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a mood state characterized by marked negative affect and somatic symptoms of tension in which a person apprehensively perceives the possibility of future challenge, danger or misfortune |
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BIS (Behavioral Inhibition System) |
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Activated by signals from the brain stem of unexpected events such as major changes in body functioning that might signal danger (preparatory state) |
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Immediate alarm reaction to perceived present danger, it takes all of our attention |
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Anxiety is a future oriented mood state characterized by apprehension because we cannot control the future, fear is an immediate emotional emotional reaction to current danger characterized by escapist tendencies and a surge in the sympathetic system |
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* Abrupt focus response (CNS & cognitive) * FFS: immediate alarm and escape routes * Related to BIS but seperate |
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* Diffuse response (CNS & Cognitive) |
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Sudden, overwhelming fright or terror |
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discrete period of intense fear accompanied by 4 or more of the following sensations pounding heart, sweating, shaking, lightheaded etc. |
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prepares your for the FFS |
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Recurrent, unexpected panic attacks followed by one month or more of persistent concern about future attacks and significant change in behavior related to attacks |
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* Agorophobia * Introceptive |
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avoid certain places where you don't want to have an attack (escape is difficult or there are lots of people) |
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avoid activities that produce reactions similar to panic (exercise) |
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Women- more likely to be agoraphobia |
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Men- substance abuse is the most common |
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* Learned Behavior (lack of control, past experiences) * BIS and low reactivity (contributory) |
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intensity, duration, and experience of negative affect |
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BIS is a component of Reactivity |
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Definition
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Top down activation of the BIS |
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situation coming up that causes a reaction (like a big paper being due) |
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Bottom up activation of the BIS |
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body reaction creates reactivity and sensation (like seeing a spider) |
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Do BIS and the environment effect each other? |
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the area of the brain associated with panic is the limbic system, but factors in the environment can change brain circuits |
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* stressful life events can trigger physical reactions * Triple vulnerability theory |
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places or situations similar to one where initial panic attack occurred |
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increases in heart rate or breathing associated with initial attack |
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Triple vulnerability theory |
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theory of the development of anxiety and related disorders
1. Generalized biological vulnerability 2. Generalized psychological vulnerability 3. Specific psychological vulnerability |
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Generalized Biological vulnerability |
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Definition
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Generalized psychological vulnerability |
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Specific psychological vulnerability |
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Clark Study of Panic Provocation |
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* proposed that there is a cognitive reaction to these physical symptoms that would contribute to panic attacks (they interpret their body's wrong) * gave people with panic a shot that would increase fear response and told half what to expect and half not * the uniformed group's response was greatly increased |
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Implications of the Clark Study |
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* panic is a cognitive dysfunction * fear of one's own physiological fear responses |
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tendency to generally neuro-biologically overreactive to the events of daily life |
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is inherited (like a vulnerability to stress) |
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