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Chapter 11

PSY 289 Chapter Notes - Chapter 11: Separation Anxiety Disorder, Generalized Anxiety Disorder, Panic Disorder

Course Code
PSY 289

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Chapter 11
Monday, November 19, 2018
4:10 PM
Big Ideas:
most to least prevalent anxiety disorders in childhood:
1. specific phobia (relatively low comorbidity/low referral rate)
2. separation anxiety disorder (high comorbidity/earliest reported age of onset)
3. social anxiety disorder (most common secondary diagnosis/onset after puberty/high
4. panic disorder/agoraphobia (high comorbidity/age of onset after puberty/lowest
complete remission rate)
5. generalized anxiety disorder (most common diagnosis for referrals/high
comorbidity/onset in early adolescence)
6. selective mutism (prevalence doesn't vary by sex/earliest average age of onset but delay
in referral age)
associated characteristics of anxiety disorders/OCD:
cognitive disturbances → deficits in attention/executive functions/working
memory/language, attentional bias
toward potentially threatening/dangerous information (anxious vigilance), confirm
danger/minimize safety
information for less obvious threats, use less adaptive coping strategies
physical symptoms → stomachaches, headaches, sleep problems (ex: nocturnal panic in
PD), high rates of non-
accidental death in later adulthood, risk for serious health problems
social/emotional deficits → low social performance/high social anxiety, report low self-
comorbid disorders → GAD/SAD/SOC associated with depression more than specific
phobia is associated with it,
depression often diagnosed in children with multiple anxiety disorders
anxiety → mood state characterized by strong negative affect, bodily symptoms of tension, and
anticipation of future danger or misfortune
anxiety disorders → disorder in which the child experiences excessive and debilitating
neurotic paradox → pattern of self-perpetuating behavior in which children who are overly
anxious in various
situations, even while being aware that the anxiety may be unnecessary or excessive, find
themselves unable to
abandon their self-defeating behaviors
fight/flight response → immediate reaction to perceived danger or threat whereby efforts are
directed toward
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