{"id":1455,"date":"2022-03-20T18:58:33","date_gmt":"2022-03-20T18:58:33","guid":{"rendered":"https:\/\/allalignedhealing.com\/unisapsych\/?page_id=1455"},"modified":"2022-03-23T10:56:33","modified_gmt":"2022-03-23T10:56:33","slug":"3-anxiety-ocd-more","status":"publish","type":"page","link":"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/","title":{"rendered":"PYC3702 Assignment 3."},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"0-anxiety-ocd-amp-more\">Anxiety, OCD &amp; more<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">We need to know the symptoms from the tutorial letters and also remember to learn the duration of the symptoms needed for a positive diagnosis. The biological and psychological dimensions are particularly important to remember for exams.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcRCHlzPkC6qlSsntauZvNWUCDIk1ajtokb6-A&amp;usqp=CAU\" alt=\"How Anxiety Can Benefit Us - The New York Times\" width=\"613\" height=\"408\"\/><\/figure>\n\n\n<div class=\"wp-block-ub-table-of-contents-block ub_table-of-contents\" id=\"ub_table-of-contents-88e008a9-98c8-4d7d-89a2-79943d7da411\" data-linktodivider=\"false\" data-showtext=\"show\" data-hidetext=\"hide\" data-scrolltype=\"auto\" data-enablesmoothscroll=\"false\" data-initiallyhideonmobile=\"false\" data-initiallyshow=\"true\"><div class=\"ub_table-of-contents-header-container\" style=\"\">\n\t\t\t<div class=\"ub_table-of-contents-header\" style=\"text-align: left; \">\n\t\t\t\t<div class=\"ub_table-of-contents-title\">Contents<\/div>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t<\/div><div class=\"ub_table-of-contents-extra-container\" style=\"\">\n\t\t\t<div class=\"ub_table-of-contents-container ub_table-of-contents-1-column \">\n\t\t\t\t<ul style=\"\"><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#0-anxiety-ocd-amp-more\" style=\"\">Anxiety, OCD &amp; more<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#1-diagnostic-duration-chart\" style=\"\">Diagnostic Duration chart<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#2-anxiety-from-a-multi-path-perspective\" style=\"\">Anxiety from a multi path perspective<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#3-symptoms-of-anxiety\" style=\"\">Symptoms of Anxiety<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#4-phobias\" style=\"\">Phobias<\/a><ul><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#5-etiology-of-phobias\" style=\"\">Etiology of phobias<\/a><\/li><\/ul><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#6-panic-disorders\" style=\"\">Panic Disorders<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#7-symptoms-of-panic-attacks\" style=\"\">Symptoms of Panic Attacks<\/a><ul><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#8-treatment-of-pd\" style=\"\">Treatment of PD<\/a><\/li><\/ul><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#9-generalized-anxiety-disorder-gad\" style=\"\">Generalized Anxiety Disorder GAD<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#10-symptoms-of-gad\" style=\"\">Symptoms of GAD<\/a><ul><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#11-etiology\" style=\"\">Etiology<\/a><\/li><\/ul><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#12-obsessive-compulsive-disorder\" style=\"\">Obsessive Compulsive Disorder<\/a><ul><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#13-common-themes-\" style=\"\">Common themes:<\/a><\/li><\/ul><ul><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#15-body-dysmorphic-disorder\" style=\"\">Body Dysmorphic Disorder<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#16-trichotillomania-hair-pulling-disorder\" style=\"\">Trichotillomania Hair-Pulling Disorder<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#17-excoriation-skin-picking-disorder\" style=\"\">Excoriation (Skin-picking) Disorder<\/a><\/li><\/ul><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#18-etiology-of-ocd-amp-related-disorders\" style=\"\">Etiology of OCD &amp; related disorders<\/a><\/li><li style=\"\"><a href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/#19-treatment-of-ocd-amp-related-disorders\" style=\"\">Treatment of OCD &amp; related disorders<\/a><\/li><\/ul>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n\n\n<ul class=\"wp-block-list\"><li>7 <strong>Anxiety disorders:<\/strong><ol><li><strong>phobias<\/strong><ol><li>agoraphobia<\/li><li>specifice phobias<\/li><li>social anxiety disorder<\/li><\/ol><\/li><li>panic disorder<\/li><li>generalized anxiety disorder<\/li><li>separation anxiety disorder<\/li><li>selective mutism<\/li><\/ol><\/li><li><strong>Obsessive Compulsive:<\/strong><ul><li>OCD<\/li><\/ul><ul><li>Body Dysmorphic disorder<\/li><li>hair-pulling disorder<\/li><li>skin-picking disorder<\/li><\/ul><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"1-diagnostic-duration-chart\">Diagnostic Duration chart<\/h2>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Phobias<\/td><td>6 months<\/td><\/tr><tr><td>Panic Disorder<\/td><td>At least a month<\/td><\/tr><tr><td>selective mutism<\/td><td>At least a month<\/td><\/tr><tr><td>separation anxiety disorder<\/td><td>1 month for kids, 6 for adults<\/td><\/tr><tr><td>GAD<\/td><td>At least 6 months, most days for more than an hour.