What Coronavirus Fears Are Doing to People with Anxiety Disorders
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Benzodiazepines: Uses and Risks Charlie Reznikoff, MD Hennepin Healthcare
Benzodiazepines: Uses and Risks Charlie Reznikoff, MD Hennepin healthcare 4/22/2020 Overview benzodiazepines • Examples of benzos and benzo like drugs • Indications for benzos • Pharmacology of benzos • Side effects and contraindications • Benzo withdrawal • Benzo tapers 12/06/2018 Sedative/Hypnotics • Benzodiazepines • Alcohol • Z-drugs (Benzo-like sleeping aids) • Barbiturates • GHB • Propofol • Some inhalants • Gabapentin? Pregabalin? 12/06/2018 Examples of benzodiazepines • Midazolam (Versed) • Triazolam (Halcion) • Alprazolam (Xanax) • Lorazepam (Ativan) • Temazepam (Restoril) • Oxazepam (Serax) • Clonazepam (Klonopin) • Diazepam (Valium) • Chlordiazepoxide (Librium) 4/22/2020 Sedatives: gaba stimulating drugs have incomplete “cross tolerance” 12/06/2018 Effects from sedative (Benzo) use • Euphoria/bliss • Suppresses seizures • Amnesia • Muscle relaxation • Clumsiness, visio-spatial impairment • Sleep inducing • Respiratory suppression • Anxiolysis/disinhibition 12/06/2018 Tolerance to benzo effects? • Effects quickly diminish with repeated use (weeks) • Euphoria/bliss • Suppresses seizures • Effects incompletely diminish with repeated use • Amnesia • Muscle relaxation • Clumsiness, visio-spatial impairment • Seep inducing • Durable effects with repeated use • Respiratory suppression • Anxiolysis/disinhibition 12/06/2018 If you understand this pharmacology you can figure out the rest... • Potency • 1 mg diazepam <<< 1 mg alprazolam • Duration of action • Half life differences • Onset of action • Euphoria, clinical utility in acute -
Managing Anxiety Through Childhood Social-Emotional
MANAGING ANXIETY THROUGH CHILDHOOD SOCIAL-EMOTIONAL DEVELOPMENT by Adriane Hannah Dohl B.A., The University of British Columbia, 2008 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (School Psychology) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) October 2013 © Adriane Hannah Dohl, 2013 Abstract School professionals are implementing a universal social-emotional learning program for children in Kindergarten and Grade 1 (aged 4-6 years) in many schools across the province with training and funding provided by the government. The Fun FRIENDS (Barrett, 2007) program focuses on increasing social-emotional learning and promotes coping techniques and resiliency in order to prevent the onset of behavioural and emotional disorders (Pahl & Barrett, 2007). Preliminary results (Pahl & Barrett, 2007, 2010) have highlighted the effectiveness of the Fun FRIENDS program in reducing anxiety in children. The present study utilized a quasi-experimental design to evaluate the effectiveness of the Fun FRIENDS program in reducing anxiety and promoting social-emotional competence among a sample of Kindergarten and Grade 1 students (N = 33) in a British Columbia school district. Results revealed a significant decrease in program participants’ anxiety symptoms as rated by teachers when compared with those in the control group. Teachers also reported that children who participated in the program had significant increases in social-emotional skills, while those in the control group’s skills remained the same. However, overall, children in the control group had significantly higher social-emotional skills, as rated by teachers. No significant results were found for parent rated levels of anxiety or social-emotional skills of children enrolled in either condition. -
About Emotions There Are 8 Primary Emotions. You Are Born with These
About Emotions There are 8 primary emotions. You are born with these emotions wired into your brain. That wiring causes your body to react in certain ways and for you to have certain urges when the emotion arises. Here is a list of primary emotions: Eight Primary Emotions Anger: fury, outrage, wrath, irritability, hostility, resentment and violence. Sadness: grief, sorrow, gloom, melancholy, despair, loneliness, and depression. Fear: anxiety, apprehension, nervousness, dread, fright, and panic. Joy: enjoyment, happiness, relief, bliss, delight, pride, thrill, and ecstasy. Interest: acceptance, friendliness, trust, kindness, affection, love, and devotion. Surprise: shock, astonishment, amazement, astound, and wonder. Disgust: contempt, disdain, scorn, aversion, distaste, and revulsion. Shame: guilt, embarrassment, chagrin, remorse, regret, and contrition. All other emotions are made up by combining these basic 8 emotions. Sometimes we have secondary emotions, an emotional reaction to an emotion. We learn these. Some examples of these are: o Feeling shame when you get angry. o Feeling angry when you have a shame response (e.g., hurt feelings). o Feeling fear when you get angry (maybe you’ve been punished for anger). There are many more. These are NOT wired into our bodies and brains, but are learned from our families, our culture, and others. When you have a secondary emotion, the key is to figure out what the primary emotion, the feeling at the root of your reaction is, so that you can take an action that is most helpful. . -
