Podcast
Questions and Answers
According to the ICD-11, anxiety disorders are classified under which category?
According to the ICD-11, anxiety disorders are classified under which category?
- Cognitive disorders
- Mental, behavioural or neurodevelopmental disorders (correct)
- Neurodevelopmental disorders
- Personality disorders
What is the estimated global lifetime prevalence of anxiety disorders?
What is the estimated global lifetime prevalence of anxiety disorders?
- 25.0%
- 12.9% (correct)
- 5.0%
- 30.0%
According to the information, what percentage of individuals with an Anxiety Disorder never receive any form of treatment?
According to the information, what percentage of individuals with an Anxiety Disorder never receive any form of treatment?
- 30%
- 90%
- 70% (correct)
- 50%
Anxiety incorporates which of the following elements?
Anxiety incorporates which of the following elements?
What is anxiety related to, biologically?
What is anxiety related to, biologically?
According to the information, what is the key difference between fear and anxiety?
According to the information, what is the key difference between fear and anxiety?
When does anxiety become a mental health problem, according to the information?
When does anxiety become a mental health problem, according to the information?
Which of the following is NOT mentioned as a potential health problem linked to higher risk from anxiety?
Which of the following is NOT mentioned as a potential health problem linked to higher risk from anxiety?
Anxiety disorders differ from normal feelings of nervousness or anxiousness when they involve:
Anxiety disorders differ from normal feelings of nervousness or anxiousness when they involve:
Which of the following conditions is NOT included under the category 'anxiety and fear-related disorders' in ICD-11?
Which of the following conditions is NOT included under the category 'anxiety and fear-related disorders' in ICD-11?
According to the information, what characterizes Social Anxiety Disorder (SAD)?
According to the information, what characterizes Social Anxiety Disorder (SAD)?
What is a key characteristic of Panic Disorder (PD) as described in the provided information?
What is a key characteristic of Panic Disorder (PD) as described in the provided information?
What is the primary characteristic of a specific phobia?
What is the primary characteristic of a specific phobia?
According to the information, what are the key characteristics of Generalised Anxiety Disorder (GAD)?
According to the information, what are the key characteristics of Generalised Anxiety Disorder (GAD)?
Which of the following is an example of a physiological symptom of anxiety, as listed in the content?
Which of the following is an example of a physiological symptom of anxiety, as listed in the content?
Which of the following is considered a cognitive symptom of anxiety?
Which of the following is considered a cognitive symptom of anxiety?
Which of the following is categorized as a behavioural symptom related to anxiety?
Which of the following is categorized as a behavioural symptom related to anxiety?
In the case scenario about Stephen, what significant life event preceded the worsening of his anxiety symptoms?
In the case scenario about Stephen, what significant life event preceded the worsening of his anxiety symptoms?
Which psychological perspective suggests that psychological problems, including GAD, areprimarily caused by maladaptive thoughts and assumptions?
Which psychological perspective suggests that psychological problems, including GAD, areprimarily caused by maladaptive thoughts and assumptions?
According to the biological explanation of anxiety disorders, which brain region plays a crucial role in the regulation of negative emotion?
According to the biological explanation of anxiety disorders, which brain region plays a crucial role in the regulation of negative emotion?
Within the biological explanation of anxiety, what role does GABA play?
Within the biological explanation of anxiety, what role does GABA play?
Which concept is central to the behavioural explanation of anxiety disorders?
Which concept is central to the behavioural explanation of anxiety disorders?
What type of conditioning was demonstrated in the Little Albert experiment related to the behavioural explanation of phobias?
What type of conditioning was demonstrated in the Little Albert experiment related to the behavioural explanation of phobias?
According to the information, what is a common biological treatment for panic disorders and GAD?
According to the information, what is a common biological treatment for panic disorders and GAD?
Which of the following best describes Cognitive Treatment (CBT) for anxiety disorders?
Which of the following best describes Cognitive Treatment (CBT) for anxiety disorders?
What does behavioral activation aim to increase?
What does behavioral activation aim to increase?
What is the main focus of exposure therapy as a behavioural treatment for anxiety disorders?
What is the main focus of exposure therapy as a behavioural treatment for anxiety disorders?
What principle is Exposure Therapy based on?
What principle is Exposure Therapy based on?
What is the typical effectiveness of Exposure therapy for specific phobias?
What is the typical effectiveness of Exposure therapy for specific phobias?
In the treatment summary, which approach is presented as usually the MOST effective option for anxiety disorders?
In the treatment summary, which approach is presented as usually the MOST effective option for anxiety disorders?
Which statement best reflects the cognitive explanation for GAD?
Which statement best reflects the cognitive explanation for GAD?
A researcher is studying the heritability of GAD using biometrical twin modelling. According to the information, which of the following statements is most accurate regarding gender-specific genes?
A researcher is studying the heritability of GAD using biometrical twin modelling. According to the information, which of the following statements is most accurate regarding gender-specific genes?
Which of the following accurately represents the process of progressive muscle relaxation (PMR) as a behavioural technique?
Which of the following accurately represents the process of progressive muscle relaxation (PMR) as a behavioural technique?
Which of the following is the MOST accurate and complete description of how Cognitive Behavioral Therapy (CBT) addresses anxiety?
Which of the following is the MOST accurate and complete description of how Cognitive Behavioral Therapy (CBT) addresses anxiety?
Paul, a 20-year-old, describes feeling 'going mad' with anxiety, constant dry mouth, and experiencing trembling, difficulty breathing, chest pain and churning during GCSEs. Assuming it is not a health-related issue, what would be the MOST appropriate FIRST step for an Exposure Therapy to try?
