CAMS UA 101- Anxiety Notes

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New York University
Child/Adoles Mental Hlth Stds
Jess Shatkin

distinguishing normal from pathologicalintensity the degree of distressimpairment does distress interfere with daily lifeability to recover the the child able to recover form distress when the even is not presentnormal fear and worryloud noises startling strangers natural disasters school etcchildren with anxiety disorders may not recognize their fears as unreasonable headache nausea increased heart rate etcetiology behavioral inhibition genetic neuroimaging neurotransmitter neuroendocrine learned responses attachment research psychoanalyticbehavioral inhibition the tendency to be unusually withdrawn or timid and to show fear and withdrawal in novel andor unfamiliar social and nonsocial situationsa risk factor for the development of anxiety disorders in childrenReticular Activating System RASnetwork of ascending arousal related neural systemshippocampusinvolved in the storage of sensory info and is very sensitive to stressthreat alters the ability of hippocampus and connected cortical areas to store certain types of cognitive info verballimbic systemsneuronal systems are capable of making remarkably strong associations between paired cuesallows brain to generalize from a specific event but renders humans vulnerable to false associations and over generalizationsthousands of genes that could result in altered development or functioningof neurotransmitterneuroanatomical regions involved with anxietystrong familial trendsno clear data support for specific genetic etiologylearned responses can result in phobiasanxieties might stem from evolutionattachment secure insecure resistant insecure avoid ant disorganizedinsecure attachment may be a risk factor for childhood anxietypsychoanalyticphobias develop as defense against anxiety which is produced by repressed id impulsesby avoiding the phobic object one avoids dealing with repressed childhood conflictsepidemiologymost prevalent mental health disorder in childrenteens 620untreated childhood anxiety typically continues into adulthoodleads to increased risk of depressive disordersgirls more likely than boys esp phobias panic agoraphobia separation anxiety disorderchildren often develop new anxiety disorders even if old ones go awaynonreferrred children have high prevalence of anxiety disordersrisk and protective factorsbehaviorally inhibited young children more likely to have anxiety disorders in middle childhoodoffspring of parents with anxiety more likely to have anxiety and high levels of functional impairmentinsecure attachment relationships with caregiversmost anxiety disorders are chronic waxing and waning over timesometimes trade anxiety disorders for one anotherDSM IIIR only had 3 childhood anxiety disorders
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