Anxiety and Fear-Related Disorders

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Questions and Answers

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?

  • 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?

  • 30%
  • 90%
  • 70% (correct)
  • 50%

Anxiety incorporates which of the following elements?

<p>Both emotions and physical sensations (D)</p> Signup and view all the answers

What is anxiety related to, biologically?

<p>The fight or flight response (A)</p> Signup and view all the answers

According to the information, what is the key difference between fear and anxiety?

<p>Fear is a response to a perceived current threat. (B)</p> Signup and view all the answers

When does anxiety become a mental health problem, according to the information?

<p>When it is excessively severe or frequent and interferes with normal functioning (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a potential health problem linked to higher risk from anxiety?

<p>Improved memory and focus (A)</p> Signup and view all the answers

Anxiety disorders differ from normal feelings of nervousness or anxiousness when they involve:

<p>Excessive, frequent fear/anxiety in inappropriate contexts (A)</p> Signup and view all the answers

Which of the following conditions is NOT included under the category 'anxiety and fear-related disorders' in ICD-11?

<p>Bipolar disorder (D)</p> Signup and view all the answers

According to the information, what characterizes Social Anxiety Disorder (SAD)?

<p>Excessive fear or anxiety in one or more social situations (B)</p> Signup and view all the answers

What is a key characteristic of Panic Disorder (PD) as described in the provided information?

<p>Recurrent, unexpected panic attacks not restricted to particular stimuli or situations (C)</p> Signup and view all the answers

What is the primary characteristic of a specific phobia?

<p>Fear that results in significant distress or impairment connected to encountering or anticipating a feared stimulus. (D)</p> Signup and view all the answers

According to the information, what are the key characteristics of Generalised Anxiety Disorder (GAD)?

<p>General apprehension or excessive worry that persists for several months (A)</p> Signup and view all the answers

Which of the following is an example of a physiological symptom of anxiety, as listed in the content?

<p>Palpitations or accelerated heart rate (B)</p> Signup and view all the answers

Which of the following is considered a cognitive symptom of anxiety?

<p>Fear of losing control (C)</p> Signup and view all the answers

Which of the following is categorized as a behavioural symptom related to anxiety?

<p>Exaggerated response to minor surprises or being startled (B)</p> Signup and view all the answers

In the case scenario about Stephen, what significant life event preceded the worsening of his anxiety symptoms?

<p>His mother becoming unwell (A)</p> Signup and view all the answers

Which psychological perspective suggests that psychological problems, including GAD, areprimarily caused by maladaptive thoughts and assumptions?

<p>Cognitive explanation (A)</p> Signup and view all the answers

According to the biological explanation of anxiety disorders, which brain region plays a crucial role in the regulation of negative emotion?

<p>Amygdala (D)</p> Signup and view all the answers

Within the biological explanation of anxiety, what role does GABA play?

<p>Central to the regulation of anxiety (B)</p> Signup and view all the answers

Which concept is central to the behavioural explanation of anxiety disorders?

<p>Learned behaviour through association (D)</p> Signup and view all the answers

What type of conditioning was demonstrated in the Little Albert experiment related to the behavioural explanation of phobias?

<p>Classical conditioning (C)</p> Signup and view all the answers

According to the information, what is a common biological treatment for panic disorders and GAD?

<p>Benzodiazepines (D)</p> Signup and view all the answers

Which of the following best describes Cognitive Treatment (CBT) for anxiety disorders?

<p>Altering thoughts on worrying to lead to a change in associated feelings / emotions and behaviour (A)</p> Signup and view all the answers

What does behavioral activation aim to increase?

<p>Participation in behaviours that act as a positive reinforcer (A)</p> Signup and view all the answers

What is the main focus of exposure therapy as a behavioural treatment for anxiety disorders?

<p>Helping clients face up to events and situations that cause fear (B)</p> Signup and view all the answers

What principle is Exposure Therapy based on?

<p>Habituation (C)</p> Signup and view all the answers

What is the typical effectiveness of Exposure therapy for specific phobias?

<p>Up to 90% (C)</p> Signup and view all the answers

In the treatment summary, which approach is presented as usually the MOST effective option for anxiety disorders?

