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UMass Amherst PSYCH 100 - Anxiety Disorders and Psychotic Disorders

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ANXIETY DISORDERSSocial PhobiaAgoraphobiaFear of being in a situation you can’t escapeANXIETY DISORDERSConcern with germs/disease/cleanlinessConcern with exactnessDebatePsychological basis?Biological basis?Frontal Lobes are active when in an anxious statePSYCHOTIC DISORDERSSchizophrenia – the big oneOnsetSymptomsPsyc 100 1st Edition Lecture 26Outline of Last Lecture I. Psychological Disordersa. Mood Disordersb. Why do we get Mood Disorders?Outline of Current Lecture I. Anxiety DisordersII. Psychotic DisordersCurrent LectureANXIETY DISORDERSGeneral symptoms:  Anxiety in some form that is persistent – long lasting  Intense – severe Maladaptive behaviors to reduce it Types of Anxiety Disorders:1. Phobias – fear in which interferes with one’s lifeSpecific phobias: Fear is focused on some object, situation or behavior Develops from o A past evento Irrational – no cause Ex: Snakes, blood, dogs, heights, elevators, flyingSocial Phobia Fear of humiliation or embarrassment in front of otherso Won’t attend social eventso Won’t speak out in class etc.These notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.Agoraphobia Fear of being in a situation you can’t escape o Never leaves homeANXIETY DISORDERS2. Panic Disorder Has extreme attacks of anxiety coming from out of the blue Anxiety attacks: Severe sympathetic NS arousalo Racing heart, sweaty palms, feel like you can’t breatheo Last for a few moments – feels like forever3. Generalized Anxiety Disorder (GAD) A continual overanxious stateo A worried tense, concerned above and beyond what is appropriateo Arousal of sympathetic nervous system (at lower levels – break out in a sweat etc.)4. Obsessive Compulsive Disorder (OCD)Obsessions Repetitive, disturbing thoughts or images that you can NOT controlCompulsions Repetitive behaviors you do to try to alleviate the thoughtsCommon ones:- Concern with germs/disease/cleanliness- Ex: normal to wash hand once before eating NOT 40 times a day until they bleed- Concern that something bad will happen if you don’t do repetitive rituals- Ex: normal to check if you locked your door once NOT check it 10 times after you go to bed- Concern with exactness- Ex: Must chew each bite of food 17 time (not 16, not 18)Causes of Anxiety Disorders:DebatePsychological basis? Most people think that these disorders reflect some event that occurred which is internalized Learned from classical conditioning  Ex: your plane hits bad turbulence, now seeing a place elicits fearLearned from observation Ex: you see a movie about a plane crash, now you fear flying because you think you could dieBiological basis? Frontal Lobes are active when in an anxious state Anxiety disordered people are VERY responsive to same drugs that treat depression SSRI (Serotonin)PSYCHOTIC DISORDERSGenerally: Disorders where sense of reality is impaired May hear voices May see things not there May experience false sensationsSchizophrenia – the big oneOnset Early signs may appear in childhood Manifests during college years Full onset by age 25 Symptoms Thought disturbanceo Speech doesn’t make sense Withdrawal from contact with others Inappropriate emotionso Ex: Catatonic Schizophrenia – Withdraw from emotion completelyo Too much or too little emotion Delusions – false beliefso Ex: Paranoid Schizophrenia Hallucinationso Visual – less commono Auditory – more commonNO CURE - Drugs have lots of side


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UMass Amherst PSYCH 100 - Anxiety Disorders and Psychotic Disorders

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