Psych Exam 2: Anxiety

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Psych Exam 2: Anxiety
2015-02-22 10:32:46
Exam 2
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  1. What is a feeling of apprehension, uneasiness, uncertainty, or dread resulting from real or perceived threats
  2. What is a reaction to a specific danger
  3. What type of anxiety occurs in the normal experience of everyday living and allows an individual to perceive reality in sharp focus
    mild anxiety
  4. What type of anxiety has physical symptoms of slight discomfort, restlessness, irritability, or mild-tension relieving behaviors (nail biting, foot tapping)
  5. What type of anxiety causes narrow perceptual field, and detail exclusion from observation? see, hear, grasp less information, selective inattention, ability to think is hampered, but LEARNING AND PROBLEM SOLVING STILL TAKE PLACE
  6. What type of anxiety has physical symptoms of tension, pounding heart, increased pulse and RR, perspiration, and some somatic symptoms (GI, HA, Urinary), voice tremors and shaking
  7. What two levels of anxiety are constructive
  8. What type of anxiety impairs learning and problem solving leaving the person to seem dazed and confused, behavior is automatic
  9. What type of anxiety has physical symptoms of somatic (HA, nausea, dizziness, insomnia), trembling, pounding heart, hyperventilation, sense of impending doom
  10. What is anxiety that results in markedly disturbed behavior where one can lose touch with reality
  11. What type of anxiety has symptoms of running, screaming, pacing, shouting, withdrawal, hallucinations, and erratic, uncoordinated, impulsive behavior
  12. What can acute panic lead to
  13. What 3 things distinguish level of anxiety
    • effect of perceptual field
    • effect on problem solving
    • physical manifestations
  14. What does moderate anxiety focus on
    source of anxiety
  15. What does severe anxiety focus on
    details or one specific detail
  16. What does panic focus on
    focus is lost, feels unreal
  17. What are automatic coping styles that protect people from anxiety and maintain self-image by blocking feelings, conflicts, or memories
    defense mechanism
  18. When does separation anxiety begin and peak
    • 8 months
    • 18 months
  19. What anxiety has developmentally inappropriate levels of concern over being away from a significant other
    separation anxiety
  20. Defense mechanism used to counterbalance perceived deficiencies by emphasizing strengths
  21. Defense mechanism that is the unconscious transformation of anxiety into a physical symptom with no organic cause
  22. Defense mechanism that involves escaping unpleasant, anxiety-causing thoughts, feelings, wishes, or needs by ignoring their existence
  23. Defense mechanism that is the transference of emotions associated with a particular person, object, or situation to another nonthreatening person
  24. Defense mechanism that is a disruption in consciousness, memory, identity, or perception of the environment that results in compartmentalizing uncomfortable or unpleasant aspect of oneself
  25. Defense mechanism that is attributing to oneself the characteristic of another person or group (consciously or unconsciously)
  26. Defense mechanism that is a process in which events are analyzed based on remote, cold facts and without passion, rather than incorporating feeling and emotion into the processing
  27. Defense mechanism that refers to the unconscious rejection of emotionally unacceptable features and attributing them to others
  28. Defense mechanism that consists of justifying illogical or unreasonable ideas, actions, or feelings by developing acceptable explanations that satisfy the teller as well as the listener
  29. Defense mechanism that is used when unacceptable feelings or behaviors are controlled and kept out of awareness by developing the opposite behavior or emotion
    reaction formation
  30. Defense mechanism that reverts to an earlier, more primitive and child-like pattern of behavior that may or may not have been previously exhibited
  31. Defense mechanism that is an UNCONSCIOUS exclusion of unpleasant or unwanted experiences, emotions, or ideas from conscious awareness
  32. Defense mechanism that is the inability to integrate the positive and negative qualities or oneself or others into a cohesive image
  33. Defense mechanism that is an unconscious process of substituting mature and socially acceptable activity for immature and unacceptable impulses
  34. Defense mechanism that is the CONSCIOUS denial of a disturbing situation or feeling
  35. Defense mechanism that is most commonly seen in children when a person makes up for an act or communication
  36. What is a sudden onset of extreme apprehension or fear usually associated with feelings of impending doom
    panic attack
  37. What causes a panic attack and how long does it last
    • comes out of nowhere
    • about 10 min
  38. What is intense, excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing or in which help might not be available
  39. What is a persistent, irrational fear of a specific object, activity, or situation that leads to a desire for avoidance, or actual avoidance of the object, activity, or situation
    specific phobia
  40. What is characterized by severe anxiety or fear provoked by exposure to a social or a performance situation that could be evaluated negatively by others
    social anxiety disorder
  41. What disorder is characterized by excessive worry which is out of proportionate to the true impact of events or situations (anticipate disaster)
    Generalized anxiety disorder
  42. What are ritualistic behaviors an individuals feels driven to perform in an attempt to reduce anxiety or prevent an imaged calamity
  43. OCD exists on a continuum, true or false
  44. What disorder is characterized by an imagined defective body part leading to obsessive and compulsive behavior like checking the mirror and camouflaging
    body dysmorphic disorder
  45. What is trichotillomania? dermotillamania? Trichophagia?
    • hair pulling
    • skin picking
    • hair swallowing
  46. What alerts the brain to the presence of danger and brings about fear or anxiety to preserve the system? What is stored here?
    • amygdala
    • memories with emotional significance
  47. What provides the transmission structure for electrical impulses that occur when anxiety-related responses are sent or received
    limbic system
  48. Name 5 neurotransmitters that regulate anxiety
    • epinephrine
    • norepinephrine
    • dopamine
    • serotonin
    • GABA
  49. What inhibitory neurotransmitter puts a break on excitatory neurotransmitters and is the common focus of pharmacological therapy for anxiety
  50. Name 4 assessment guidelines for anxiety and OCD
    • ensure physical/neuro exam to determine if anxiety is primary or secondary
    • determine current anxiety level
    • Assess self-harm/suicide
    • psychosocial assessment
  51. Interventions to help patient with mild-moderate anxiety
    • identify anxiety
    • demonstrate interest
    • encourage talk/feelings
    • focus in pt concern
    • identify thoughts/feelings b4 anxiety
    • problem solving
    • alternative solutions
    • behaviors that helped in past
    • outlets
  52. Interventions to help patient with severe-panic anxiety
    • calm
    • remain with patient
    • minimize stimuli
    • clear, simple, repetitive statements
    • low-pitch, speak slowly
    • reinforce reality
    • listen for themes
    • SAFETY
  53. What two SSRI's have a more calming effect for anxiety
    • Zoloft
    • Paxil
  54. Medications: First line of defense for anxiety and OCD
  55. How long on Benzos would a person usually have to be to experience withdraw if they were to stop taking it
    3-4 months
  56. When should anxiety meds be taken
    with or shortly after meals
  57. What drugs could interact with anxiety meds
    • antacids delay absorption
    • cimetidine interferes with metabolism
    • benzo increased sedation
  58. What is an alternative anxiety medication that doesnt cause dependence, how long till it reaches full effects
    • Buspirone
    • 2-4 weeks
  59. What is kava and what are the risks of taking it
    • roots from poper methysticum treat anxiety
    • liver damage (inhibits liver enzyme necessary for metabolizing many other meds)
  60. 3 steps to cognitive restructuring the therapist helps with
    • identify automatic negative beliefs
    • explore basis for thoughts
    • replace negative self-talk with supportive ideas
  61. name 6 behavior therapies that can decrease anxious or avoidant behavior
    • relaxation training
    • modeling
    • systematic desensitization
    • flooding
    • response prevention
    • thought stopping