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PSYCH 2AP3 – (3) Anxiety Disorders.docx

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Department
Psychology
Course
PSYCH 2AP3
Professor
Richard B Day
Semester
Winter

Description
PSYCH2AP3February2014ANXIETYDISORDERSTherearemanyanxietydisordersintheDSM5WewilldiscussspecificphobiasocialanxietydisordersocialphobiapanicdisordergeneralizedanxietydisorderAnotherspecifiedanxietydisorderandunspecifiedanxietydisorderGENERALIZEDANXIETYDISORDERDSM5CriteriaDontneedtoremembersetofDSM5criteriaShowbctheresapatternEXCESSIVEANXIETYfor6monthsormoreWeareseeinggeneralizedanxietyindividualisnervousformanythingsAnxietyformoredaysthannotTheyhavetroublecontrollingthisanxietyGADfinditdifficulttocontroltheworrytomanageitAccompaniedbyatleast3ofthefollowing6symptomsmoredaysthannotforlast6monthsoRestlessnessfeelingonedgeoEasilyfatiguedoDifficultyconcentratingmindgoingblankoIrritabilityoMuscletensionoDifficultystayingorfallingasleeprestlesssleepThesymptomsareclinicallysignificantSymptomsarenotduetophysiologicallyduetotheeffectsofmedicationordruguseSymptomsnotbetterexplainedbyanothermentaldisordertheabove3arestandardfortheDSMeventhe6monthstooMotortensionsymptomsoTremblingshakingmuscleachessorenessAutonomichyperactivitysymptomsoTachycardiafastheartbeatsweatingdizzinessnauseaGIcomplaintsVigilancescanningsymptomsoExaggeratedstartleresponsetendencytobemorealertingmorethreatawareEpidemiologyofGADGenerallydiagnosedinearly20sto30swithhighproportioninchildhoodandadolescentsMostcommondiagnosticagelevelis20s30sMostcommonanxietydisorderamongtheyoungandoldIfyoulookatyoungpeoplemostcommonisGADIfyoulookatoldermostcommonisGEDAnnualprevalenceinUS3LifetimeprevalenceinUS565Lifetimeprevalenceworldwide211About65ofthosewithdisorderarefemaleNotonlyinjustclinicalsymptomsinclinicalareasANDincommunitystudiesTheresstillanimbalanceofdisorderCommunityandclinicalhaveanoverrideoffemalesalmost21rdAbout6723arecomorbidwithanotherconcurrentdisorderPANICDISORDERDSM5CriteriaRecurringunexpectedpanicattackswithasuddensurgeofintensefearordiscomfortwith4ofthefollowingsymptomsoTachycardiapoundingheartpalpitationsoSweatingoTremblingorshakingoFearofchokingoFearofdyingoChestpainordiscomfortoSensationsofshortnessofbreathsmotheringoFeelingdizzyunsteadylightheadedorfaintoDerealizationlivingindreamdepersonalizationoutsideofoneselfdisruptioninsenseofpersonhoodveryoftengotogetheroParesthesiastinglingnumbessoFearoflosingcontrolorgoingcrazyoNauseasabnormaldistressAtleastoneattackhasbeenfollowedby1monthormoreofbothoPersistentconcernaboutanotherpanicattackoritsconsequencesoAsignificantmaladaptivechangeinbehaviorrelatedtotheattacksBoththestressandimpairmentinthiscriteriaDisturbanceisnotduetosubstanceoranothermedicalconditionDisturbanceisnotbetterexplainedbyanothermedicaldisorderIthappenssuddenlyandcanlastforanhourReachesgreatintensitywithin10minsSymptomscanlastforaslongasanhourusuallylessthanthatUsuallyhaveanattackeveryweekortwoeverymonthorfewyearsThefrequencyofattackscanvarydramaticallyMostseverehaveanattackortwoPERDAYEpidemiologyofPanicDisorderAnnualPrevalenceinUS3LifetimeprevalenceinUS25Lifetimeprevalenceinworld153Averageonsetagelate20sAbout6575withdisorderarefemaleclinicalestimate21even31EpidemiologyofPDCourseisvariableandunpredictableFewepisodicdisordersDepressionisanotheroneschizophreniabipolaretcAbout3035recovercompletelywithnotreatmentHaveoneattackandneveragainSPONTANEOUSREMISSIONSymptomsdisappearandnevercomebackWellseethisagaininschizophreniatoo50havemildoroccasionalsymptoms1520moderatetosevererequirecontinuoustreatmentEtiologyofPDBiological
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