《精神病学 Psychiatry》课程教学课件（PPT讲稿）Anxiety disorders

Anxiety disorders

Anxiety disorders

Do you ever feel anxious?

Do you ever feel anxious?

Anxiety disorders概述Normolworryprovidesanimportantfunctioninmotivatingpeopletosolvedilemmaorproblems.excess worryorproblematicworryingbecomesdisablingandcounter-productive.problematicworriesaremoreintenseanduncontrollable

Anxiety disorders ◆ Normol worry provides an impo rtant function in motivating people to solve dilemma or problems. ◆ excess worry or problematic w orrying becomes disabling and co unter-productive. ◆ problematic worries are more in tense and uncontrollable. 概述

Anxiety disorders焦虑障碍(OCD)社文集退限SA创物启应服海LEMM(GAD)Anxietydisorders aremorelikelytoconcernideaaboutillness,healthorinjury,andsuchconcernsresultindistressanddysfunction.Anxiety disorders are states ofmind characterized byexcessiveorproblematicworrying,asaconsequenceof which,individualsbecomedistressanddysfunction

Anxiety disorders • Anxiety disorders are more likely to concern idea about illness, health or injury, and such concerns result in distress and dysfunction. • Anxiety disorders are states of mind characterized by excessive or problematic worrying, as a consequence of which, individuals become distress and dysfunction

ContentsPanicdisorderandagoraphobiaGeneralizedanxiety disorderSpecificand social phobiasObsessive-compulsivedisorderPost-traumatic stressdisorder

Contents Post-traumatic stress disorder Specific and social phobias Generalized anxiety disorder Panic disorder and agoraphobia Obsessive–compulsive disorder

Panic disorderEssenceRecurrentpanicattacks.whicharenottosubstancemisuse,medicalconditions,oranother psychiatricdisorder.Frequencyofoccurrencemayvaryfrommanyattacksadaytoonlyafewayear.Usually apersistent worryabouthavinganotherattackorconsequencesof theattackand significantbehavioural changesrelatedto attack

Panic disorder ⚫ Essence Recurrent panic attacks, which are n ot to substance misuse, medical con ditions, or another psychiatric disord er. Frequency of occurrence may vary from many attacks a day to only a few a year. Usually a persistent worry abo ut having another attack or conseque nces of the attack and significant beh avioural changes related to attack

Panic disorderlivinginacityBdivorced,limitedAseparatededucationriskfactors.CearlyphysicalorEparentalsexual abuseloss

Panic disorder risk factors B E C D A living in a city divorced, separated limited education early parental loss physical or sexual abuse

Panic disorder.Symptoms-Physicalsymptoms/signsrelatedtoautonomicarousal.-Concernsof deathfromcardiacorrespiratoryproblemsmaybeamajorfocus,leadingtopatientspresenting(oftenrepeatedly)toemergencymedicalservices.Thoughtsof suicide(orhomicide)shouldbeelicited;acuteanxiety(particularlywhenrecurrent)canleadtoimpulsiveacts (usuallydirectedtowards self).Note:riskofattempted suicide substantiallyraised where comorbid depression,or alcoholorsubstancemisuse

Panic disorder • Symptoms – Physical symptoms/signs related to autonomic arousal. – Concerns of death from cardiac or respiratory problems may be a major focus, leading to patients presenting (often repea tedly) to emergency medical services. – Thoughts of suicide (or homicide) should be elicited; acute a nxiety (particularly when recurrent) can lead to impulsive act s (usually directed towards self). Note: risk of attempted suic ide substantially raised where comorbid depression, or alcoh ol or substance misuse

Panic disordersignsTheirbreathing becomes rapidand shallow.They blowoffcarbon dioxide,Hyperventilationdevelping hypocapnia.Feeling of airhunger,sensationsofsuffocation and audiblegasping

Panic disorder Hyperventilation Their breathing becomes rapid and shallow. Feeling of air hunger, sensations of suffocation and audible gaspi ng. They blow off carbon dioxide, develping hypocapnia. signs

Panic disorderPanicdisordermaybeundiagnosed in patients withunexplained medicalsymptoms.車江脖報ischaemiccardiacpainheart diseasechestpain

Panic disorder ◆Panic disorder may be undiagnosed in patients with unexplained medical symptoms. ◆ischaemic cardiac pain ◆heart disease ◆chest pain