disorders焦虑症课件

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1、AnxietyDisordersANXIETYDISORDERSAnxiety—Vague,subjectivenonspecificfeeling.*uneasiness,apprehension*tension,feelingofdreadorimpendingdoomCauses-resultofthreattoone’sBiologic,PhysiologicandSocialIntegrity-externalinfluencesTypesofAnxietySignalAnxiety-(P

2、hobicDisorders)PrecipitantisidentifiedAlearnedanxietyresponse-resultsfromsituationssuccessfullyrepressedorcopedwithusinganotherdefensemechanismTraitanxietyAfunctionofPersonalitystructureLinkwithdevelopmentalprocess/eventsMaybelinkedtounresolvedconflict

3、/confusion(AnxietyDiathesis)apre-dispositiontoanxietywhenexposedtostressor.E.g..Onehadachronicallyillmotherandisoverprotectivew/ownchildren.StateAnxietyDevelopsinconflictorstressfulsituationsExperienceslimitedcontrolAnxietyoccursbeforethesituationarise

4、sE.g..Womanwhoavoidsmakingapptw/PMDafterfindingbreastmassandhasastrongfamilyhx.Ofcancer.FreeFloatingAnxietyPervasivesenseofdreadordoomCannotbeattachedtoanyideaoreventMayresultinpanicstateifstressorsexceedtheindividualsabilitytocope.LevelsofAnxietyHilde

5、gardPeplau“InterpersonalRelationsinNursing1952”identifiedFourstagesofanxietyonacontinuumMildModerateSeverePanicPanicBehavioral&PhysiologicchangesinMildAnxietyPerceptualfieldwidensÎawareness&motivationÎproblemsolving&learningIrritableRelatedclientNeeds:

6、Restlessness“butterfliesinstomach”ÎsleepdisturbanceMoresensitivetonoiseBehavioral&PhysiologicchangesModerateAnxietyImmediatetaskorientedAttentivetoimmediatetaskDifficultyw/concentration,butcanberedirectedV/Snormal–increasedFrequenturinationDrymouth/mus

7、cletensionÎrateofspeechdiaphoreticBehavioral&PhysiologicchangesinSevereAnxietyNarrowedperceptualfield-onedetailDifficultycompletingtaskorsolvingproblemsCannotlearneffectivelyFeelingsofdread/doomCryingRitualisticbehaviorsie.RockingHeadache/nausea&vomiti

8、ngVertigoPaleTachycardiaC/ochestpainRigidstanceBehavioral&PhysiologicchangesinPaniclevelanxietyUnabletoprocessenvironmentalstimuliDistortedperceptionsCanonlyfocusonselfRiskforselfharmUnabletocommunicateIrrationalthoughts/behaviorsPossib