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Anxiety Notes

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Anxiety??

Anxiety is a survival mechanism for dealing with real dangers o Attention focuses on perceived danger o Increase in arousal (heart rate; sweating; butterflies in stomach; more blood to muscles) in preparation for flight/ fight o Strong urge to avoid Anxiety is problematic when danger is imagined Anxiety disorder when axiety is out of proportion to the danger, is persistent and disabling More than 1 in 20 people suffer from anxiety disorder each year

Types of anxiety disorders??Panic disorder - repeated unexpected attacks of anxiety Phobias (specific + social) - vertigo/ coyote ugly: marked fear and avoidance of a situation Obsessive compulsive disorder- distressing thoughts or images with putting right acions Post traumatic stress disorder- rape/ road traffic accident- unwanted, distressing memories of traumatic event Generalised anxiety disorder - finance/studies/health - excessive worry about several different things

Impact of anxiety disorders????

Common Varying in disability from mild to very disabling Around 2/3rd would warrant treatment Higher rate in women than men Co-morbidity with depression and substance abuse common Runs in families but genetic vulnerability is broader than just anxiety disorders Varies in persistence Cost to society of untreated anxiety disorders and depression

Treatments
?????Medications o Benzodiazopines- for short term distress o Anti-depressants - SSRIs/ SNRIs
?????Psychological treatments o Cognitive behaviour therapy
? 8-16 sessions, once a week, hour long
? Based on cognitive model of emotional disorders
? Aims to change problematic beliefs and related behaviours
? Strong foundation in academic sychology
? Patient is very active
? No treatment- wait lists, controls for natural recovery
? Psychosocial placebo or active treatment

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