anxiety and stress disorders

1. alarm response to serious, known and present threat

1. alarm to vague sense of future threat

Annotations:

• patients tend to worry about anythign and everything, vague butintense emotins, restlessness, fatigue, irritability, muscle tension, sleep problems, etc.

1. sociocultural

   Annotations:

   • dangerous social conditions, poverty, perhaps supplies conditions rather than cause
2. psychodynamic

   Annotations:

   • faulty ego defense mechanisms,neurotic anxiety: prevented from expressing ID impulses
3. cognitive

   Annotations:

   • worry is cognitive
4. biological

   Annotations:

   • normal fear reactions GABA (feedback system that reduces excitability of neurone) too low perhaps?

Annotations:

• persistent and intense, unreasonable fears of particular objects, activities or situations leading to significant desire to avoid particular thing. maintained though avoidance. 

1. stimulus generalizatoin
2. systematic desensitisation

Annotations:

• situations in which embarrassment might occur are feared and avoided.

1. narrow

   Annotations:

   • talking, performing, eating
2. broad

   Annotations:

   • general social fear
3. unrealistic social standards for self

Annotations:

• panic: extreme anxiety response to real threat

1. panic attacks

   Annotations:

   • periodic, sudden, nexpected peaks in panic that pass
2. biological

   Annotations:

   • norepinephrine, amygdala

1. obsessions

   Annotations:

   • persistent thoughts, ideas, impulses feel intrusive or foreign believe catastrophe will occur if not performed
   1. dirt/contamination
   2. violence and aggression
   3. orderliness
   4. religion/sex
2. rituals

   Annotations:

   • short-term anxiety relief can turn into rituals
3. behavioural

   Annotations:

   • exposure and response prevention repeatedly exposed to anxiety provoking stimuli and prevent compulsions habituation training
4. cognitive