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6 - Anxiety Disorders

Published online by Cambridge University Press:  22 July 2021

Audrey Walker
Affiliation:
Albert Einstein College of Medicine, New York
Steven Schlozman
Affiliation:
Harvard Medical School
Jonathan Alpert
Affiliation:
Albert Einstein College of Medicine, New York
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Summary

Anxiety is a common human emotion and is experienced by all people at some point in life. It is characterized by a state of apprehension about a perceived threat or potentially dangerous situation. In addition, fear is a negative emotion caused by the belief that someone or something is dangerous, likely to cause pain, or a threat. At mild to moderate levels, anxiety can be adaptive, motivating, and can help improve performance and attention. For example, prior to a significant life event such as an important test or presentation, some individuals may experience anxiety, which could serve as a motivator to work harder and perform better. Similarly, fear can be an adaptive response when one is confronted with a life-threatening situation, and a fight or flight response to danger is present and adaptive across many animal species. However, for some, anxiety or fear may be overwhelming, distressing, and interfere with functioning. This may require a person to seek treatment depending on the level of interference and could also result in the development of a psychiatric condition.

Type
Chapter
Information
Introduction to Psychiatry
Preclinical Foundations and Clinical Essentials
, pp. 128 - 145
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Selected Readings

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, DSM-IV-TR, 4th edition (text revision). Washington, DC: American Psychiatric Publishing.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Arlington, VA: American Psychiatric Publishing.Google Scholar
Borkovec, T. D., Newman, M. G., Pincus, A. L., and Lytle, R. (2002). A Component Analysis of Cognitive-Behavioral Therapy for Generalized Anxiety Disorder and the Role of Interpersonal Problems. Journal of Consulting and Clinical Psychology, 70, 288298.CrossRefGoogle ScholarPubMed
Heimberg, R. G., Salzman, D. G., Holt, C. G., and Blendell, K. A. (1993). Cognitive-Behavioral Group Treatment for Social Phobia: Effectiveness at Five-Year Followup. Cognitive Therapy and Research, 17, 325339.CrossRefGoogle Scholar
Kessler, R. C., Berglund, P., et al. (2005). Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593602.CrossRefGoogle ScholarPubMed
McHugh, R. K., Smits, J. A., and Otto, M. W. (2009). Empirically Supported Treatments for Panic Disorder. Psychiatric Clinics of North America, 32, 593610.CrossRefGoogle ScholarPubMed
Pollack, M. H., Otto, M. W., Roy-Byrne, P. P., et al. (2008). Novel Treatment Approaches for Refractory Anxiety Disorders. Depression and Anxiety, 25, 467476.CrossRefGoogle ScholarPubMed
Stein, M. B., and Steckler, T. (2010). Behavioral Neurobiology of Anxiety and Its Treatment. New York: Springer.CrossRefGoogle ScholarPubMed

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