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Chapter 18 anxiety disorders
Psychological explanations of anxiety
Anxiety disorder vignettes
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Recommended: Chapter 18 anxiety disorders
A respected psychologist and field expert on serial killers, Dr. Helen Hudson (Sigourney Weaver), who is renowned for her astounding lectures, becomes agoraphobic after she is brutally attacked by one of the irredeemable psychotics she has been lecturing about after one of her lectures at a local university. Due to the horrifying attack and her newly developed illness Helen’s life and mere “existence becomes defined by the walls of her apartment.” While she is living life as a prisoner in her own home she “becomes entangled in the deadly mind game of a vicious copycat serial killer” through her only link to the outside world, the internet. When she makes the connection that there is a copycat killer on the prowl she contacts the local Police Department. The psychologist and a detective then begin working together to take down the serial killer and conquer the agoraphobic disorder that has been crippling her for over a year. In order to bring the killer to justice and stay alive she has to fight her fear of leaving the apartment and face her attackers.
A Phobia is the fear of a specific circumstance, situation, or objects. Agora is an ancient Greek word meaning marketplace. Combining the two words gives us agoraphobia, which is a fear of being in crowded places, a fear of losing control in public, or the fear of being unable to escape to a safe place (usually one’s home). It became a medically recognized disorder in the mid-1800s. “The Anxiety Disorders Association of America says about one in 11 Americans suffers from panic attacks. Two-thirds also suffer from agoraphobia, and about three-fourths of all agoraphobics are women.”
“Most often, people develop agoraphobia following a series of panic attacks that happen away from home....
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...rted thinking. All of which may start a cycle of fear.” Additional interesting facts that I learned are:
• Nearly 3.2 million Americans (ages 18-54) suffer from agoraphobia according to the National Institute of Mental Health.
• Although not officially part of the definition, many people suffering from agoraphobia also suffer from depression.
• Agoraphobia is caused by a combination of family environment, psychological, genetic, and personality factors.
• The onset of this disorder is usually between late teens and the mid-thirties.
• Up to four times as many women as men are diagnosed with agoraphobia.
• Agoraphobia is not physically dangerous! That is the key here. The symptoms are those of having a panic attack, which also is not physically dangerous. It is the symptoms which are frightening.
• There is no record of anyone dying of a panic attack or agoraphobia.
Agoraphobia is a psychological disorder characterised by panic and anxiety. This particular anxiety disorder involves the fear of experiencing a panic attack in a public place where safety may be unavailable, which causes discomfort (Lilienfeld, 2017). This disorder is commonly recognized in women and often arises during adolescent years. Often times, people develop agoraphobia after a previous panic attacks, which than causes them to worry about having another in the future (Agoraphobia, 2017). This results in avoidant behaviours, such as evading places where an attack may occur. There are many causes, symptoms, effects on both the individual with the disorder and their loved ones, as well as a variety of treatments available.
Jackson would be to undergo Cognitive Behavioral Therapy (CBT). CBT is a method of psychotherapy that looks to treat psychological disorders by implementing modifications that change dysfunctional thoughts, emotions, and behavior. (Zalyte, Neverauskas, & Goodall, 2017) CBT is the most commonly used and most effective treatments for Agoraphobia. (Gloster, Wittchen, et al. 2011) In this case, therapist guided exposure during CBT will prove to be Mrs. Jackson’s best option. Self-exposure to their trigger can be difficult for phobia patients, and they will often activate avoidance behaviors which can interfere with their progress through treatment. The presence of a therapist can help to counteract this. (Hahlweg, Fiegenbaum, Frank, Schroeder, & von Witzleben, 2001).The therapist’s role in this case would be to reassure Mrs. Jackson about her safety, and identify safety behaviors that Mrs. Jackson can utilize to ensure that she is secure, such as carrying a cell phone for emergency purposes. The therapist’s feedback can help guide Ms. Jackson and promote more effective behavior by providing modeling and verbal instructions. I would recommend setting up a daily plan that included gradual exposure to the world outside of the home, with small steps being taken until Mrs. Jackson is more comfortable and can make larger and larger advances into the outside world. The therapist’s presence will help keep her accountable, and ensure that she is
A phobic disorder is marked by a persistent and irrational fear of an object or situation that presents no realistic danger. Agoraphobia is an intense, irrational fear or anxiety occasioned by the prospect of having to enter certain outdoor locations or open spaces. For example, busy streets, busy stores, tunnels, bridges, public transportation and cars. Traditionally agoraphobia was solely classified as a phobic disorder. However, due to recent studies it is now also viewed as a panic disorder. Panic disorders are characterised by recurrent attacks of overwhelming anxiety that usually occur suddenly and unexpectedly (Weiten, 1998).
A serial killer is traditional defined as the separate killings of three or more people by an individual over a certain period of time, usually with breaks between the murders. (Angela Pilson, p. 2, 2011) This definition has been accepted by both the police and academics and therefore provides a useful frame of reference (Kevin Haggerty, p.1, 2009). The paper will seek to provide the readers with an explanation of how serial killers came to be and how they are portrayed in the media.
Agoraphobia is derived from the Greek words agora, meaning “gathering place” or “assembly” which was used to describe a city’s marketplace, and phobia meaning “fear.” It literally means "fear of the marketplace." Carl Westphal first coined the term “agoraphobia” in 1871 to describe people who were afraid of large open spaces. Since then, the definition of agoraphobia has been modified and continues to develop as more research is done. (Barlow, 2002, p. 328) The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association [APA], 2013) defines the essential trait of agoraphobia as "marked, or intense, fear or anxiety triggered by the real or anticipated exposure to a wide range of situations." (p 218) It is the most common phobia. To further understand agoraphobia, this essay will explore the characteristics, causes, being a Christian with agoraphobia, and the treatments.