<p>Therapy (D)</p> Signup and view all the answers

Which statement best reflects the cognitive explanation for GAD?

<p>GAD is primarily caused by automatic negative thoughts and maladaptive assumptions. (D)</p> Signup and view all the answers

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?

<p>No effects of gender-specific genes have been detected in relation to GAD. (D)</p> Signup and view all the answers

Which of the following accurately represents the process of progressive muscle relaxation (PMR) as a behavioural technique?

<p>Clients systematically tense and release various muscle groups in the body, enabling them to recognize and reduce physical tension. (A)</p> Signup and view all the answers

Which of the following is the MOST accurate and complete description of how Cognitive Behavioral Therapy (CBT) addresses anxiety?

<p>CBT focuses on identifying, challenging, and replacing negative thoughts and behaviours, while also incorporating techniques like behavioural activation and relaxation training. (D)</p> Signup and view all the answers

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?

<p>Teach Paul a progressive muscle relaxation method (C)</p> Signup and view all the answers

Which of the following statements is MOST accurate regarding the relationship between neuroscience, GABA, and anxiety disorders, based on the information?

<p>Neuroscience suggests that anxiety disorders stem from a dysfunction in brain circuits regulating emotional responses, with GABA playing a central role as an inhibitory neurotransmitter (A)</p> Signup and view all the answers

According to ICD-11 criteria, what distinguishes anxiety disorders from typical feelings of anxiousness?

<p>Involving excessive, frequent fear/anxiety, or appearing in inappropriate contexts. (C)</p> Signup and view all the answers

Which condition is characterized by excessive fear or anxiety in social situations that leads to significant impairment?

<p>Social Anxiety Disorder (SAD). (A)</p> Signup and view all the answers

What differentiates Panic Disorder (PD) from other anxiety disorders?

<p>Recurrent, unexpected panic attacks not restricted to particular stimuli or situations. (B)</p> Signup and view all the answers

What is the primary focus of apprehension in individuals with a specific phobia?

<p>Encountering or anticipating a feared stimulus. (C)</p> Signup and view all the answers

What is a defining characteristic of Generalised Anxiety Disorder (GAD) according to the information provided?

<p>General apprehension or excessive worry that is out of proportion. (A)</p> Signup and view all the answers

Which of the following is a physiological symptom commonly associated with anxiety?

<p>Palpitations, pounding heart, or accelerated heart rate. (C)</p> Signup and view all the answers

Feeling dizzy, unsteady, or light-headed is categorised as what type of symptom related to anxiety?

<p>Cognitive. (D)</p> Signup and view all the answers

Which of these is an example of a behavioural symptom of anxiety?

<p>Difficulty concentrating. (C)</p> Signup and view all the answers

In the cognitive explanation of anxiety disorders, what is considered a primary cause of psychological problems?

<p>Dysfunctional ways of thinking. (B)</p> Signup and view all the answers

Within the biological explanation of anxiety disorders, what role does an overactive amygdala play in the experience of anxiety?

<p>Activates more in response to a stimulus than in non-anxious controls. (A)</p> Signup and view all the answers

In the context of the biological explanation of anxiety, what is GABA's function?

<p>To regulate anxiety as an inhibitory neurotransmitter. (B)</p> Signup and view all the answers

Which key factor is central to the behavioural explanation of anxiety disorders?

<p>Learned behaviour through association. (D)</p> Signup and view all the answers

Which of the following is a common biological treatment for GAD?

<p>Benzodiazepines. (B)</p> Signup and view all the answers

What is the primary aim of Cognitive Treatment (CBT) for anxiety disorders?

<p>To alter thoughts on worrying to lead to a change in associated feelings, emotions and behaviour. (C)</p> Signup and view all the answers

In Cognitive Treatment, what is the CBT technique 'Behavioural Activation' designed to increase?

<p>People's participation in behaviours which can act as a positive reinforcer for positive mood. (B)</p> Signup and view all the answers

What overarching process is exposure therapy based on?

<p>Habituation. (D)</p> Signup and view all the answers

When considering treatment options for anxiety disorders, which of the following is generally regarded as the most effective?

