Transcript Chapter_14
Chapter 14
Anxiety Disorders
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Copyright © 2002 by W. B. Saunders Company. All rights reserved.
F
Mental health continuum for anxiety disorders
(Fig. 14-1)
Slide 14-2
B
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
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F
PET scan: Obsessive-Compulsive Disorder
(Fig. 14-3)
Slide 14-3
From Lewis Baxter, MD, University of Alabama. Courtesy of the National Institutes of Mental Health.
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
B
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F
Panic Disorder: Interventions
Instruct to take slow, deep breaths
Keep expectations minimal and simple
Help connect feelings with attack onset
Help client recognize symptoms as anxiety, not a physical
problem
Identify therapies
Teach abdominal breathing and positive self talk
Psychoeducation: medication
B
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
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F
Phobia: Interventions
Determine type of phobia and onset
Have client list consequences of contacting feared object
Identify therapies for phobias
Teach relaxation techniques
Model unafraid behavior
B
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
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F
Obsessive-Compulsive Disorder: Interventions
Anticipate needs, especially for information
Focus on client rather than on rituals
Monitor nutrition/sleep; encourage meals/rest
Avoid hurrying client
Do not arbitrarily forbid rituals; give positive reinforcement
for non-ritualistic activity
Psychoeducation: medication, interrupting obsessive
thoughts
B
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
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F
Generalized Anxiety Disorder: Interventions
Stay with client
Speak slowly, using short and simple sentences
Assure client that nurse can assist him/her
Give brief explanations
Decrease stimuli
Administer anxiolytic if warranted
Encourage discussion of antecedent events
Encourage to link behavior to feelings
Teach cognitive therapy principles
B
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F
Generalized Anxiety Disorder: Interventions,
cont.
Question to clarify and dispute illogical thinking
Have client give alternative interpretations
Identify relief behaviors
Assist to reframe situation
Monitor own feelings
B
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F
Post-Traumatic Stress Disorder: Interventions
Assess type of trauma, immediate action, and later coping
Assess pre-trauma functioning, including drug and ETOH
use
Assess post-trauma functioning, including drug and ETOH
use
Explore shattered assumptions
Promote discussion of possible meanings of event
Suggest that client not responsible for event, but is
responsible for coping
Identify social support and encourage use of support group
B
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