PSY-2212 Lecture Notes - Lecture 5: Hypervigilance, Panic Attack, Cortisol
Document Summary
Gradial introduction of client to graded hieracrhcy of feared stimuli. Beyond shyness key features of social phobias: chronic fear of one or more social or performance situations. Important note: not all social phobia is generalized . As with specific phobias, rooted in a adaptive concern: angry, critical, or rejecting others: onset is most often in adolescence. Period of chronic social stress : another largely hidden disorder. Avoidance and distress cause life impairment: most common single psychological disorder. Tendency to see events as uncontrollable: the general anxiety vulnerablility. Psychosocial: environment and learning: traumatic experience in social setting (panic) Attributed danger to social interaction/ performance: role models. Parents that emphasize social evaluation/other opinions are very important. Treatment of choice: cbt in groups (cbgt: augmented by behavioral exposure, supplemental/stand alone med therapy: ssris or mao inhibitors. Exposure to serious trauma in necessary to develop ptsd: war, physical assault, witnessing homicide, mva"s natural/ manmade disasters.
