SOCW 6140 7 21 14 Anxiety Anxiety obsessive compulsive trauma need stressor Slide 1 Frequent expression of anxiety worry and apprehension that is more intense and lasts for longer than the norm Frequent development of avoidance ritual acts or repetitive thoughts as way of protecting from or managing the anxiety Slide 2 causes clinically significant distress or impairment not due to medical or substance issue not better explained or encompassed by another mental disorder Slide 3 Separation Anxiety persistent excessive worry about loss of or hurt to a loved one or preferred caretaker Slide 4 consistent failure to speak in select social situations at least 1 month interferes with educational achievement Slide 5 Phobia s Marked fear or anxiety about a specific object or situation exposure provokes immediate anxiety lasts 6 or more months Slide 6 Social Anxiety disorders include fears of social situations Worry of acting in a way to show anxiety lasts 6 months at least Slide7 Panic attacks vs Panic Disorders Attack abrupt surge with physical and emotional components not long term sweating shaking heavy breathing chest pain nausea dizzy chill etc Disorder recurrent panic attacks one month of worry of ore panic attacks Agoraphobia phobia or going out in public socializing fear of crowds Slide8 Generalized Anxiety Disorder Not focused on any specific fear chronic condition persists for at least 6 months Slide9 Obsessive Compulsive and Related Disorders OCD Body Dysmorphic Disorder Hoarding Disorder Trichotillomania Excoriation Slide10 Obsessions Recurrent persistent thoughts urges or images that are unwanted Individual attempts to ignore or suppress or neutralize them with other thought or action Slide11 repetitive behaviors or mental acts that one feels driven to perform Acts aimed at reducing anxiety or distress preventing situations Slide 12 presence of obsession compulsions or both time consuming 1 or more hour s a day specify insight good or fair tics can co occur Slide 13 Repetitive acts preoccupation with perceived flaws of defects that are not observable Slide 14 Hoarding difficulty discarding or parting with possessions irrespective of value due to perceived need to save them and distress associated with discarding Results in clutter and accumulation that congest and compromise living areas Slide 15 Trichotillomania recurrent pulling out of hair repeated attemps to stop Slide 16 Excoriation Disorder Recurrent Skin picking attempts to decrease or stop Maya Discussion in Group insightful employed reads and works hard admits she has depression OCD GAD Gaf score 50 60 Maya is 23 She is Hispanic and loves her family She brought herself in guessing outpatient therapy She wants to talk about her urgent need to wash her hands constantly The actions are preventing her from doing other things They impede on her everyday life The biggest issue is time commitment and she gets embarrassed She feels like germs are surrounding her She denied using drugs or any medical substances appears underweight Her hands are worn and rough She has sought out help for mental issues before very similar to this case She does not have many friends if any I OCD II 799 9 III red hands raw rough IV Social Exclusion employment issues V 45 60 on GAF scale