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Introduction
Cont
Psychopathophysiolgy
Panic disorder
Cont
Feelings of depersonalization
Fear of dying or insanity
Chills or hot flashes
The client may experience behaviour changes and/or
persistent worries about when the next attack will occur.
The client may begin to experience agoraphobia due to a
fear of being in places where previous panic attacks
occurred. For example, if previous attacks occurred while
driving, the client may stop driving.
If attacks continue while walking or taking alternative
transportation, client may stay home.
Phobias include:
Social phobia The client has a fear of
embarrassment, is unable to perform in front of others,
has a dread of social situations, believes that others are
judging him negatively, and has impaired relationships.
Agoraphobia The client avoids being outside and
has an impaired ability to work or perform duties.
Specific phobias- The client has a fear of specific
objects (e.g., spiders, snakes, or strangers).
The client has a fear of specific experiences (e.g., flying,
being in the dark, riding in an elevator, being in an
enclosed space).
Obsessive-compulsive
disorder (OCD)
Generalized anxiety
disorder (GAD)
Stress-related disorders
include
NURSING DIAGNOSIS
Anxiety
Ineffective coping
Post-trauma syndrome
Powerlessness
Ineffective role performance Bathing/hygiene or
toileting
Chronic or situational low self-esteem
Disturbed sleep pattern
Nursing management
Points