Severe anxiety, which can be described as an episode of terror, is referred to as a panic attack. Panic attacks can be extremely frightening. People who experience panic attacks over a prolonged time period may become victims of agoraphobia, which is a psychiatric disorder that is closely associated with the panic disorder. Patients with Agoraphobia avoid certain places or situations such as airplanes, crowded theaters, a grocery store or anyplace from which escape might be difficult. It is said that Agoraphobia can be so severe that it has made certain individuals housebound.
anxiety and panic attacks, and Obsessive-Compulsive Disorder (1). Many of these symptoms cause people to avoid contact with the outside world, thus thrusting them deeper into their fears.
Main Point 1: There are three main categories of phobias. The first category is Specific Phobias which are known as simple phobias. Specific phobias or simple phobias are usually fears about specific situations, living creatures, places, activities, or things. Examples of simple phobias is dentophobia (dentists), aerophobia (flying), claustrophobia (small spaces), and acrophobia (heights). The other two categories are Social Phobia and Agoraphobia. These two are known as complex phobias. The article “What is a Phobia?”, describes them as complex phobias because “they are linked to deep-rooted fear or anxiety about certain situations, incidents or circumstances, which make them more disabling than simple phobias.” Social phobia is also referred to as social anxiety disorder. Social phobia may be defined in which a person has an excessive and unreasonable fear of social situations. (Webmd.com) A person with social phobia finds being in social situations very difficult to handle with because of the lack of social skills or experiences that person may have. Going out to social events such as parties or functions may cause anxiety to a person with social phobia. There is that fear a person has of being embarrassed in public. People with this phobia may be afraid of a specific situation such as public speaking. Medicinenet.com defines “agoraphobia” as “a fear of being outside or otherwise being in a situation from which one either cannot escape or from which escaping would be difficult or humiliating.” The results of agoraphobia are anxiety and panic attacks. People with agoraphobia sometimes confine themselves inside their own home when symptoms are
One of the characteristics of a phobia is a feeling that is greater than the fear of a situation or object with an exaggeration of the danger associated with the said situation or even object. This persistent fear often leads to an anxiety disorder that leads an individual to develop mechanisms that ensure one avoids the object or situation that triggers the occurrence of the phobia. Phobias can have highly debilitating effects on an individual including the development of depression, isolation, substance abuse, and even suicide. Many people take phobia for granted however, it is clear that it has the potential to impair the quality of life for both the affected and the people around them. The fact that many of the phobias are manageable using
In the general population, less than five percent of people experience panic disorders, and only six percent develop agoraphobia during their lives, (MacNeil 2001). A diagnosis of panic disorder is given when panic attacks turn into a common occurrence, for no apparent reason and the person begins to change their behaviour because of the constant fear of having a panic attack. Someone suffering from agoraphobia has a fear of being somewhere where help will not be provided in case of an emergency; one third to one half of people diagnosed with panic disorders develops agoraphobia, (Hoeksema & Rector, 2011, p. 204). Research has examined two well-known ways a panic disorder with agoraphobia (PDA) can be treated: Cognitive Behavioural Therapy (CBT) (alone and combined with two other medications) and Experimental Cognitive Therapy (ECT). Examining the research allows for a comparison of each treatment, along with a discussion of implications, resulting in determining which treatment is the most effective for someone who suffers from a panic disorder with agoraphobia.
Serial killers have captivated the attention of scientists from the first signs of their existence to modern day. Interested by these killers’ inhumane actions, researchers set out to determine the cause of such graphic, horrific crimes. The brain has been brought into question regarding the motivation of these cold blooded killers. After extensive research, abnormalities of both the chemical composition and material makeup have been identified within the brains of numerous serial killers. These differences are more than mere coincidence, they are evidence that killers do not think in the same way. The killers’ drives and motives are irregular, just as their brains are. Not only are these variations interesting, but they are also crucial to the justice system in regards to the punishment of past, future, and present sequential murderers. It is important that as a society we learn the differences in the mind of a killer, and also recognize and understand them. A serial killer’s brain greatly differs in function from the average citizen’s brain due to physical variations in the brain and a different chemical makeup.
We can all agree that serial killers are unpredictable scary people but when it comes to why they kill, everyone has a different view. In my research paper I will get into the mind of a serial killer and try to figure out what exactly sets them into uncontrollable rage.
Everyone at some point have experience fear due to a situation that overwhelms us. This is an essential response of our bodies that can help us survive. However, when these fears are constant, they can disable an individual. Panic disorder (PD) it’s a mental illness that leads a person to have recurring panic attacks, (Strickland, 2001). Panic attacks in people with PD arise unexpectedly, situationally predisposed and / or by situations that remind them experienced dreadful events. PD can be categorized under two types: PD with or without agoraphobia. Agoraphobia is the fear of being in a situation or place in which the person thinks that would be difficult or embarrassing to escape. Some individuals develop agoraphobia after the first episodes of panic attacks; others acquire it years later, (Key, 2012).
People in today’s society fear many things. But for what reason do we fear these things? In almost every way, the answer to that question will be because of the media’s exaggeration of life. The media causes us to fear these things through their usage of cleverly camouflaged facts, exaggerated stories, and one-sided information.
Panic attacks are the third kind of phobia. They can change the quality of a person’s life. Someone with a phobia this bad may be shopping at the supermarket and suddenly experience dizziness and a feeling of being out of control. At that moment, the person experiences a fear of dying, with no safe place to go. When this happens more than once, the person might think they are going crazy. Someone with panic attacks soon won’t leave the house because of fear of a panic attack happening outside the house. Soon, depression s...