<\/td><\/tr><tr><td>OCD<\/td><td>At least a month for more than an hour every day<\/td><\/tr><tr><td><\/td><td><\/td><\/tr><tr><td><\/td><td><\/td><\/tr><tr><td><\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"2-anxiety-from-a-multi-path-perspective\">Anxiety from a multi path perspective<\/h2>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcRre2M9w235D7uAAn7rcvlVny60MjbtOkfPFw&amp;usqp=CAU\" alt=\"Mob Mentality | National Geographic Society\" width=\"611\" height=\"459\"\/><figcaption><strong>Anxiety is an adaptive preparation for danger.<\/strong><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p><em><strong>Anxiety disorder<\/strong>: Unfounded anxiety that interferes with functioning and produces distress and life-impairment.<\/em><\/p><\/blockquote><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"3-symptoms-of-anxiety\">Symptoms of Anxiety<\/h2>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcSRAYqFJwMYe4mw1f4XcQQMAOJs4i5HtDZzoQ&amp;usqp=CAU\" alt=\"Recovery Formula\" width=\"608\" height=\"520\"\/><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li> <em><strong>Affective or emotional symptoms<\/strong>:<\/em><ul><li><em> <\/em>fear<\/li><li> watchful <\/li><li>dread<\/li><li>terror.&nbsp;<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li> <em><strong>Cognitive symptoms <\/strong><\/em><ul><li>from worry to panic. <\/li><li>Harm may be anticipated, <\/li><li>danger may be exaggerated<\/li><li>severe forms can bring a conviction of impending doom (the end of the world or death). <\/li><li>Concentration problems<\/li><li>fears of losing control and dying<\/li><li>a sense of unreality<\/li><li> hyper vigilance <\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li> <em><strong>Behavioural symptoms<\/strong><\/em><ul><li><em> <\/em>avoidance behaviour, <\/li><li>freezing, <\/li><li>clinging, <\/li><li>dependent<\/li><li>agitated behaviour.&nbsp;<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em><strong>Somatic symptoms<\/strong> <\/em>are changes in a person\u2019s physiological or biological reactions. <ul><li> increased heart rate and perspiration, <\/li><li>elevated blood pressure, <\/li><li>tense muscles, <\/li><li>goose bumps, <\/li><li>shallow breathing, <\/li><li>mouth dryness, <\/li><li>cold hands and feet, <\/li><li>diarrhoea, <\/li><li>frequent urination,<\/li><li> dilated pupils, <\/li><li>light-headedness, faintness <\/li><li>indigestion <\/li><\/ul><\/li><\/ul>\n\n\n<div class=\"wp-block-ub-content-toggle wp-block-ub-content-toggle-block\" id=\"ub-content-toggle-block-ff200a62-8d0f-4372-a444-3f01f68cf18c\" data-mobilecollapse=\"false\" data-desktopcollapse=\"true\" data-preventcollapse=\"false\" data-showonlyone=\"false\">\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4DAD1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4DAD1;\" aria-controls=\"ub-content-toggle-panel-0-ff200a62-8d0f-4372-a444-3f01f68cf18c\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ff200a62-8d0f-4372-a444-3f01f68cf18c\" style=\"color: #000000; \">Biological causes of anxiety<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-0-ff200a62-8d0f-4372-a444-3f01f68cf18c\">\n\n<ul class=\"wp-block-list\"><li>The symptoms may because of medicines or other <strong>physical causes<\/strong>: <ul><li>asthma meds, caffeine, <\/li><li>hyperthyroidism, cardiac arrhythmias<\/li><\/ul><\/li><li>Overactive <strong>Fear circuitry<\/strong> in the brain<ul><li>Amygdala triggers the hypothalamic-pituitary-adrenal (HPA) axis<\/li><li>And also the hippocampus &amp; prefrontal cortex<\/li><\/ul><\/li><li><strong>Genetics<\/strong><ul><li>On their own they are not sufficient to explain phobias, panic disorder etc..<\/li><li>Some genetic variations correlate with less serotonin and also with higher anxiety amongst people with high childhood stress and low maternal support.<\/li><\/ul><\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4DAD1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4DAD1;\" aria-controls=\"ub-content-toggle-panel-1-ff200a62-8d0f-4372-a444-3f01f68cf18c\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ff200a62-8d0f-4372-a444-3f01f68cf18c\" style=\"color: #000000; \">Psychological causes for anxiety<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-1-ff200a62-8d0f-4372-a444-3f01f68cf18c\">\n\n<ul class=\"wp-block-list\"><li><strong>negative appraisal<\/strong> : interpreting ambiguous events as threatening<\/li><li><strong>anxiety sensitivity<\/strong>: Interpreting physical arousal as a sign of danger<\/li><li>Feeling a <strong>lack of control<\/strong> over the situation<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4DAD1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4DAD1;\" aria-controls=\"ub-content-toggle-panel-2-ff200a62-8d0f-4372-a444-3f01f68cf18c\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ff200a62-8d0f-4372-a444-3f01f68cf18c\" style=\"color: #000000; \">Social &amp; Sociocultural Dimensions to anxiety<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-2-ff200a62-8d0f-4372-a444-3f01f68cf18c\">\n\n<ul class=\"wp-block-list\"><li><strong>Unsafe<\/strong> environments eg poverty &amp; high crime<\/li><li><strong>Traumatic<\/strong> events<\/li><li>Gender (more <strong>women<\/strong> than men)<\/li><li><strong>Some cultures<\/strong> eg North American white report more anxiety than others<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n<\/div>\n\n\n<iframe loading=\"lazy\" src=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSfhtN8Fn9yYh4Q-hakpOkMXdoKzPeFhuREc_uyAg7mhky-6iA\/viewform?embedded=true\" width=\"640\" height=\"1862\" frameborder=\"0\" marginheight=\"0\" marginwidth=\"0\">Loading\u2026<\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"4-phobias\">Phobias<\/h2>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile\" style=\"grid-template-columns:40% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcS5Oy8F3EoAHrNVjf0jw4YP1MjSNlCvrSQeXA&amp;usqp=CAU\" alt=\"Pop Art Unhappy Young Woman Scared By The Mouse. Female Phobia Of Rodent.  