<p>Therapy. (A)</p> Signup and view all the answers

According to the cognitive explanation, what statement best describes the root of Generalised Anxiety Disorder (GAD)?

<p>Maladaptive thoughts and assumptions that lead to disproportionate, inappropriate behavior. (A)</p> Signup and view all the answers

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?

<p>Increased stress related to caregiving. (A)</p> Signup and view all the answers

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?

<p>A stressful work environment. (D)</p> Signup and view all the answers

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?

<p>Challenge these maladaptive thoughts. (A)</p> Signup and view all the answers

In an exposure therapy session, with an agoraphobic client, what is the most appropriate treatment?

<p>Help and encourage clients face up to events and situations that cause fear. (B)</p> Signup and view all the answers

A client is undergoing Jacobsen's deep muscle relaxation technique. Which of the following is an accurate description of a major activity?

<p>Alternately tensing and relaxing muscle groups. (B)</p> Signup and view all the answers

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?

<p>Release the tension and notice how your muscles feel when you relax them. (B)</p> Signup and view all the answers

What is a MAJOR limitation of using Benzodiazepines to tackle anxiety?

<p>There is a danger of reliance on the drug. (A)</p> Signup and view all the answers

According to the ICD-11, anxiety and fear-related disorders are characterized primarily by:

<p>Excessive fear, anxiety, and related behavioral disturbances. (D)</p> Signup and view all the answers

Anxiety incorporates:

<p>Emotions, physical sensations, and avoidance behaviors. (B)</p> Signup and view all the answers

What biological reaction is anxiety related to:

<p>The fight or flight response. (D)</p> Signup and view all the answers

When does anxiety become a mental health problem?

<p>When it is excessively severe or frequent and interferes with normal functioning. (A)</p> Signup and view all the answers

Which factor is NOT mentioned as a possible health problem linked to higher anxiety?

<p>Improved memory and focus. (D)</p> Signup and view all the answers

Which of the following is TRUE regarding the duration of symptoms for a diagnosis of Social Anxiety Disorder (SAD)?

<p>Symptoms must be present for several months. (C)</p> Signup and view all the answers

What is a key characteristic of Panic Disorder (PD)?

<p>Recurrent unexpected panic attacks not restricted to particular stimuli or situations. (C)</p> Signup and view all the answers

What is the focus of apprehension in individuals with a Specific Phobia?

<p>Encountering or anticipating the feared stimulus. (A)</p> Signup and view all the answers

What is the focus of apprehension in individuals with Generalised Anxiety Disorder (GAD)?

<p>Either free-floating anxiety (general apprehension) or excessive/out of proportion worry. (B)</p> Signup and view all the answers

Difficulty maintaining concentration is best categorized as which type of symptom related to anxiety?

<p>Cognitive. (C)</p> Signup and view all the answers

Which of the following is an example of a physiological symptom of anxiety?

<p>Muscle tension and motor restlessness. (D)</p> Signup and view all the answers

Which of the following would be considered as a behavioural symptom related to anxiety?

<p>Difficulty concentrating or mind going blank. (C)</p> Signup and view all the answers

According to the cognitive explanation of anxiety disorders, what is the primary driver of psychological problems?

<p>Dysfunctional ways of thinking. (D)</p> Signup and view all the answers

Within the biological explanation of anxiety disorders, which brain region is noted to play a crucial role in the modulation of emotional response?

<p>The Amygdala. (D)</p> Signup and view all the answers

According to the biological explanation, what function does the inhibitory neurotransmitter GABA serve in the context of anxiety?

<p>Its essential to the regulation of anxiety. (D)</p> Signup and view all the answers

Within the behavioural explanation of anxiety disorders, what is seen as a key aspect?

<p>Learned behaviour through association. (B)</p> Signup and view all the answers

According to the information, what is a common biological treatment for Generalised Anxiety Disorder?

<p>Benzodiazepines. (C)</p> Signup and view all the answers

Within CBT, what is 'Behavioural Activation' primarily designed to increase?

<p>Participation in behaviours that act as positive reinforcers. (C)</p> Signup and view all the answers

Generally, when considering treatment options for anxiety disorders, which of the following is the most effective option?

