Psych 380 1nd EditionExam #2 Study Guide Lectures: 8-12Lecture 8 (September 30) Anxiety DisordersTextbook Terms from Ch. 8;- Separation Anxiety Disorder- Psychological condition in which an individual experiences excessive anxiety regarding separation from home or from people to whom the individual has a strong emotional attachment.- Social Anxiety Disorder- The most common anxiety disorder- Characterized by intense fear in one or more social situations, causing considerable distress and impaired ability to function in at least some parts of daily life- Panic Disorder- Anxiety disorder characterized by recurring panic attacks- May also include significant behavioral changes lasting at least a month and of ongoing worry about the implications or concern about having other attacks- Agoraphobia- Anxiety disorder characterized by anxiety in situations where the sufferer perceives certain environments as dangerous or uncomfortable, often due to the environment’s vast openness or crowdedness- Generalized Anxiety Disorder- Neurological anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry.- OCD- An anxiety disorder characterized by intrusive thoughts that produce uneasiness, apprehension, fear or worry, repetitive behaviors, aimed at reducing the associated anxiety (compulsions), or a combination of such obsessions and compulsions.- Body Dysmorphic Disorder- Mental illness that involves belief that own’s own appearance is unusually defective, while one’s own thoughts about it are pervasive and intrusive (at least one hour per day), although perceived flaw might be nonexistant- Trichotillomania- An impulse disorder characterized by the compulsive urge to pull out one’s hair, leading to noticeable hair loss and balding, distress, and social or functional impairment-- Excoriation Disorder- An impulse control disorder characterized by the repeated urge to pick at one’s own skin, often to the extent that damage is caused- Acute Stress Disorder- Psychological condition arising in response to a terrifying or traumatic event. It should not be confused with the unrelated circulatory condition of shock, or the concept of shock value- Panic-control Therapy- Individual cognitive-behavioral treatment for adults with panic disorder- Goal: help clients become panic free by learning how to anticipate and respond to situations that trigger their panic attacks and managing the physical symptoms of panic using techniques such as controlled breathingNotes from class;- PTSDo Exposure to actual or threatened death, injury, or sexual violenceo Intrusion symptoms Memories Dreams/nightmares Flashbacks- Noises, smells, etco Avoidanceo Negative changes in cognition and mood Attitude about self, world (dangerous place) Permeates life view Feel vulnerable Lose interest in activities you used to like Disengaged in friends/familyo Changes in arousal and reactivity Difficulty concentrating Overreacting Hyper alertness – feels constantly at risk of danger- Case study; Ericao Her daughter was a student in Dr. Halgin’s class.o She asked him to see her mother who had not left her house in 2 monthso Her mother is 48 years old and was recently a victim of a traumatic train derailment.o Is a delivery person for Fedexo Her mother disliked public transportationo Background: her husband was going on a business trip to NY so Erica decided to go with him and they would go see a show together.o It was snowing on their way back to Springfieldo The train was going too fast and derailed in CTo Erica had been asleep and awoke to windows breaking, people screaming, people’s bags flying everywhereo She had taken off her shoes before falling asleepo They had to walk in 4 ft of snow until a car that the train sent could come pick all of them upo She was reunited with her husband at the motelo The train brought them to a motel nearby Gave them free coffee Ordered a peter pan bus to bring them to Springfield (where they were headed) Very life-threatening and traumatic event The train company mismanaged the event This intensified the traumatic experienceo Two months after the derailment she was having nightmares about the event Her husband was killed, there are dead people around her, she is bleeding to death She stopped watching tv/listening to the radio (they trigger her) They found that the conductor had been smoking weed and was charged with negligence. Many passengers decided to file a class action law suit against the company- 10 min. video during classo veteran from Vietnam waro theme: loss and envy loss of innocence/childhood envy of others who are able to enjoy their lives and feel happinesso Carlo View of world is totally different after waro Hypervigilance In college he used to sit in the back by the window and plan out how to respond if someone threw a grenade in the roomo Flashbacks While he was bowling one day he remembered being in a helicopter shooting at the enemy and unable to get a good angle, he could smell the gunpowdero Intrusive thoughts Piles of dead bodies following him aroundo Startling responses Grabs a knife if woken up too quickly Yells at kids when he gets angryo Coping Stress in life – symptom related- Shattered assumption theoryo By: Ronnie Janoff Bulmano 1. The world is benevolent good things happen, this is a great place, etc.o 2. The world is meaningful everything happens for reasono 3. The self is worthy bad things won’t happen to meo world view changes after trauma people think they are bad, that the world is evil, that nothing means anything- Erica’s therapyo She refuses to drive over train tracks to see Dr. Halgin so he devises a route in which she wont have to – takes 20-30 more miles than usualo She is nervous/tremblingo Doesn’t want to talk about the event at firsto Dr. Halgin makes a metaphor of a water bottle with emotional toxin (from the event) in her pocket She will always have that water bottle Sometimes the cap comes loose and the toxins leak out It is up to her to control that toxic emotion- First sessiono Dr. Halgin allows Erica to feel that she is control of the situationo Talks about her family, her job, hobbies, etc.- He tells her that she must talk about the event in order to eventually have a cathartic cleansing- She walks through the