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Lecture 5

Lecture 5-Anxiety Disorders I

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University of Toronto St. George
Neil Rector

Lecture 5 Anxiety Disorders Part 1 1. Overview of continuum of anxiety from normal to abnormal Anxiety is experienced by all of us and all living organisms. For some it varies in severity from mild to extreme severity. Varies in length of time, some times brief, for others it is the entire day. Anxiety is a response to some kind of future distress or danger. It is a mechanism for the person to prepare for a future distress or disaster. Anxiety is an Autonomic response that protects the organism. 3 categories: (1) Orientation or threat. Mental system is affected-cognitive orientation is wrong. Person thinks there is a current or future strength (2) Activation system. Physical symptoms: dizzy, sweat, chest pains or a sense of not being able to get a good breath (3) Change in the behavioral system: escape or avoidance behaviors. All natural anxiety gets represented across these symptoms. They vary across symptoms and across individuals depending on the situation. Anxiety is about apprehension of an upcoming event. Immediate emotional reaction. Activation of the autonomic nervous system and the Autonomic desire to escape Fear is a more immediate reaction. Activating the same fight or flight system but it is more immediate. Anxiety Disorders Agoraphobia: fear of being helpless. Crowds Panic disorders withwithout agoraphobia Specific phobias: enclosed spaces Social phobia: fear of embarrassment Obsessive compulsive disorder Posttraumatic stress disorder: anxiety response to a traumatic event Acute stress disorder: first 3 mounts like PSD Generalized anxiety disorder: prominently worried. Panic attacks are fear occurring at inappropriate times. Fears are irrational. 2. Introduction to Panic Disorder - A discrete period of intense fear or discomfort, in which 4 (or more) of the following symptoms developed abruptly and reached a peak within 10 minutes: o Pounding heart or palpitations o Sweating o Trembling o Shortness of breath o Feeling of choking o Chest pain o Nausea o Feeling dizzy o Depersonalition (being detached from oneself) o Fear of going crazy o Fear of dying o Numbness
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