Paul, a 20-year-old, describes feeling 'going mad' with anxiety, constant dry mouth, and experiencing trembling, difficulty breathing, chest pain and churning during GCSEs. Assuming it is not a health-related issue, what would be the MOST appropriate FIRST step for an Exposure Therapy to try?
Which of the following statements is MOST accurate regarding the relationship between neuroscience, GABA, and anxiety disorders, based on the information?
Which of the following statements is MOST accurate regarding the relationship between neuroscience, GABA, and anxiety disorders, based on the information?
According to ICD-11 criteria, what distinguishes anxiety disorders from typical feelings of anxiousness?
According to ICD-11 criteria, what distinguishes anxiety disorders from typical feelings of anxiousness?
Which condition is characterized by excessive fear or anxiety in social situations that leads to significant impairment?
Which condition is characterized by excessive fear or anxiety in social situations that leads to significant impairment?
What differentiates Panic Disorder (PD) from other anxiety disorders?
What differentiates Panic Disorder (PD) from other anxiety disorders?
What is the primary focus of apprehension in individuals with a specific phobia?
What is the primary focus of apprehension in individuals with a specific phobia?
What is a defining characteristic of Generalised Anxiety Disorder (GAD) according to the information provided?
What is a defining characteristic of Generalised Anxiety Disorder (GAD) according to the information provided?
Which of the following is a physiological symptom commonly associated with anxiety?
Which of the following is a physiological symptom commonly associated with anxiety?
Feeling dizzy, unsteady, or light-headed is categorised as what type of symptom related to anxiety?
Feeling dizzy, unsteady, or light-headed is categorised as what type of symptom related to anxiety?
Which of these is an example of a behavioural symptom of anxiety?
Which of these is an example of a behavioural symptom of anxiety?
In the cognitive explanation of anxiety disorders, what is considered a primary cause of psychological problems?
In the cognitive explanation of anxiety disorders, what is considered a primary cause of psychological problems?
Within the biological explanation of anxiety disorders, what role does an overactive amygdala play in the experience of anxiety?
Within the biological explanation of anxiety disorders, what role does an overactive amygdala play in the experience of anxiety?
In the context of the biological explanation of anxiety, what is GABA's function?
In the context of the biological explanation of anxiety, what is GABA's function?
Which key factor is central to the behavioural explanation of anxiety disorders?
Which key factor is central to the behavioural explanation of anxiety disorders?
Which of the following is a common biological treatment for GAD?
Which of the following is a common biological treatment for GAD?
What is the primary aim of Cognitive Treatment (CBT) for anxiety disorders?
What is the primary aim of Cognitive Treatment (CBT) for anxiety disorders?
In Cognitive Treatment, what is the CBT technique 'Behavioural Activation' designed to increase?
In Cognitive Treatment, what is the CBT technique 'Behavioural Activation' designed to increase?
What overarching process is exposure therapy based on?
What overarching process is exposure therapy based on?
When considering treatment options for anxiety disorders, which of the following is generally regarded as the most effective?
When considering treatment options for anxiety disorders, which of the following is generally regarded as the most effective?
According to the cognitive explanation, what statement best describes the root of Generalised Anxiety Disorder (GAD)?
According to the cognitive explanation, what statement best describes the root of Generalised Anxiety Disorder (GAD)?
Stephen, a 42-year-old man, is experiencing increased anxiety following his mother's illness. Which of the following factors is most likely contributing to Stephen's heightened anxiety?
Stephen, a 42-year-old man, is experiencing increased anxiety following his mother's illness. Which of the following factors is most likely contributing to Stephen's heightened anxiety?
Ashraf, a 29-year-old, seeks help for feeling consistently stressed and exhausted, with frequent headaches and work-related worries. Recent threats of redundancies at Ashraf's workplace have caused his symptoms to worsen. Which of the following is most likely contributing to Ashraf's current presentation?
Ashraf, a 29-year-old, seeks help for feeling consistently stressed and exhausted, with frequent headaches and work-related worries. Recent threats of redundancies at Ashraf's workplace have caused his symptoms to worsen. Which of the following is most likely contributing to Ashraf's current presentation?
A therapist is working with a client who has Generalized Anxiety Disorder (GAD). The therapist helps the client identify and spot his his own maladaptive thoughts. What is the most appropriate next step for the client?
A therapist is working with a client who has Generalized Anxiety Disorder (GAD). The therapist helps the client identify and spot his his own maladaptive thoughts. What is the most appropriate next step for the client?
In an exposure therapy session, with an agoraphobic client, what is the most appropriate treatment?
In an exposure therapy session, with an agoraphobic client, what is the most appropriate treatment?
A client is undergoing Jacobsen's deep muscle relaxation technique. Which of the following is an accurate description of a major activity?
A client is undergoing Jacobsen's deep muscle relaxation technique. Which of the following is an accurate description of a major activity?
Progressive Muscle Relaxation (PMR), includes systematically tensing particular muscle groups in your body, such as your neck and shoulders. What is the next major step?
Progressive Muscle Relaxation (PMR), includes systematically tensing particular muscle groups in your body, such as your neck and shoulders. What is the next major step?
What is a MAJOR limitation of using Benzodiazepines to tackle anxiety?
What is a MAJOR limitation of using Benzodiazepines to tackle anxiety?
According to the ICD-11, anxiety and fear-related disorders are characterized primarily by:
According to the ICD-11, anxiety and fear-related disorders are characterized primarily by:
Anxiety incorporates:
Anxiety incorporates:
What biological reaction is anxiety related to:
What biological reaction is anxiety related to:
When does anxiety become a mental health problem?
When does anxiety become a mental health problem?
Which factor is NOT mentioned as a possible health problem linked to higher anxiety?
Which factor is NOT mentioned as a possible health problem linked to higher anxiety?
Which of the following is TRUE regarding the duration of symptoms for a diagnosis of Social Anxiety Disorder (SAD)?
