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Anxiety

- Characterized by feeling
of apprehension,
uneasiness, uncertainty,
or dread resulting from
real or perceived threat
Degree of anxiety
- Mild
- Moderate
- Severe
- Panic
Anxiety disorders are one of the
most common mental illness in
the U.S affecting 40 million
adults in the united states
Types of anxiety
Generalized anxiety disorder
(GAD)
- Characterized by
excessive, uncontrollable
and often irrational worry
about everyday things
that is disproportionate to
the actual source of worry
Signs and symptoms
Emotional
- Constant worries running
through your head
- Feeling like your anxiety is
uncontrollable; there is
nothing you can do to stop
worrying
- Intrusive thoughts abut
things that make you
anxious; you try to avoid
thinking about them but
you cant
- An inability to tolerate
uncertainty; you need to
know whats going to
happen in the future

A pervasive feeling of
apprehension or dread

Behavioral
- Inability to relax, enjoy
quiet time, or be by
yourself
- Difficulty on concentrating
or focusing on things
- Putting things off because
you feel overwhelmed
- Avoiding situations that
make you anxious
Physical
- Feeling tense, having
muscle tightness or body
aches
- Having trouble falling
sleep
- Stomach ache
Treatment:
- Cognitive behavioral
therapy
- SSRIs (selective serotonin
reactive inhibitor)
- Psychotropic drugs
- Benzodiazepines
- Caffeine elimination
Post - Traumatic Stress
Disorder (PTSD)
- A severe anxiety disorder
that can develop after
exposure to any event
that results in
psychological trauma
- It may develop the threat
of death to oneself or to
someone else, or to ones
own or someone else
physical, sexual or
psychological integrity
Signs and symptoms

Avoiding activities, places,


thoughts or feelings that
remind you of the trauma
Inability to remember
important aspects of the
trauma
Loss of interest in
activities and life in
general
Feeling detached from
others and emotionally

Management
- Cognitive-behavioral
therapy
- Family therapy
- Medication (antidepressants such as
Prozac and Zoloft)
- EMDRC (eye movement
desensitization and
reprocessing)
- Prozac if you take it
there is an early
ejaculation upon yawning

Panic disorder
- Term panic originates
from Greek word
panikos meaning fear
- Defined by the America
psychiatry association a
fear or discomfort that
abruptly arises and peaks
in less than tem minutes
and lasts for several hours
Agoraphobia:
- Being in a place or
situation where escape is
difficult or embarrassing

Medication
- Benzodiazepines
Obsessive - Compulsive
Disorder (OCD)
- Compulsion are based
behavior. Theres a need
to perform an action or
activity, often in a very
specific way and as hard
as the person tries, they
cant stop themselves
from performing the
behavior
Management
- Tricyclic anti-depressants
(Tofranil)
- Serotonin selective
reuptake inhibitor (Luvox)
Phobic Disorder
- An irrational fear of an
object, person or situation
- The fear is accompanied
by persistent avoidance of
the object, person or
situation
Sign
-

and Symptoms
Difficulty of breathing
Racing or pounding heart
Chest pain or tightness
Trembling or shaking
Feeling dizzy or light
headed
- A churning stomach
- Hot or cold flushes

(Sir hontiveros)
Nursing enhancement
program

Psychiatric nursing
Anxiety related disorder
- Most common of all
psychiatric disorders
- Cause an individual to feel
frightened, distress and
uneasy without
(1)Generalized Anxiety
Disorder
(2)Panic Disorder
(3)Obsessive Compulsive
Disorder
(4)Phobic Disorder
(5)Post Traumatic Stress
Disorder
Acute stress disorder
- You feel 2days after
trauma
- Can be relieve within 4
weeks
- If not relieved it can cause
to post traumatic stress
disorder
Signs and Symptoms
- Arousal
- Physical restlessness
- Sleep disturbance
- Dissociation is a type of
defense mechanism
wherein patient avoid
traumatic incident
Behavioral therapy
Schizophrenia active
friendliness
Depressed kind firmness
schizo paranoid passive
friendliness
Manic state a matter of
fact
Panic disorder kind
verbness

1. Generalized anxiety
disorder
- Excessive anxiety and
worry occurring among
days than hot for at least
6 months
- Restlessness, feeling
keyed up or on edged,
being easily

2. Panic disorder
- Characterized by panic
attacks that recur at
unpredictable times, with
intense apprehension, fear
and terror
- 15-30 min. episode of
rapid, intense, escalating
anxiety in which the
person experiences great
emotional fear as well as
physiologic discomfort
- 4 or more of the following
symptoms are present:
Palpitation
Tremors
Shortness of breath
Abdominal distress
Dizziness
Chills
Sweating
Sense of suffocation
paresthesia
Hot flashes
Cardinal symptoms
- Feeling that one is having
a heart attack

Feeling that one is going


crazy
Feel of loss of control

3. Obsessive compulsive
disorder
Features:
- With recurrent obsession
(persistent of ideas) or
compulsion (uncontrolled
urge) to perform task
repetitively that are sever
enough to be time
consuming, caused
marked distress, or lead to
significant impairment of
functioning.
- Obsession and compulsion
occur together
Medical Management
(1)Medications SSRI

(2)Cognitive and behavioral


therapy (flooding and
responsive prevention,
cognitive techniques)
Nursing Management
(1)Convey acceptance
despite the ritualistic
behavior
(2)Allow the client to perform
the rituals, anxiety will
increase if the client