PSY1022 Lecture 6: PSY1022 – Lecture – Week 6

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PSY1022 Lecture Week 6
- anxiety disorders
anxiety - a generalised state or feeling of fear and apprehension, may be
related to a appticualr event or object and is often accompanied by
increased physiological arousal
average age at consent is 11 years
most prevalent of the mental disorders
anxiety is the most prevalent symptom
- fear and anxiety
fear is the emotional response to real or perceived threat, whereas
anxiety is anticipation of future threat
both states overlap but differ - fear tends to be associated more with a
flight or fight response
- anxiety responses - four components
subjective- emotional - tension and apprehension
cognitive - worrisome thoughts, inability to cope
physiological - increased heart rate and blood pressure, muscle tension,
rapid breathing, nausea, dry mouth etc
behavioural - avoidance of situations, impaired task performance
- DSM-5
three separate chapters
o anxiety disorders
o obsessive compulsive and related disorders
o trauma and stressor related disorders
- phobias
specific or social
intense irrational fear related to a category of object or event
individual experience flight or fight response
agoraphobias - fear of open or public spaces where escape can be difficult
social anxiety disorder - social phobia - fear of what people think of you,
negative evaluation of social situations
specific phobias - fear something specific - snakes, tend to disappear with
age
phobias are acquired by classical conditioning - Watson
other views
o we are genetically prepared by evolution, to fear certain classes of
objects/events
o phobias may exist differently in different cultures
o phobias can occur at different times of life
o most social phobias arise out of shyness
- panic disorder
with or without agoraphobia
terror appearing at unpredictable times, unprovoked by threat
victim cannot avoid or relieve situation
panic attacks usually last for several minutes
symptoms include, sweating, heart palpitations, trembling, chocking
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panic attacks can occur in all anxiety
DSM-V panic disorder should be diagnosed if there is inordinate fear of
having future attacks or other maladaptive behaviours such as
agoraphobia
- generalised anxiety disorder
incorporates real and imagined threat about a number events or
activities
perpetual worry
not linked to a specific thing
individual find it difficult to control the worry and excessive anxiety, have
trouble sleep, considerable bodily tension and fatigue
unpredictable events during childhood may predispose person to the
disorder
may manifest later in life after major change
- casual factors for anxiety disorders
biological/genetic factors
o genetic factors may increase susceptibility - autonomic nervous
system overreacts when threat is perceived, causing high levels of
physiological arousal
o OCD - panic and phobias are inherited - genes can influence are
responsible for a person’s level of neuroticism
cognitive models
o maladaptive thoughts and patterns of belief can cause anxiety
disorders
learning models
o some fears are acquired as a result of a traumatic event that has
caused a classical conditioned fear response
o they are acquired as habits through punishment and
reinforcement
sociocultural models
o culture bound disorders that occur in certain locations
- OCD
obsessions - unwanted, disturbing thoughts, urges and images that re-
occur
compulsions - repetitive actions/rituals
specific irrational fear which can be reduced when some ritual is
performed
behavioural theorists
o compulsions are reinforced to reduce anxiety
cognitive theorists
o people who tend to think about weird things expect the worst in
new situations
biological theorists
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