<p>Therapy is usually the most effective option. (A)</p> Signup and view all the answers

Which of the following statements accurately describes the role of the amygdala in the biological explanation of anxiety disorders?

<p>It plays a crucial role in the regulation of negative emotion. (D)</p> Signup and view all the answers

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?

<p>The increased stress and worry related to his mother's declining health. (B)</p> Signup and view all the answers

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?

<p>The work related stress. (B)</p> Signup and view all the answers

Which of the following statements accurately articulates the role of 'Classical Conditioning' in the behavioural explanation of anxiety disorders?

<p>It explains the development of a phobia through the association of a neutral stimulus with a frightening experience. (D)</p> Signup and view all the answers

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?

<p>Challenging the reality of those maladaptive thoughts. (C)</p> Signup and view all the answers

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?

<p>Systematically tensing and relaxing different muscle groups. (D)</p> Signup and view all the answers

Following the systematic tensing of particular muscle groups as part of Progressive Muscle Relaxation (PMR), what is the subsequent step?

<p>Releasing the tension and focusing on the sensation of relaxation. (C)</p> Signup and view all the answers

What is a significant limitation of using Benzodiazepines as a treatment for anxiety?

<p>They possess unpleasant side effects and danger of reliance on the drug. (D)</p> Signup and view all the answers

What does it mean when anxiety is described as 'free-floating' in the context of Generalized Anxiety Disorder (GAD)?

<p>The anxiety isn't tied to any explicit triggers. (C)</p> Signup and view all the answers

What is the MAIN difference between 'in vivo' exposure and 'imaginal' exposure in the context of Behavioural treatment?

<p>In vivo exposure directly involves the feared stimulus in real life, whereas imaginal exposure involves creating a mental image of the stimulus. (C)</p> Signup and view all the answers

What is the purpose of 'Behavioural Activation' within Cognitive Behavioural Therapy (CBT)?

<p>To boost a person's confidence and mood. (C)</p> Signup and view all the answers

Looking at the 'Biological Explanation' of anxiety, what affect does anxiety have on the Amygdala?

<p>Activates the amygdala and increases sensitivity to particular stimuli. (C)</p> Signup and view all the answers

Which treatment for anxiety is MOST effective overall?

<p>Cognitive Behavioural Therapy (CBT). (A)</p> Signup and view all the answers

In the case study, Stephen feels tense in his shoulders, stomach and legs. Which classification is this?

<p>Physiological Symptoms. (A)</p> Signup and view all the answers

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?

<p>Repeated exposure over time. (A)</p> Signup and view all the answers

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?

<p>Complete all tasks including relaxing, imagining the hall, walking into the hall, sitting exams for each GCSE. (C)</p> Signup and view all the answers

A patient is experiencing GAD and wants to reduce physical tension. Which CBT technique could they try?

<p>Relaxation training. (D)</p> Signup and view all the answers

What is Exposure Therapy designed to do?

<p>Help and encourage clients to face events and situations that cause fear. (A)</p> Signup and view all the answers

According to the ICD-11, what is a primary characteristic used to define anxiety and fear-related disorders?

<p>Excessive disturbances that lead to significant distress or impairment. (D)</p> Signup and view all the answers

What distinguishes fear from anxiety?

<p>Fear relates to a perceived current threat, while anxiety is a response to a vague or future threat. (A)</p> Signup and view all the answers

Anxiety becomes a mental health problem when it:

<p>Interferes with normal functioning or appears in inappropriate contexts . (B)</p> Signup and view all the answers

Which of the following is a characteristic of Panic Disorder (PD) ?

<p>Recurrent, unexpected panic attacks that are not restricted to particular stimuli or situations. (C)</p> Signup and view all the answers

What are common symptoms of Generalised Anxiety Disorder (GAD)?

<p>General apprehension and excessive levels of worry. (C)</p> Signup and view all the answers

Which of the following options is a cognitive symptom of anxiety?

<p>Feelings of unreality. (C)</p> Signup and view all the answers

Difficulty concentrating due to worrying is categorized as what type of symptom related to anxiety?

