Mental Health Quiz #4
● Anxiety at the moderate to severe level that remains unresolved over an
extended period can lead to a number of physiological disorders, e.g., migraine
headaches, irritable bowel syndrome, and cardiac arrhythmias.
● Walter Cannon
○ Developed Fight(Aggression) or Flight(Withdrawl) Response
○ Body prepares for situation for survival
○ Men and women have different neutral responses to stress
● Hans Selye
○ Developed Stages of Stress (GAS: General Adaptation Syndrome)
■ 1st Stage: Alarm/Acute: Body reacts to stressor
■ 2nd Stage: Resistance/Adaptation: Body is coping with stressor
■ 3rd Stage: Exhaustion: Body is going back to normal
○ Claim there is a difference between bad/good stress
● Example of bad stress (distress):
○ Negative, draining energy
■ Anxiety, depression, fatigue
○ Stressors: Losses, demands, worries
● Example of good stress (eustress):
○ positive, beneficial energy
○ Motivates results: hope, joy
○ Purposeful movement
■ Stressors: uplifting, fun, fulfilling
● Birth of a child
● Much needed vacation
● Favorite physical activities
■ Neurotransmitter - Stress Response
● Serotonin Synthesis
● More active
● Immune System Stress Response
○ Interaction between nervous system and immune system during ALARM stage
○ Negative effect on the body's ability to produce protective factors
● Stressors
○ Physical: Infection, hunger, pain
○ Psychological: Traumatic event that has happened, excessive cold/heat
● Measuring Stress
○ SRRS (Social Readjustment Rating Scale)
■ Measures level of positive & negative stressful life events over 1-year
, ○ Recent Life Changes Questionnaire
■ Revised version of SRRS
● 6-month >300
● 1 year >500
Self assessment before you interact with patient*
● Managing Stress Through Relaxation Techniques
○ Progressive relaxation- moving your shoulders up and down
○ Biofeedback – Gain conscious control over unconscious body functions
○ Guided imagery - Think of images that are peaceful. Envision a peaceful
relaxing place.
○ Meditation/mindfulness – Create awareness of self and mental activity
from moment to moment
■ EX: Mind we set back and relax
○ Physical exercise
○ Cognitive reframing: Change perception by removing irrational thoughts
○ Journaling
○ Humor
Slides on exam: 30, 31
● Anxiety
○ Epidemiology
○ Comorbidity
○ Etiology
○ Levels
■ Mild
■ Moderate
■ Severe
■ Panic
Levels of Anxiety
● Mild anxiety
● Occur in Everyday problem-solving leverage
● Grasps more information effectively
● May help individual understand information better
● Seldom a problem, Increase ability to perceive reality
● Acceptable, allows individual to focus
● Sxs: Nail biting, foot or finger tapping, fidgeting
● Moderate anxiety
● Selective inattention
● Clear thinking hampered
● Anxiety at the moderate to severe level that remains unresolved over an
extended period can lead to a number of physiological disorders, e.g., migraine
headaches, irritable bowel syndrome, and cardiac arrhythmias.
● Walter Cannon
○ Developed Fight(Aggression) or Flight(Withdrawl) Response
○ Body prepares for situation for survival
○ Men and women have different neutral responses to stress
● Hans Selye
○ Developed Stages of Stress (GAS: General Adaptation Syndrome)
■ 1st Stage: Alarm/Acute: Body reacts to stressor
■ 2nd Stage: Resistance/Adaptation: Body is coping with stressor
■ 3rd Stage: Exhaustion: Body is going back to normal
○ Claim there is a difference between bad/good stress
● Example of bad stress (distress):
○ Negative, draining energy
■ Anxiety, depression, fatigue
○ Stressors: Losses, demands, worries
● Example of good stress (eustress):
○ positive, beneficial energy
○ Motivates results: hope, joy
○ Purposeful movement
■ Stressors: uplifting, fun, fulfilling
● Birth of a child
● Much needed vacation
● Favorite physical activities
■ Neurotransmitter - Stress Response
● Serotonin Synthesis
● More active
● Immune System Stress Response
○ Interaction between nervous system and immune system during ALARM stage
○ Negative effect on the body's ability to produce protective factors
● Stressors
○ Physical: Infection, hunger, pain
○ Psychological: Traumatic event that has happened, excessive cold/heat
● Measuring Stress
○ SRRS (Social Readjustment Rating Scale)
■ Measures level of positive & negative stressful life events over 1-year
, ○ Recent Life Changes Questionnaire
■ Revised version of SRRS
● 6-month >300
● 1 year >500
Self assessment before you interact with patient*
● Managing Stress Through Relaxation Techniques
○ Progressive relaxation- moving your shoulders up and down
○ Biofeedback – Gain conscious control over unconscious body functions
○ Guided imagery - Think of images that are peaceful. Envision a peaceful
relaxing place.
○ Meditation/mindfulness – Create awareness of self and mental activity
from moment to moment
■ EX: Mind we set back and relax
○ Physical exercise
○ Cognitive reframing: Change perception by removing irrational thoughts
○ Journaling
○ Humor
Slides on exam: 30, 31
● Anxiety
○ Epidemiology
○ Comorbidity
○ Etiology
○ Levels
■ Mild
■ Moderate
■ Severe
■ Panic
Levels of Anxiety
● Mild anxiety
● Occur in Everyday problem-solving leverage
● Grasps more information effectively
● May help individual understand information better
● Seldom a problem, Increase ability to perceive reality
● Acceptable, allows individual to focus
● Sxs: Nail biting, foot or finger tapping, fidgeting
● Moderate anxiety
● Selective inattention
● Clear thinking hampered
