Anxiety

 Disorders  
 Most  common  class  of  mental  illness  
!  Three  component  model  of  anxiety  
!  THOUGHT  DISTORTIONS  
!  FEELINGS-­‐  Body  sensaDons  and  physical  reacDons  
!  BEHAVIORS-­‐  Avoidance  or  other  fear-­‐reducing  
behaviors  
Obsessive-­‐Compulsive  Disorder  (OCD)  
!  Obsessions-­‐  unwanted  thoughts  that  produce  
anxiety  or  distress  
!  Compulsions-­‐  behaviors  meant  to  reduce  
experience  of  anxiety  or  distress  
!  Usually  a  funcDonal  relaDonship  between  
obsessions  and  compulsions  
!  Clients  usually  possess  insight  that  obsessions  
are  unreasonable  
!  Not  caused  by  another  disorder  (e.g.  social  
phobia)  
 Types  of  Compulsions  
!  Checking  
!  “Just  Right”  thinking  
!  Handwashing/obsessive  cleaning  
!  Hoarding  
!  Magical  rituals  
!  CounDng  
 Panic  Disorder  
!  Unexpected  and  un-­‐cued  panic  aUacks  
followed  by...  
!  Fears  about  addiDonal  aUacks  
!  Worries  about  implicaDons  of  aUacks  (e.g.  
health  or  embarrassment)  
!  Avoidance  of  situaDons  in  which  panic  aUacks  
might  occur.    
!  Agoraphobia  symptoms  
!  Not  explained  by  another  anxiety  disorder  
 Social  Phobia  

!  Marked  &  persistent  fear  of  social/

performance  situaDons  
!  Exposure  to  situaDon  provokes  extreme  
anxiety  
!  Insight  that  fear  is  unreasonable  
!  General  avoidance  or  endured  with  distress  
!  Not  otherwise  explained  (e.g.  stuUering)  
 Post-­‐TraumaDc  Stress  Disorder  
!  Exposure  to  traumaDc  or  life-­‐threatening  
event  
!  Event  is  re-­‐experienced  
!  Intrusive  thoughts  
!  Intrusive  dreams  
!  Flashbacks  
!  Avoidance  of  situaDons  that  cue  memory  
!  Persistent  hyper-­‐arousal  (sleep,  
concentraDon,  and  acDve  startle-­‐response).      
 Specific  Phobias  

!  Persistent  fear  that  is  excessive  or  

unreasonable  
!  Exposure  to  sDmulus  provokes  intense  fear  
response  
!  INSIGHT  that  the  fear  is  unreasonable  
!  SituaDons  avoided  or  endured  with  distress