Vector Illustration Royalty Free Cliparts, Vectors, And Stock Illustration.  Image 96681606.\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-large-font-size wp-block-paragraph\">= strong, persistent &amp; unwarranted fear of a specific thing or situation<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3 Categories:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>social anxiety disorder SAD<\/strong><ul><li>Intense fear of being looked at or being embarrassed or humiliated. Usually around public speaking or meeting new people. <\/li><\/ul><\/li><li><strong>specific phobia<\/strong><ul><li>Fear or panic about specific things\/situations eg mice, spiders, needles<\/li><\/ul><\/li><li><strong>agoraphobia<\/strong><ul><li>Anxiety or fear in situations that cannot be escaped. So situations are avoided or may cause panic.<\/li><li>The following situations (<strong>at least two or more<\/strong>) are feared and avoided: <ol><li>being in a crowd of people or standing in line, <\/li><li>using public transportation, or <\/li><li>being in open spaces <\/li><li>or in enclosed places or <\/li><li>being outside of the home alone. <\/li><\/ol><\/li><\/ul><\/li><\/ol>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"5-etiology-of-phobias\">Etiology of phobias<\/h3>\n\n\n<div class=\"wp-block-ub-content-toggle wp-block-ub-content-toggle-block\" id=\"ub-content-toggle-block-ba28c503-f79b-4068-892c-865bf86f3974\" data-mobilecollapse=\"false\" data-desktopcollapse=\"true\" data-preventcollapse=\"false\" data-showonlyone=\"false\">\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4D1D1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4D1D1;\" aria-controls=\"ub-content-toggle-panel-0-ba28c503-f79b-4068-892c-865bf86f3974\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ba28c503-f79b-4068-892c-865bf86f3974\" style=\"color: #000000; \">Biological dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-0-ba28c503-f79b-4068-892c-865bf86f3974\">\n\n<ul class=\"wp-block-list\"><li>All phobias show moderate genetic contribution (heritability of 30%)<\/li><li>More active amygdala<\/li><li>Some phobias, eg of snakes, may be semi-innately predisposed <\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4D1D1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4D1D1;\" aria-controls=\"ub-content-toggle-panel-1-ba28c503-f79b-4068-892c-865bf86f3974\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ba28c503-f79b-4068-892c-865bf86f3974\" style=\"color: #000000; \">Psychological dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-1-ba28c503-f79b-4068-892c-865bf86f3974\">\n\n<ul class=\"wp-block-list\"><li>Fear conditioning<ul><li>phobias can be created<\/li><li>and often the result of a frightening experience<\/li><\/ul><\/li><li>Observational learning\/modeling<ul><li>learn from others displaying fear<\/li><\/ul><\/li><li>negative informational effects<ul><li>In other words, people develop fears because they are told scary things about a thing or situation<\/li><\/ul><\/li><li>cognitive processes<ul><li>catastrophic thoughts and cognitive distortions can cause phobias to develop and sustain themselves.<\/li><\/ul><\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4D1D1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4D1D1;\" aria-controls=\"ub-content-toggle-panel-2-ba28c503-f79b-4068-892c-865bf86f3974\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ba28c503-f79b-4068-892c-865bf86f3974\" style=\"color: #000000; \">Social Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-2-ba28c503-f79b-4068-892c-865bf86f3974\">\n\n<ul class=\"wp-block-list\"><li>Overprotective parents<\/li><li>Parents who don&#8217;t support their children&#8217;s independence and confidence. So the children don&#8217;t develop emotional regulation and coping skills<\/li><li>negative family interactions and stress <\/li><li>Being bullied<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4D1D1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4D1D1;\" aria-controls=\"ub-content-toggle-panel-3-ba28c503-f79b-4068-892c-865bf86f3974\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ba28c503-f79b-4068-892c-865bf86f3974\" style=\"color: #000000; \">Sociocultural Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-3-ba28c503-f79b-4068-892c-865bf86f3974\">\n\n<ul class=\"wp-block-list\"><li>Females more likely to have phobias about critters, and a stronger disgust response<\/li><li>Social anxiety is not gender differentiated, but more common in collectivist cultures that use shame as a way of disciplining their children eg: Chinese and Arab