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Psychiatric Nursing
Anxiety Disorders
11
Nursing
Undergraduate 2
06/14/2012

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Cards

Term
4 Anxiety Disorders
Definition
1. Generalized Anxiety Disorder
2. Panic Disorder (with or without agoraphobia)
3. Post-traumatic Stress Disorder
4. Obsessive Compulsive Disorder
Term
Generalized Anxiety Disorder
Definition
Excessive anxiety or worry 6 months, number of events

Person finds it difficult to control the worry

Include symptoms (3) restlessness, feeling keyed up, on edge, easily fatigued, difficulty concentrating, irritable, muscle tension, sleep disturbance

Causes clinical distress
Term
Obsessive Compulsive Disorder
-obsessions-
Definition
Recurrent, unwanted and persistent thoughts, impulses, or images intrusive or inappropriate causing anxiety and distress

Not just excessive worry about real life problems

Person attempts to suppress or ignore or neutralize with another thought or action

Recognizes theses are product of own mind
Term
Obsessive Compulsive Disorder
-compulsions-
Definition
Repetitive behavior (handwashing) or thoughts (praying, counting, repeating word) feels driven to perform in response to obsession, or according to rules applied rigidly, aimed at preventing distress or preventing a dreaded event, but not connected in a realistic way

At some point person realizes they are unreasonable

Time consuming (over 1 hour per day), interfere w routine
Term
Anxiety Disorders Associated with Fear & Related Brain Activity
Definition
Panic Disorder & Post Traumatic Stress Disorder

Under activation of prefrontal cortex [missing rationalization, failure to inform amygdala of lack of threat] Hyper-activation of amygdala [grandiose worry & panic over potential threat]
Term
Anxiety Disorders Associated with Worry/Rumination & Related Brain Activity
Definition
Generalized Anxiety Disorder
Obsessive Compulsive Disorder

Hyper-activation of prefrontal cortex & hyper-activation of amygdala
Term
Anxiety Disorder U.S.prevalence
Definition
25% of the population!
Term
Anxiety Disorder Risk Factors
Definition
Exposure to traumatic event or experience[military combat or threat of death of a loved one] can precipitate an anxiety disorder.

Can be due to acute medical condition such as pulmonary embolism... it's important that symptoms of anxiety be assessed in the appropriate medical facility to rule out physical cause.

Substance-induced anxiety can be related to current use of a chemical substance, or to withdrawal symptoms, such as alcohol.
Term
Panic Disorder Symptoms
Definition
[4 or more of the following symptoms present]:
Palpitations
Shortness of breath
Choking or smothering feeling
Chest pain
Nausea
Feelings of depersonalization
Fear of dying or insanity
Chills or hot flashes
Term
Phobias

Social phobias, "agora", specific phobias
Definition
Social phobias: fear of embarassment, is unable to perform in front of others, has a dread of social situations, believes that others are judging them negatively, & has impaired relationships

Agoraphobia: client avoids being outside & has impaired ability to work or perform duties.

Specific Phobias: Client has fear of specific objects, such as spiders, snakes, strangers. The client has a fear of specific experiences such as flying, being in the dark, riding in an elevator, being in an enclosed space.
Term
Obsessive Compulsive Disorder

General Description
Definition
Client has intrusive thoughts of unrealistic obsessions and tries to control these thoughts with compulsive behaviors,such as repetitive cleaning or a particular object or washing of hands.
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