Which of the following is TRUE regarding the duration of symptoms for a diagnosis of Social Anxiety Disorder (SAD)?
What is a key characteristic of Panic Disorder (PD)?
What is a key characteristic of Panic Disorder (PD)?
What is the focus of apprehension in individuals with a Specific Phobia?
What is the focus of apprehension in individuals with a Specific Phobia?
What is the focus of apprehension in individuals with Generalised Anxiety Disorder (GAD)?
What is the focus of apprehension in individuals with Generalised Anxiety Disorder (GAD)?
Difficulty maintaining concentration is best categorized as which type of symptom related to anxiety?
Difficulty maintaining concentration is best categorized as which type of symptom related to anxiety?
Which of the following is an example of a physiological symptom of anxiety?
Which of the following is an example of a physiological symptom of anxiety?
Which of the following would be considered as a behavioural symptom related to anxiety?
Which of the following would be considered as a behavioural symptom related to anxiety?
According to the cognitive explanation of anxiety disorders, what is the primary driver of psychological problems?
According to the cognitive explanation of anxiety disorders, what is the primary driver of psychological problems?
Within the biological explanation of anxiety disorders, which brain region is noted to play a crucial role in the modulation of emotional response?
Within the biological explanation of anxiety disorders, which brain region is noted to play a crucial role in the modulation of emotional response?
According to the biological explanation, what function does the inhibitory neurotransmitter GABA serve in the context of anxiety?
According to the biological explanation, what function does the inhibitory neurotransmitter GABA serve in the context of anxiety?
Within the behavioural explanation of anxiety disorders, what is seen as a key aspect?
Within the behavioural explanation of anxiety disorders, what is seen as a key aspect?
According to the information, what is a common biological treatment for Generalised Anxiety Disorder?
According to the information, what is a common biological treatment for Generalised Anxiety Disorder?
Within CBT, what is 'Behavioural Activation' primarily designed to increase?
Within CBT, what is 'Behavioural Activation' primarily designed to increase?
Generally, when considering treatment options for anxiety disorders, which of the following is the most effective option?
Generally, when considering treatment options for anxiety disorders, which of the following is the most effective option?
Which of the following statements accurately describes the role of the amygdala in the biological explanation of anxiety disorders?
Which of the following statements accurately describes the role of the amygdala in the biological explanation of anxiety disorders?
In the case of Stephen, a 42-year-old man experiencing increased anxiety after his mother's illness, what is MOST likely contributing to his heightened anxiety?
In the case of Stephen, a 42-year-old man experiencing increased anxiety after his mother's illness, what is MOST likely contributing to his heightened anxiety?
In the case of Ashraf, a 29-year-old experiencing chronic stress and exhaustion due to recent threats of redundancies at his workplace, which of the following is MOST likely contributing to his current presentation?
In the case of Ashraf, a 29-year-old experiencing chronic stress and exhaustion due to recent threats of redundancies at his workplace, which of the following is MOST likely contributing to his current presentation?
Which of the following statements accurately articulates the role of 'Classical Conditioning' in the behavioural explanation of anxiety disorders?
Which of the following statements accurately articulates the role of 'Classical Conditioning' in the behavioural explanation of anxiety disorders?
A therapist is working with a client undergoing cognitive behavioral therapy (CBT) for Generalized Anxiety Disorder (GAD). The client has learned to identify his own maladaptive thoughts. What is the MOST suitable next step in CBT for this client?
A therapist is working with a client undergoing cognitive behavioral therapy (CBT) for Generalized Anxiety Disorder (GAD). The client has learned to identify his own maladaptive thoughts. What is the MOST suitable next step in CBT for this client?
A clinician is using Jacobsen's deep muscle relaxation technique with a client. Which of the options most accurately describes a key element of this technique?
A clinician is using Jacobsen's deep muscle relaxation technique with a client. Which of the options most accurately describes a key element of this technique?
Following the systematic tensing of particular muscle groups as part of Progressive Muscle Relaxation (PMR), what is the subsequent step?
Following the systematic tensing of particular muscle groups as part of Progressive Muscle Relaxation (PMR), what is the subsequent step?
What is a significant limitation of using Benzodiazepines as a treatment for anxiety?
What is a significant limitation of using Benzodiazepines as a treatment for anxiety?
What does it mean when anxiety is described as 'free-floating' in the context of Generalized Anxiety Disorder (GAD)?
What does it mean when anxiety is described as 'free-floating' in the context of Generalized Anxiety Disorder (GAD)?
What is the MAIN difference between 'in vivo' exposure and 'imaginal' exposure in the context of Behavioural treatment?
What is the MAIN difference between 'in vivo' exposure and 'imaginal' exposure in the context of Behavioural treatment?
What is the purpose of 'Behavioural Activation' within Cognitive Behavioural Therapy (CBT)?
What is the purpose of 'Behavioural Activation' within Cognitive Behavioural Therapy (CBT)?
Looking at the 'Biological Explanation' of anxiety, what affect does anxiety have on the Amygdala?
Looking at the 'Biological Explanation' of anxiety, what affect does anxiety have on the Amygdala?
Which treatment for anxiety is MOST effective overall?
Which treatment for anxiety is MOST effective overall?
In the case study, Stephen feels tense in his shoulders, stomach and legs. Which classification is this?
In the case study, Stephen feels tense in his shoulders, stomach and legs. Which classification is this?
In Exposure Therapy, after a person experiences anxiety, habituation is expected to lower overall anxiety levels. Which of the options is the KEY component to make habituation effective?
In Exposure Therapy, after a person experiences anxiety, habituation is expected to lower overall anxiety levels. Which of the options is the KEY component to make habituation effective?