Fear, Anger, and Risk
Journal of Personality and Social Psychology Copyright 2001 by the American Psychological Association, Inc. 2001. Vol. 81. No. 1, 146-159 O022-3514/01/$5.O0 DOI. 10.1037//O022-3514.81.1.146 Fear, Anger, and Risk Jennifer S. Lemer Dacher Keltner Carnegie Mellon University University of California, Berkeley Drawing on an appraisal-tendency framework (J. S. Lerner & D. Keltner, 2000), the authors predicted and found that fear and anger have opposite effects on risk perception. Whereas fearful people expressed pessimistic risk estimates and risk-averse choices, angry people expressed optimistic risk estimates and risk-seeking choices. These opposing patterns emerged for naturally occurring and experimentally induced fear and anger. Moreover, estimates of angry people more closely resembled those of happy people than those of fearful people. Consistent with predictions, appraisal tendencies accounted for these effects: Appraisals of certainty and control moderated and (in the case of control) mediated the emotion effects. As a complement to studies that link affective valence to judgment outcomes, the present studies highlight multiple benefits of studying specific emotions. Judgment and decision research has begun to incorporate affect In the present studies we follow the valence tradition by exam- into what was once an almost exclusively cognitive field (for ining the striking influence that feelings can have on normatively discussion, see Lerner & Keltner, 2000; Loewenstein & Lerner, in unrelated judgments and choices. We diverge in an important way, press; Loewenstein, Weber, Hsee, & Welch, 2001; Lopes, 1987; however, by focusing on the influences of specific emotions rather Mellers, Schwartz, Ho, & Ritov, 1997). To date, most judgment than on global negative and positive affect (see also Bodenhausen, and decision researchers have taken a valence-based approach to Sheppard, & Kramer, 1994; DeSteno et al, 2000; Keltner, Ells- affect, contrasting the influences of positive-affect traits and states worth, & Edwards, 1993; Lerner & Keltner, 2000). -
Dysphoria As a Complex Emotional State and Its Role in Psychopathology
Dysphoria as a complex emotional state and its role in psychopathology Vladan Starcevic A/Professor, University of Sydney Faculty of Medicine and Health Sydney, Australia Objectives • Review conceptualisations of dysphoria • Present dysphoria as a transdiagnostic complex emotional state and assessment of dysphoria based on this conceptualisation What is dysphoria? • The term is derived from Greek (δύσφορος) and denotes distress that is hard to bear Dysphoria: associated with externalisation? • “Mixed affect” leading to an “affect of suspicion”1,2 1 Sandberg: Allgemeine Zeitschrift für Psychiatrie und Psychisch-Gerichtl Medizin 1896; 52:619-654 2 Specht G: Über den pathologischen Affekt in der chronischen Paranoia. Festschrift der Erlanger Universität, 1901 • A syndrome that always includes irritability and at least two of the following: internal tension, suspiciousness, hostility and aggressive or destructive behaviour3 3 Dayer et al: Bipolar Disord 2000; 2: 316-324 Dysphoria: associated with internalisation? • Six “dysphoric symptoms”: depressed mood, anhedonia, guilt, suicide, fatigue and anxiety1 1 Cassidy et al: Psychol Med 2000; 30:403-411 Dysphoria: a nonspecific state? • Dysphoria is a “nonspecific syndrome” and has “no particular place in a categorical diagnostic system”1; it is neglected and treated like an “orphan”1 1 Musalek et al: Psychopathol 2000; 33:209-214 • Dysphoria “can refer to many ways of feeling bad”2 2 Swann: Bipolar Disord 2000; 2:325-327 Textbook definitions: dysphoria nonspecific, mainly internalising? • “Feeling -
Neuroticism and Fear of COVID-19. the Interplay Between Boredom
ORIGINAL RESEARCH published: 13 October 2020 doi: 10.3389/fpsyg.2020.574393 Neuroticism and Fear of COVID-19. The Interplay Between Boredom, Fantasy Engagement, and Perceived Control Over Time Barbara Caci1*, Silvana Miceli1, Fabrizio Scrima2 and Maurizio Cardaci1 1Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy, 2Département de Psychologie, Université de Rouen, Moint Saint-Aignan, France The Italian government adopted measures to prevent the spread of coronavirus 2019 (COVID-19) infection from March 9, 2020, to May 4, 2020 and imposed a phase of social Edited by: distancing and self-isolation to all adult citizens. Although justified and necessary, Joanna Sokolowska, University of Social Sciences and psychologists question the impact of this process of COVID-19 isolation on the mental Humanities, Poland health of the population. Hence, this paper investigated the relationship between Reviewed by: neuroticism, boredom, fantasy engagement, perceived control over time, and the fear of Cinzia Guarnaccia, University of Rennes 2 – Upper COVID-19. Specifically, we performed a cross-sectional study aimed at testing an Brittany, France integrative moderated mediation model. Our model assigned the boredom to the mediation Martin Reuter, role and both the fantasy engagement and perceived control of time to the role of University of Bonn, Germany moderators in the relationship between neuroticism and the fear of COVID-19. A sample *Correspondence: Barbara Caci of 301 subjects, mainly women (68.8%), aged between 18 and 57 years (Mage = 22.12 years; [email protected] SD = 6.29), participated in a survey conducted in the 1st-week lockdown phase 2 in Italy from May 7 to 18, 2020. -
