AS.200.212 Chapter Notes - Chapter 5: Generalized Anxiety Disorder, Progressive Muscle Relaxation, Panic Disorder
Document Summary
Fear: immediate stimulus; more present oriented; evolutionarily normal, becomes abnormal when present in absence of real threat or out of proportion, deviant, immediate alarm reaction. Anxiety: mood state (how they"re feeling, internal experience) characterized by apprehension and worry, repetitive thinking, vague sense of being in danger, future oriented but can replay with past social anxiety, three components: Physiological: increased heart rate, tightness of chest, sweating. Dysfunction in gaba, norepinephrine, serotonin systems (inhibitory neurotransmitters) Pharmacological: benzodiazepines- enhances gaba bindings, act quickly, ssris- calming down, not as quick acting, not good for panic disorder. Cognitive-behavioral therapy: combines exposure with cognitive restructuring. Relaxation training: progressive muscle relaxation, deep breathing techniques, and imagery, meditation, biofeedback (muscle tension) Dangerous, stressful societal conditions (poverty, violent, conditions but won"t predict for individuals: psychodynamic. Childhood anxiety goes unresolved overrun by neurotic/moral anxiety, defense mechanism is too weak because too coddled. Ego defense mechanisms to control early anxiety: humanistic.