Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Asperger syndrome wikipedia , lookup
History of psychiatry wikipedia , lookup
Narcissistic personality disorder wikipedia , lookup
Panic disorder wikipedia , lookup
Classification of mental disorders wikipedia , lookup
Anxiety disorder wikipedia , lookup
Child psychopathology wikipedia , lookup
History of mental disorders wikipedia , lookup
Abnormal psychology wikipedia , lookup
Chapter 14 Anxiety Disorders Menu Copyright © 2002 by W. B. Saunders Company. All rights reserved. F Mental health continuum for anxiety disorders (Fig. 14-1) Slide 14-2 B Copyright © 2002 by W. B. Saunders Company. All rights reserved. Menu F PET scan: Obsessive-Compulsive Disorder (Fig. 14-3) Slide 14-3 From Lewis Baxter, MD, University of Alabama. Courtesy of the National Institutes of Mental Health. Copyright © 2002 by W. B. Saunders Company. All rights reserved. B Menu F Panic Disorder: Interventions Instruct to take slow, deep breaths Keep expectations minimal and simple Help connect feelings with attack onset Help client recognize symptoms as anxiety, not a physical problem Identify therapies Teach abdominal breathing and positive self talk Psychoeducation: medication B Copyright © 2002 by W. B. Saunders Company. All rights reserved. Menu F Phobia: Interventions Determine type of phobia and onset Have client list consequences of contacting feared object Identify therapies for phobias Teach relaxation techniques Model unafraid behavior B Copyright © 2002 by W. B. Saunders Company. All rights reserved. Menu F Obsessive-Compulsive Disorder: Interventions Anticipate needs, especially for information Focus on client rather than on rituals Monitor nutrition/sleep; encourage meals/rest Avoid hurrying client Do not arbitrarily forbid rituals; give positive reinforcement for non-ritualistic activity Psychoeducation: medication, interrupting obsessive thoughts B Copyright © 2002 by W. B. Saunders Company. All rights reserved. Menu F Generalized Anxiety Disorder: Interventions Stay with client Speak slowly, using short and simple sentences Assure client that nurse can assist him/her Give brief explanations Decrease stimuli Administer anxiolytic if warranted Encourage discussion of antecedent events Encourage to link behavior to feelings Teach cognitive therapy principles B Copyright © 2002 by W. B. Saunders Company. All rights reserved. Menu F Generalized Anxiety Disorder: Interventions, cont. Question to clarify and dispute illogical thinking Have client give alternative interpretations Identify relief behaviors Assist to reframe situation Monitor own feelings B Copyright © 2002 by W. B. Saunders Company. All rights reserved. Menu F Post-Traumatic Stress Disorder: Interventions Assess type of trauma, immediate action, and later coping Assess pre-trauma functioning, including drug and ETOH use Assess post-trauma functioning, including drug and ETOH use Explore shattered assumptions Promote discussion of possible meanings of event Suggest that client not responsible for event, but is responsible for coping Identify social support and encourage use of support group B Copyright © 2002 by W. B. Saunders Company. All rights reserved. Menu