Paul, a 20-year-old, experiences anxiety when studying for GCSEs but fails to enter his higher education due to his anxious feelings. As a LAST RESORT, what should Paul do?
Paul, a 20-year-old, experiences anxiety when studying for GCSEs but fails to enter his higher education due to his anxious feelings. As a LAST RESORT, what should Paul do?
A patient is experiencing GAD and wants to reduce physical tension. Which CBT technique could they try?
A patient is experiencing GAD and wants to reduce physical tension. Which CBT technique could they try?
What is Exposure Therapy designed to do?
What is Exposure Therapy designed to do?
According to the ICD-11, what is a primary characteristic used to define anxiety and fear-related disorders?
According to the ICD-11, what is a primary characteristic used to define anxiety and fear-related disorders?
What distinguishes fear from anxiety?
What distinguishes fear from anxiety?
Anxiety becomes a mental health problem when it:
Anxiety becomes a mental health problem when it:
Which of the following is a characteristic of Panic Disorder (PD) ?
Which of the following is a characteristic of Panic Disorder (PD) ?
What are common symptoms of Generalised Anxiety Disorder (GAD)?
What are common symptoms of Generalised Anxiety Disorder (GAD)?
Which of the following options is a cognitive symptom of anxiety?
Which of the following options is a cognitive symptom of anxiety?
Difficulty concentrating due to worrying is categorized as what type of symptom related to anxiety?
Difficulty concentrating due to worrying is categorized as what type of symptom related to anxiety?
According to the cognitive explanation, what underlies psychological problems?
According to the cognitive explanation, what underlies psychological problems?
According to the biological view, what role does the amygdala play in anxiety disorders?
According to the biological view, what role does the amygdala play in anxiety disorders?
Within the context of biological explanations for anxiety, what best describes the role of GABA?
Within the context of biological explanations for anxiety, what best describes the role of GABA?
What concept is central to behavioural explanations of anxiety disorders?
What concept is central to behavioural explanations of anxiety disorders?
Benzodiazepines are a pharmacological treatment for which condition?
Benzodiazepines are a pharmacological treatment for which condition?
Regarding Cognitive Treatment for anxiety disorders, what is a primary goal?
Regarding Cognitive Treatment for anxiety disorders, what is a primary goal?
A therapist instructs the patient to challenge his maladaptive thoughts. What does this mean?
A therapist instructs the patient to challenge his maladaptive thoughts. What does this mean?
What effect does relaxation training have on individuals, who are suffering from anxiety? (Select the MOST appropriate)
What effect does relaxation training have on individuals, who are suffering from anxiety? (Select the MOST appropriate)
In Cognitive Behavioural Therapy, 'Behavioural Activation' is primarily used to:
In Cognitive Behavioural Therapy, 'Behavioural Activation' is primarily used to:
What is the core principle of exposure therapy?
What is the core principle of exposure therapy?
Which of the following is MOST accurate regarding the role of heritability in Generalised Anxiety Disorder (GAD)?
Which of the following is MOST accurate regarding the role of heritability in Generalised Anxiety Disorder (GAD)?
What is a key element of Jacobsen's deep muscle relaxation technique?
What is a key element of Jacobsen's deep muscle relaxation technique?
Which of these options is MOST accurate regarding the use of Benzodiazepines to tackle anxiety?
Which of these options is MOST accurate regarding the use of Benzodiazepines to tackle anxiety?
Stephen feels tense in his shoulders, stomach and legs. Based on this information, what type of anxiety symptoms is Stephen experiencing?
Stephen feels tense in his shoulders, stomach and legs. Based on this information, what type of anxiety symptoms is Stephen experiencing?
Which statement is MOST accurate when describing Social Anxiety Disorder?
Which statement is MOST accurate when describing Social Anxiety Disorder?
In an exposure Therapy session designed to tackle a fear of exams, Paul is encouraged to relax while imagining walking into an exam hall. Which MAJOR element should Paul also incorporate into his session to make habituation effective?
In an exposure Therapy session designed to tackle a fear of exams, Paul is encouraged to relax while imagining walking into an exam hall. Which MAJOR element should Paul also incorporate into his session to make habituation effective?
When it comes to treating all anxiety disorders, overall which of the options is the MOST effective?
When it comes to treating all anxiety disorders, overall which of the options is the MOST effective?
You have used Jacobsen's deep muscle relaxation technique throughout therapy sessions with a client. Which next step would you expect the client to attempt when feeling anxious?
You have used Jacobsen's deep muscle relaxation technique throughout therapy sessions with a client. Which next step would you expect the client to attempt when feeling anxious?
According to the ICD-11, how are anxiety and fear-related disorders generally characterized?
According to the ICD-11, how are anxiety and fear-related disorders generally characterized?
What percentage of individuals with an anxiety disorder are estimated to never receive any form of treatment?
What percentage of individuals with an anxiety disorder are estimated to never receive any form of treatment?
Anxiety incorporates both emotions and what else?
Anxiety incorporates both emotions and what else?
Unlike fear, anxiety is a state of apprehension in response to what?
Unlike fear, anxiety is a state of apprehension in response to what?
According to the information provided, when is anxiety considered to be of value?
According to the information provided, when is anxiety considered to be of value?
Experiencing which of the following puts individuals at a higher risk of many health problems?
Experiencing which of the following puts individuals at a higher risk of many health problems?
Conditions included under the category 'anxiety and fear-related disorders' in ICD-11 includes all of the following, EXCEPT:
Conditions included under the category 'anxiety and fear-related disorders' in ICD-11 includes all of the following, EXCEPT:
Social Anxiety Disorder (SAD) is characterised by excessive fear or anxiety that consistently occurs in what situation?
Social Anxiety Disorder (SAD) is characterised by excessive fear or anxiety that consistently occurs in what situation?
