The facts behind...

Anxiety
disorders
references: psychiatric nursing, M.L evangelista-SIA
mosby’s nursing and allied health dictionary
mental health nursing, L.R Shives & Isaacs
psychiatric- mental health nursing, S.Vidibeck
journal of advance psychiatric nursing,C.Forchuck
 Anxiety
- is an individual experience
that is vague, non-specific,
uneasy feeling that is has
both subjective & objective
characteristics that is
occurring as a result of
 Anxiety disorders

- is a disorder which is the

most prominent feature is
anxiety. Overwhelming
emotional discomfort that is
accompanied by physical
response
 Types of anxiety
 Normal – healthy types of
anxiety that mobilizes a
person to act
 Acute – precipitated by
imminent loss or change that
threatens the sense of
security
 Chronic – anxiety that individual
Normal anxiety vs.
Anxiety disorder
Panic disorder
 An intense, sudden,
overwhelming fear or
feeling of anxiety that
produces terror and
immediate physiologic
changes that result in
paralyzed immobility or
senseless hysteric
 occurrence
 1. 7% of adolescence suffer
from this disorders
 Develop condition before
24y/o
 Subjected to traumatic
experiences
 Most common in woman
 Risk factors
 Smoking
 Alcohol/ benzodiazepines
toxicity
 History of Juvenile panic
disorder
 Treatments /
interventions

 Trycyclic
antidepressants
 Antyanxiety
(benzodiazepine)
Nursing interventions

1.Medications
2.Cognitive behavioral therapy
 Learning
 Monitoring
 Breathing
 Rethinking
 exposing
 serious side effects

of self fading of PD.


 Avoidance
 Agoraphobia
 Anticipatory anxiety

 phobia
 A.k.a “ morbid fears”
 is an irrational,
intense, persistent
fear of certain object,
situations, things and
people.
 causes
 Traumatic experience in
early age
 Somehow hereditary,
genetics and alterations
in brain chemistry
Types of phobia


 Specific phobia
 Social phobia
 agoraphobia
 Interventions
Combination of
behevior
therapy &
medications
 Nursing care
 Monitoring
 Help the client in
recognition
 Avoid confronting them
 Screen for suicidal
ideations
 Post-traumatic stress
 disorders
 Type of anxiety disorder
that is occurring after
experiencing a severe
physical or
psychological traumatic
event
 Neuro-
 endocrinology
 diagnosis
 DMST
 DSM-IV-TR
Signs and symptoms
 Recurrent re-
experiencing of
trauma
 Having a phobia /
avoidance
 Chronic physical signs
 treatment


 Psychotherapy
 Counselling/ parenting
 Medications ( serotonergics)