Anxiety and Psychosis

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  • Created by: llas7078
  • Created on: 17-10-15 03:39
- A feeling of fear/apprehension that may be related to a particular situation or object and is often accompanied by increased physiological arousal - becomes a disorder when it impacts our normal life, is prolonged and causes distress/impairment
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Adaptive anxiety
Normal, we all experience
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Maladaptive anxiety
Anxiety that constitutes an anxiety disorder
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Specific Phobia
Fear/avoidance is disproportionate/excessive to the feared stimulus
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Fear and avoidance of being alone in a place from which escape might be difficult or embarrassing
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Social Phobia
Marked fear/anxiety about one or more social situations in which the individual is exposed to possible scrutiny from others
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Panic Disorder
- Recurrent, unexpected panic attacks - Persistent worry about future attacks and/or maladaptive behaviour to avoid future attacks
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Generalised Anxiety
- Constant excessive anxiety about things in general, occurring for more days than not for at least six months - 3 or more of these symptoms: restlessness, easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbance
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Treatment for anxiety disorders
Cognitive Behavioural Therapy (CBT): 1. dropping of safety behaviours 2. Cognitive restructuring 3. Relaxation training (or applied tension) 4. Systematic desensitisation (graded exposure)
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Loss of contact with reality
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Positive Symptoms of Psychosis
Presence of symptoms seen in someone with a psychotic disorder but not in people who are not experiencing this disorder e.g. delusions, hallucinations, disorganised thinking
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Negative Symptoms of Psychosis
The things they don't experience that normal people do e.g. diminished emotional expression or decrease in motivation to do everyday tasks (avolition)
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Psychotic disorder, associated with marked deterioration in functioning - Best explained by vulnerability stress model
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Schizophrenia DSM-5 criteria
Two or more of the following, present for one month: 1. delusions 2. Hallucinations 3. Disorganised thinking 4. Grossly disorganised behaviour 5. Negative symptoms
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Treatment for Schizophrenia
Antipsychotic medication is most common. Also Psychological treatment: 1. CBT 2. Family Therapy 3. Skills training 4. Challenge stigma 5. Psychoeducation. - Combination of both is best
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Adaptive anxiety


Normal, we all experience

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Maladaptive anxiety


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Specific Phobia


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