Disorders Palmer Palmer焦虑症帕尔默帕尔默课件.ppt

Anxiety Disorders Anxiety What does anxiety feel like? When does anxiety become a problem? A disorder? PPD Prevalence of Anxiety Disorders 18.1% of U.S. adults Commonly co-occurs with depressive disorders or substance abuse (*dual diagnosis) Individuals may have multiple anxiety disorders Most will have their first episode by age 21.5 (NIMH, 2008) Anxiety Disorders Where are the majority of patients with anxiety disorders initially seen? Why? Symptoms of Anxiety Physical Pounding heart Sweating Stomach upset Dizziness Frequent urination/diarrhea Shortness of breath Tremors twitches Muscle tension Headaches Fatigue Insomnia Symptoms of Anxiety Emotional Apprehension or dread Trouble concentrating Tense jumpy Anticipating the worst Irritability Restlessness Vigilance ‘blank mind’ Types of Anxiety Disorders Panic Attack Agoraphobia Panic Disorder (With and without agoraphobia) Specific Phobia Social Phobia Obsessive-Compulsive Disorder Generalized Anxiety Disorder Posttraumatic Stress Disorder Acute Stress Disorder Anxiety Disorder Due to a General Medical Condition Substance-Induced Anxiety Disorder Anxiety Disorder NOS Generalized Anxiety Disorder Characterized by: At least 6 months of persistent and excessive anxiety or worry That interferes with normal functioning Generalized Anxiety Disorder Excessive anxiety or worry About routine life circumstances Magnitude of worry is out of proportion to the severity of the situation Difficult to control Pt’s also report frequent: Edginess or restlessness Fatigue Difficulty concentrating Irritability Muscle tension Sleep disturbance Generalized Anxiety Disorder Physical symptoms that often accompany GAD Muscles aches Twitching, trembling Sweating Dry mouth Headaches GI symptoms Urinary frequency GAD Self Test /GettingHelp/SelfHelpTests/selftest_GAD.asp Anxiety Disorders Association of America Anxiety Due to a General Medical Condition Characterized by prominent symptoms of anxiety that are jud