Course Description: This article examines Anxiety and Mental Health in Adults. The article reviews the types of Anxiety disorders in adults and describes the etiology of Anxiety disorders in adults. Finally, it identifies the treatment approaches for anxiety in adults. This course is based on a portion of chapter four of a publication by the Surgeon General’s office entitled; Mental Health: A report by the Surgeon General. The report is also on the SAMSHA website. Mental Health: A Report of the Surgeon General.
This is a detailed article that at times can be difficult to read. This occurs during the complex discussions about the functions of the brain and pharmacological treatments for anxiety. This publication provides excellent information for the mental health professional, especially for those clinicians who work with adults and provides the practitioner with a great deal of much needed information. The course is targeted for beginning, intermediate and advanced practitioners.
Specifically, a professional will:
recognize the types of Anxiety disorders in adults
describe the etiology of Anxiety disorders in adults.
identify the treatment approaches for Anxiety disorders in adults.
Citation: Surgeon General. Mental Health: A Report of the Surgeon General. Chapter 4 Adults and Mental Health. Bethesda (MD): US Department of Health and Human Services.
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Exam Questions for Adults and Mental Health - Anxiety
1. _____ describes people with marked and persistent anxiety in social situations, including performances and public speaking.
_____ describes people with marked and persistent anxiety in social situations, including performances and public speaking.
generalized anxiety disorder
social phobia
panic disorder 2. ______ is best understood as an adverse behavioral outcome of repeated panic attacks and the subsequent worry, preoccupation, and avoidance.
agoraphobia
generalized anxiety disorder
social phobia
panic disorder 3. The essential features of __________ are persistent concern or worry about having further attacks or changes his or her behavior to avoid or minimize such attacks.
agoraphobia
post traumatic stress disorder
social phobia
panic disorder 4. The diagnosis of _____ is equally common among men and women.
agoraphobia
panic disorder
general anxiety disorder
Obsessive-compulsive disorder 5. Approximately _____ % of the adult population suffers from one or more specific phobias in one year.
8
10
12
14 6. All of the following factors have been linked to the likelihood of developing anxiety disorders EXCEPT
Genetic factors
Male hormones
Psychological traits
Stressful life events 7. What characteristic do all the different types of anxiety disorders share?
A genetic basis
An abnormal or exaggerated state of arousal or fear
Equal occurrence in males and females
Roots in stressful life events 8. Activation of which of the following distinguishes an acute stress response to a stimulus from a normal response?
Cerebral cortex
Locus ceruleus
Sympathetic nervous system
Parasympathetic nervous system 9. Which of the following characteristics is indicative of arousal as opposed to anxiety?
Cannot occur without exposure to an external stressor
Concern about the threat is out of proportion to the actual threat
Has a longer life
Often associated with mental and behavioral activities intended to avert a full-blown panic attack 10. The production of which of the following has been shown to have the damaging effect directly of shrinking the size of the hippocampus?
CRH
Endogenous opioids
Glucocorticoids
Serotonin 11. Which psychological theory proposes that a feeling of helplessness is generated because of a perceived inability to control desired results?
Behavioral
Cognitive
Psychoanalytic
Psychodynamic 12. According to this report, the critical element of therapy is to . . .
increase exposure to the stimuli or situations that provoke anxiety
provide insight into the source of anxiety
identify early signs of panic attacks to prevent the cycle
identify the catastrophic thoughts that characterize anxiety 13. There is now extensive evidence that ______________ are useful treatments for a majority of patients with anxiety disorders
Cognitive behavioral therapies
Tranquilizers
Anti-depressants
Behavioral therapies 14. A major limitation of cognitive behavioral therapies is
their effectiveness with certain disorders
the limited availability of skilled practitioners
their long term effectiveness
they are difficult to implement fully 15. The five drugs within the SSRI class have emerged as the preferred type of antidepressant for the treatment of anxiety disorders, however . . .
they all have significant side effects
they are not effective with obsessive compulsive disorder
they are all protected by patents and there is no generic form available
they are not effective with panic disorder 16. Most ____________ have substantial anti-anxiety, anti-panic effects, and anti-obsessional effects.
antidepressant medications
tranquilizers
benzodiazepines
buspirones