Panic Disorder (PD) is characterised by which of the following?
Panic Disorder (PD) is characterised by which of the following?
What is the focus of apprehension in people with a specific phobia?
What is the focus of apprehension in people with a specific phobia?
Which of the following is a key symptom of Generalised Anxiety Disorder (GAD)?
Which of the following is a key symptom of Generalised Anxiety Disorder (GAD)?
Which of the following would be classified as a cognitive symptom of anxiety?
Which of the following would be classified as a cognitive symptom of anxiety?
Which of these would be classified as a behavioural symptom of anxiety?
Which of these would be classified as a behavioural symptom of anxiety?
According to the cognitive explanation, what primarily causes psychological problems?
According to the cognitive explanation, what primarily causes psychological problems?
Neuroscience suggests that anxiety disorders arise from a dysfunction in what?
Neuroscience suggests that anxiety disorders arise from a dysfunction in what?
Within the biological explanation, which of the following describes the role of GABA?
Within the biological explanation, which of the following describes the role of GABA?
Anxiety and phobias are learned through which method, according to the behavioural approach?
Anxiety and phobias are learned through which method, according to the behavioural approach?
According to the information given, what is a common biological treatment for GAD?
According to the information given, what is a common biological treatment for GAD?
Within CBT, what does 'Behavioural Activation' primarily aim to increase?
Within CBT, what does 'Behavioural Activation' primarily aim to increase?
Exposure Therapy is based on that principle?
Exposure Therapy is based on that principle?
When considering treatment options for anxiety disorders, which of the following is generally regarded as the most effective overall?
When considering treatment options for anxiety disorders, which of the following is generally regarded as the most effective overall?
Looking at Stephen in the case study, when worried, Stephen feels tense in his shoulders, stomach and legs, his heart races and sometimes he finds it difficult to breathe. Which symptoms best describe Stephens's tension?
Looking at Stephen in the case study, when worried, Stephen feels tense in his shoulders, stomach and legs, his heart races and sometimes he finds it difficult to breathe. Which symptoms best describe Stephens's tension?
In the case of Stephen, his anxiety became much worse in the past 12 months. What reason is most likely contributed to his anxiety?
In the case of Stephen, his anxiety became much worse in the past 12 months. What reason is most likely contributed to his anxiety?
In the case of Ashraf, he describes being unable to relax, constantly thinking, about mistakes he might have made, colleagues he might have upset and what might happen in the future and feeling on edge, which of the following, is most likely contributing to his current presentation?
In the case of Ashraf, he describes being unable to relax, constantly thinking, about mistakes he might have made, colleagues he might have upset and what might happen in the future and feeling on edge, which of the following, is most likely contributing to his current presentation?
Why does anxiety happen biologically?
Why does anxiety happen biologically?
Little Albert (1920) developed a phobia of white fluffy animals. Which option describes the correct behavioural stimulus?
Little Albert (1920) developed a phobia of white fluffy animals. Which option describes the correct behavioural stimulus?
In the case of Paul feeling 'going mad' with anxiety and experiencing constant dry mouth, and experiencing trembling, difficulty breathing and chest pain during GCSE's, which of the following would you NOT expect him to endorse?
In the case of Paul feeling 'going mad' with anxiety and experiencing constant dry mouth, and experiencing trembling, difficulty breathing and chest pain during GCSE's, which of the following would you NOT expect him to endorse?
A person has GAD and frequently has reductions in social functioning. They also have great difficult concentrating during social gatherings. What affect does Jacobsen's deep muscle relaxation technique have on the person?
A person has GAD and frequently has reductions in social functioning. They also have great difficult concentrating during social gatherings. What affect does Jacobsen's deep muscle relaxation technique have on the person?
After someone tenses a particular muscle group in their body, such as their neck and shoulders through Progressive Muscle Relaxation (PMR), what MAJOR step should they take next?
After someone tenses a particular muscle group in their body, such as their neck and shoulders through Progressive Muscle Relaxation (PMR), what MAJOR step should they take next?
In the definition of Generalised Anxiety Disorder (GAD), what is described as 'free-floating'?
In the definition of Generalised Anxiety Disorder (GAD), what is described as 'free-floating'?
With regards to treating anxiety, what is the major and MAIN purpose of 'Behavioural Activation' within Cognitive Behavioural Therapy (CBT)?
With regards to treating anxiety, what is the major and MAIN purpose of 'Behavioural Activation' within Cognitive Behavioural Therapy (CBT)?
You have a client suffering from an anxiety disorder. Which of these is an example of where the Amygdala would be MOST affected?
You have a client suffering from an anxiety disorder. Which of these is an example of where the Amygdala would be MOST affected?
When a person experiences anxiety, habituation is expected to lower overall anxiety levels. What is the KEY to make habituation effective?
When a person experiences anxiety, habituation is expected to lower overall anxiety levels. What is the KEY to make habituation effective?
Paul feels anxious when studying for GCSEs but fails to enter his higher education, what should Paul do LAST to overcome his anxiety?
Paul feels anxious when studying for GCSEs but fails to enter his higher education, what should Paul do LAST to overcome his anxiety?
You are working with a patient is experiencing GAD and they feel physical tension in their muscles. Which CBT technique could they try FIRST?
You are working with a patient is experiencing GAD and they feel physical tension in their muscles. Which CBT technique could they try FIRST?
Exposure Therapy has which of the following purposes?
Exposure Therapy has which of the following purposes?
Based on the ICD-11, what is a primary characteristic of anxiety and fear-related disorders?
Based on the ICD-11, what is a primary characteristic of anxiety and fear-related disorders?
Anxiety is associated with the fight or flight response. What initiates this biological reaction?
Anxiety is associated with the fight or flight response. What initiates this biological reaction?