societies<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #E4D1D1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #E4D1D1;\" aria-controls=\"ub-content-toggle-panel-4-ba28c503-f79b-4068-892c-865bf86f3974\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-ba28c503-f79b-4068-892c-865bf86f3974\" style=\"color: #000000; \">Treatments<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-4-ba28c503-f79b-4068-892c-865bf86f3974\">\n\n<ul class=\"wp-block-list\"><li><strong>Biological:<\/strong> benzodiazepines and SSRIs (Selective Serotonin Re-uptake inhibitors)<\/li><li><strong>Psychological: CBT:<\/strong> <ul><li>exposure therapy: Gradual and increasing exposure without inducing panic<\/li><li> systematic desensitization: Conscious physical relaxation while visualizing the situation or thing that triggers fear <\/li><li>cognitive restructuring: identifying and changing unrealistic negative thoughts to more helpful ones<\/li><li> modeling therapy: observing a model remaining calm in the situation or with the thing.<\/li><\/ul><\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n<\/div>\n\n\n<iframe loading=\"lazy\" src=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSfBLqWhFfaVhnmegsJMdYJ7x-gRYNIohSpMA0CEumH8hNBH5w\/viewform?embedded=true\" width=\"640\" height=\"2387\" frameborder=\"0\" marginheight=\"0\" marginwidth=\"0\">Loading\u2026<\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"6-panic-disorders\">Panic Disorders<\/h2>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile\" style=\"grid-template-columns:34% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcQ2Fxhf1marIzUMm2U0mOEA1a9Covuzzwy98g&amp;usqp=CAU\" alt=\"I hate panic attacks\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-large-font-size wp-block-paragraph\">Recurrent and unexpected intense attacks of fear or terror <\/p>\n\n\n\n<p class=\"has-large-font-size wp-block-paragraph\">Along with fear of having another attack and what may happen during an attack (May feel like a heart attack, for example) <\/p>\n\n\n\n<p class=\"has-large-font-size wp-block-paragraph\">and\/or changes in behavior to avoid having another panic attack. <\/p>\n\n\n\n<p class=\"has-large-font-size wp-block-paragraph\">For a month or more for a positive diagnosis of panic disorder<\/p>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Two types of panic attacks are described in the DSM-5 classification system:&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uf0b7 <strong>Expected panic attacks <\/strong>are attacks that have an obvious cue or trigger <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uf0b7 <strong>Unexpected panic attacks <\/strong> (e.g., when relaxing) <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"7-symptoms-of-panic-attacks\">Symptoms of Panic Attacks<\/h2>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcSAGbfnz4IRDUE9apOXN8tEPpGcXF_3oZzkQQ&amp;usqp=CAU\" alt=\"This Is What Happens to Your Body During a Panic Attack - Dollar Shave Club  Original Content\" width=\"613\" height=\"343\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A panic attack is characterised by a discrete period of intense fear or intense discomfort and is accompanied by <strong>at least four<\/strong> or more of the following symptoms:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>(1) palpitations, pounding heart or accelerated heart rate&nbsp;<\/li><li>(2) sweating&nbsp;<\/li><li>(3) trembling or shaking&nbsp;<\/li><li>(4) sensations of shortness of breath or smothering&nbsp;<\/li><li>(5) feelings of choking&nbsp;<\/li><li>(6) chest pain or discomfort&nbsp;<\/li><li>(7) nausea or abdominal distress&nbsp;<\/li><li>(8) feeling dizzy, unsteady, lightheaded, or faint&nbsp;<\/li><li>(9) chills or heat sensations&nbsp;<\/li><li>(10) paraesthesia\u2019s (numbness or tingling sensations)&nbsp;<\/li><li>(11) derealisation (feelings of unreality) or depersonalisation (being detached from oneself)&nbsp;<\/li><li>(12) fear of losing control or \u201cgoing crazy\u201d&nbsp;<\/li><li>(13) fear of dying.&nbsp;<\/li><\/ul>\n\n\n<div class=\"wp-block-ub-content-toggle wp-block-ub-content-toggle-block\" id=\"ub-content-toggle-block-26b268e4-9c01-4206-8ed4-a1240398de1f\" data-mobilecollapse=\"false\" data-desktopcollapse=\"true\" data-preventcollapse=\"false\" data-showonlyone=\"false\">\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #39414D;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #39414D;\" aria-controls=\"ub-content-toggle-panel-0-26b268e4-9c01-4206-8ed4-a1240398de1f\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-26b268e4-9c01-4206-8ed4-a1240398de1f\" style=\"color: #FFFFFF; \">Biological Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-0-26b268e4-9c01-4206-8ed4-a1240398de1f\">\n\n<ul class=\"wp-block-list\"><li>Modest genetic influence 32% heritability<\/li><li>Overactive fear network (amygdala)<\/li><li><strong>Serotonin <\/strong>and <strong>GABA <\/strong>less available<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #39414D;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #39414D;\" aria-controls=\"ub-content-toggle-panel-1-26b268e4-9c01-4206-8ed4-a1240398de1f\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-26b268e4-9c01-4206-8ed4-a1240398de1f\" style=\"color: #FFFFFF; \">Psychological Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-1-26b268e4-9c01-4206-8ed4-a1240398de1f\">\n\n<ul class=\"wp-block-list\"><li>Catastrophic thought eg: &#8220;I will die.