Summary of Fear and Anxiety


Fear and Anxiety Disorders
Fear and anxiety both produce similar responses to certain dangers.  Fear pertains more to that which is known and anxiety more to the unknown.

DOOR of FEAR

Generalized anxiety disorder: is a common, long-lasting anxiety disorder when a person has been excessively worried about an everyday problem for six months or more. A person can experience random relentless fear and worry and become overly concerned with everyday matters. It is chronic excessive worry accompanied by three or more of the following symptoms: restlessness, fatigue, concentration problems, irritability, muscle tension, and sleep disturbance".
          
              Trigger: is something that sets off a memory sending the person back to the
                event of her/his original trauma.

Separation anxiety disorder: is the feeling of excessive and unacceptable levels of anxiety over being separated from a person or place. Separation anxiety is a normal part of development in babies or children, and it is only when this feeling is excessive or inappropriate that it can be considered a disorder.

Social anxiety disorder: (aka social phobia) describes an intense fear and avoidance of negative public embarrassment, humiliation, or social interaction. This fear can be specific to particular social situations (such as public speaking) or, more typically, is experienced in most (or all) social interactions. In severe cases can lead to complete social isolation.

Situational anxiety: is caused by new situations or changing events. It can also be caused by various events that make that particular individual uncomfortable. Its occurrence is very common. Often, an individual will experience panic attacks or extreme anxiety in specific situations. For example, some people become uneasy in crowds or tight spaces, so standing in a tightly packed line, say at the bank or a store register, may cause them to experience extreme anxiety, possibly a panic attack. Others, however, may experience anxiety when major changes in life occur, such as entering college, getting married, having children, etc.

Panic attack: a person has brief attacks of intense terror and apprehension, often marked by trembling, shaking, confusion, dizziness, nausea, and/or difficulty breathing. These panic attacks, defined by fear or discomfort that abruptly arises and peaks in less than ten minutes, can last for several hours. Attacks can be triggered by stress, irrational thoughts, general fear or fear of the unknown, or even exercise. However sometimes the trigger is unclear and the attacks can arise without warning. To help prevent an attack one can avoid the trigger. This being said not all attacks can be prevented.
Phobias:  A specific obsessive fear of a certain object, situation, or activity. Phobias are characterized by their specificity and their irrationality.

Agoraphobia: is the specific anxiety about being in a place or situation where escape is difficult or embarrassing or where help may be unavailable. It is strongly linked with panic attacks and is often caused by the fear of having a panic attack. A common manifestation involves needing to be in constant view of a door or other escape route.

Chronophobia: it can be caused by a traumatic experience in one's childhood, genetics, in prison, or old age. Most traumatic experiences can lead to personal withdrawals from one's surroundings such as dissociation. The stress of prison makes inmates especially at risk. The elderly also exhibit more of a risk because they feel that death is closer than it had ever been before in their life. The threat of death can cause an overwhelming sensation of chronophobia.

Post-traumatic stress disorder:  PTSD can result from an extreme situation, such as combat, natural disaster, rape, hostage situations, child abuse, bulling, or even a serious accident. It can also result from long-term (chronic) exposure to a severe stressor, for example, soldiers who endure individual battles but cannot cope with continuous combat. Common symptoms include hypervigilance[1], flashbacks, avoidant behaviors, anxiety, anger and depression. In addition, individuals may experience sleep disturbances. 

Dissociative disorders: Is a condition that involves disruptions or breakdowns of memory, awareness, and identity. The dissociation is used as a defense against trauma.

Dissociation: is an ability to escape ‘within oneself’ during a traumatic event – saving the memories and emotions associated with those events as if it had never occurred. It is similar to the minds ability to simply ‘forget’; and to the ‘repression’ of memories - but is a much more advanced form of this: “The memories are actively pushed out of the Childs mind into a separate, hidden, split off unconscious mental space.”  Dissociation can happen during the trauma or later on when thinking about or being reminded of the trauma. ... Dissociation commonly goes along with traumatic events and PTSD.

Dissociating: The difference between dissociation and dissociating:
When people are dissociating they disconnect from their surroundings, which can stop the trauma memories and lower fear, anxiety and shame. When you’re driving down the road and you suddenly realize you missed your exit or maybe you’re not quite sure where it is because you developed the “white line trance” you’re dissociating

Amnesia: is a partial or total loss of memory.

Dissociative Amnesia: Dissociative amnesia has been linked to overwhelming stress, which may be caused by traumatic events such as war, abuse, accidents, or disasters. The person may have suffered the trauma or just witnessed it.

Fugue: A loss of awareness of one's identity, often coupled with flight from one's usual environment, associated with certain forms of hysteria and epilepsy.

Dissociative fugue: One or more episodes of amnesia in which the inability to recall some or all of one's past and either the loss of one's identity or the formation of a new identity occur with sudden, unexpected, purposeful travel away from home.

Psychosis: is an abnormal condition of the mind that results in difficulties telling what is real and what is not. Loss of reality. Symptoms may include false beliefs and seeing or hearing things that others do not see or hear. Other symptoms may include incoherent speech and behavior that is inappropriate for the situation. There may also be sleep problemssocial withdrawal, lack of motivation, and difficulties carrying out daily activities.
Psychosis has many different causes. These include mental illness, such as schizophrenia or bipolar disordersleep deprivation, some medical conditions, certain medications, and drugs such as alcohol or cannabis. One type, known as postpartum psychosis, can occur after childbirth.  

Reality: is all of physical existence, as opposed to that which is merely imaginary.

Empathy: is the capacity to understand or feel what another person is experiencing from within their frame of reference, i.e., the capacity to place oneself in another's position. There are many definitions for empathy that encompass a broad range of emotional states.

Apathy: lack of interest, enthusiasm, or concern.



[1] Hypervigilance is an enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect activity.