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ID:19808428
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时间:2018-10-06
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1、AnxietyDisordersAnxietyWhatdoesanxietyfeellike?Whendoesanxietybecomeaproblem?Adisorder?PPDPrevalenceofAnxietyDisorders18.1%ofU.S.adultsCommonlyco-occurswithdepressivedisordersorsubstanceabuse(*dualdiagnosis)IndividualsmayhavemultipleanxietydisordersMostwillhavetheirfirstepis
2、odebyage21.5(NIMH,2008)AnxietyDisordersWherearethemajorityofpatientswithanxietydisordersinitiallyseen?Why?SymptomsofAnxietyPhysicalPoundingheartSweatingStomachupsetDizzinessFrequenturination/diarrheaShortnessofbreathTremors&twitchesMuscletensionHeadachesFatigueInsomniaSympto
3、msofAnxietyEmotionalApprehensionordreadTroubleconcentratingTense&jumpyAnticipatingtheworstIrritabilityRestlessnessVigilance‘blankmind’TypesofAnxietyDisordersPanicAttackAgoraphobiaPanicDisorder(Withandwithoutagoraphobia)SpecificPhobiaSocialPhobiaObsessive-CompulsiveDisorderGe
4、neralizedAnxietyDisorderPosttraumaticStressDisorderAcuteStressDisorderAnxietyDisorderDuetoaGeneralMedicalConditionSubstance-InducedAnxietyDisorderAnxietyDisorderNOSGeneralizedAnxietyDisorderCharacterizedby:Atleast6monthsofpersistentandexcessiveanxietyorworryThatinterfereswit
5、hnormalfunctioningGeneralizedAnxietyDisorderExcessiveanxietyorworryAboutroutinelifecircumstancesMagnitudeofworryisoutofproportiontotheseverityofthesituationDifficulttocontrolPt’salsoreportfrequent:EdginessorrestlessnessFatigueDifficultyconcentratingIrritabilityMuscletensionS
6、leepdisturbanceGeneralizedAnxietyDisorderPhysicalsymptomsthatoftenaccompanyGADMusclesachesTwitching,tremblingSweatingDrymouthHeadachesGIsymptomsUrinaryfrequencyWhatdothesesymptomshaveincommon?GADSelfTesthttp://www.adaa.org/GettingHelp/SelfHelpTests/selftest_GAD.aspAnxietyDis
7、ordersAssociationofAmericaAnxietyDuetoaGeneralMedicalConditionCharacterizedbyprominentsymptomsofanxietythatarejudgedtobeadirectphysiologicalconsequenceofageneralmedicalconditionAnxietyDuetoaGeneralMedicalConditionMedicalconditionsthatcancauseanxietyHeartfailureorabnormalhear
8、trhythmsEncephalitis,stroke,andheadinjuryHormoneimbalancescausedbypituitary
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