&#8221;<\/li><li>sensitive to anxiety and physiological vigilance<\/li><li>conditioning<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #39414D;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #39414D;\" aria-controls=\"ub-content-toggle-panel-2-26b268e4-9c01-4206-8ed4-a1240398de1f\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-26b268e4-9c01-4206-8ed4-a1240398de1f\" style=\"color: #FFFFFF; \">Social Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-2-26b268e4-9c01-4206-8ed4-a1240398de1f\">\n\n<ul class=\"wp-block-list\"><li>Stressful and anxiety provoking social environment<\/li><li>Separation or loss<\/li><li>Being bullied<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #39414D;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #39414D;\" aria-controls=\"ub-content-toggle-panel-3-26b268e4-9c01-4206-8ed4-a1240398de1f\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-26b268e4-9c01-4206-8ed4-a1240398de1f\" style=\"color: #FFFFFF; \">Sociocultural Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-3-26b268e4-9c01-4206-8ed4-a1240398de1f\">\n\n<ul class=\"wp-block-list\"><li>More common in women<\/li><li>Varied cultural expression<\/li><li>More common in some cultures than others<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\" id=\"8-treatment-of-pd\">Treatment of PD<\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcQXFonO7eD-Gs6JNej26539dEWn0vSJuY-d5w&amp;usqp=CAU\" alt=\"3 Easy Ways to Recover After a Panic Attack - wikiHow\" width=\"603\" height=\"452\"\/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The primary treatments are medication and CBT.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Meds<\/strong> include benzodiazepines, beta-blockers and anti-depressants, but relapses once the person comes off the medications are high. <em>Influences the amygdala<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CBT<\/strong> is very effective in treating Panic Disorder.<em> Influences the prefrontal cortex and hippocampus<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Increases self-efficacy as client get control of the disorder themselves<\/li><li>Involves the extinction of the fear associated with both<ol><li>Internal bodily sensations:<ul><li>heart rate<\/li><li>sweating<\/li><li>dizziness<\/li><li>breathlessness<\/li><\/ul><\/li><li>Frightening situations<ul><li>eg crowds, enclosed spaces etc<\/li><\/ul><\/li><\/ol><\/li><li>Involves the following steps:<ol><li><strong>Educate<\/strong> about PD and correct misconceptions<\/li><li>Identify and correct <strong>catastrophic thinking<\/strong><\/li><li>Teaching to <strong>self-induce the sensations<\/strong> (aka physiological symptoms) associated with panic in order to extinguish the conditioned response of panic in response to these internal sensations.<\/li><li>Encouraging the client to <strong>sit with<\/strong> the symptoms without  responding to them<\/li><li>Teach <strong>coping statements:<\/strong> &#8220;I can handle this.&#8221;<\/li><li>Teach the client to <strong>identify potential<\/strong> triggers before the panic starts.<\/li><\/ol><\/li><\/ul>\n\n\n\n<iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/Ca_FzNS9qgQ\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe>\n\n\n\n<iframe loading=\"lazy\" src=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSeqVRhvTO4jhwrxRc3c0fKQkhDnVC_5vQ8PD7LJ2ymzjFiRHQ\/viewform?embedded=true\" width=\"640\" height=\"2451\" frameborder=\"0\" marginheight=\"0\" marginwidth=\"0\">Loading\u2026<\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"9-generalized-anxiety-disorder-gad\">Generalized Anxiety Disorder GAD<\/h2>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Characterized by persistent high levels of anxiety and excessive and difficult to control worry, accompanied by physical symptoms<\/p><\/blockquote><\/figure>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcRUVA3RxgTRJJ1bmGrqHQFEiEsVr_buHKC-WA&amp;usqp=CAU\" alt=\"Worrying and the Aging Brain | Dana Foundation\" width=\"609\" height=\"344\"\/><figcaption>Often people with GAD worry for about 6 hours a day .<a href=\"https:\/\/dana.org\/article\/worrying-and-the-aging-brain\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/dana.org\/article\/worrying-and-the-aging-brain\/<\/a><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Symptoms must be present for most days for 6 months and cause distress and difficulty functioning in everyday life.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"10-symptoms-of-gad\">Symptoms of GAD<\/h2>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><a href=\"https:\/\/gadinfo.weebly.com\/blog\/gad-symptoms\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcT7dqcRnBTUy3iFfm_xfBxpTBJUmK3W7nNjGg&amp;usqp=CAU\" alt=\"GAD symptoms - Generalized Anxiety Disorder\" width=\"611\" height=\"351\"\/><\/a><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The anxiety and worry are associated with <strong>three or more<\/strong> of the following six symptoms:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>(1) restlessness or feeling keyed up or on edge&nbsp;<\/li><li>(2) being easily fatigued&nbsp;<\/li><li>(3) difficulty concentrating or going blank&nbsp;<\/li><li>(4) irritability&nbsp;<\/li><li>(5) muscle tension&nbsp;<\/li><li>(6) sleep disturbance.