<p>Behavioural. (C)</p> Signup and view all the answers

According to the cognitive explanation, what underlies psychological problems?

<p>Maladaptive thoughts and assumptions. (B)</p> Signup and view all the answers

According to the biological view, what role does the amygdala play in anxiety disorders?

<p>Modulating the emotional response to potentially threatening stimuli. (D)</p> Signup and view all the answers

Within the context of biological explanations for anxiety, what best describes the role of GABA?

<p>Inhibitory neurotransmitter central to regulation of anxiety (D)</p> Signup and view all the answers

What concept is central to behavioural explanations of anxiety disorders?

<p>Learned behaviour via association. (C)</p> Signup and view all the answers

Benzodiazepines are a pharmacological treatment for which condition?

<p>Generalised Anxiety Disorder. (C)</p> Signup and view all the answers

Regarding Cognitive Treatment for anxiety disorders, what is a primary goal?

<p>To alter thoughts on worrying to lead to a change in associated feelings / emotions and behaviour. (C)</p> Signup and view all the answers

A therapist instructs the patient to challenge his maladaptive thoughts. What does this mean?

<p>The therapist is encouraging the client to see if his thoughts objectively make sense. (D)</p> Signup and view all the answers

What effect does relaxation training have on individuals, who are suffering from anxiety? (Select the MOST appropriate)

<p>It usefully reduces the physiological effects of stress. (B)</p> Signup and view all the answers

In Cognitive Behavioural Therapy, 'Behavioural Activation' is primarily used to:

<p>Increase involvement in activities that reinforce positive mood. (B)</p> Signup and view all the answers

What is the core principle of exposure therapy?

<p>To help and encourage clients face up to events and situations that cause fear (A)</p> Signup and view all the answers

Which of the following is MOST accurate regarding the role of heritability in Generalised Anxiety Disorder (GAD)?

<p>Blood relatives has a heritability of 15-20%. (A)</p> Signup and view all the answers

What is a key element of Jacobsen's deep muscle relaxation technique?

<p>To monitor tension throughout the day. (D)</p> Signup and view all the answers

Which of these options is MOST accurate regarding the use of Benzodiazepines to tackle anxiety?

<p>They enhance responses to the inhibitory neurotransmitter GABA. (D)</p> Signup and view all the answers

Stephen feels tense in his shoulders, stomach and legs. Based on this information, what type of anxiety symptoms is Stephen experiencing?

<p>Physiological (C)</p> Signup and view all the answers

Which statement is MOST accurate when describing Social Anxiety Disorder?

<p>It is characterized by excessive fear or anxiety that consistently occurs in one or more social situations. (D)</p> Signup and view all the answers

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?

<p>To repeatedly focus on exam taking while feeling anxiety (B)</p> Signup and view all the answers

When it comes to treating all anxiety disorders, overall which of the options is the MOST effective?

<p>Therapy is usually the most effective option (C)</p> Signup and view all the answers

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?

<p>To use the deep muscle relaxation in Vivo (D)</p> Signup and view all the answers

According to the ICD-11, how are anxiety and fear-related disorders generally characterized?

<p>By excessive fear, anxiety, and related behavioral disturbances that cause significant distress or impairment. (B)</p> Signup and view all the answers

What percentage of individuals with an anxiety disorder are estimated to never receive any form of treatment?

<p>Over 70% (C)</p> Signup and view all the answers

Anxiety incorporates both emotions and what else?

<p>Physical sensations. (D)</p> Signup and view all the answers

Unlike fear, anxiety is a state of apprehension in response to what?

<p>A vague sense of threat or a future event. (C)</p> Signup and view all the answers

According to the information provided, when is anxiety considered to be of value?

<p>When it is utilized as a defense mechanism in raising awareness and responsiveness to deal with novel situations. (C)</p> Signup and view all the answers

Experiencing which of the following puts individuals at a higher risk of many health problems?

<p>Higher levels of anxiety. (A)</p> Signup and view all the answers

Conditions included under the category 'anxiety and fear-related disorders' in ICD-11 includes all of the following, EXCEPT:

<p>Bipolar Disorder. (B)</p> Signup and view all the answers

Social Anxiety Disorder (SAD) is characterised by excessive fear or anxiety that consistently occurs in what situation?

