Anxiety Hari Ini

8/20/2019 Anxiety Hari Ini

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PANIC DISORDERS


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WHAT IS ANXIETY?HAT IS ANXIETY?

SUBJECTIVE EXPERIENCE OFDISCOMFORT IN RESPONSE TO ANACTUAL OR PERCEIVED THREAT OR

LOSS (“STRESSOR”)

THREAT MAY BE EXTERNAL ORINTERNAL

ANXIETY MAY PERSIST EVENAFTER THREAT IS GONE


3/20

WHAT IS ANXIETY, cont’d PERCEPTION OF THREAT

DEPENDS ON THE INDIVIDUAL

SOMATIC COMPONENT:AUTONOMIC (SYMPATHETIC)

NERVOUS SYSTEM ACTIVATION


4/20


5/20

Lee!" #$ A%&'e()

ee!" #$ A%&'e()

M'!*

'!*

M#*e+,(e#*e+,(e

See+e

ee+e

,%'-

,%'-


6/20

M'!* A%&'eM'!* A%&'e Increased alertness

Broad field of perception

Enhances learning and performance


7/20

M#*e+,e A%&'eM#*e+,e A%&'e Perceptual field narrows

Tunes out stimuli

Focused on one task

Decreased attention span

Problem solving abilit


8/20

See+e A%&'eSee+e A%&'e !arrow or distorted perception

and cognition

Flight of ideas Phsical smptoms problematic

Behavior directed toward relief

of discomfort

http://fineartamerica.com/images-medium/distorted-perception-qbee-whitener.jpg


9/20

UNDERSTANDING ANXIETY:

+'.,+) G,'%

Internal "advantages# gained from efforts torelieve an$iet

Phsical smptoms %bsessions

&ompulsions

Fears, e'g' cannot drive

(orr

Isolation

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10/20

UNDERSTANDING ANXIETY:

Se-#%*,+ G,'%

)ttention or benefit obtained from others b

having an an$iet*related disorder &an become more important

than relieving the an$iet

Decreases motivation to get well%thers take care of individual

&omplicates treatment

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11/20

A&'" / A%&'e D'"#+*e+"

Ge%e+,!'0e* A%&'e D'"#+*e+ (GAD)

P,%'- D'"#+*e+

1'2 A3#+,42#5',

1'2#6 A3#+,42#5',

O5"e""'e7C#.46!"'e D'"#+*e+ (OCD)

P2#5',"

S#.,#$#+. D'"#+*e+"


12/20


13/20

P,%'- D'"#+*e+

+ecurring, sudden,intense feelings of )pprehension Terror Impending doom osing control

-oing cra.

/omatic /mptoms 0eart )ttack Ding

+ecurrent 1a or ma not be

situational

If situational, will avoid places or situations Peaks within 23 minutes


14/20

P,%'-P,%'-

Disorgani.ed and irrational

%verwhelmed, out of control 1a become violent, hsterical,

or immobili.ed

“F'328 F!'32 #+ F+ee0e”


15/20

E'#!#3 #$ P,%'- D'"#+*e+ Pschological

ife stresses/eparation, disruption of attachment in childhood

Biological 0eredit 4seen in families Interaction of &ognitive with /mpathetic !ervous

/stem 5 Endocrine responses


16/20

P,'e% Re!,'#%"2'4: A-6e

P2,"e #$ P,%'- D'"#+*e+

&ommunication6 /imilar to panic level

an$iet, sta with them, reassure that the aresafe

&alm environment, stimulation

)ssess for suicidal ideation6 2 in 7 are suicidal 8se touch carefull

P+! 1edications6 9ana$, )tivan


17/20

C!'e% Re!,'#%"2'4 &lient teaching6 improvement often

follows

You are not crazy

Recognize and address triggers

Recognize symptoms Meds. can help


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MEDICATIONS FOR

PANIC


19/20

Treatment //+Is

Ben.odia.epines

&ognitive Behavioral Therap

T&)s

1)%Is

%ther agents )nticonvulsants

Buspirone

)tpical neuroleptics


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Anxiety Hari Ini

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