&nbsp;<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The anxiety, worry or physical symptoms cause clinical significant distress and\/or impairment in social, occupational or other important areas of functioning&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"11-etiology\">Etiology<\/h3>\n\n\n<div class=\"wp-block-ub-content-toggle wp-block-ub-content-toggle-block\" id=\"ub-content-toggle-block-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" data-mobilecollapse=\"false\" data-desktopcollapse=\"true\" data-preventcollapse=\"false\" data-showonlyone=\"false\">\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #D1D1E4;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #D1D1E4;\" aria-controls=\"ub-content-toggle-panel-0-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" style=\"color: #28303D; \">Biological Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-0-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\">\n\n<ul class=\"wp-block-list\"><li><strong>Heritability<\/strong> small but significant: Gene expression of neurotransmitter abnormalities or overactivity of brain regions associated with anxiety<\/li><li>GAD involves a disruption of the <strong>prefrontal cortex<\/strong> which modulates our response to threats. Greater activation than in controls<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #D1D1E4;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #D1D1E4;\" aria-controls=\"ub-content-toggle-panel-1-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" style=\"color: #28303D; \">Psychological Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-1-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\">\n\n<ul class=\"wp-block-list\"><li>Dysfunctional thoughts and beliefs<\/li><li>Lower threshold for uncertainty<\/li><li>Assume that worry is a strategy to deal with problems<\/li><li>And that it prevents negative outcomes from occurring<\/li><li>Negative schemas paint many ambiguous, neutral or even positive situations as threatening<\/li><li>May also involve worrying about worrying.<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #D1D1E4;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #D1D1E4;\" aria-controls=\"ub-content-toggle-panel-2-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" style=\"color: #28303D; \">Social &amp; Sociocultural Dimensions<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-2-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\">\n\n<ul class=\"wp-block-list\"><li>Affect twice as many women as men<\/li><li>Anxious mothers seem to increase the chances that their children will have GAD.<\/li><li>Being bullied<\/li><li>Stressors such as poverty, prejudice and discrimination (This may by why GAD is high amongst African-Americans and Latino\/Hispanic Americans<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #D1D1E4;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #D1D1E4;\" aria-controls=\"ub-content-toggle-panel-3-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\" style=\"color: #28303D; \">Treatment of GAD<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-3-9c5b6f9c-2c9d-41bd-9a6e-1cef19979985\">\n\n<ul class=\"wp-block-list\"><li>Benzodiazepines (nastily addictive) and antidepressants<\/li><li>CBT is very effective<ul><li>identify worrisome thoughts<\/li><li>identify which worries are useful and which not<\/li><li>evaluate beliefs and evidence<\/li><li>develop self control skills to monitor and challenge irrational thoughts and replace with more positive ones<\/li><li>use muscle relaxation<\/li><\/ul><\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n<\/div>\n\n\n<iframe loading=\"lazy\" src=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSfwM5QGBv9ZFu10JQ3DygsY3RDzCk7kxFv7UphfKSpF0601XA\/viewform?embedded=true\" width=\"640\" height=\"1065\" frameborder=\"0\" marginheight=\"0\" marginwidth=\"0\">Loading\u2026<\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"12-obsessive-compulsive-disorder\">Obsessive Compulsive Disorder<\/h2>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/allalignedhealing.com\/unisapsych\/wp-content\/uploads\/2022\/03\/image-2.jpeg\" alt=\"\" class=\"wp-image-1469\" width=\"609\" height=\"404\"\/><figcaption><a href=\"https:\/\/www.nytimes.com\/2021\/08\/16\/well\/mind\/ocd-pandemic.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nytimes.com\/2021\/08\/16\/well\/mind\/ocd-pandemic.html<\/a><\/figcaption><\/figure><\/div>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p><strong>Obsessions<\/strong> are persistent anxiety-provoking thoughts and images.<\/p><p><strong>Compulsions<\/strong> are an overwhelming urge to do something to counteract anxiety or ward off a dreaded event.<\/p><\/blockquote><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">For a diagnosis, these symptoms should take up at least an hour a day and cause significant distress or impairment in life activities.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Onset is in adolescence or early adulthood &#8211; 25% by age 14. Equally common in both men and women.