1. Chap.18: managing anxiety

2. 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

4. 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

5. * 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

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

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

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

10. 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

11. Panic disorder : box 18-1 Intense fear or discomfort spend 15 minutes
More in female 70%
Divorced
Separated
Age : 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

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

13. 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

15. -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

16. 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

17. 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

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

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

23. اضطراب ما بعد الصدمة

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