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CHAPTER 4-compulsive, obsessive- compulsive, and trauma and stressor related disorders.docx

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Psychology 2030A/B
Shauna Burke

Feb 3 , 2013 Psych 2030: CHAPTER 4: compulsive, obsessive- compulsive, and trauma and stressor related disorders - Does it cause dysfunction in the person? - Does it cause distress? Unhappy about it? - If yes, it is disorder Anxiety Disorders: What is Anxiety? - A common emotion characterized by physical symptoms, future oriented thoughts, and escape or avoidance behaviours (=worry) o Occurs when people encounter a new situation or anticipate a life changing event o Usually time- limited and ends when the event is over - Cognitive symptoms = subjective distress Fight or Flight Response: - Activation of the SNS triggered by fear or stress o Sympathetic nervous system (SNS): increases heart rate and respiration o Parasympathetic nervous system (PNS): slows down the heart rate and respiration (HOW IT WORKS slide found in textbook) - Negative reinforcement increases avoidance behaviour and anxiety (in textbook) Normal Anxiety (worry) vs. Abnormal Anxiety - Feeling anxious occasionally is normal - Functional impairment - Developmental age o Cognitive development, not actual chronological age - Refer to chart (common fears at various developmental ages) Anxiety Disorders: - Group of disorders- heighted physical arousal, cognitive distress, and behavioural avoidance of feared objects/situations/events o Women tend to have more anxiety disorders than men - Comorbidity: are other disorders associated with anxiety? o 57% of people diagnosed with one anxiety disorder also have another anxiety disorder or depression - 31.2% of American adults will suffer a t some point in their lives - Most common disorder among all age groups - Onset is around age 11 years old - Significant economic burden: $42.3 billion Panic Attacks: - Discrete period of intense fear and physical arousal, which develops abruptly - Symptoms peak in about ten minutes o Somatic and cognitive symptoms - Four types o Expected (situationally bound or situationally cued) o Unexpected o With agoraphobia (agora= marketplace, happens in wide places, fear of spaces) o Without agoraphobia Agoraphobia: - Fear of the market place (open spaces) o Fear of embarrassment - Can sometimes enter fear situations with trusted companions - Usually begins in early adulthood - Women are more likely to experience agoraphobia Generalized Anxiety Disorder (GAD) - Excessive worry about future events, past transgressions, financial status, and the health of oneself and loved ones - Lasts at least six months - Onset late teens, early adulthood (20s) o Start young bc more responsibilities as you grow older - Common in lower SES - More likely to occur in adults than children o Bc they don’t have responsibilities and stress - Worries are more severe; muscle tension, feeling restless and being on edge, insomnia Social Anxiety Disorder: - Third most common disorder - Pervasive pattern of social timidity and fear that one will behave in a humiliating or embarrassing way - Intense fear that others will detect as anxiety - Occur in social situations that create distress: speaking, eating, drinking or writing in the presence of others, social interactions, and initiating conversations - Avoid these situations Specific Phobias: - Severe and persistent
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