Wednesday 11 October 2017

Fear - Continuing psych notes

I am continuing with my psych notes from 1/4/17. Fear - Client suffering from anxiety disorder - increase benzpdepozine - fine tune - with drugs. Operations not feasible. Help with symptoms - don’t want to induce addiction. Fear is not always harmful. It not only energizes people, when people get frightened, they don’t feel pain. Once fear passes, pain is felt. If a wolf bites - fight it off- if in pain, not able to fight. Pain free can defend self. However, have lots of people who have never been fearful, but then exposed to experience or several beyond normal. Eg. downsizing - A Professor, 65 years of age is to be fired from hospital in next three months. Too much is coming in and therefore too much can become overwhelmed. There is nothing wrong with biology but wrong with the environment - reasonable - mortgages, salary. The other possibility is minding your own business and you get attacked underground or are subject of terrorism or war - time duration is relatively short but fear is excessive. Few people would be able to say, “oh well, bombs all over me and blowing people apart” - it would be generally overwhelming. It can generate anxiety disorder relatively quickly. It is the circumstances, not the biology. Another thing too emotionally is that learning and memory is enhanced greatly. At cognition level - the way in which people construe events eg. happen to live next to foreign speaking people - if idea is that all are terrorists and kill Canadians. If a cognition therapist is trying to change their cognitive perspective - one way is to ask for evidence. “ You think……..What evidence do you have for this?” As cognitive view changes. Anxiety goes away. Psychoanalytic will look at conflict because of ID - Ego has to repress. Gets conflicts out in open and tries to resolve it. Behavior will tend to look at specific stimuli that cause anxiety and will try to desensitize the person. Next: hierarchy Approach for psychoanalyst

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