According to the slide, what differentiates 'fear' from 'anxiety'?
According to the slide, what differentiates 'fear' from 'anxiety'?
Experiencing excessive or frequent anxiety may lead to several health problems. Which of the following are possible?
Experiencing excessive or frequent anxiety may lead to several health problems. Which of the following are possible?
What is the duration of symptoms required for diagnosis of Social Anxiety Disorder (SAD)?
What is the duration of symptoms required for diagnosis of Social Anxiety Disorder (SAD)?
What is a key symptom of Generalised Anxiety Disorder (GAD)?
What is a key symptom of Generalised Anxiety Disorder (GAD)?
What is the purpose of behavioural activation in CBT?
What is the purpose of behavioural activation in CBT?
According to the cognitive explanation, what is GAD caused by?
According to the cognitive explanation, what is GAD caused by?
What is the suggested primary function of the amygdala, from a biological perspective?
What is the suggested primary function of the amygdala, from a biological perspective?
A client is starting Jacobsen's deep muscle relaxation technique. Which elements will be included?
A client is starting Jacobsen's deep muscle relaxation technique. Which elements will be included?
Under the behavioural treatment, a person is encouraged to have real life exposure. Which method is this?
Under the behavioural treatment, a person is encouraged to have real life exposure. Which method is this?
Paul, a telesales operator, has a constant dry mouth when starting his GCSEs. Which classification is this?
Paul, a telesales operator, has a constant dry mouth when starting his GCSEs. Which classification is this?
In terms of biology, what does a patient with anxiety do with his amygdala?
In terms of biology, what does a patient with anxiety do with his amygdala?
Based on the provided information, define the primary goal of Behavioural Activation?
Based on the provided information, define the primary goal of Behavioural Activation?
Stephen worries about almost 'anything and everything'. Which classification has he been noted to do?
Stephen worries about almost 'anything and everything'. Which classification has he been noted to do?
What is the primary goal of replacing Ashraf's cognitively biased thoughts?
What is the primary goal of replacing Ashraf's cognitively biased thoughts?
The effectiveness of exposure therapy is at, or around 90%. Which condition does this relate to?
The effectiveness of exposure therapy is at, or around 90%. Which condition does this relate to?
According to the information, what is the 'two-step' process in progressive muscle relaxation?
According to the information, what is the 'two-step' process in progressive muscle relaxation?
According to the behavioural explanation, how are phobias learned?
According to the behavioural explanation, how are phobias learned?
In the given case study, what factor is MOST likely related to Ashraf's condition?
In the given case study, what factor is MOST likely related to Ashraf's condition?
You are treating Paul, who feels anxious. The major problem started when he was studying for his GCSEs. Which is the most appropriate way to apply Exposure Therapy?
You are treating Paul, who feels anxious. The major problem started when he was studying for his GCSEs. Which is the most appropriate way to apply Exposure Therapy?
Stephen feels tense in his shoulders, stomach and legs, his heart races and sometimes he finds it difficult to breathe. The slide notes that therapy is usually the most effective option. What other MAJOR element should Stephen attempt?
Stephen feels tense in his shoulders, stomach and legs, his heart races and sometimes he finds it difficult to breathe. The slide notes that therapy is usually the most effective option. What other MAJOR element should Stephen attempt?
A patient describes his feelings in the body as, 'One of anxiety's defining characteristics for me is self-judgment. A harsh, loud, stubborn voice spewing an endless stream of negativity.' According to the slides, what is the core definition?
A patient describes his feelings in the body as, 'One of anxiety's defining characteristics for me is self-judgment. A harsh, loud, stubborn voice spewing an endless stream of negativity.' According to the slides, what is the core definition?
If a client has a panic disorder and is about to have a major 'attack'. Which order of treatments is the MOST appropriate to tackle the condition in a structured manner?
If a client has a panic disorder and is about to have a major 'attack'. Which order of treatments is the MOST appropriate to tackle the condition in a structured manner?
According to the material, what distinguishes anxiety from fear?
According to the material, what distinguishes anxiety from fear?
Anxiety is part of the normal behavioural repertoire. Based on this, when should it be considered pathological?
Anxiety is part of the normal behavioural repertoire. Based on this, when should it be considered pathological?
According to the ICD-11, what is a key element that characterizes social anxiety disorder (SAD)?
According to the ICD-11, what is a key element that characterizes social anxiety disorder (SAD)?
According to the ICD-11, what distinguishes Panic Disorder (PD) from other anxiety disorders?
According to the ICD-11, what distinguishes Panic Disorder (PD) from other anxiety disorders?
Trouble with memory and focus is associated with which health problem?
Trouble with memory and focus is associated with which health problem?
Difficulty concentrating is best classified as which type of symptom related to anxiety?
Difficulty concentrating is best classified as which type of symptom related to anxiety?
According to the cognitive perspective, which factor contributes to psychological problems?
According to the cognitive perspective, which factor contributes to psychological problems?
Within the biological explanation of anxiety disorders, what role does the amygdala play?
Within the biological explanation of anxiety disorders, what role does the amygdala play?
From a biological perspective, what impact does anxiety have on the Amygdala?
From a biological perspective, what impact does anxiety have on the Amygdala?
Within the biological explanation of anxiety, what role does the inhibitory neurotransmitter GABA serve?
Within the biological explanation of anxiety, what role does the inhibitory neurotransmitter GABA serve?
According to the behavioural perspective, how are anxiety and phobias learned?
According to the behavioural perspective, how are anxiety and phobias learned?
Which of these interventions is MOST likely designed to help reduce avoidance behaviours?
Which of these interventions is MOST likely designed to help reduce avoidance behaviours?
Following the systematic tensing of particular muscle groups as part of Progressive Muscle Relaxation (PMR), what is the MOST appropriate and immediate subsequent step?
