inventory
Interventions in Severe/Panic Anxiety
Take actions (prevent risks for self-harm, decrease stimuli) Ensure Safety (maintain physiological fx, fluids, manage for hyperventilation, give prescribed meds) Stabilization (hospitalization, maybe Benzo) Patient Centered care (calm manner, don't reference phobias or rituals)
Interventions in Moderate Anxiety
enhance coping strategies/psychoeducation (realize anxiety/how common it is/not life-threatening)
Cognitive Behavioral Therapy (restructuring/new behavior)
Anxiety Reduction Techniques (milleu therapy, monitoring, guided imagery, meditation)
Life Style Adjustments
Medications
Interventions in Mild Anxiety
may be asymptomatic
typically resolved w/ coping mechanism (sleep/hygiene/relaxation techniques)
focus on appraisals of stress
Exposure and Response Prevention (ERP)
tx OCD
confrontation > assist pt to delay/avoid ritual