The Influence of Fear on Emotional Brand Attachment
Journal of Consumer Research, Inc. The Impact of Fear on Emotional Brand Attachment Author(s): Lea Dunn and JoAndrea Hoegg Source: Journal of Consumer Research, Vol. 41, No. 1 (June 2014), pp. 152-168 Published by: The University of Chicago Press Stable URL: http://www.jstor.org/stable/10.1086/675377 . Accessed: 07/07/2014 15:03 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact [email protected]. The University of Chicago Press and Journal of Consumer Research, Inc. are collaborating with JSTOR to digitize, preserve and extend access to Journal of Consumer Research. http://www.jstor.org This content downloaded from 128.189.82.95 on Mon, 7 Jul 2014 15:03:06 PM All use subject to JSTOR Terms and Conditions The Impact of Fear on Emotional Brand Attachment LEA DUNN JOANDREA HOEGG The current research investigates the role of fear in the creation of emotional attachment to a brand. Previous research examining the influence of incidental negative emotions on brand evaluations has generally found that negative emotions lead to negative evaluations. The current research suggests that for fear, the relationship may be more positive. Since people cope with fear through affiliation with others, in the absence of other individuals, consumers may seek affiliation with an available brand. -
A Review Essay of Christine Tappolet's Emotions, Values, and Agency
Philosophical Psychology ISSN: 0951-5089 (Print) 1465-394X (Online) Journal homepage: http://www.tandfonline.com/loi/cphp20 Are emotions perceptions of value (and why this matters)? A review essay of Christine Tappolet’s Emotions, Values, and Agency Charlie Kurth, Haley Crosby & Jack Basse To cite this article: Charlie Kurth, Haley Crosby & Jack Basse (2018): Are emotions perceptions of value (and why this matters)? A review essay of Christine Tappolet’s Emotions, Values, and Agency, Philosophical Psychology, DOI: 10.1080/09515089.2018.1435861 To link to this article: https://doi.org/10.1080/09515089.2018.1435861 Published online: 22 Feb 2018. Submit your article to this journal View related articles View Crossmark data Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=cphp20 PHILOSOPHICAL PSYCHOLOGY, 2018 https://doi.org/10.1080/09515089.2018.1435861 Are emotions perceptions of value (and why this matters)? A review essay of Christine Tappolet’s Emotions, Values, and Agency Charlie Kurth, Haley Crosby and Jack Basse Department of Philosophy, Washington University in St. Louis, St. Louis, USA ABSTRACT ARTICLE HISTORY In Emotions, Values, and Agency, Christine Tappolet develops a Received 14 August 2017 sophisticated, perceptual theory of emotions and their role in Accepted 23 August 2017 wide range of issues in value theory and epistemology. In this KEYWORDS paper, we raise three worries about Tappolet’s proposal. Emotion; perceptual analogy; motivation; sentimentalism Introduction Christine Tappolet’s Emotions, Values, and Agency (Tappolet, 2017) provides a rich, provocative, and highly accessible defense of a perceptual theory of emotion. On her account, emotions are perceptual experiences of evaluative properties: to be disgusted by the maggot infested meat is, quite literally, to perceive the meat as disgusting—to see it as something to be rejected or avoided. -
Fear Selectively Modulates Visual Mental Imagery and Visual Perception
Fear Selectively Modulates Visual Mental Imagery and Visual Perception The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Borst, Grégoire and Stephen M. Kosslyn. 2010. Fear selectively modulates visual mental imagery and visual perception. Quarterly Journal of Experimental Psychology 63(5): 833-839. Published Version doi:10.1080/17470211003602420 Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:5139180 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Open Access Policy Articles, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#OAP Fear, Mental Imagery, and Perception p.1 Fear Selectively Modulates Visual Mental Imagery and Visual Perception Grégoire Borst* and Stephen M. Kosslyn* *Department of Psychology, Harvard University, 33 Kirkland street, Cambridge, MA 02138, USA Running Head: Fear, Mental Imagery, and Perception Word count: 2725 words (excluding references) Corresponding author: Grégoire Borst Harvard University Department of Psychology William James Hall 836 33 Kirkland street Cambridge, Massachusetts 02138 USA Phone: 1-617-495-3773 Fax: 1-617-496-3122 Email: [email protected] Fear, Mental Imagery, and Perception p.2 Abstract Emotions have been shown to modulate low-level visual processing of simple stimuli. In this study, we investigate whether emotions only modulate processing of visual representations created from direct visual inputs or whether they also modulate representations that underlie visual mental images. Our results demonstrate that when participants visualize or look at the global shape of written words (low spatial frequency visual information), the prior brief presentation of fearful faces enhances processing whereas when participants visualize or look at details of written words (high spatial frequency visual information), the prior brief presentation of fearful faces impairs processing. -
