Name That Disorder
A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance).
B. The individual finds it difficult to control the worry.
(DSM V, 2013)
GAD
practicing mindfulness, focusing on a thought, activity, or object to train attention or awareness.
Meditation
Withdrawing is a positive coping skill
False
GAD
Generalized Anxiety Disorder
A. Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Examples include social interactions (e.g., having a conversation, meeting unfamiliar people), being observed (e.g., eating or drinking), and performing in front of others (e.g., giving a speech). Note: In children, the anxiety must occur in peer settings and not just during interactions with adults. B. The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated (i.e., will be humiliating or embarrassing; will lead to rejection or offend others). C. The social situations almost always provoke fear or anxiety.
ETC
(DSM V, 2013)
Social Anxiety (Social Phobia)
Exposing the client to the target stimulus repeatedly
Exposure therapy
Coping mechanisms are always adaptive and beneficial
False
Some coping mechanisms can be maladaptive and harmful.
Cognitive Behavioral Therapy
"A _______ is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time four or more of a list of 13 physical and cognitive symptoms occur."
(DSM V, 2013)
Panic Disorder
Targeting maladaptive thoughts, feelings, and behaviors
CBT
According to Esbjorn et al., insecure attachment may act as a mediator for the development of anxiety disorders in childhood
True
"________ is a term generally used to describe a person’s ability to effectively manage and respond to an emotional experience."
ABIGAIL ROLSTON, BA & ELIZABETH LLOYD-RICHARDSON, PHD
https://www.selfinjury.bctr.cornell.edu/perch/resources/what-is-emotion-regulationsinfo-brief.pdf
Emotion Regulation
A. Consistent failure to speak in specific social situations in which there is an expectation for speaking (e.g., at school) despite speaking in other situations.
B. The disturbance interferes with educational or occupational achievement or with social communication.
C. The duration of the disturbance is at least 1 month (not limited to the first month of school).
D. The failure to speak is not attributable to a lack of knowledge of, or comfort with, the spoken language required in the social situation.
E. The disturbance is not better explained by a communication disorder (e.g., childhoodonset fluency disorder) and does not occur exclusively during the course of autism spectrum disorder, schizophrenia, or another psychotic disorder.
(DSM V, 2013)
Selective Mutism
emotion-focused and problem-focused
"African American adolescents experienced more negative life events and these events were more closely related to anxiety"
True
(Lewis et al., 2011)
Anxious or Ambivalent
Avoidant
Disorganized
Types of insecure attachment styles
A. Marked fear or anxiety about two (or more) of the following five situations:
1. Using public transportation (e.g., automobiles, buses, trains, ships, planes).
2. Being in open spaces (e.g., parking lots, marketplaces, bridges).
3. Being in enclosed places (e.g., shops, theaters, cinemas).
4. Standing in line or being in a crowd.
5. Being outside of the home alone.
B. The individual fears or avoids these situations because of thoughts that escape might be difficult or help might not be available in the event of developing panic-like symptoms or other incapacitating or embarrassing symptoms (e.g., fear of falling in the elderly; fear of incontinence)
(DSM V,2013)
What kind of group therapy would you recommend for someone who has social anxiety?
Social Skills group therapy
According to Lewis et al., adolescents who engage in active coping are more likely to develop psychological distress
False
Adolescents who engage in passive coping are more likely to develop psychological distress,
The ability to understand one's mental state
The ability to understand behavior despite mental state
Mentalization/ Reflective functioning