ANXIETY & OBSESSIVE-COMPULSIVE DISORDERS

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anxiety s/s

can include feeling apprehensive or nervous, restlessness, irritability, anticipating the worst, avoidance of triggers, and physiological manifestations (increased HR and RR, sweating, fatigue, difficulty concentrating, GI issues, and sleep disturbances). can be present in any/all anxiety disorders.

separation anxiety

experiencing developmentally inappropriate and excessive fear or anxiety upon separation from those to whom they are attached. clients can be reluctant to leave who they are attached to, have nightmares, and show physical manifestations of stress.

selective mutism

demonstrating consistent failure to speak in specific social situations in which there is an expectation for speaking. client may be not able to speak during school even when spoken to and show difficulty with academic and social achievement as well as with regular communication.

phobias

experiencing marked fear and anxiety upon exposure to a specific object or situation. examples can include animals, nature, heights, inoculations, and blood.

social anxiety

experiencing marked fear and anxiety upon exposure to social situations and the potential for scrutiny associated with them. can include meeting new people, being observed eating or drinking, and performing in front of others. thoughts can ruminate on being embarrassed, humiliated, rejected, or on offending others

panic disorder

experiencing distinct and extreme periods of physiologic and psychologic hyperarousal. is usually unexpected and occurs for no apparent reason. attacks may be an aspect. results in changed behaviors such as the avoidance of situations, people, or events that may trigger an attack and worrying that another attack will occur. attacks are time limited and include a peak of intensity of fear or anxiety.

agoraphobia

experiencing marked fear and anxiety upon exposure to circumstances associated with travel or location. common situational causes include closed or open spaces (from elevators to parks) and leaving home alone. fear and anxiety focus on not being able to escape or have a way out, as well as being embarrassed or incapacitated. the result of this disorder is avoiding the situation or requiring others to navigate the situation.

generalized anxiety disorder (GAD)

experiencing excessive anxiety and worry in response to numerous situations and circumstances. the cause of anxiety is varied and can include work, school, relationships, and performing in front of others. feelings of fear, worry, and anxiety are experienced almost daily and interfere with all areas of life.

substance/medication induced anxiety disorder

experiencing manifestations of anxiety, fear, and worry in relation to either exposure to or withdrawal from a substance or medication.

medical condition induced anxiety disorder

experiencing manifestations of anxiety directly related to a medical condition. common medical causes of anxiety include COPD, HF, and hyperthyroidism.

obsessive compulsive disorder (OCD)

experiencing a pattern of uncontrollable obsessive thought and associated compulsive behaviors or rituals. manifestations of behaviors can include cleaning, hand washing, ordering or counting objects, and taboo or forbidden thoughts.

body dysmorphic disorder (BDD)

experiencing a persistent preoccupation with perceived defects or flaws on one’s physical appearance. manifestations of behaviors can include mirror checking, excessive grooming, skin picking, and seeking reassurance about looks. manifestation of thoughts can include comparing oneself to others, weight or muscle formation consisting of belief that their body type or form is insufficient or incorrect, and eating (possibly showing ED).

hoarding disorder

demonstrating a persistent difficulty or inability to discard or part with possessions. differs from collecting as symptoms result in excess accumulation of possessions that clutter and overwhelm living areas.

trichotillomania (the t one)

demonstrating a pattern of ritualized behavior defined by serially and intentionally pulling out one’s hair. behaviors are triggered by boredome and/or anxiety. results of behavior reduce tension, lead to forms of gratification, and pleasure or a sense of relief.

excoriation disorder

demonstrating a pattern of behavior defined by the recurrent picking at one’s skin, resulting in lesions. physical manifestations are commonly found on hands, face, arms, or multiple body sites. client may pick pimples, scabs, or previously picked areas of the skin. client uses fingers, tweezers, or rubbing. extensive time is spent daily on picking and the client may attempt to cover their lesions with clothing or makeup.

substance/medication induced obsessive-compulsive and related disorder

encountering a pattern of obsessive-compulsive manifestations in relation to either exposure to or withdrawal from a substance or medication.

medical condition induced obsessive-compulsive and related disorder

encountering a pattern of obsessive-compulsive manifestations in relation to the presence of a specific medical condition.