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Chapter 15 Anxiety and Obsessive- Compulsive Related Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

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Presentation on theme: "Chapter 15 Anxiety and Obsessive- Compulsive Related Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc."— Presentation transcript:

1 Chapter 15 Anxiety and Obsessive- Compulsive Related Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

2  Anxiety – Apprehension, uneasiness, uncertainty, or dread from real or perceived threat  Fear – Reaction to specific danger  Normal anxiety – Necessary for survival Anxiety 2 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

3  Mild anxiety  Moderate anxiety  Severe anxiety  Panic Levels of Anxiety 3 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

4 A parent is shopping with a 5-year-old child in a large, busy urban mall. The parent suddenly realizes the child is missing. Which level of anxiety would likely result? A.Mild B.Moderate C.Severe D.Panic Question 1 4 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

5  What behaviors might this parent be exhibiting that would indicate panic-level anxiety? Case Study 5 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

6  Defense mechanisms  Automatic coping styles  Protect people from anxiety  Maintain self-image by blocking Feelings Conflicts Memories  Can be healthy or unhealthy Defenses Against Anxiety 6 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

7  Separation anxiety disorder  Developmentally inappropriate levels of concern over being away from a significant other  Panic disorder  Panic attacks Clinical Picture 7 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

8  Agoraphobia  Excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing  Specific phobias Clinical Picture (Cont.) 8 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

9  Social anxiety disorder  Severe anxiety or fear provoked by exposure to a social or a performance situation that will be evaluated negatively by others  Generalized anxiety disorder  Excessive worry that lasts for months Clinical Picture (Cont.) 9 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

10  Other anxiety disorders  Substance-induced anxiety disorder  Anxiety due to a medical condition Clinical Picture (Cont.) 10 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

11  Obsessions  Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind  Compulsions  Ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety Obsessive-Compulsive Disorders 11 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

12  Obsessive-compulsive disorder  Body dysmorphic disorder  Hoarding disorder  Hair pulling and skin picking disorders  Other compulsive disorders Obsessive-Compulsive Disorders (Cont.) 12 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

13  Epidemiology  Comorbidity  Etiology  Biological Genetics  Neurobiological Anxiety Disorders 13 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

14  Psychodynamic theories  Sigmund Freud  Harry Stack Sullivan  Behavior theories  Cognitive theories  Cultural considerations Psychological Theories 14 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

15  Assessment  General assessment of symptoms  Self-assessment  Assessment guidelines: anxiety and obsessive- compulsive disorders  Nursing diagnosis  Outcomes identification  Planning Application of the Nursing Process 15 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

16  Implementation  Mild to moderate levels of anxiety  Severe to panic levels of anxiety  Counseling  Teamwork and safety  Promotion of self-care activities Application of the Nursing Process (Cont.) 16 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

17  What would be some appropriate interventions for the parent whose child is missing at the mall and is experiencing panic level anxiety? Case Study (Cont.) 17 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

18  Pharmacological interventions  Antidepressants  Anti-anxiety drugs  Other classes  Psychobiological interventions  Integrative therapy  Health teaching Implementation 18 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

19  Cognitive therapy  Behavioral therapy  Relaxation training  Modeling  Systematic desensitization  Flooding  Response prevention  Thought stopping  Cognitive-behavioral therapy Advanced Practice Interventions 19 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

20 1.What is your usual level of anxiety on the day of a nursing exam? A.Mild B.Moderate C.Severe D.Panic Audience Response Questions 20 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

21 2.The television character “Monk” appears to have which anxiety problem? A.Panic disorder B.Generalized anxiety disorder C.Posttraumatic stress disorder D.Obsessive-compulsive disorder Audience Response Questions 21 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.


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