Tuesday, November 20 , 2012
Types of Anxiety Disorders
1. Generalized Anxiety Disorder
a. The diagnosis given to people who experience excessive anxiety and
worry that they find difficult to control
b. 6 months or more.
c. Sleep, tension, nausea, diarrhea, urination, sweating, palpitations…
d. Estimate the heritability to be about 30%.
2. Panic disorder
a. Recurrent, unpredictable panic attacks that cause apprehension about
the occurrence and consequences of further attacks.
b. Symptoms: a pounding heart, uncontrollable trembling or shaking,
and feeling of being choked or smothered.
c. May repot being afraid that they are going to die or that they are
d. You are fearful that it is not something that you can’t control.
e. Panic disorder can have significant social and health concerns.
a. Persistent, irrational fear of some specific object, situation, or activity
that poses no real danger.
b. Realize fear is irrational but compelled to avoid the feared object or
c. Three classes of phobias
i. Social phobia
1. Fear of interacting with others, avoid social situations.
1. Like social, more complicated, fear of being in a
situation from which escape is difficult of impossible.
iii. Specific phobia
1. Fear of a specific thing.
4. Obsessive-Compulsive Disorder
a. Obsessions: persistent, recurring, involuntary thought, images, or
impulses that invade consciousness and cause great distress.
b. Common themes:
i. Worry about contamination
ii. Doubt as to whether a certain act was performed.
1. “Did I leave the stove on?”
c. Compulsion: a persistent, irresistible, irrational urge to perform an act
or ritual repeatedly.
i. Usually involve cleanliness, counting, checking, touching
objects, hoarding, or excessive ordering
ii. Rituals are often used to avoid danger. What Causes Anxiety Disorders?
Repressed urges threaten to surface
o When you have a natural response to something in the world.
o When you want someone to demonstrate a certain behavior.
o When we learn behaviors and they become apart of us.
Illogical/irrational thought patterns
o All-or-nothing thinking
Thinking that something that has happened the one time will
happen many more times.
Minimizing the positive experiences
o MZ twins more similar than DZ twins, even when adopted.
Belief that you are ill
Belief that you experience physical complains/disabilities
No known biological cause
Somatic= “bodily” ailment.
Believe that you are sick, have testing done and they find that there is
nothing wrong with you but you still believe that you are ill or will become ill.
a. Excessive worry about getting ill
b. Preoccupied with bodily symptoms
2. Somatization disorder
a. Specific symptom or symptoms
b. “drama”, emotional.
c. They also don’t have anything wrong with them, just like
d. They doctor shop.
i. If one doctor tells them that they don’t have anything, they
will go thr