Anxiety disorders

references:

The facts behind...

psychiatric nursing, M.L evangelista-SIA mosby’s nursing and allied health dictionary mental health nursing, L.R Shives & Isaacs psychiatric- mental health nursing, S.Vidibeck journal of advance psychiatric nursing,C.Forchuck

Anxiety
- is an individual experience that is vague, non-specific, uneasy feeling that is has both subjective & objective characteristics that is occurring as a result of

Anxiety disorders
- is a disorder which is the most prominent feature is anxiety. Overwhelming emotional discomfort that is accompanied by physical response

Types of anxiety
 Normal – healthy types of

anxiety that mobilizes a person to act
 Acute – precipitated by

imminent loss or change that threatens the sense of security
 Chronic – anxiety that individual

Normal anxiety vs. Anxiety disorder

Panic disorder
 An intense, sudden,

overwhelming fear or feeling of anxiety that produces terror and immediate physiologic changes that result in paralyzed immobility or senseless hysteric

occurrence
 1. 7% of adolescence suffer

from this disorders
 Develop condition before

24y/o
 Subjected to traumatic

experiences

 Most common in woman

Risk factors
 Smoking  Alcohol/ benzodiazepines

toxicity

 History of Juvenile panic

disorder

Treatments / interventions antidepressants

 Trycyclic  Antyanxiety

(benzodiazepine)

Nursing interventions
1.Medications 2.Cognitive behavioral therapy
 Learning  Monitoring  Breathing  Rethinking  exposing

serious side effects of self fading of PD. 

 Avoidance  Agoraphobia  Anticipatory anxiety

phobia
 A.k.a “ morbid fears”  is an irrational,

intense, persistent fear of certain object, situations, things and people.

causes
 Traumatic experience in

early age

 Somehow hereditary,

genetics and alterations in brain chemistry

Types of phobia

 Specific phobia  Social phobia  agoraphobia

Interventions

Combination of

behevior therapy & medications

Nursing care
 Monitoring  Help the client in

recognition
 Avoid confronting them  Screen for suicidal

ideations

Post-traumatic stress disorders 
 Type of anxiety disorder

that is occurring after experiencing a severe physical or psychological traumatic event

Neuro endocrinology diagnosis 
 DMST  DSM-IV-TR

Signs and symptoms
 Recurrent re-

experiencing of trauma
 Having a phobia /

avoidance
 Chronic physical signs

treatment
   Psychotherapy  Counselling/ parenting  Medications ( serotonergics)

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