Transcript Anxiety___Panic

Anxiety Disorders
Dr. Paul F. Hard
Panic Disorder
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Emotionally – intense apprehension,
terror, or depersonalization
Physically – acute emergency
reaction
Mentally / Cognitively – person
thinks they will die, go insane, or
lose control
Unexpected – uncued, spontaneous
 Triggered - cued
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Etiology of panic
Disorder
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Biological
Can be induced biologically
 Does run in families & 25-30% of
identical twins
 Medication can control
 Specific Brain areas/functions are
involved
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 Poor
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Regulation – However ….
Cognitive – responds to
psychological treatment
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Treatment
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Reinterpretation
Cognitive-Behavioral TX
With medication
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Agoraphobia
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Cause – conditioned response
Treatment – exposure TX and
medication
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Generalized Anxiety
Disorder (GAD)
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Symptoms & Prevalence
Excessive worry & anxiety for at
least 6 months
 Worry is difficult to control
 3 of 6 SX
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 Restlessness
 Easily
fatigued
 Not due to another d/o
 Impairment
 Not due to drugs or GMC
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Generalized Anxiety
Disorder (GAD)
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Biological – activation, kindling
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Cognitive – control
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Treatment –
Cognitive behavioral TX
 meds are temp
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Obsessive Compulsive
Disorder
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Disadvantages
Obsessions
 Compulsions
 Recognition that either are excessive
 They cause marked distress
 Not accountable due to another d/o
 Not due to drugs or medical
condition
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Obsessive Compulsive
Disorder
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More Females but Males have more
compulsive
Somewhat heritable (or other anxiety
d/o’s)
Males in early childhood to adol
Females in young adulthood
Males checkers – Females cleaners
Personality d/o is not OCD
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Obsessive Compulsive
Disorder
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Causes
Psychodynamic – repression of
unconscious conflicts
 Cognitive-behavioral – repression of
troubling thoughts combined
w/depression – Banging Pots to
scare away lions
 Neuroscience – overactive corticalstriatal-thalamic circuit
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Obsessive Compulsive
Disorder
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Treatment
Behavioral TX
 Drug TX
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Everyday Anxiety
Progressive Relaxation
 Medication
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