2. Neurotic Disorder (Neurosis) is a less
severe from of psychiatric disorder
where, patient show either excessive or
prolonged emotional reaction to any
given stress.
These Disorder are not caused by organic
brain disease & however severe, do not
involve Hallucination & Delusions.
4. Anxiety Disorder are classified as
following:-
Phobic Anxiety Disorder
Panic Anxiety Disorder
Generalized Anxiety Disorder
5. Anxiety is a normal phenomenon, which is
characterized by a state of apprehension
or uneasiness arising out of anticipation
of danger.
PHOBIC ANXIETY DISORDER:- A
Phobia is an unreasonable fear of a
specific object , activity or situation.
This irrational fear is characterized by
various features.
6. SIMPLE PHOBIA:- (Specific phobia) it is an
irrational fear of a specific object or stimulus.
Simple phobia common in childhood.
SIGN AND SYMPTOMS OF SIMPLE PHOBIA:-
Irrational and persistent fear of object or
situation.
Immediate anxiety on contact with feared
objects or situation.
Loss of control , fainting or panic response.
Anxiety when thinking about stimulus.
Possible impaired social or work functioning.
7. It is an irrational fear of performing activities in the
presence of other people or interacting with others.
The patient is afraid of his own actions being
viewed by others critically, resulting in
embarrassment or humiliation.
SIGN AND SYMPTOMS OF SOCIAL PHOBIA:-
Hypertension
Sweating , cold & clammy
Blushing
Palpitation
Confusion
Trembling hand and voice
Urinary urgency
8. It is a characterized by an irrational fear of being in
places away from the familiar setting of home, in
crows, or in a situation that the patient cannot leave
easily.
SIGN AND SYMPTOMS:-
Over riding fear of open or public spaces.
Avoidance of public places & confinement to home.
Embarrassment.
9. Repression:- (classical defence mechanism that
protects you from unwanted ideas & fearful stimulus)
When the repression is fail the secondary defence
mechanism is displacement & come into the action
that we got fear.
Learning Theory:- According to classical conditioning
a stressful stimulus produce an unconditioned
response- fear. (harmless object, eventfully the
harmless object alone produce the fear)
Cognitive theory:- Anxiety is the produce of faulty
cognition. Cognitive theorists believe that some
individuals engage in negetive & irrational thinking
that produce anxiety reaction
10. No specific Diagnosis test, diagnosis
confirm by criteria met.( simple, social,
Agora)
History of anxiety when exposed to or
anticipating specific entity or situation.
COURSE
> The phobia are more common in women
with an onset of early or late seconds.
11. 1. PHARMACOTHERAPY
Benzodiazepines ( For example Alprazolam, clonazepam,
Lorazepam, Diazepam)
Antidepressants (For example Imipramine, phenelzine )
2.BEHAVIOUR THERAPY
1. Relaxation techniques (Progressive muscle relaxation,
Deep breathing exercise, Listening to calming music .
2. Through Role playing
3. Assertive training
4. Cognitive techniques (Remove negative thinking about
feared objects)
12. Supportive Psychotherapy is a helpful
to behavior therapy as following:-
Group therapy
Individual therapy
Music therapy
Dance therapy
Talking therapy
Family therapy
Drama therapy
13. ASSESSMENT
Assess the symptoms of fear & factors.
Observation of thought process, affects &
communication.
NURSING DIAGNOSIS
Fear related to specific stimulus or causing
embarrassment to self in front of others, evidenced
by behaviour directed towards avoidance of feared
object.
Social isolation related to fear of being in a place
from which one is unable to escape , evidenced by
staying alone , refusing to leave the room/home.
14. Reassure the patient that he is safe.
Encourage patient to explore underlying feelings
that may be contributing to irrational fears.
Administer antianxiety medications as ordered by
physician.
Discuss with the patient sign and symptoms of
increasing anxiety & give relaxation and positive
reinforcement.