Following the systematic tensing of particular muscle groups as part of Progressive Muscle Relaxation (PMR), what is the MOST appropriate and immediate subsequent step?
During an exposure therapy session with someone who has a phobia, at which point should the exposure stop?
During an exposure therapy session with someone who has a phobia, at which point should the exposure stop?
Flashcards
What is anxiety?
What is anxiety?
Feelings of unease, worry, and fear, incorporating both emotional and physical sensations when worried or nervous.
What is fear?
What is fear?
A state of immediate apprehension in response to a perceived current threat to one's safety.
What is anxiety?
What is anxiety?
A state of apprehension in response to a vague sense of threat or a future event.
When does anxiety become a problem?
When does anxiety become a problem?
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Social anxiety disorder (SAD)
Social anxiety disorder (SAD)
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Panic disorder (PD)
Panic disorder (PD)
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Specific phobia
Specific phobia
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Generalised anxiety disorder (GAD)
Generalised anxiety disorder (GAD)
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Cognitive explanation of GAD
Cognitive explanation of GAD
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Biological Explanation of Anxiety
Biological Explanation of Anxiety
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Behavioral Explanation of Anxiety
Behavioral Explanation of Anxiety
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Benzodiazepines for GAD
Benzodiazepines for GAD
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Aim of Cognitive Treatment (CBT)
Aim of Cognitive Treatment (CBT)
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Behavioral Activation
Behavioral Activation
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Relaxation Training
Relaxation Training
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Progressive Muscle Relaxation
Progressive Muscle Relaxation
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Exposure Therapy
Exposure Therapy
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Habituation
Habituation
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Study Notes
Lecture Overview
- The lecture is about anxiety and fear-related disorders
- It explores the nature of these disorders, their characteristics, and potential treatments
Learning Outcomes
- A student should be aware of common anxiety and fear-related disorders.
- A student should be able to explain how Generalized Anxiety Disorder (GAD) is characterized.
- A student should be able to describe the key symptoms of GAD.
- A student should understand different approaches to explaining the causes and treatment of anxiety and fear-related disorders.
Defining Anxiety
- Anxiety is classified under "06 mental, behavioral, or neurodevelopmental disorders" in ICD-11
- Anxiety and fear-related disorders are characterized by excessive fear, anxiety, and related behavioral disturbances
- Symptoms must result in significant distress or impairment in personal, family, social, educational, or occupational functioning
- Anxiety is a word to describe feelings of unease, worry, and fear.
- Anxiety incorporates both emotions and physical sensations that are experienced when worried or nervous.
- Anxiety is related to the fight or flight response (the normal biological reaction to feeling threatened).
Incidence of anxiety disorders
- The global lifetime prevalence of anxiety disorders is 12.9%.
- There are global and gender disparity within anxiety disorders
- Over 70% of people with an anxiety disorder never receive any form of treatment
- Up to 90% of people with an anxiety disorder, do not receive adequate treatment.
Fear Vs. Anxiety
- Fear is a state of immediate apprehension in response to a perceived current threat to one's safety.
- Anxiety is a state of apprehension in response to a vague sense of threat or a future event.
When Anxiety Becomes a Problem
- Anxiety is of value as a defense mechanism in raising awareness and responsiveness to deal with novel situations
- Anxiety becomes a problem when it is excessively severe or appears in inappropriate contexts, interfering with normal functioning
- Anxiety disorders differ from normal nervousness, when they involve excessive and frequent fear in inappropriate contexts
- Worrying all the time, about everyday things, things that aren't likely to happen, or even worrying about worrying are all signs
- Experiencing unpleasant physical and psychological symptoms or panic attacks are also signs
Conditions Under Anxiety and Fear-Related Disorders (ICD-11)
- Generalized Anxiety Disorder (GAD).
- Social Anxiety Disorder (SAD).
- Panic Disorder (PD).
- Specific phobias (e.g., spiders, snakes, heights, lifts).
- Acrophobia (with panic attacks).
- Mixed depressive and anxiety disorder.
- Separation anxiety disorder.
- Selective mutism.
Social Anxiety Disorder (SAD)
- SAD is characterized by excessive fear or anxiety of social situations.
- The fear or anxiety must consistently occur and be severe enough to cause significant distress or impairment in functioning
- Social situations that can cause distress include social interactions such as having a conversation
- It can include doing something while feeling observed such as eating or drinking
- Also performing in front of others such as giving a speech
- Symptoms must last for at least several months to be classified as SAD
Panic Disorder (PD)
- PD is characterized by recurrent unexpected panic attacks not restricted to particular stimuli or situations
- It includes concern about recurrence of unexpected panic attacks or their significance.
- Panic attacks must occur over a period of at least several months, but the presence of panic attacks alone may not warrant a diagnosis of PD
- Symptoms of Panic disorder include -A racing heartbeat
- Feeling faint
- Sweating
- Nausea
- Chest pain
- Shortness of breath
- Trembling
- Hot flushes
- Shaky limbs
- Chills
Specific Phobias
- Characterized by fear that results in significant distress or impairment
- The focus of apprehension is directly connected to encountering or anticipating the feared stimulus, such as spiders or being bitten by a dog
- Symptoms must last several months
Generalized Anxiety Disorder (GAD)
- GAD is characterized by either general apprehension or excessive/out of proportion worry.
- Symptoms of anxiety persist for at least several months, for more days than not.
- Social situations are avoided or endured with intense fear or anxiety.
- There is a concern about being negatively evaluated by others.
- Common symptoms include nervousness, difficulty concentrating, difficulty breathing, dry mouth, lump in throat and muscle tension
- Physiological symptoms include heart palpitations, sweating, trembling, dry mouth, difficulty breathing, choking, chest pain, nausea, and arousal.
