Disorders焦虑症课件.ppt

Anxiety Disorders ANXIETY DISORDERS Anxiety—Vague, subjective non specific feeling. *uneasiness, apprehension *tension,feeling of dread or impending doom Causes- result of threat to one’s Biologic, Physiologic and Social Integrity- external influences Types of Anxiety Signal Anxiety- (Phobic Disorders) Precipitant is identified A learned anxiety response-results from situations successfully repressed or coped with using another defense mechanism Trait anxiety A function of Personality structure Link with developmental process/events May be linked to unresolved conflict/confusion (Anxiety Diathesis)a pre-disposition to anxiety when exposed to stressor. E.g.. One had a chronically ill mother and is overprotective w/own children. State Anxiety Develops in conflict or stressful situations Experiences limited control Anxiety occurs before the situation arises E.g.. Woman who avoids making appt w/PMD after finding breast mass and has a strong family hx. Of cancer. Free Floating Anxiety Pervasive sense of dread or doom Cannot be attached to any idea or event May result in panic state if stressors exceed the individuals ability to cope. Levels of Anxiety Hildegard Peplau “Interpersonal Relations in Nursing 1952” identified Four stages of anxiety on a continuum Mild Moderate Severe Panic Panic Behavioral Physiologic changes in Mild Anxiety Perceptual field widens ? awareness motivation ? problem solving learning Irritable Related client Needs: Restlessness “butterflies in stomach” ? sleep disturbance More sensitive to noise Behavioral Physiologic changes Moderate Anxiety Immediate task oriented Attentive to immediate task Difficulty w/concentration,but can be redirected V/S normal –increased Frequent urination Dry mouth/muscle tension ? rate of speech diaphoretic Behavioral Physiologic changes in Severe Anxiety Narrowed perceptual field-one detail Difficulty completing task or solving problems Cannot learn effectively Feelings of dread/doom Crying