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Lecture notes

Clinical Psychology: Anxiety and OCD

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Full highlighted lecture notes for two anxiety / OCD lecture notes from Clinical Psych (C83CLI). Includes anxiety, Generalised Anxiety Disorder, Obsessive Compulsive Disorder, Assessment, Models and Treatment.

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ANXIETY /OCD
 Anxiety is a useful emotion in stopping us from doing dangerous things.
 However when levels of anxiety get too high, they become problematic.

Anxiety disorders

• 2%- 5% of total population

• 6% - 27% of psychiatric population

Features of Anxiety:

• Tense apprehensiveness

• Anticipation of danger or discomfort

• Elevated arousal

• Negative affect

• Uneasiness

• Future - oriented

• Accompanied by bodily sensations

Types

- PTSD
- OCD
- Specific Phobia
- Generalised Anxiety Disorder
- Social Phobia
- Panic Disorder
- Agoraphobia without panic

, MODEL OF ANXIETY:
Vulnerability


Hypervigilant


Global scanning


Behavioural Inhibition perceptual enhancement Focused attention


Interpretation


Probable harm

Benign
Anxiety Safe


Escape Avoid Cope Block



Genetic/biological vulnerability

But doesn’t explain different types of anxiety disorder



GENERALISED ANXIETY DISORDER

- Most pervasive anxiety disorder
- Ongoing excessive worry
- 2.1% general population
- Chronic - 80% report feeling anxious their whole lives
- Onset in childhood/adolescence


OBSESSIVE COMPULSIVE DISORDER

Obsessions

- Recurrent and persistent thoughts images, or impulses, that are experienced some time during the
disturbance, as intrusive and inappropriate, and cause marked anxiety or distress.
- Not excessive worries about real life problems
- Attempt to ignore, suppress or neutralise
- Recognise as product of own mind
- Rachman (2003): most common obsessions :
1) Aggressive actions (thoughts of harming/harm coming to family)
2) Sexual acts (fear of inappropriate acts/gestures)
3) Blasphemous acts (sacrilegious gestures in holy places)

Compulsions

- Repetitive behaviours or mental acts person feels driven to perform
- In response to obsession or rules which must be applied rigidly

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