Anxiety

 A state of mental uneasiness,

apprehension, or helplessness,
related to anticipated
unidentified stress

 Occurs in the Conscious,

subconscious, or unconscious
levels
Levels of Anxiety
4 Levels of Anxiety:
 Mild

 Moderate

 Severe

 Panic
Levels of Anxiety
 Mild- increased alertness, motivation and
attentiveness

 Moderate- perception narrowed, selective

inattention and physical discomfort
Levels of Anxiety
 Severe- behaviors become automatic,
details are not seen, senses are drastically
reduced, very narrow focus on specific
details, impaired learning ability.

 Panic- overwhelmed, unable to function or to

communicate, with possible bodily harm to
self and others, loss of strong displeasure
 ANXIETY
CATEGORY MILD MODERATE SEVERE PANIC

Perceptio Increased Narrowed Inability Distorted

n and arousal focus to focus perception
attention
Communication Increased Voice Difficult to Trembling
questioning tremors understand unpredictabl
Focus on Easily e response
particular distracted
object
VS changes NONE Slight Tachycardi Palpitation,
Increase a, choking,
Hyperventil chest pain
ation
Fear

 It is a mild to severe feeling of

apprehension about some perceived threat.
 The Object of fear may or may not be
based on reality.
Anxiety versus fear
ANXIETY FEAR

State of mental uneasiness Emotion of apprehension

Source may not be identifiable Source is identifiable

Related to the future Related to the present

Vague Definite

Result of psychological or Result of discrete physical or

emotional conflict psychological entity, definite and
concrete events
Anger
 Subjective feeling of strong
displeasure
 It is an emotional state consisting
of subjective feeling of animosity or
strong displeasure
Other terms related Anger
 Hostility = marked by overt
antagonism & harmful or destructive
behavior
 Aggression = unprovoked attack or a

hostile, injurious, or destructive

action or outlook
 Violence = exertion of physical force

to injure or abuse
Depression
 Anextreme feeling of
sadness, despair, dejection,
lack of worth or emptiness
Depression
Emotional Symptoms: Behavioral signs:
 Tiredness  irritability
 emptiness  inability to concentrate
 numbness  difficulty making
Physical signs decision
 loss of appetite  loss of sexual desire
 weight loss  crying
 constipation  sleep disturbance
 headache  social withdrawal
 dizziness
COGNITIVE MANIFESTATIONS

 Thinking responses that include problem

solving, prayer, structuring, self control,
suppression and fantasy

 Thinking responses of the individual

toward stress
COGNITIVE MANIFESTATIONS

 PROBLEM SOLVING: Use of specific steps

to arrive at a solution

 STRUCTURING: manipulation of a situation

so that threatening events do not occur
COGNITIVE MANIFESTATIONS

 SELF CONTROL / DISCIPLINE: assuming a

sense of being in control or in charge of
whatever situation

 SUPPRESSION: willfully putting a thought /

feeling out of one’s mind
COGNITIVE MANIFESTATIONS

 FANTASY / DAYDREAMING: “ make

believe” or imagination of unfulfilled wishes
as fulfilled

 PRAYER: identification, description of the

problem, suggestion of solution, then
reaching out for help or support to the
supreme being
VERBAL / MOTOR MANIFESTATIONS

 CRYING: feelings of pain, joy, sadness are

released

 VERBAL ABUSE: release mechanism

toward non living objects, and stress
producing events

 LAUGHING: anxiety reducing response that

leads to constructive problem solving
VERBAL / MOTOR MANIFESTATIONS

 SCREAMING: response to fear or intense

frustration and anger

 HITTING AND KICKING: spontaneous

response to physical threats or frustrations

 HOLDING AND TOUCHING: responses to

joyful, painful or sad events
FACTORS INFLUENCING
STRESS
DEPEND ON THE
 Nature of the stressor

 Perception of the stressor

 Number of simultaneous stressor

 Duration of exposure to the stressor

 Experiences with a comparable stressor

 Age of the individual

 Support people
Personality Types
TYPE A
 impatient, competitive,
aggressive, and insecure,
always in a hurry, inability to
relax
 Prone to cardiovascular
illness.
Personality Types
TYPE B
 more relaxed, unhurried, able to

enjoy both work and play without

guilt
Personality Types
TYPE C:
 “coping personality” experiences
considerable stress but learns to cope with
it (challenge, commitment,& control) , uses
personality characteristics to cope with
stress
Coping Characteristics of Type C:
 Challenge
 Commitment
 Control