- Cognitive symptoms include dizziness, feelings of unreality, fear of losing control, fear of dying, hot flushes and numbness
- Behavioral symptoms include exaggerated responses to surprises, difficulty concentrating, irritability and sleep disturbance
Explanations for Anxiety Disorders
- Biological, cognitive, behavioral, and psychodynamic approaches offer different explanations for anxiety disorders
Cognitive Explanation
- Psychological problems are caused by dysfunctional ways of thinking.
- GAD is caused primarily by maladaptive thoughts and assumptions that lead to inappropriate behavior.
- Cognitive thinking is biased towards threatening information.
- People with GAD focus more on threatening cues than non-threatening cues, even when faced with both equally.
Biological Explanation
- Some people may inherit a genetic tendency to be more anxious than others (Hettema et al. 2001).
- Heritability rates are 15-20% in monozygotic twins versus 1-5% in the general population.
- There are no gender-specific genes detected.
- There is an innate low threshold for anxiety.
- Neuroscience indicates that anxiety disorders arise from a "dysfunction in the modulation of brain circuits that regulate the emotional response to potentially threatening stimuli" (Nuss et al. 2015)
- Many brain regions are involved in the recognition and regulation of negative emotional stimuli.
- The amygdala plays a crucial role in the regulation of negative emotion.
- Patients with anxiety disorders activate the amygdala more in response to a given stimulus than those with no anxiety
- Inhibitory neurotransmitter GABA is central to regulation of anxiety
Behavioral Explanation
- Anxiety and phobias are learned through association.
- Learning can occur without intention or conscious awareness.
- Any change in behaviour suggests that learning has occurred.
- Classical conditioning is a conditioned stimulus via paired association
- Little Albert in 1920 classically condition anxiety and developed a phobia of white fluffy animals
Diagnosis for Anxiety Disorders
- Beck Anxiety Interview (BAI).
- Depression Anxiety Stress Scale (DASS).
- Generalized Anxiety Disorder Scale (GAD-7).
Treatments for Anxiety Disorders
- Benzodiazepines are frequently used for short-term treatment during severe periods of anxiety.
- Benzodiazepines ease symptoms within 30-90 minutes of taking the medication
- They enhance responses to the inhibitory neurotransmitter GABA
- Their overall success rate is 35% (Davidson 2001), with 40% showing moderate improvement but still symptomatic.
- Side effects and danger of reliance mean they are not always the drug of choice
Cognitive Treatment (CBT)
- The most commonly applied talking therapy
- Recommended by NICE (National Institute for Health and Care Excellence).
- Helps clients understand the role worrying plays.
- CBT alters thoughts on worrying to lead to a change in associated feelings, emotions, and behavior.
- CBT is effective for GAD, helping to retrain reactions to stress and worry.
CBT Techniques - 3 Step Process
- Step 1: Identify own thoughts (self-observation)
- Step 2: Challenge thoughts.
- Step 3: Replace cognitively biased thoughts with a more objective evaluation of the situation, using pre-prepared statement
Behavioral Techniques in CBT
- Behavioral activation increases people's participation in behaviours which can act as a positive reinforcer for positive mood and decrease avoidant behavior (Hopko et al. 2006).
- Relaxation training is used for anxiety disorders and phobias
- Relaxation training is useful to reduce physiological effects of stress, as excess physical tension is exhausting
- Anxiety is associated with disturbed sleep, reduced immune function, gastrointestinal problems, frequent migraines, and cardiac disorders (Harter et al. 2003).
Other Behavioral treatment techniques
- ACT (Acceptance and Commitment Therapy).
- Dialectical behavior therapy.
- Exposure therapy.
- Systematic desensitization (Wolpe, 1958).
- Response prevention therapy.
- Virtual reality.
- Progressive muscle relaxation
- Jacobson deep muscle relaxation (1938)
Exposure Therapy
- Exposure Therapy helps and encourages clients to face events and situations that cause fear
- It is primarily used to treat specific phobias, PTSD, and OCD.
- What was learned could potentially be un-learned.
- Techniques include in vivo exposure which is real-life exposure, or using imagination, or virtual reality exposure
- Use of imagination useful in trauma cases
Exposure Therapy - Habituation Principle:
- Habituation is a process by which a person's behavioral and sensory response reduced over time following repeated exposure to the stimuli
- Paul used progressive muscle relaxation as means to tackle fear of exams
Jacobsen’s deep muscle relaxation technique:
- Alternately tense and relax muscle groups.
- Learn to relax muscle without prior tensing.
- Monitor physical tension: use a tension diary, and record tension levels, on a scale of 0 - 10, throughout the day
- Help identify triggers/clues when relaxation techniques are most useful.
- Perform in vivo relaxation: use techniques in real life situations. Start small.
Progressive Muscle Relaxation
- Teaches how to relax muscles through a two-step process.
- Step 1: Systematically tense particular muscle groups in the body, such as the neck and shoulders.
- Step 2: Release the tension and notice how muscles feel when relaxed.
Effectiveness of Behavioral treatments
- Exposure therapy is effective in 66% of agoraphobics.
- It is effective in 75-80% of people with OCD.
- It is effective in up to 90% of people with specific phobias.
- Longer duration of behavioural treatments is more effective
- Behavioral treatments are more effective when combined with self-exposure homework.
- Real life exposure is more effective than fantasy
Summary of Treatments
- Relapse is common as intervention rarely results in complete resolution of symptoms
- Therapy is usually the most effective option.
- Anxiety therapy treats more than just the symptoms of the problem; unlike anxiety medication.
- Therapy helps uncover the underlying causes of worries and fears, learn how to relax, and develop better coping and problem-solving skills.
- Therapy provides the tools to overcome anxiety and teaches how to use them.
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