<p>In one or more social situations. (D)</p> Signup and view all the answers

Panic Disorder (PD) is characterised by which of the following?

<p>Recurrent unexpected panic attacks not restricted to particular stimuli or situations. (A)</p> Signup and view all the answers

What is the focus of apprehension in people with a specific phobia?

<p>Encountering or anticipating the feared stimulus. (D)</p> Signup and view all the answers

Which of the following is a key symptom of Generalised Anxiety Disorder (GAD)?

<p>Muscle tension or motor restlessness. (A)</p> Signup and view all the answers

Which of the following would be classified as a cognitive symptom of anxiety?

<p>Feelings that objects are unreal. (B)</p> Signup and view all the answers

Which of these would be classified as a behavioural symptom of anxiety?

<p>Difficulty concentrating. (D)</p> Signup and view all the answers

According to the cognitive explanation, what primarily causes psychological problems?

<p>Dysfunctional ways of thinking. (D)</p> Signup and view all the answers

Neuroscience suggests that anxiety disorders arise from a dysfunction in what?

<p>The modulation of brain circuits that regulate the emotional response to potentially threatening stimuli. (A)</p> Signup and view all the answers

Within the biological explanation, which of the following describes the role of GABA?

<p>It is inhibitory and central to the regulation of anxiety. (D)</p> Signup and view all the answers

Anxiety and phobias are learned through which method, according to the behavioural approach?

<p>Association. (C)</p> Signup and view all the answers

According to the information given, what is a common biological treatment for GAD?

<p>Benzodiazepines. (A)</p> Signup and view all the answers

Within CBT, what does 'Behavioural Activation' primarily aim to increase?

<p>People's participation in behaviours which can act as a positive reinforcer for positive mood. (C)</p> Signup and view all the answers

Exposure Therapy is based on that principle?

<p>Habituation (B)</p> Signup and view all the answers

When considering treatment options for anxiety disorders, which of the following is generally regarded as the most effective overall?

<p>Therapy. (B)</p> Signup and view all the answers

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?

<p>Physiological (C)</p> Signup and view all the answers

In the case of Stephen, his anxiety became much worse in the past 12 months. What reason is most likely contributed to his anxiety?

<p>Since his mother became unwell (D)</p> Signup and view all the answers

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?

<p>Threats of redundancies in the work place (D)</p> Signup and view all the answers

Why does anxiety happen biologically?

<p>There is a dysfunction in emotional response to threatening stimuli (D)</p> Signup and view all the answers

Little Albert (1920) developed a phobia of white fluffy animals. Which option describes the correct behavioural stimulus?

<p>Little Albert was conditioned to pair loud noises with fluffy animals (A)</p> Signup and view all the answers

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?

<p>That the last sales pitch I gave went well. (C)</p> Signup and view all the answers

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?

<p>The technique is designed to monitor physical tension (B)</p> Signup and view all the answers

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?

<p>Release the tension and notice how your muscles feel when you relax them (B)</p> Signup and view all the answers

In the definition of Generalised Anxiety Disorder (GAD), what is described as 'free-floating'?

<p>Anxiety. (B)</p> Signup and view all the answers

With regards to treating anxiety, what is the major and MAIN purpose of 'Behavioural Activation' within Cognitive Behavioural Therapy (CBT)?

<p>To do more things, to help improve your mood. (D)</p> Signup and view all the answers

You have a client suffering from an anxiety disorder. Which of these is an example of where the Amygdala would be MOST affected?

<p>The Amygdala is activated more to given stimulus. (C)</p> Signup and view all the answers

When a person experiences anxiety, habituation is expected to lower overall anxiety levels. What is the KEY to make habituation effective?

<p>There must be repeated exposure to the same stimulus. (D)</p> Signup and view all the answers

Paul feels anxious when studying for GCSEs but fails to enter his higher education, what should Paul do LAST to overcome his anxiety?

