Features and Epidemiology

Causes and Prevention

Assessment and Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Marked and persistent fear of social or performance situations and fear of acting

in a way that causes personal humiliation or embarrassment

Exposure to the feared social situation causes anxiety that may come in the form

of a situationally bound or predisposed panic attack

Recognition that the fear is excessive or unreasonable

Feared social or performance situations are avoided or endured with intense anxiety

Significant interference with daily living or functioning or marked distress about

having the disorder

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Restlessness

Easily Fatigued

Trouble Concentrating

Irritability

Muscle Tension

Sleep Disturbance

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

 28.8
Any Anxiety Disorder
18.1

4.7
Panic Disorder
2.7

1.4
Agoraphobia without Panic
.8
Lifetime prevalence
12.1
Social Anxiety Disorder rate
6.8

12.5
Specific Phobia
8.7 12-month prevalence

5.7 rate
Generalized Anxiety Disorder
3.1

1.6
Obsessive-Compulsive Disorder
1.0

6.8
Post-Traumatic Stress Disorder
3.5

5.2
Separation Anxiety Disorder
.9

0 5 10 15 20 25 30

Prevalence Rate

Features and Causes and Assessment and

Epidemiology Prevention Treatment

 Prefrontal cortex Basal ganglia

Anterior cingulate Caudate nucleus

Amygdala Thalamus

Bed nucleus of stria Locus coeruleus

terminalis

Septal-hippocampal system

© 2010 Plush Studios/Bill Reitzel/Jupiterimages Corporation

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

 Biological vulnerabilities/early predispositions: (Genetic contributions,

brain and neurochemical changes, behavioral inhibition

Early problematic interactions with anxious parents: (Poor attachment, social and play isolation, parental withdrawal of child from

social activities)

Difficulties in elementary school: (Modeling of avoidance, poor development of social and coping skills, failure to master social and evaluative

anxiety/sense

of lack of control)

Difficulties in middle and high school: (Trouble making friendships or cooperating

in team projects, social rejection, increased anxiety in social and evaluative situations, increased social avoidance and isolation, excessive

worry about future social and evaluative situations)

Possible social anxiety disorder

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

 Sample Items from the Anxiety Sensitivity Index — 3

It is important to me not to appear nervous.

very little a little some much very much

It scares me when I feel “shaky” (trembling).

very little a little some much very much

It scares me when I feel faint.

very little a little some much very much

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

 Examining the Evidence

Hypothesis Testing

Decatastrophizing

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment

Features and Causes and Assessment and

Epidemiology Prevention Treatment