I need an explanation for this Psychology question to help me study.
Respond separately these two questions: (each question no more that 100 words)
Question 1- Individuals with severe anxiety disorders may find many aspects of their lives adversely impacted. Adele experiences panic disorder that affects her career. Howie Mandel’s obsessive compulsive disorder has affected his personal life and professional life. Both pharmacological and psychological treatments are helpful in treating anxiety disorders such as these, but research indicates that they may sometimes interact. Which do you think is more effective combining drug and therapeutic treatments, or therapeutic treatment alone? Provide examples of specific treatments based on your text.
Question 2- In the video, Renee reports a number of symptoms that are consistent with anxiety disorders but may also be seen in other disorders, such as feeling guilty, ruminating, and having difficulty sleeping. What is the most common comorbid diagnosis for all anxiety disorders? How do you think this comorbidity affects recovery?
VIDEO SCRIPT:
– What types of things do you worry about?
– I worry about tons of things. Um, well, I mean I worry about the general things that I think people worry about
like
you know
like
well, maybe thats not true.
Um, I guess the future
Im big in the future Im not a really present person much
something I try to work on. Um, I always worry about the future how Im doing, how far Im getting in life – if Im succeeding.
Um, and then theres worrying about… you know, like, um, well not worry, but I have a lot of work, or am I going to get my school work done on time, or maybe financial, like that kind of thing.
But then I have the worrying about the worrying, which is not good. And I try not to, but thats my constant worry about when Im going to
have an anxiety attack, or when Im going to, um
get really tired or feel like crap, or not be able to get things done.
Um, and then I worry about, like, death. I worry about other people dying
a lot. It depends on the time period in my life, but Ill be really concerned that a family member is going to get hurt, just randomly.
Um, and then therell be the really irrational fears that are like, kind of spontaneous that I might get, like
you know, Ill be straightening my hair and then Ill think about the house burning down or, not that I left the hair straightener on…, but that, you know like, Ill quickly go through a whole situation, a blown out situation in my mind that
shouldnt even be there I dont even know what it started from. I dont know why.
– What does it feel like when your anxiety takes over?
– Yes, sometimes I just feel like I get foggy
like really foggy. Uh, like today I was working at the clinic, or shadowing for the first time, and then there hit a point when Im like
you know, for me, I like to think biologically, like, maybe Im low blood sugar. I didnt feel like eating this morning, probably because I was nervous, you know, maybe its kicking in. But now, um, now I cant concentrate.
And then, I kind of freeze for a second, and Im thinking If I have to fill out this form and theres like, so many forms I dont know if I can fill it out. And then all of a sudden
Ill
its like I cant see as well. Im going to zone out. At the wall! Im going to like, not look into space per se, but its like I literally cant even focus in with my eyes almost, you know. My vision is fine I mean I wear contacts, but its not an actual vision problem. And then, to follow it, I guess I get a tiredness
you know? Like
yeah, tired? But then, trying to figure out how to rev it up, try to clear up. Its like if you were waking up from anesthesia I guess or something
and then
you
um
yeah, like youve been drugged I guess! I guess! I dont know! And then I cant
I want to be clear – I want to be clear minded.
And theres times when Im, like foggy, or I could just say Im tired or whatever, where
I could just drink coffee. I could just drink shots of espresso and I wouldnt wake up, it just wouldnt happen. And maybe my body would start pounding and my heart would start doing something, but my brain, like, wont go. Yeah.
– When did you first know that anxiety was a major problem for you?
– And then, it hit, like, you know puberty. And I think thats when anxiety came on even stronger. Um, I would say like, up until 6th grade, I you know, I would still say that I think worried a lot more than most kids, but I wouldnt say that I felt like that true, like, you know, impacting anxiety attack. Um, and I would think that came right when puberty really hit. And I think thats when I started to feel like this kind of fear. Also guilt, guilt comes up in it a lot … which is weird you know, I dont really know what Im feeling guilty about but its like guilt mixed with fear.
– Do you separate anxiety and panic?
– I, well, I separate anxiety and panic. Um, I think of anxiety as kind of bold. I think of panic as mostly physical… which is like tightening up of the chest, sweating, my arms feel limp. Like, its scary. It just gets scary. I mean thats when people go in to the hospital because they think they are having a heart attack. It probably feels like what a heart attack feels like.
But then anxiety is different because anxiety is
if its an anxiety attack, like a full blown one, then Im confused. Im not
Ive got negative things running through my head constantly and I cant put things together and I cant focus on anything. Its like I really just want to get out of my skin and I cant. Im stuck.
– What types of medication have you tried to manage the problem?
– I took Lexapro
and it didnt do anything. And I took Prozac and it wired me
and I felt happy and I dont think I felt anxiety and I felt good. But I couldnt sleep.
And so then came the next drug. And I also couldnt concentrate its like it made my concentration worse. So it was harder for me to read, which I guess I thought was weird and I dont know if they connected it to it.
And then I found out that it is common for it to actually hurt your
concentration. So they gave me Vyvanse which my brother had been on. You know, its scary, hes a meth addict
so
not that I wanted to become one! Yeah, so its a substance thats pretty controlled and I felt great. I loved it. I barely took any. My reading speed increased so much, like I felt, normal. I felt like I could do everything, but I also probably felt a little too up, mixed with the Prozac and stuff.
I got Prozac from the psychiatrist
and I didnt take it. As soon as I started taking it, I just
I have TMJ and it busts up my jaw if I take it because Im wound pretty tight. I did start to feel a little better, but my concentration just went. Its harder for me to
At this point I guess it wouldnt matter as my focus is already pretty bad. I mean there are a few times when I can wake up and have caffeine and it will work, you know, Ill be able to study and I can focus, whether it be from anxiety or whatever, or me, myself.
– When did the issue of anxiety begin for you?
– My parents said I was always worried since birth! So, I always … I was … yeah, I was always curious about what was going on near me. I had a real desire to learn how to read because I wanted to be able to read notes that people wrote people. And I wanted to know what was going on. I was really afraid to not know what was going on. And around that time, I think was when my parents got divorced, so I had a lot of anxiety then and I tried you know Im the oldest, so I tried to watch out for my brothers, you know? My dad was really depressed about it and I had to see him go through that and so, I was constantly trying to keep tabs on everything, you know? Make sure everyone was feeling fine all the time. That kind of thing.
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