Negative mood state characterized by bodily symptoms of physical tension and apprehension about the future
Anxiety
Moderate amount of anxiety is beneficial and even labeled as
” THE SHADOW OF INTELLIGENCE”
Imminent alarm reaction to a current danger
Fear
Activates fight or flight response
Fear
Sudden overwhelming fear-like reaction
WITHOUT ANY PRESENT DANGER
Panic
Abrupt experience of intense fear or discomfort of intense fear or discomfort, accompanied by physical symptoms that reaches peak within minutes
Panic attack
Panic attack
TYPES OF PANIC ATTACK
When there is a specific stimulus that triggers the panic attack
Expected (Cued) panic attack
TYPES OF PANIC ATTACK
When we have no idea when and where the next panic attack
Unexpected (Uncued)
Females have higher cases than males
Anxiety disorders
Excessive fear or anxiety about being separated from attachment figures
Separation anxiett
Evident by atleast 3 of the following:
Separation anxiety
B. Symptoms last at least 4 weeks in children and adolescents, or 6 months in adults
C. Disturbance causes significant distress and
impairment
D. The disturbance is not better explained by other mental disorder
Separation anxiety
A. Consistent failure to speak in specific social situations but can speak on other social contexts
B. Disturbance interferes with educational or occupational achievement or with social
communication
C. Symptoms must be at least for 1 month excluding the first month in school
D. The failure to speak is not attributable to a lack of knowledge of, or comfort with, the spoken language required in the social situation.
E. Disturbance is not better explained by a communication disorder, and does not occur exclusively during the course of
autism spectrum disorder, schizophrenia, or another psychotic disorder.
Selective mutism
if individuals with these disorders do not speak, their lack of speech is evident in all situations
Communication disorders
Disturbance is most often marked by high social anxiety (selective mutism is highly
comorbid with social anxiety disorder)
• Children with this disorder sometimes use nonspoken or nonverbal means.
• Relatively a rare disorder; more likely to manifest in young children than in adolescents and adults.
• There is evidence that it is more common among girls than boys.
• Onset is usually before age 5 years
Selective mutism
A. Excessive and irrational fear and anxiety about a specific object or situation
B. Phobic stimulus almost always elicit immediate fear or anxiety
C. Phobic stimulus is actively avoided or endured with intense fear or anxiety
D. Fear or anxiety is out of proportion to the danger posed by phobic stimulus and to the
sociocultural context.
E. Symptoms last for at least 6 months
F. Fear, anxiety, or avoidance causes clinically significant distress or impairment.
G. Disturbance is not better explained by other mental disorders
Specific phobia
the person is repeatedly exposed to the phobic
stimulus until it realizes that danger does not exist
• For blood-injury-injection phobia, people tense certain muscle groups to keep blood pressure sufficient during therapy to avoid fainting
Exposure-based therapy
A. Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others
B. Fear of acting in a way or showing anxiety in front of people that will lead to negative evaluation
C. The social situations almost always provoke fear or anxiety
D. Social situations are either avoided or endured but with intense fear and anxiety.
Social anxiety disorder
E. The fear or anxiety is out of proportion to the actual threat posed by the sociocultural context and situation.
F. The symptoms are persistent, typically lasting for 6 months or more.
G. The symptoms cause clinically significant distress or impairment.
H. The symptoms are not attributable to the physiological effects of a substance or another medical condition.
Social anxiety disorder
I. The symptoms are not better explained by the symptoms of other mental disorders.
J. If another medical condition is present, the symptoms are clearly unrelated or is excessive.
Specify if: Performance only - the fear is restricted to speaking or performing in public
• Blushing is the hallmark physical response of people with social anxiety disorder
• Seek employment in jobs that do not require social contact
• Individuals with social anxiety disorder may be inadequately assertive or excessively submissive or, sometimes, they become
highly controlling of the conversation.
• Children tend to have higher level of
anxiety in specific situations while adults
tend to have lower level of anxiety in
broader situations
Social anxiety disordet
• Males might have ____ or known as shy bladder syndrome, where they are
unable to urinate in a public restroom until no one is in the room
• ____ – a manifestation of social anxiety disorder in specific countries such as Korea and Japan wherein it is the fear that the person makes other people uncomfortable
paruresis
Taijin Kyofusho
A. Recurrent unexpected panic attacks.
B. At least one of the attacks has been followed by 1 month (or more) of one or both of the following:
C.The disturbance is not attributable to the physiological effects of a substance or another medical condition
D. The disturbance is not better
explained by another mental disorder
Panic disordet
occurs during the
several hours after falling asleep, it is a panic attack that wakes the person from sleep, thinking that they are dying
• Worry about the consequences of panic attacks are related to physical concerns (e.g., heart disease), embarrassment during panic attack, and deteriorating mental functioning
Nocturnal panic