PSYC 235 Lecture Notes - Lecture 16: Generalized Anxiety Disorder, Panic Disorder, Panic Attack

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Biological vulnerability heritable contribution to negative affect. Generalized psychological vulnerability low self-esteem, inability to panic? cope. Adults worry about minor daily life events. Children worry about academic, athletic, or social competence and physical injury. Elderly worry about health, report difficulty sleeping. Different from panic: not alarm or flight/flight. Stress and anxiety result of perception/appraisal of a threat (tendency. Inherited: tendency to be anxious to be anxious increases appraisal of threat as something bad) Sensation of going crazy or losing control. Racing heartbeat, rapid breathing, dizziness, nausea, or sensation of heart attack/imminent death. Criteria: unexpected attack, develop anxiety about the possibility of another attack or implications of original attack. Fear and avoidance of situations, people, places. Agoraphobia often develops after unexpected panic attack. Meds affect serotonergic, noradrenergic, and benzodiazepine gaba systems to block attacks. Relapse rates for panic meds high, discontinued. Cbt effect for panic: 80-100% panic free after 12. Panic control therapy (pct) arranges mini exposures.

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