<p>Employ Exposure Therapy. (B)</p> Signup and view all the answers

You are working with a patient is experiencing GAD and they feel physical tension in their muscles. Which CBT technique could they try FIRST?

<p>Progressive muscle relaxation. (D)</p> Signup and view all the answers

Exposure Therapy has which of the following purposes?

<p>Make clients face events and situations that causes fear. (C)</p> Signup and view all the answers

Based on the ICD-11, what is a primary characteristic of anxiety and fear-related disorders?

<p>Excessive fear, anxiety, and related behavioral disturbances. (C)</p> Signup and view all the answers

Anxiety is associated with the fight or flight response. What initiates this biological reaction?

<p>Feeling threatened. (D)</p> Signup and view all the answers

According to the slide, what differentiates 'fear' from 'anxiety'?

<p>Anxiety is apprehension to a <em>vague</em> future event, fear is apprehension to a <em>current</em> threat. (D)</p> Signup and view all the answers

Experiencing excessive or frequent anxiety may lead to several health problems. Which of the following are possible?

<p>Digestive problems. (B)</p> Signup and view all the answers

What is the duration of symptoms required for diagnosis of Social Anxiety Disorder (SAD)?

<p>At least several months. (D)</p> Signup and view all the answers

What is a key symptom of Generalised Anxiety Disorder (GAD)?

<p>Excessive or out of proportion worry. (B)</p> Signup and view all the answers

What is the purpose of behavioural activation in CBT?

<p>Increase people's participation in behaviours act as a positive reinforcer for positive mood. (C)</p> Signup and view all the answers

According to the cognitive explanation, what is GAD caused by?

<p>Maladaptive thoughts. (D)</p> Signup and view all the answers

What is the suggested primary function of the amygdala, from a biological perspective?

<p>Negative emotion regulation. (D)</p> Signup and view all the answers

A client is starting Jacobsen's deep muscle relaxation technique. Which elements will be included?

<p>Muscle tension and relaxation. (B)</p> Signup and view all the answers

Under the behavioural treatment, a person is encouraged to have real life exposure. Which method is this?

<p>In vivo exposure. (B)</p> Signup and view all the answers

Paul, a telesales operator, has a constant dry mouth when starting his GCSEs. Which classification is this?

<p>Physiological. (B)</p> Signup and view all the answers

In terms of biology, what does a patient with anxiety do with his amygdala?

<p>In response to a given stimulus more than non-anxious controls. (A)</p> Signup and view all the answers

Based on the provided information, define the primary goal of Behavioural Activation?

<p>Boost positive behaviours. (D)</p> Signup and view all the answers

Stephen worries about almost 'anything and everything'. Which classification has he been noted to do?

<p>Generalised anxiety disorder. (B)</p> Signup and view all the answers

What is the primary goal of replacing Ashraf's cognitively biased thoughts?

<p>Have an objective evaluation of the situation. (C)</p> Signup and view all the answers

The effectiveness of exposure therapy is at, or around 90%. Which condition does this relate to?

<p>Specific phobias. (D)</p> Signup and view all the answers

According to the information, what is the 'two-step' process in progressive muscle relaxation?

<ol> <li>Systematically tense muscles. 2. Notice how you relax. (A)</li> </ol> Signup and view all the answers

According to the behavioural explanation, how are phobias learned?

<p>Association. (B)</p> Signup and view all the answers

In the given case study, what factor is MOST likely related to Ashraf's condition?

<p>Redundancy threats. (C)</p> Signup and view all the answers

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?

<p>Practice relaxation as he walks into a real exam hall. (D)</p> Signup and view all the answers

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?

<p>Underlying causes. (D)</p> Signup and view all the answers

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?

<p>Internal self-judgement. (B)</p> Signup and view all the answers

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?

<p>Relaxation and Exposure. (B)</p> Signup and view all the answers

According to the material, what distinguishes anxiety from fear?

<p>Fear is a state of immediate apprehension to a <em>current</em> threat, while anxiety is a state of apprehension in response to a <em>vague</em> or <em>future</em> event. (B)</p> Signup and view all the answers

Anxiety is part of the normal behavioural repertoire. Based on this, when should it be considered pathological?

