Disorder

Separation
Anxiety
Disorder

Specific
phobia

OCD*

PTSD
(Outline)

GAD

Panic
Disorder

A1 Exposure
A2 Fear
B Re-experience
C Avoid/*numb*
D hyper arousal
Exposure
through:
-Experiencing
-Witnessing
-Close family
-Repeated firsthand exposure

-Intrusive,
distressing
memories
-Bad dreams
-Dissociation (reexperiencing)
-Distress about
cues
-Physiological
reaction
-Avoid associated
stimuli

Excessive worry
about the every
day

Fear is of having
a panic attack,
not what lead to
it

Fear of acting in a
way that will be
embarrassing or
humiliating

-Anxiety
-Cant control
worry
-Restlessness
-Easily fatigued
-Prob.
Concentrating
-Irritability
-Muscle tension
-Sleep problem

-About minor,
everyday events

Panic attack:
- Heart
-Sweating
-Trembling
-Resp. distress
- Choking
-Chest pain
-Nausea
-Dizzy
-Chills
-Numbness
-Derealization
-Fear of losing
control
-Fear of dying
All in <10 mins.

Worry about
more PAs for 1
month

-Fear of social
interactions in
peer group
-Fear of
humiliation,
embarrassment,
rejection, etc.
-Social situations
provoke fear
- In children,
anxiety may be
crying, tantrums,
mutism, etc.
- Social situations
avoided
- Fear is out of
proportion

-If medical
condition, fear is
unrelated

1 month

6 months

6 months

6 months

Female
Poor
Early loss
Other anxiety dis
Exposure, CBT,
breathing, IPT

If early, female,
long, low GAF
->Bad

DSM 5
Expected vs.
unexpected
1-3% life
1-2% / year

Adolescent and
30s
w/ age
Risk for
depress.

Lasts ~16 yrs.

Rare after 30
40% 5 yr. recover

Crux

Fear of harm to
attached when
separated

Actively avoided
object with outof-proportion
anxiety

Intrusive
thoughts/
Compulsive acts
(thoughts)

Criteria

-Distress on
separ. from home
or attachment fig.
-Worry about
losing people to
death, etc.
- Worry about
event that will
cause separation
- Refusal to go
out, to school,
work, etc.
- Fear of being
alone
- Wont sleep
away from
attached fig.
- Nightmares
about sep.
- Physical symp.
when anticipates
separation

4 weeks child
6 months adult
Parent SAD
Female, young,
poor

-Fear of
something
specific (duh)
- Object always
provokes fear
-Object is
actively avoided
- Anxiety out of
proportion



Types:

-Animal
-Environment
-Blood
-Situational (e.g.
Airplanes)
-Other (e.g.
vomiting)

Obsessions

- Intrusive and
unwanted
thoughts
-Attempts to
ignore or
suppress
thoughts

Young, female,
family history of
same

Strep/virus
(PANDAS)

Trauma intensity
Twin studies

Female
Poor

Treatment

Physical torture

Exposure

SSRI, CBT*

Specifiers/
(Notes)

(Developmentally
inappropriate)

4%
Mean age 7

Course and
outcomes

Followed by
nearly all other
anxiety disorders

From anxiety dis

to trauma and
stressor related
-7% life
-3.5%/yr.
(Assault, accident,
combat -
common)

Prevalence

-Good insight
-Poor insight
-No insight/
delusional
-Tic-related
Not Anxiety.
Now in OC and
related disorder
-1.6% life
-1%/yr.
-Female>male
-Childhood
reversed
Male 14
Female 22

Benzos, anti-D,
CBT, meditate
(60% Comorbid
w/depression
58% w/ other
anxiety)

Changes
from DSM 4

(Multiple
phobias
Predicts
depression,
substance use)

CBT, exposure,
imaginal
Depersonalization
Derealization
Delayed
expression

Time
Risk factors

6 months

12% last 12
months
-Most common
anx. disorder
-Earliest onset
Very stable (10
yrs.)
40% persist

Compulsions
-Repetitive
behaviors in
response to
obsess.
-Aimed at
reducing anxiety

-Time
consuming

~6% life
~3%/year

Early adulthood
Persistent

Social anxiety
Disorder

CPT, IPT, meds

Performance only?
(Seek treatment:
18% adol.
24% adult)

1-13%
Public speaking
common