WA - Semis WOtES ar lof the unknown Feeling of dread or hension aidable human Condition on tesporne Y of external chau whe produces ort 4 V cagnihi Yprgevel ope con poste of negative INACTION Physiol i fight or responce als dn nieve she Ahvcat prec situation wredwer erceived ihreat chould be or avoided COPING SHRATEGIES “véed| to resowe the ‘threat ADAPTATION SYNDROME = Hans Sele REACTION jes Ane body 49 send messages leegans Sr potential defense INCE STAGE folsis slows down G_Exwnusyion stace * occurs [phen @ peréon responded negativaly 4o onyibty ' esult 40 maladaptixc_behawors Viension headache pain, syndromes. OF NORMAL ACHVITIES XIETY DISORDERS) GENERAL © apr = Simul) Jo signal RES. OUR = peri Oisruen cal QO LEVELS OF AN X1 ETY Sisk rritability m awake, alert, alive Ncreased motiverion or Vee ning. olostchy Level NE: proyide teaching = Selective inattention ~ Aurpstelecs pong POWER OF PERCEPTION NBRROWED DERCEPTION WIS Give hort ¢ cimple inGuctiong Redued pabeat =ntvalche belavior ie Fighter clight 2 arene response = Feels owe, dread oF horror LIMITED PERCEPT,” Pent, NT Goal is +e y annety know what te soy, nae aha ed? sremoin % the past = elovahen Jechmaves = deep bathing —Durahin: 5-20 mins ~doel not recognize pokntial i Tinreak Ocoee = may manifest Fe PERCEPTION ~ may bab. an, become iamobale, ileidal PRIORITY: SAFETY NES place ch io @ non-chinulai (seclusion) - > Jo not _teave the Patent ANXIETY DISORDERS ~ Reurosic > Hereaitay . = imbalanced nouotantimttere 4 GABA = major inhibitory mr 4 NE SE ~ Psychodynamic Theories = exceswe use of oltfense mechanism 7 meFlechve coping Strategies gene.® ' +: MAN RnLanes ‘ 9 azepine Non- bene smediate the actions — -acts as of 2A antagonist e -_b 4o_receptor Seroteni Site [to 4 Funct receptors or 4 andy of GABA Beazodiaspine > causes cg dependene Gependence : pi. cannot fundion normally S +he we of Hhe sulosiance tolerance: -COMNOUS usage of med Akcreases the bodys SPonse 4eauh| pt +o TPER meds to prevent withdrawal s|sx ——S ly antiety fear resticsnes¢ COMMON side effects: 7 CNS depression be drowsiness. “sedation - poor corainal’ = impaired memory *# OO NOT TAKE Tf ALCOHOL Cpotentiaiive effect) ExaMp\cs: alpfazolan Genax) Clonarepam (klonopin) Oiare pam (Valium) Flurazepam ( Palmase) Lorazepam (Ativon) NON- BENZODIAZEPINES (Buspwone - Buspar) = QlOCkS serotonin receptor - sedolive - Muscle relaxant + anhconv ul sant * N© golential abuse SIE: -hzeness * neadachePANic D/o = cadceme soverthelmiag foren OF onxitty wher an individval is Ploced in a real or perceived Wife ihreotening situation O« te is_ perceived AbN when there is 0 real or Perceived threat RE: > femal 4 ylo > family iisloy T Ahe fF | sIsx: (4 or more J paipiahons / *HR vee tag Ishexing iS) Gscontert at 61 upset eat Sensahens. de; ith sation | speconeilad in of the attacks owed by {month of “the {F: bone pane Stacks r * maladaptive change or: ited 40 the SiON Grogs or medal oS NURSING MANAGEMENT © Passes Ps Synptons of Panic attack 5 What did you experience preceding of ? dunng A One crise 3 ? when Aid you begin 4o ftel that wa > what do you de when 33 how. Wele expenences that—make-you fect safe © Panicogenic substances V caffeine cocaine Y Smpholamine © identity anxiety- provoking situations @Teach relaxation techniques Cdiaphragmatic_ureathing) eliminate Panicegenic agents