Anxiety Problems

Ronny Tri Wirasto

Blok C4
FK UGM
2018
https://openi.nlm.nih.gov/imgs/512/372/3505513/PMC3505513_10158_2012_140_Fig1_HTML.png
Topics
• What is anxiety ?
• Etiology of anxiety
• Pathophysiology of anxiety
• Psychopathology of anxiety
• Anxiety in child and adolescent
• Management anxiety
What is anxiety
• Is related to a specific situation or problem
• Lasts only as long as the situation or problem
• Is proportional to the situation or problem
• Is a realistic response to a realistic problem or situation
• Everyone will experience anxiety from time to time. The demands and
stress of life may even make experiencing anxiety more frequent.
• Anxiety is a normal reaction to stress. In fact, it can be a good thing.
Anxiety motivates you to accomplish things, try harder, and it can
warn you when you’re in a dangerous situation. It informs you to be
extra vigilant about your environment.
• Is usually the response to a stressor: such as job stress, family or
financial problems, conflict in relationships, tests, speaking
assignments, excessive responsibilities, etc.
Symptoms
• Persistent worrying or obsession about small or large concerns that's
out of proportion to the impact of the event
• Inability to set aside or let go of a worry
• Inability to relax, restlessness, and feeling keyed up or on edge
• Difficulty concentrating, or the feeling that your mind "goes blank"
• Worrying about excessively worrying
• Distress about making decisions for fear of making the wrong decision
• Carrying every option in a situation all the way out to its possible
negative conclusion
• Difficulty handling uncertainty or indecisiveness
• Physical signs and symptoms
Physical symptoms
• Dizziness • Nausea
• Light-headedness • Muscle tension or muscle aches
• Sweating • Feeling twitchy
• Trembling • Being easily startled
• Heart pounding • Trouble sleeping / FATIGUE
• Headache • Diarrhea or irritable bowel
syndrome
Types
• Generalized anxiety disorder
• Social anxiety disorder
• Panic disorder
• Post-traumatic stress disorder
• Obsessive compulsive disorder
• Phobias
Management anxiety
• Primary Treatment Issue – RISK / SAFETY
• Crisis Resources
• Assess Resources – determines options
• Patient Centered
• SSRI’s/SNRI’s/Lithium/Tricyclics/Others Therapy
• Education
• Stress Management Skills
Summary
• Anxiety is common mental disorder in community
• Factors :
• External and internal known as stressor
• Mechanisms
• Neurobiological-physiology of fear
• Treatment
• Multimodal approaches
Finish