Psychology DSM 5 Anxiety Disorders Q&A Discussion

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DSM-5: Anxiety Disorders

1.What is the essential feature of separation anxiety disorder? What is the necessary duration of symptoms? (p. 190-1)

2.What is involved in a specific phobia (Criteria A)? Examples? How do the terms “almost always,” “actively avoided or endured,” and “out of proportion” apply? Duration? (p. 197-8)

3.What are the first 2 DSM criteria for social anxiety disorder (social phobia)? Note the terms “almost always,” “avoided/endured,” and “out of proportion.” What is the “performance only” specifier? (p. 202)

4.Are the panic attacks in panic disorder expected or unexpected? Is one attack sufficient? In addition to panic attacks, what else has to occur for 1 or more months (Criterion B)? What has o be “ruled out” to arrive at the diagnosis of panic disorder (Criterion D)? (p. 208-9)

5.What are a couple of psychoactive substances that can produce panic attacks? (p. 213)

6.What are some of the major symptoms of a panic attack? How many symptoms are required? How quickly does it reach its peak? When are panic attacks used as a specifier? (p. 214)

7.Differentiate between expected and unexpected panic attacks. (p. 215)

8.What are 2 types of settings/situations involved in agoraphobia? What is the source of perceived threat for a person with agoraphobia? Note the strategies of avoidance, companion, or endurance. What is meant by “panic-like symptoms”? (p. 217-8)

9.What are characteristics of generalized anxiety disorder? (p. 222) How does this diagnosis seem different from specific phobia or social anxiety disorder?

10.When is a diagnosis of substance/medication-induced anxiety disorder given? (p. 226) (See “Associated Features” p. 228-9). When does “anxiety disorder due to another medical condition” apply? (230)

Reichenberg, Chapter 6, Anxiety Disorders

1.Why is it important to involve parents in the treatment of children with separation anxiety disorder? What therapeutic intervention is the “treatment of choice” for childhood anxiety disorders? (Pg. 179)

2.What are the most effective treatment approaches for phobias? What are some common components of exposure based treatments (e.g., use of hierarchy, relaxation)? Are extended 3-hour sessions useful? (Pg.186-187) Learn about the following terms in class videos: How is “external exposure” utilized in the agoraphobia video (elevator, subway, bus) and snake phobia video? Give a specific example of “habituation” in treatment. Use the terms “long enough” and “often enough” is your description (e.g., the person must remain in the situation “long enough” for anxiety to reach a peak and then decline and to repeat the exposure “often enough” for the anxiety to extinguish). How was habituation demonstrated in the elevator video or snake video? How is “expectancy violation” demonstrated in the videos (e.g., Sedata’s believed she would get trapped and die if she was in an elevator, however that expectation was violated. Therefore, her cognitions were revised to see elevators as less threatening.).

3.What is the concern about the use of medication in treating phobias and other anxiety disorders? (Pg. 188)

4.How treatable are specific phobias compared to other anxiety disorders? (Pg. 188)

5.How common is social anxiety disorder? (Pg. 188)

6.What are a couple of preferred characteristics of a therapist working with social anxiety disorder? Describe the components of the treatment plan for social anxiety disorder. (Pg. 191)

7.How common are panic attacks? How many people meet the criteria for panic disorder? (Pg. 194)

8.How can therapists help by “normalizing,” reassuring, and providing psychoeducation? (Pg. 195)

9.What is the treatment of choice for panic disorder? What is involved in psychoeducation, interoceptive exposure, and cognitive restructuring? (Pg. 196) Be prepared to discuss interoceptive (internal) exposure in class (e.g., creating panic-like sensations by spinning in a chair, rapid breathing, brisk exercise, breathing through straw). See handout in class about how to create panic-like symptoms. What is helpful about evoking these sensations (e.g., person gets accustomed to and learns to cope with these symptoms and realizes that, while uncomfortable, they are not dangerous)?

10.What is the most effective treatment for GAD? What are a couple of cognitive and behavioral components? (Pg. 204)

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Anxiety Disorders Questions
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DSM-5; Anxiety Disorders
Question 1
The essential feature of separation anxiety disorder is excessive fear and anxiety associated with
separation from primary attachment figures or home. The stress surpasses that which is expected
for the individual developmental level. A diagnosis is made in individuals showing symptoms for
up to 4weeks in children and adolescents, 6months or more for adults. The fear in this time must
have caused significant functional impairment to be considered.
Question 2
Specific phobia involves unreasonably excessive fear and anxiety caused when an individual is
confronted with a given situation or object. Examples of phobias experienced are; phobia for
dogs, heights, needles, aeroplanes or even costumed characters to say the least. The term "almost
always" refers to the number of times interaction with the feared item anxiety. Whereas the end
'actively avoided or endured" is the action taken by an individual with a phobia towards the
specific object. The term "out of proportion" refers to how the reaction to the object causing the
dread is considered. Phobias last for at least 6months or more.
Question 3
The first DSM criteria for social anxiety disorder is the avoidance or enduring social situations
with a lot of anxiety. The ...

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