<p>When it interferes with normal functioning due to excessive severity, frequency, or inappropriate context. (C)</p> Signup and view all the answers

According to the ICD-11, what is a key element that characterizes social anxiety disorder (SAD)?

<p>Discomfort in social situations due to fear of negative evaluation by others. (B)</p> Signup and view all the answers

According to the ICD-11, what distinguishes Panic Disorder (PD) from other anxiety disorders?

<p>Recurrent, unexpected panic attacks not restricted to particular stimuli or situations. (B)</p> Signup and view all the answers

Trouble with memory and focus is associated with which health problem?

<p>Higher risk of anxiety. (D)</p> Signup and view all the answers

Difficulty concentrating is best classified as which type of symptom related to anxiety?

<p>Behavioural (B)</p> Signup and view all the answers

According to the cognitive perspective, which factor contributes to psychological problems?

<p>Maladaptive thoughts and assumptions biased towards threatening information. (B)</p> Signup and view all the answers

Within the biological explanation of anxiety disorders, what role does the amygdala play?

<p>Regulation of negative emotion, situated in the median temporal lobes. (D)</p> Signup and view all the answers

From a biological perspective, what impact does anxiety have on the Amygdala?

<p>Over-activation leading to increased fear responses (D)</p> Signup and view all the answers

Within the biological explanation of anxiety, what role does the inhibitory neurotransmitter GABA serve?

<p>Regulation of anxiety. (A)</p> Signup and view all the answers

According to the behavioural perspective, how are anxiety and phobias learned?

<p>Learned through association. (A)</p> Signup and view all the answers

Which of these interventions is MOST likely designed to help reduce avoidance behaviours?

<p>CBT behavioural techniques. (A)</p> Signup and view all the answers

Following the systematic tensing of particular muscle groups as part of Progressive Muscle Relaxation (PMR), what is the MOST appropriate and immediate subsequent step?

<p>Release the tension and notice how your muscles feel when you relax them. (A)</p> Signup and view all the answers

During an exposure therapy session with someone who has a phobia, at which point should the exposure stop?

<p>When the client's anxiety has reduced significantly due to habituation. (D)</p> Signup and view all the answers

Flashcards

What is anxiety?

Feelings of unease, worry, and fear, incorporating both emotional and physical sensations when worried or nervous.

What is fear?

A state of immediate apprehension in response to a perceived current threat to one's safety.

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 normal feelings of nervousness involve excessive, frequent fear/anxiety or appear in inappropriate contexts.

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Social anxiety disorder (SAD)

Excessive fear or anxiety that consistently occurs in one or more social situations, causing significant distress or impairment.

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Panic disorder (PD)

Recurrent unexpected panic attacks not restricted to particular stimuli or situations, with concern about recurrence or significance.

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Specific phobia

Fear that results in significant distress or impairment connected to encountering or anticipating a feared stimulus.

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Generalised anxiety disorder (GAD)

Characterized by either general apprehension or excessive worry, persisting for at least several months.

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Cognitive explanation of GAD

Maladaptive thoughts and assumptions that lead to inappropriate behavior.

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Biological Explanation of Anxiety

Anxiety disorders arise from a 'Dysfunction in the modulation of brain circuits...' (Nuss et al. 2015)

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Behavioral Explanation of Anxiety

Anxiety and phobias learned through association.

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Benzodiazepines for GAD

A sedative used as a short-term treatment during severe periods of anxiety, enhancing responses to the inhibitory neurotransmitter GABA.

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Aim of Cognitive Treatment (CBT)

Alter thoughts on worrying to lead to a change in associated feelings / emotions and behaviour.

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Behavioral Activation

Increase participation in behaviors which can act as a positive reinforcer, decreasing avoidant behavior.

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Relaxation Training

Aims to reduce physiological effects of stress, especially helpful for anxiety disorders & phobias.

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Progressive Muscle Relaxation

Teaches you how to relax your muscles through a two-step process.

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Exposure Therapy

Help and encourage clients face up to events and situations that cause fear.

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Habituation

Process by which a person's behavioral and sensory response reduce over time following repeated exposure to stimuli.

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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
  • 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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