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Compulsions involve repetitive actions eg hand washing. Obsessions and compulsions offend occur together, although they can also be separate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Compulsions often serve to neutralize obsessions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The compulsion feels involuntary, irrational and not in character to the person with OCD, but resisting it causes more and more anxiety.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Frequent comorbidity with depression and substance abuse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">About a quarter of people report some symptoms without having the disorder.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"13-common-themes-\">Common themes: <\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Contamination<\/li><li>errors or uncertainty<\/li><li>unwanted impulses<\/li><li>orderliness<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"14-hoarding-disorder\">Hoarding Disorder<\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcS2zadJetoaLy-mBosbX8BUCrM-3G2Xm85vNQ&amp;usqp=CAU\" alt=\"What is hoarding for Black people who aren't allowed things? - RaceBaitr\" width=\"611\" height=\"279\"\/><\/figure><\/div>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Hoarding disorder is diagnosed when there is 1. an inability to discard items regardless of their value, <\/p><p>2. a perceived need for items and distress at the thought of getting rid of them and <\/p><p>3. an accumulation of items <\/p><p>that results in distress or impairment in life activities.<\/p><\/blockquote><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Prevalence is quite high 2 &#8211; 5% of adults in the US.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"15-body-dysmorphic-disorder\">Body Dysmorphic Disorder<\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcQZ5lA6xCpcVkx6Q8DEAaK1fw0P0BrGW5EbkQ&amp;usqp=CAU\" alt=\"Dysmorphophobia Body Dysmorphic Disorder. Mental Disorder Stock Vector -  Illustration of isolated, concept: 163058929\" width=\"437\" height=\"437\"\/><\/figure><\/div>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>A preoccupation with a perceived physical defect, repetitive behaviors and comparing one&#8217;s appearance to others, and significant distress or impairment in life activities.<\/p><\/blockquote><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Often underdiagnosed. Some people recognize that their beliefs are untrue, but others have strong delusions about their bodies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some people have a lot of cosmetic surgery because of BDD.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Up to 13% of people in psychiatric hospitals, and 15 % of people who consult dermatologists. High comorbidity with anxiety disorders especially social anxiety<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"16-trichotillomania-hair-pulling-disorder\">Trichotillomania Hair-Pulling Disorder<\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/allalignedhealing.com\/unisapsych\/wp-content\/uploads\/2022\/03\/image-3.jpeg\" alt=\"\" class=\"wp-image-1471\" width=\"376\" height=\"282\"\/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Recurrent and compulsive hairpulling. 10 x greater in women<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"17-excoriation-skin-picking-disorder\">Excoriation (Skin-picking) Disorder<\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/allalignedhealing.com\/unisapsych\/wp-content\/uploads\/2022\/03\/image-4.jpeg\" alt=\"\" class=\"wp-image-1472\" width=\"325\" height=\"351\"\/><figcaption>The photos are too gruesome to  show with much scarring and open wounds<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Compulsive skin picking  causing significant distress or impairment with repeated unsuccessful attempts to stop.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Often comorbid with BDD and trichotillomania.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"18-etiology-of-ocd-amp-related-disorders\">Etiology of OCD &amp; related disorders<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">OCD may involve distinct disorders with different triggers and causes. We are still not quite sure what causes OCD.<\/p>\n\n\n<div class=\"wp-block-ub-content-toggle wp-block-ub-content-toggle-block\" id=\"ub-content-toggle-block-6374f60f-1636-40ea-bed7-1071b30cf1ae\" data-mobilecollapse=\"false\" data-desktopcollapse=\"true\" data-preventcollapse=\"false\" data-showonlyone=\"false\">\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #f1f1f1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #f1f1f1;\" aria-controls=\"ub-content-toggle-panel-0-6374f60f-1636-40ea-bed7-1071b30cf1ae\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-6374f60f-1636-40ea-bed7-1071b30cf1ae\" style=\"color: #000000; \"><strong>Biological Dimension<\/strong><\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-0-6374f60f-1636-40ea-bed7-1071b30cf1ae\">\n\n<ul class=\"wp-block-list\"><li>Strong heredity<\/li><li><strong>Increased<\/strong> activity in the <strong>orbitofrontal cortex<\/strong><ul><li>The orbitofrontal cortex alerts the brain that something is wrong. So when it is hyperactive, it feels like <em>something is horribly wrong<\/em>.