Distress

A negative, draining energy that results in anxiety, depression, confusion, helplessness, hopelessness, and fatigue.

(Caused by such stressors as a death in the

family, work overload, or school/work demands).

A positive, beneficial energy that motivates and results in feelings of happiness, hopefulness, and purposeful movement.

A feeling of apprehension, uneasiness, uncertainty, or dread resulting from a real or perceived threat.

Occurs in the normal experience of everyday living, allows an individual to perceive reality in sharp focus.

Physical Symptoms: slight discomfort, restlessness, irritability, or mild tension-relieving behaviors (ie- nail-biting, foot/finger tapping, fidgeting)

Individual will see, hear, and grasp less info and may demonstrate selective inattention. Thinking clearly is hampered, but learning, and problem-solving can take place.

Physical Symptoms: tension, pounding heart, increased pulse and respirations, perspiration, and mild somatic symptoms. Voice tremors and shaking may be noticied.

Perceptual field is greatly reduced. Pt may focus on 1 particular detail, or many scattered details, and have difficulty noticing what is going on in the environment, even when pointed out by another. learning and problem solving are NOT possible.

S&S: Somatic symptoms (headache, nausea, dizziness, insomnia), trembling, pounding heart, hyperventilation, a sense of impending doom or dread.

Panic

(per levels of anxiety)

 (aka Panic Attack)

Most extreme level of anxiety, pt is unable to process what is going on in the environment, and may lose touch with reality.

Behaviors: pacing, running, shouting, screaming, or withdrawal.

S&S: Dilated pupils, sever shakiness, sleeplessness, hallucinations, or delusions.