Beinane a i Pibcel tony Cisbinciig- exe7cise — squatting seg reise) QOadminisier medications SSRL - first line =sarest ry Sé = May temporanly T sisx of inIC_altcicks_lovt_eveatvall foods in’ the ‘age nin Fanyiolytics have Short term effects © fauittate CBT @_woplement “distrachon™ behaviors Cinitiate Conversation , Waking > _,, = Retforming repettye actvities © positive self tek CI wlll get over this) Osystemahc desensitization tmploswe therapy (floodin 8 encourage verbaton of Pings C0)Janic 1% me Se on) soual. Belen! FUNCTIONS ~ begins i abot sence Ichlhond = pl. wads As a watans Wat may Cause 6 =chemelf Risk Fyetors: =Taulky 4 aulty fense (93) peineen id & superego kk 40) - child relakenshi st taketh ® D SORDER. yew. anxi + Kast G mos. Glibyled Ye oopoee fret ene ~ maintain _d cain) 9 non-theatening enwroh ment = Feagsure__safei “encourage vert feelings oe iN developi ve “coping ~ ces management OBSESSIVE ComputsivE DISORDER OBSESSION sietahonal repethve thoughts that a Person camot control COMPULSION ™ rivals" = irra onal, repebtve ‘actions that @_percon_cannot control ization of G more INEFFECTIVE COPING NURSING MANAGEMENT, ‘erample: Thour & cniaed il hatdiasring COMpulcion ime enite Och = provi ing § 33 on - Nee neraby deep breathing - ent has was quateneey ewe " i norancrapeune: saat batang “inexght Se _mubber board Gi} onset: ay (205 40 mid 305) ‘7eselting mits: ex: hatelwashing Pmaimain tin i iegety teen eal (ates caaps vodmesicr Sse ¥ TOA Cclomipramice ~ Anafranil’) UGE: deemess ‘athcholinergre StEspre e = era evamples| WNGT =Cat = Exposul al {ear to @ speatic byect holoig - Ear Of hei Sritanophobies fear: Pop spiders. fe Anerapy POz Akl += occurs fl Osa ty- efHeria & bh ww m w bee exposure te traumatic went bduecily expene nceal wenesstd, repeated exposure : Flashbacks 9 nignimares ) ‘reel fi cata a) Inns. a 4 )change| 2 Siac §x_ MAN! = milieu the edablish, Oxpresei = DOC: Ben’ @Q duration ~ dereali2ation/ depersonatizatin in cogachn or rnood = mote icenlable =eedosive onger - gull Ishame vse mare shan mont ose aoue of other conditions men a crane must be calm 2 fons dnreciten ning, Sin qi ac ray muic, pochy) liazepides, Prnspeckye, deeorhs PERsona uiny- Front Potters of behawor m0) eccentric. Poranoid Schizoid SchussTypai ‘ttitude > perteption, emotion) Q disorder when personal Saladoptee, inflexible $ dyi =dramake = fearful + errahe = anwious Historic Deerdea AbTseciat Aveidant Ordering ore NArcissistic (f- esteem | Qverly-mistustfut/ suspiciows aye 4X_MN6T: = cognitive behaworal therapy = pacive Wt oIaEnosis interaction = eNCowlage gual achuity, ce Perscontory aelusion/ Projection Ideas of reference Seriovs! humorless Otten hyperuigilaat Near the door INS = mainiain digionce - 4-6tt + avoid | a OO unaccessary laug} = Mania omsisieny 1 e sgpee > Aner furce- patent labonchip SCHI201D ey oner /aLo atks emohi oves computer ‘math problems + wterperionall a = Goes solianpioos oe > ie day G. olfached Sotammene’ > Ease gens = forely diagnosed (3.4% prevalence ) + dnronio low s =impawed 5 MY Moual Skil faint SCHIZOTYPAL ~socidl € interpersonal deficite ~ Peyunohi feahaes Cinfrequent 9 less evere than échizo) Quoids cmtad, samed clothes’ = eee Ad ‘Jinappropnare te NX MNET: ~ reorient fe - apie ipod un self- care af Sb vaining = = cognitive apyAihdsionce personality disorderBigs ee RE