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Short course
3.8
Assessing anxiety & depression

 

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The anxiety syndromes

Panic disorder
Characterised by recurrent, unexpected panic attacks, at least one of which has been followed by one or more months of persistent concern about having additional attacks, worry about the implications of the attack (e.g., fear of going crazy or having a heart attack), or a significant change in behaviour. Agoraphobia often develops (fear of being in places or situations from which escape may be difficult should a panic attack occur, leading to avoidance of many activities).

Phobias
More circumscribed forms of anxiety.
Simple phobia: persistent, excessive or unreasonable fear of specific objects or situations, with subsequent avoidance of such objects or situations.
Social phobia:
fear of any situation where public scrutiny may be possible, usually with the fear of having a panic attack, or behaving in a way that is embarrassing or humiliating.

Obsessive-compulsive disorder (OCD)
Involves specific cognitive and behavioural symptoms accompanying the feelings of anxiety: obsessional thoughts (recurrent thoughts, impulses or images that are experienced as intrusive and inappropriate and that cause marked anxiety), and compulsions (repetitive behaviours or mental acts that the person feels driven to perform in response to an obsession in order to reduce anxiety).

Post-traumatic stress disorder (PTSD)
Occurs after an acutely distressing or catastrophic event. Symptoms include re-experiencing the trauma (e.g., recurrent dreams, flashbacks), persistent avoidance of stimuli associated with the event, and persistent symptoms of increased arousal (hypervigilance, irritability, exaggerated startle response).

Generalised anxiety disorder
Excessive anxiety and worry, occurring most days for more than six months. It refers to excessive anxiety in a range of situations that does not fit into any of the more common syndromes.

On to section 3.9 . . .