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The document discusses different types of anxiety disorders including general anxiety disorder, panic disorder, obsessive compulsive disorder, and phobias. It provides descriptions of each disorder including common symptoms, causes, and treatment options.

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samoy
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14 views4 pages

4

The document discusses different types of anxiety disorders including general anxiety disorder, panic disorder, obsessive compulsive disorder, and phobias. It provides descriptions of each disorder including common symptoms, causes, and treatment options.

Uploaded by

samoy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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3. Maladaptive - unsuccessful to decrease anxiety without attempting to solve the problem.

Ex. You have an exam..... Watch movies with friends first........ then cramming for review...... Result of
exam.....FAILED!!!

4. Dysfunctional - not successful in reducing the anxiety or solving the problem: minimal functioning
becomes difficult:

Ex. You have an exam.......drinking spree with buddies..... When you wake up..... UMAGA NA.... Result of
exam

"Asa ka pa.... Eh di bagsak!!"

Common Nursing Diagnosis:

1. Ineffective individual coping***

2. Anxiety

3. Impaired adjustment

4. Risk for injury

5. Risk for violence, self-directed or directed at others

6. Fear

Important Nursing Interventions:

C - calm environment

A - ask client to identify cause/s.

L - let client describe feelings.

M - monitor for suicide ideation.

E - expression of feelings.

R - release tension and energy (art therapy)

Understanding ANXIETY and ANXIETY - RELATED DISORDERS

GENERAL ANXIETY DISORDER (GAD)

- Characterized by diffused, persistent, or unrealistic worry that rarely occurs by itself:


- Increase amount of inner energy consumed on controlling anxious feelings:

- Have used alcohol or other drugs to the point of dependence to control anxiety:

- Person may experience physical symptoms:

* Dyspnea

* Palpitations

* Chest pain

* Gastric distress - diarrhea

* Tremors

* Insomnia

* Restlessness

- Tx:

* Anxiolytics

* Psychotherapy

PANIC DISORDER

- The cause is usually cannot be identified;

- sudden onset, with feelings of intense apprehension, and dread;

- May be severe, recurrent, or intermittent lasting 5 - 30 minutes;

- Fear of losing control about themselves, "going crazy," heart attack, or dying:

- Client may also experience physical symptoms similar to GAD:

- Treatment:

a. Relaxation techniques

b. Cognitive - Behavioral Therapy

c. Benzodiazepines - Aprazolam (Xanax)d.Antidepressants-Sertraline: Paroxetine;

OBSESSIVE-COMPULSIVE DISORDER
- Characterized by episodes of obsession (unwanted, repetitive thought) and compulsion ( unwanted,
repetitive action) that influence a person's life;

- Char. by irrational, repetitive, ritualistic behaviors that the px uses in attempt to control the anxiety
resulting from obsessions;

- Affects the ADL of the client;

- Anxiety occurs if O-C are resisted, and from being powerless to stop obsession.

- Compulsive behaviors are related to decrease or neutralize anxiety:

Obsession Increase anxiety

Compulsion decrease anxiety

Treatment:

a.Behavioral techniques• Desensitization

• Graded response

• Modeling of desired behaviors

• Cognitive therapy - to stop altered thought.

b. Antidepressants - Clomipramine (Anafranil):SSRI's.

c. Anxiolytics

PHOBIA

- An irrational fear of an object or situation that persists even though the px may recognize it as
unreasonable;

- Associated with panic-level of anxiety if the object, situation, or activity cannot be avoided;

- Client will do anything just to avoid the phobic object regardless of the consequences;

Types of Phobia:

a. Agoraphobia

- fear of being alone in open or public places where escape might be difficult or impossible;

- Client may not leave home;


b. Social Phobia

- fear of situations in which one might be embarrassed or criticized, and the fear of making fool of
oneself:

- includes the fear of eating in public places, public speaking, or performing in public places:

c. Specific Phobia

- a fear of a single object, activity, or situation such as snakes, closed spaces, and flying;

- Arachnophobia

- Aerophobia

- Acrophobia

- Aviophobia

- Claustrophobia

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