Anxiety Disorders
What Are They?
An anxiety disorder is a combination of fear, worry, and other negative feelings and physiological responses, like aches and pains, sweating, elevated heart rate, and nausea. Anxiety is worry about the future, while fear is worry about the present
The five Families
Phobia: an intense irrational fear
Generalized Anxiety Disorder (GAD): Constant, low-level anxiety
Panic Disorders: Sudden bursts of acute anxiety
Obsessive-Compulsive Disorder (OCD): constant, unwanted obsessions and compulsions
Post-Traumatic Stress Disorder (PTSD): anxiety from memory of trauma
Why do behaviorists study them?
The learning perspective says that anxiety disorders are learned, reinforced, and shaped by societal pressure
Behaviorism
It doesn't make sense for all fears to be instinctive because of the sheer number of them. Irrational fears especially point to social factors in influencing individual anxiety towards different stimuli
Why do biologists study them?
The biological perspective says that anxiety disorders are manifestations of life-saving instincts for life-and-death situations
Natural Selection
Rational fears cause involuntary physiological reactions that seek to distance the individual from a perceived threat, an evolutionarily beneficial instinct
PTSD
What Is It?
Post-Traumatic Stress Disorder is an anxiety disorder caused by trauma or severe stress. Symptoms only appear after the critical event and do not necessarily appear for every victim of trauma
History
The symptoms of PTSD have been recorded since the Greeks. It was studied extensively during the world wars and was only given its name after Vietnam
Symptoms
Four or more weeks of haunting memories, nightmares, social withdrawal, jumpy anxiety, and sleep problems are symptoms of PTSD. People with PTSD are at a higher risk of suicide
Symptoms
PTSD symptoms cause an over-reactive adrenaline response, which creates neurological patterns in the brain that are not easy to bounce back from. These patterns make the body respond to similar conditions to the trauma. Additionally, the hippocampus (memory in time and place), the amygdala (emotional memory), and the prefrontal cortex (decision-making) are all changed by PTSD
At Risk or Not?
Some people are more resilient than others. Of the few who develop PTSD, about 10 percent of men respond to trauma with PTSD as opposed to 20 percent of women. For those who survive the trauma, this survivor resiliency can lead to a period of growth
Demographics
People with interpersonal trauma are more likely to develop PTSD than people. About half of people develop PTSD following rape. Children are less likely than adults to develop PTSD after trauma, especially if they are under ten. In the US about 3.5% of adults have PTSD in a given year and 9% of people develop it at some point in their life while the rest of the world is between 0.5% and 1%.
Treatment
Early counseling can help prevent PTSD but is not effective among all people following trauma. The main treatments for people with PTSD are counselling and medication. Counseling may occur one-on-one or in a group. Antidepressants that selectively inhibit the reuptake of serotonin are common medications used for PTSD and result in benefit in about half of people.
Adjustment Disorders
and
Adjustment Disorders
An event that happens in life provokes an abnormally strong negative response compared to the apparent lack of gravity of the event. They are aharacterized by symptoms similar to acute stress such as lack of responsiveness and mild depression and although they are less serious, typically last for a few months after the life stressor occurs.
Somatoform DisorderS
What Is It?
A mental illness that causes bodily symptoms including physical pain despite no physical cause, substance abuse, or a different mental illness.
Patients become excessively worried about the symptoms themselves, often out of proportion to their severity.
Physical symptoms appear entirely as a result of anxiety, like an opposite placebo effect.
Two Types of Somatoform disorders
1. Hypochondriasis
2. Conversion Disorder
Hypochondriasis (Somatic Symptom Disorder)
A condition characterized by misinterpretation of physical symptoms and fearing that one has a serious illness despite appropriate medical evaluation and reassurance
Chronic; can last a lifetime
Over 200,000 cases in the US per year
Conversion Disorder
A severe physical problem is evident but no biological cause can be found
eg. going blind after witnessing a murder
More common among females
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Information Sources:
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- Myers, David G. Psychology, Tenth Edition. New York: Worth Publishers, 2013.
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Anxiety Disorders
By Daniel Koh
Anxiety Disorders
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