Chap.18: managing anxiety

Anxiety : feeling of uneasiness & helplessness State of tension Result of perceived threat to ones self Types of anxiety : signal anxiety : For example calm student nauseated during examination anxiety state ;loss of control e.g. Emergency accident ,trauma anxiety trait : part of personality eg. Adolescent give rational for his behavior even not asked

physical symptoms of anxiety : muscle tension fidgeting headache problem with sleep nausea dizziness sweaty increase heart rate increase blood pressure N.B: using of defense mechanism to decrease discomfort

* types of coping toward anxiety ; 1- physical ; face the problem Physical exercise ( anaerobic ) Flight from place Running away Yoga exercise 2- intellectual : Smiling ,meditation 3- spiritual : religious as praying 4- emotional crying

Theories related to anxiety : biological model psychodynamic model interpersonal model behavioral model

classification of anxiety : anxiety in childhood anxiety in adolescence anxiety in adulthood anxiety in late adulthood

anxiety disorder : maladaptive ways of coping mechanism classification of anxiety : GAD PANIC PHOBIA OCD PTSD

GAD: Adolescence Adult hood period Excessive anxiety Disturbance in emotion Inability to concentrate on specific task c\p;muscle tension fight or flight response IBS Headache Sleep disturbance Substance abuse School period : overanxious disorder of childhood Children worry of ( school performance ) Defect of social interaction

Panic disorder : box 18-1 Intense fear or discomfort spend 15 minutes More in female 70% Divorced Separated Age : 24-44 yrs old With agoraphobia Without agoraphobia @ agoraphobia : Avoid people ,places, events Sense of helplessness Being in crowd Standing in line Traveling in bus or plan Standing on bridge Afraid to leave house & keep him alone

@ treatment : Educate client Drugs Use of coping & adaptive behavior Psychotherapy Meditation Biofeedback Aromatherapy

Phobia: internal fear ,reaction involve specific situation or object Fear from ;\ People Animals Object Situation Social phobia; unrealistic & persistant fear of any situation in which other people could be judging Worried about looking foolish

-trembles hands ,when write -voice quaver when attempt to talk Vomiting when start to eat Anxious ; presence of authority figures ,person with high social class Fear of eye contact ,from other ,or lack of eye contact Sever social phobia : develop panic ,avid contact with any one ,outside ,their immediate family Like to be lonely & isolated N.B: phobia is obsessive in nature thinking in form of fantasies

Thantophobia : fear of dying Phobia according to the culture Fear of hexesالخوف من الشعوذة Speels Magical spirits OCD: persistent recurreing inappropriate distressing thought followed by action Not habit but specific behavior must be performed to relive anxiety

c\p: self destructive behavior anxiety reduce through action rare disease early age 3 yrs ,or adolescence , equal in male & female appear earlier in men associated with depression & schizophrenia eg of obsession ; cleanliness feel of dirt & germs sexual impulse health concern safety concern use defence mechanism : repression

OCD: time consuming for individual ,with inappropriate behavior Cause : genetic predisposition Running in family Hormonal causes Management : behavioral therapy Drugs (SSI, TCAD)

PTSD: previous experience to trauma Intense fear Helplessness Flashback of the events Anxiety Depression Nightmares Need ( social,psychological,emotional,& pharmacological support )

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