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Slide 2		Arises from an ambiguous, unspecific cause or is disproportionate to the danger Helps us mobilize our protective resources necessary for adaptation
Slide 3		Anxiety effects body, mind and spirit
Slide 4		Too much interferes with learning in both you and the clients-so we must become aware of it and reduce it
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Slide 11		Research in OCD focusing on genetic factors. %0% of adults with OCD state their symptoms began when they were children. Whereas in other mental disorders the numbers of people reporting early onset is only 5%.
Slide 12		Progesterone and estrogen act as agonists to GABA. When there is the cyclical withdrawal of these, women may be more sensitive to stress and anxiety. Hyperresponsive ness of ANS leads to impulsivity sleeplessness, agitation. People with PTSD have an abnormally sensitive fear network that includes the amygdale, hippocampus. Brain get so hyper aroused that the cortex is overwhelmed and the person is unable to focus. (Perhaps an anxiety disorder of nurses and re: to med. Errors. Women, anxiety, PTSD, can’t think………) High DA leads to risk taking, perhaps low DA leads to fear of taking risks.
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Slide 14		Pat experiences of abandonment, guilt, loss.
Slide 15		Internal- I can choose my thoughts and my responses to events. Takes practice, but is do able. Have to undo the other mindset. Responding with physical symptoms is more acceptable. People may unconsciously use physical limitations to rationalize their inadequacies.
Slide 16		Stinking thinking – expression in AA
Slide 17		Avoidance of the stimulus or the development of anxiety symptoms. Even smells can trigger the anxiety and remind the person of the original stimulus.
Slide 18		Often begins in childhood Other symptoms: fatigue, muscle tension,irritability, difficulty concentrating, sleep disturbance
Slide 19		Panic attacks are often in relation to public speaking, exams,situations of high stress
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Slide 21		Associated with fear of losing control, fear of appearing inadequate, perfectionism The person has an unreasonable behavioral response. Persistent fear, avoidance behavior, and it becomes disabling
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Slide 29		We all have experienced this to some degree-Checking things because we may feel we have not done something
Slide 30		Preoccupations of dirt, safety, violence, sex, antireligious thoughts. Constant doubt- become exhausted
Slide 31		Rape, abuse, assault
Slide 32		Military combat, natural disaster,hostage, assault.
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Slide 35		APATHY, not involved
Slide 36		Person may become obsessed from the flashbacks- constantly haunted by the past.
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Slide 39		An alteration in consciousness of their whole being The host personality may have no or a faint awareness of the others
Slide 40		La belle indifference-may seem nonchalant about their symptoms Denial is the main defense mechanism.
Slide 41		Do not discount them as malingerers. They suffer greatly May get prescribed medications and may develop a drug dependence related to the anxiety. Be careful of misuse of prescribing .they cause people to feel impatient with them.
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Slide 43		Munchausens’ by proxy a severe form of child abuse
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Slide 47		Exposure and response training- clients are exposed in reality or in their minds to feared situations or objects and try to refrain from or delay their usual reactions. I statements help people assume responsibilty
Slide 48		Spiritual support- the search for menaing
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