<\/li><\/ul><\/li><li><strong>Lower<\/strong> activity in the <strong>caudate nuclei<\/strong><\/li><li><strong>Subgroups <\/strong>differ in genetics and biological markers<\/li><li>Reduced availability of <strong>serotonin and glutamate<\/strong>.<ul><li>OCD responds specifically to SSRI&#8217;s and not to other kinds of anti-anxiety meds.<\/li><\/ul><\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #f1f1f1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #f1f1f1;\" aria-controls=\"ub-content-toggle-panel-1-6374f60f-1636-40ea-bed7-1071b30cf1ae\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-6374f60f-1636-40ea-bed7-1071b30cf1ae\" style=\"color: #000000; \">Psychological Dimension<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-1-6374f60f-1636-40ea-bed7-1071b30cf1ae\">\n\n<ul class=\"wp-block-list\"><li>Lack of trust in own performance<\/li><li>Impulse control conflicts<\/li><li>compulsive behaviors reduce anxiety, and because they reduce anxiety, they create compulsions through conditioning<\/li><li>cognitive disorders<ul><li>exaggerated estimates regarding the probability of harm<\/li><li>control seen as essential<\/li><li>intolerance of uncertainty<\/li><li>Search for evidence that they may have failed to perform rituals correctly &#8211; <strong>disconfirmatory bias<\/strong><\/li><li>hoarders may feel responsible towards the items or that they are extensions of themselves.<\/li><\/ul><\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #f1f1f1;\" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #f1f1f1;\" aria-controls=\"ub-content-toggle-panel-2-6374f60f-1636-40ea-bed7-1071b30cf1ae\" tabindex=\"0\">\n\t\t\t<h4 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-6374f60f-1636-40ea-bed7-1071b30cf1ae\" style=\"color: #000000; \">Social and sociocultural dimensions<\/h4>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #000000;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-2-6374f60f-1636-40ea-bed7-1071b30cf1ae\">\n\n<ul class=\"wp-block-list\"><li>Controlling, over-critical parenting<\/li><li>Low parental warmth<\/li><li>Discouragement of autonomy in the child<\/li><li>These factors may give rise to maladaptive beliefs relating to personal responsibility.<\/li><li>More common among white Americans<\/li><li>And people who are divorced, seperated or unemployed<\/li><\/ul>\n\n<\/div>\n\t\t<\/div>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"19-treatment-of-ocd-amp-related-disorders\">Treatment of OCD &amp; related disorders<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Only about 60% of people with OCD respond to SSRI&#8217;s and may only respond partially.<\/li><li>Behavioral treatments combine<ul><li><strong>exposure<\/strong>: continued actual\/imagined exposure to anxiety provoking situations, either gradual or flooding with the most stressful scenario<\/li><li><strong>response prevention<\/strong><\/li><\/ul><\/li><li>Involves education about OCD, exposure and response prevention <\/li><li>Development of an exposure hierarchy &#8211; ranking from least to most feared<\/li><li>Exposure until anxiety goes down<\/li><li>Prevention of compulsive rituals being acted out<\/li><li>About 70% success-rate in OCD, and good results in related disorders. <\/li><li>However many hoarders leave treatment because they don&#8217;t want to let go of their stuff.<\/li><\/ul>\n\n\n\n<iframe loading=\"lazy\" src=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSe9soClnsBIeaiAn8Dik_8CP5s6I5j0fHzK33zv-lV6c3iXIQ\/viewform?embedded=true\" width=\"640\" height=\"3282\" frameborder=\"0\" marginheight=\"0\" marginwidth=\"0\">Loading\u2026<\/iframe>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"UNISA PC3702 Assignment 3 Anxiety &amp; obsessive-compulsive disorders\" width=\"750\" height=\"422\" src=\"https:\/\/www.youtube.com\/embed\/8WcYV8ZCnrA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<div style=\"display:flex; gap:10px;justify-content:center\" class=\"wps-pgfw-pdf-generate-icon__wrapper-frontend\">\n\t\t<a  href=\"https:\/\/allalignedhealing.com\/unisapsych\/wp-json\/wp\/v2\/pages\/1455?action=genpdf&amp;id=1455\" class=\"pgfw-single-pdf-download-button\" ><img src=\"https:\/\/allalignedhealing.com\/unisapsych\/wp-content\/plugins\/pdf-generator-for-wp\/admin\/src\/images\/PDF_Tray.svg\" title=\"Generate PDF\" style=\"width:auto; height:50px;\"><\/a>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Anxiety, OCD &amp; more We need to know the symptoms from the tutorial letters and also remember to learn the&hellip; <a class=\"more-link\" href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/\">Continue reading <span class=\"screen-reader-text\">PYC3702 Assignment 3.<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"footnotes":""},"class_list":["post-1455","page","type-page","status-publish","hentry","entry"],"featured_image_src":null,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PYC3702 Assignment 3. - Unisa Psych<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/allalignedhealing.com\/unisapsych\/3-anxiety-ocd-more\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PYC3702 Assignment 3. - Unisa Psych\" \/>\n<meta property=\"og:description\" content=\"Anxiety, OCD &amp; 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