Anxiety Disorder

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jben501

Anxiety Disorder

Santé & Médecine

Primary and Secondary Gain ,[object Object],[object Object]

General Nursing Issues ,[object Object],[object Object],[object Object]

Generalized Anxiety Disorder: Frequently found in women ,[object Object],[object Object],[object Object],[object Object],[object Object]

Panic Disorder: affects about 1.2 million in US ,[object Object],[object Object],[object Object],[object Object]

Specific Nursing Measures ,[object Object],[object Object],[object Object]

Somatoform Disorders: Physical illness issues and anxiety ,[object Object],[object Object],[object Object],[object Object]

Obsessive Compulsive Disorder ,[object Object],[object Object],[object Object],[object Object]

Specific Nursing Interventions ,[object Object],[object Object],[object Object],[object Object],[object Object]

Dissociative Disorders ,[object Object],[object Object],[object Object],[object Object]

Dissociative Identity Disorder:alias Multiple Personality disorder ,[object Object],[object Object],[object Object],[object Object]

Not Anxiety Disorders: But Maladaptive Behavior, for sure ,[object Object],[object Object],[object Object]

Antianxiety Meds: Benzodiazepines ,[object Object],[object Object]

Antianxiety Meds: Buspirone ,[object Object],[object Object]

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Managing anxiety By Ms. Jai Bapat. Sheetal participates in school Debate competition. She prepares her speech thoroughly. On the day of debate she can’t recollect anything about her speech. She gets scared when she has to go on stage. Reema is studying very hard for her annual exams. She prepares everything and on the day of exam when she sees her question paper she can’t recollect what she has studied in the past week and is not able to write anything in her exam. Soham a college going teenager likes a girl in his college. But whenever he meets her he is unable to express his feelings to her. Thinking the fact that what will be her reply. He is anxious and never expresses his feelings to her. What is common in above all the three situations? That they are scared and not able to finish their task. We can label this feeling as Anxiety So what is Anxiety? Anxiety is often described as a feeling of worry, fear. It’s much more than just a feeling. It encompasses feelings or emotions, thoughts and bodily sensations. So the talk will be about How Anxiety can hamper our daily activities. Also how anxiety develops, Cognitive Behavior Therapy can help you deal with anxiety and techniques to deal with it. For info log on to www.healthlibrary.com

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Defining Mental Disorders: What Is Abnormal? Mental disorder: Persistent disturbance or dysfunction in behavior, thoughts, or emotions that causes significant distress or impairment. 1 2 2 Copyright © 2016 by Nelson Education Ltd Culture and Pathology Cultural variations (relativism/universalism) Culture-bound disorders Koro Windigo 3 Copyright © 2016 by Nelson Education Ltd What is the Medical Model and Diagnosis? Medical model: Abnormal psychological experiences are conceptualized as diseases, like physical illnesses, have biological and environmental causes, defined symptoms, and possible cures. Diagnosis: A determination of there is a disease present. 4 5 Prevalence, Causes, and Course Epidemiology Prevalence Lifetime prevalence Diagnosis Etiology Prognosis Comorbid 5 Copyright © 2016 by Nelson Education Ltd Classifying Disorders: The DSM Diagnostic and Statistical Manual of Mental Disorders (DSM-5): Describes 22 major categories containing more than 200 different mental disorders 22 chapters lists specific criteria that must be met for diagnosis for each disorder Provides section devoted to cultural considerations in diagnosis of mental disorders Alternative Diagnostic Systems (ICD 10, Research Domain Criteria Project = RDoc) 6 Main DSM–5 Categories of Mental DisordersNeurodevelopmental DisordersThese are conditions that begin early in development and cause significant impairments in functioning, such as intellectual disability (formerly called “mental retardation”), autism spectrum disorder, and attention-deficit/hyperactivity disorder. Schizophrenia Spectrum and Other Psychotic DisordersThis is a group of disorders characterized by major disturbances in perception, thought, language, emotion, and behavior. Bipolar and Related DisordersThese disorders include major fluctuations in mood—from mania to depression—and also can include psychotic experiences, which is why they are placed between the psychotic and depressive disorders in DSM–5. Depressive DisordersThese are conditions characterized by extreme and persistent periods of depressed mood. Anxiety DisordersThese are disorders characterized by excessive fear and anxiety that are extreme enough to impair a person’s functioning, such as panic disorder, generalized anxiety disorder, and specific phobia. Obsessive-Compulsive and Related DisordersThese are conditions characterized by the presence of obsessive thinking followed by compulsive behavior in response to that thinking. Trauma- and Stressor-Related DisordersThese are disorders that develop in response to a traumatic event, such as posttraumatic stress disorder. Dissociative DisordersThese are conditions characterized by disruptions or discontinuity in consciousness, memory, or identity, such as dissociative identity disorder (formerly called “multiple personality disorder”). Somatic Symptom and Related DisordersThese are conditions in which a person experiences bodily symptoms (e.g., pain, fat.

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Depression Background Pathophysiology • The monoamine theory of depression is that it results from a central deficit in the monoamine neurotransmitters serotonin (5-HT) and norepinephrine. • Other reported physiological features include ↑cortisol and a blunted TSH response. • However, there is no widely accepted and definitively proven biological model of depression. Epidemiology • Time course: for most it is an episodic illness, but for other it follows a more chronic course. • Incidence: 5% annual risk, 20% lifetime risk. Presentation DSM and NICE criteria These are based on DSM-4, though DSM-5 does not significantly differ. Major depressive disorder is ≥2 weeks of low mood and/or anhedonia, and at least 4 symptoms out of: • ↓Energy or fatigue. • ↓Concentration • ↓Weight/appetite. • Disturbed sleep, which commonly includes early waking. Diurnal pattern to symptoms also seen, with symptoms often worse in the morning. • Slowing of thought and movements (psychomotor slowing) or agitation. • Ideas of worthlessness or guilt. • Recurrent thoughts of death or suicide. • All but the last 2 are considered 'biological' symptoms.

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