disorders palmer palmer焦虑症帕尔默帕尔默课件

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1、AnxietyDisordersAnxietyWhatdoesanxietyfeellike?Whendoesanxietybecomeaproblem?Adisorder?PPDPrevalenceofAnxietyDisorders18.1%ofU.S.adultsCommonlyco-occurswithdepressivedisordersorsubstanceabuse(*dualdiagnosis)IndividualsmayhavemultipleanxietydisordersMostwillhavetheirfirstepis

2、odebyage21.5(NIMH,2008)AnxietyDisordersWherearethemajorityofpatientswithanxietydisordersinitiallyseen?Why?SymptomsofAnxietyPhysicalPoundingheartSweatingStomachupsetDizzinessFrequenturination/diarrheaShortnessofbreathTremors&twitchesMuscletensionHeadachesFatigueInsomniaSympto

3、msofAnxietyEmotionalApprehensionordreadTroubleconcentratingTense&jumpyAnticipatingtheworstIrritabilityRestlessnessVigilance‘blankmind’TypesofAnxietyDisordersPanicAttackAgoraphobiaPanicDisorder(Withandwithoutagoraphobia)SpecificPhobiaSocialPhobiaObsessive-CompulsiveDisorderGe

4、neralizedAnxietyDisorderPosttraumaticStressDisorderAcuteStressDisorderAnxietyDisorderDuetoaGeneralMedicalConditionSubstance-InducedAnxietyDisorderAnxietyDisorderNOSGeneralizedAnxietyDisorderCharacterizedby:Atleast6monthsofpersistentandexcessiveanxietyorworryThatinterfereswit

5、hnormalfunctioningGeneralizedAnxietyDisorderExcessiveanxietyorworryAboutroutinelifecircumstancesMagnitudeofworryisoutofproportiontotheseverityofthesituationDifficulttocontrolPt’salsoreportfrequent:EdginessorrestlessnessFatigueDifficultyconcentratingIrritabilityMuscletensionS

6、leepdisturbanceGeneralizedAnxietyDisorderPhysicalsymptomsthatoftenaccompanyGADMusclesachesTwitching,tremblingSweatingDrymouthHeadachesGIsymptomsUrinaryfrequencyWhatdothesesymptomshaveincommon?GADSelfTesthttp://www.adaa.org/GettingHelp/SelfHelpTests/selftest_GAD.aspAnxietyDis

7、ordersAssociationofAmericaAnxietyDuetoaGeneralMedicalConditionCharacterizedbyprominentsymptomsofanxietythatarejudgedtobeadirectphysiologicalconsequenceofageneralmedicalconditionAnxietyDuetoaGeneralMedicalConditionMedicalconditionsthatcancauseanxietyHeartfailureorabnormalhear

8、trhythmsEncephalitis,stroke,andheadinjuryHormoneimbalancescausedbypituitary