13408134
Description
Mind Map by Deleted user, updated more than 1 year ago
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Created by Olivia McRitchie
about 6 years ago
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Copied by Olivia McRitchie
about 6 years ago
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Anxiety and Insomnia
- Anxiety
- Generalized
anxiety disorder
- Difficult to control
anxiety lasting 6+
months
- Restlesness, fatigue, muscle tension,
inability to focus, dread, sleep disturbances,
BP elevation, heart palpations, respiratory
change, dry mouth
- Difficult to control
anxiety lasting 6+
months
- Panic disorder
- Intense feelings of immediate
apprehension, fearfulness, terror, or
impending doom, accompanied by ANS
activity
- Intense feelings of immediate
apprehension, fearfulness, terror, or
impending doom, accompanied by ANS
activity
- Phobias
- Fearful
feelings
attached to
situations
or objects
- Social anxiety
disorder: Fear of
being judged,
ridiculed, or
embarrassed by
other
- Performance
anxiety: Dread,
nervousness, or
apprehension that
comes from
performing or
speaking in public
- Sweating,
tachycardia,
trembling,
bowel
cramping
- Fearful
feelings
attached to
situations
or objects
- Obsessive compulsive disorder
- Concurrent, intrusive thoughts or
repetitive behaviors
- Concurrent, intrusive thoughts or
repetitive behaviors
- Post traumatic stress disorder
- Extreme situational
anxiety that develops
in response to
rexperiencing a
previous life event
- War, physical/sexual abuse,
rape & domestic violence,
natural disasters, homicidal
situations
- Risk of attempted suicide is high
- Extreme situational
anxiety that develops
in response to
rexperiencing a
previous life event
- Caused by:
- Limbic system
- Emotional
expression,
learning,
memory
- Signals
ultimately
reach
hypothalamus
- Resulting emotions: anxiety,
fear, anger, aggression, remorse,
depression, sexual drive,
euphoria
- Resulting emotions: anxiety,
fear, anger, aggression, remorse,
depression, sexual drive,
euphoria
- Emotional
expression,
learning,
memory
- Hypothalamus
- Unconscious responses to
extreme stress, such as high
BP, elevated RR, and dilated
pupils
- "Fight or flight" ANS response
- "Fight or flight" ANS response
- Unconscious responses to
extreme stress, such as high
BP, elevated RR, and dilated
pupils
- Reticular formation
- Connects w/ hypothalamus
- Neurons in the brainstem
- Response to stimulation:
heightened alertness and arousal
- Response to inhibitions:
Drowiness
- Response to inhibitions:
Drowiness
- Response to stimulation:
heightened alertness and arousal
- Connects w/ hypothalamus
- Reticular activating system
- Brainstem to thalamus
- Sleeping/wakefulness,
alters the entire cerebral
cortex
- Focuses attention by
transmitting signals to higher
centers of brainstem
- If signals are prevented from passing
through: No emotion related signals
- If signals from hypothalamus pass
through: Signals go to integrative
brain centers, causing anxiety and
fear, and a restless/interrupted
sleeping pattern
- Focuses attention by
transmitting signals to higher
centers of brainstem
- Sleeping/wakefulness,
alters the entire cerebral
cortex
- Brainstem to thalamus
- Limbic system
- Pt. should be discouraged from
medication until anxiety
interferes w/ADLs
- When meds are indicated,
drugs are called anxiolytics
- CNS agents,
like
antidepressants
&
CNS
depressants
- Seizure meds
- Emotional/mood
disorder
drugs
- Antihypertensives and antidysrhythmics
- CNS agents,
like
antidepressants
&
CNS
depressants
- When meds are indicated,
drugs are called anxiolytics
- Generalized
anxiety disorder
- Insomnia
- Sleep is needed
- Self repair
- Protective
mechanism
- Electrical
signaling of
brain
- Circadian rhythm is
the daily
fluctuation of body
temp, BP, hormone
lvls, and respiration
- Disruption occurs
when travelling
through time
zones or
alternating day
and night shifts
- Disruption occurs
when travelling
through time
zones or
alternating day
and night shifts
- Self repair
- Caused by:
- Short term insomnia
- Hectic lifestyle
- Inability to
resolve life
conflicts
- Worrying about
work, marriage,
children
- Worrying about
work, marriage,
children
- Inability to
resolve life
conflicts
- Hectic lifestyle
- Narcolepsy
- Overwhelming
daytime
drowsiness and
sudden attacks
of sleep.
- Overwhelming
daytime
drowsiness and
sudden attacks
of sleep.
- Substances and meds
- Stimulants, such as
coffee
- Tobacco
- Alcohol might stimulate
sleep, but it causes vivid
dreams and frequent
awakenings that may
prevent restful sleep
- Large meals,
especially ones
high in protein and
fat, right before
bed
- B/c of
increased
metabolic
rate needed
for digestion
- B/c of
increased
metabolic
rate needed
for digestion
- Large meals,
especially ones
high in protein and
fat, right before
bed
- Alcohol might stimulate
sleep, but it causes vivid
dreams and frequent
awakenings that may
prevent restful sleep
- Tobacco
- Stimulants, such as
coffee
- Enivronment
- Too much light
- Uncomfortable
room temp
(especially if it's
too warm)
- Snoring
- Recurring
nightmares
- Recurring
nightmares
- Snoring
- Uncomfortable
room temp
(especially if it's
too warm)
- Too much light
- Long term insomnia
- Depression
- Manic disorders
- Chronic pain
- Chronic pain
- Manic disorders
- Depression
- Short term insomnia
- Nonpharmacologic methods of
treatment should be tried first
- Long term use of
sleep meds are
likely to worsen
insomnia.
- Long term use
can also cause
dependence
- Rebound insomnia
when drug is
discontinued
- Anxiety &
insomnia
become
markedly worse
- Older patients are
more likely to
experience
drug-related problems
- Anxiety &
insomnia
become
markedly worse
- Rebound insomnia
when drug is
discontinued
- Long term use
can also cause
dependence
- Long term use of
sleep meds are
likely to worsen
insomnia.
- Diagnosed by EEG
- REM and non-REM
sleep can be
identified
- REM brain waves
similar to patient
that is awake,
but drowsy
- Pt. deprived of
stage 3 NREM sleep
experience
depression, apathy,
and fatigue
- Stage 3
associated
w/repair and
restoration of
physical body
- REM sleep
associated
with memory,
learning,
memory, and
ability to
adjust to
environment
- Required to keep
psyche functioning
normally
- When deprived of it,
pt. experiences a
sleep debt.
- Frightened,
irritable, paranoid,
emotionally
disturbed, impaired
judgment, slowed
reaction time
- Speculated that due to lack
of dreaming, pt. makes up for
it by daydreaming and
fantasizing throughout day
- Speculated that due to lack
of dreaming, pt. makes up for
it by daydreaming and
fantasizing throughout day
- Frightened,
irritable, paranoid,
emotionally
disturbed, impaired
judgment, slowed
reaction time
- When deprived of it,
pt. experiences a
sleep debt.
- Required to keep
psyche functioning
normally
- Stage 3
associated
w/repair and
restoration of
physical body
- REM and non-REM
sleep can be
identified
- Sleep is needed
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