Psych 380 1nd Edition Exam 2 Study Guide Lectures 8 12 Lecture 8 September 30 Anxiety Disorders Textbook 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 breathing Notes from class PTSD o Exposure to actual or threatened death injury or sexual violence o Intrusion symptoms Memories Dreams nightmares Flashbacks Noises smells etc o Avoidance o 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 family o Changes in arousal and reactivity Difficulty concentrating Overreacting Hyper alertness feels constantly at risk of danger Case study Erica o 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 months o Her mother is 48 years old and was recently a victim of a traumatic train derailment o Is a delivery person for Fedex o Her mother disliked public transportation o 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 Springfield o The train was going too fast and derailed in CT o Erica had been asleep and awoke to windows breaking people screaming people s bags flying everywhere o She had taken off her shoes before falling asleep o They had to walk in 4 ft of snow until a car that the train sent could come pick all of them up o She was reunited with her husband at the motel o 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 experience o 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 class o veteran from Vietnam war o theme loss and envy loss of innocence childhood envy of others who are able to enjoy their lives and feel happiness o Carl o View of world is totally different after war o 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 room o 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 gunpowder o Intrusive thoughts Piles of dead bodies following him around o Startling responses Grabs a knife if woken up too quickly Yells at kids when he gets angry o Coping Stress in life symptom related Shattered assumption theory o By Ronnie Janoff Bulman o 1 The world is benevolent good things happen this is a great place etc o 2 The world is meaningful everything happens for reason o 3 The self is worthy bad things won t happen to me o world view changes after trauma people think they are bad that the world is evil that nothing means anything Erica s therapy o 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 usual o She is nervous trembling o Doesn t want to talk about the event at first o 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 session o Dr Halgin allows Erica to feel that she is control of the situation o 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 events One of the most significant images is her in bare feet She was very vulnerable at that point freezing cold didn t know where her husband was all alone stripped of armour exposure o needs to drive over dormant railroad tracks with a friend family member o needs to be done to