Does Psychomotor Agitation in Major Depressive Episodes Indicate Bipolarity? Evidence from the Zurich Study
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by RERO DOC Digital Library Eur Arch Psychiatry Clin Neurosci (2009) 259:55–63 DOI 10.1007/s00406-008-0834-7 ORIGINAL PAPER Jules Angst Æ Alex Gamma Æ Franco Benazzi Æ Vladeta Ajdacic Æ Wulf Ro¨ssler Does psychomotor agitation in major depressive episodes indicate bipolarity? Evidence from the Zurich Study Received: 4 September 2007 / Accepted: 5 June 2008 / Published online: 19 September 2008 j Abstract Background Kraepelin’s partial interpre- were equally associated with the indicators of bipolarity tation of agitated depression as a mixed state of and with anxiety. Longitudinally, agitation and retar- ‘‘manic-depressive insanity’’ (including the current dation were significantly associated with each other concept of bipolar disorder) has recently been the focus (OR = 1.8, 95% CI = 1.0–3.2), and this combined of much research. This paper tested whether, how, and group of major depressives showed stronger associa- to what extent both psychomotor symptoms, agitation tions with bipolarity, with both hypomanic/cyclothy- and retardation in depression are related to bipolarity mic and depressive temperamental traits, and with and anxiety. Method The prospective Zurich Study anxiety. Among agitated, non-retarded depressives, assessed psychiatric and somatic syndromes in a unipolar mood disorder was even twice as common as community sample of young adults (N = 591) (aged bipolar mood disorder. Conclusion Combined agitated 20 at first interview) by six interviews over 20 years and retarded major depressive states are more often (1979–1999). Psychomotor symptoms of agitation and bipolar than unipolar, but, in general, agitated retardation were assessed by professional interviewers depression (with or without retardation) is not more from age 22 to 40 (five interviews) on the basis of the frequently bipolar than retarded depression (with or observed and reported behaviour within the interview without agitation), and pure agitated depression is even section on depression. -
The Effects of Anxiety, Depression, and Fear of Negative Evaluation
Running head: RECOGNITION OF FACIAL EXPRESSIONS OF EMOTION 1 Recognition of Facial Expressions of Emotion: The Effects of Anxiety, Depression, and Fear of Negative Evaluation Rachel Merchak Wittenberg University Author Note Rachel Merchak, Psychology Department, Wittenberg University. This research was conducted in collaboration with Dr. Stephanie Little, Psychology Department, Wittenberg University, and Dr. Michael Anes, Psychology Department, Wittenberg University. Correspondence concerning this article should be addressed to Rachel Merchak, 10063 Fox Chase Drive, Loveland, OH 45140. E‐mail: [email protected] RECOGNITION OF FACIAL EXPRESSIONS OF EMOTION 2 Abstract Anxiety is a debilitating disorder that can cause those suffering from it social dysfunction. This research focuses on how anxiety is associated with recognition of emotion on faces, as that may be a contributing factor to the social woes of those suffering from anxiety, both general and social. However, depression and fear of negative evaluation may also be associated with difficulty in recognizing emotions. In this study, 48 college students were presented with 60 facial expressions of emotion for either 500ms or 2s and asked to identify the emotion that was portrayed by choosing from a list of 6 possible choices: anger, disgust, fear, happiness, neutral, and sadness. Participants then completed measures of depressive and anxious (general and social) symptoms and fear of negative evaluation. Partial correlations were used to analyze the data. It was found that when depression and sex were controlled for, higher fear of negative evaluation and high social anxiety scores were correlated with better accuracy in identifying happy facial expressions. Additionally, higher general anxiety scores were marginally correlated with lower accuracy in identifying facial expressions of disgust. -
Chronic Pain, Fear of Pain and Movement Avoidance Belief Dor Crônica E a Crença De Medo Da Dor E Evitação Ao Movimento
Rev Dor. São Paulo, 2014 apr-jun;15(2):77 EDITORIAL Chronic pain, fear of pain and movement avoidance belief Dor crônica e a crença de medo da dor e evitação ao movimento DOI 10.5935/1806-0013.20140033 Dear collegues, Chronic pain has beliefs that may influence pain magnitude, acceptance of pain, adherence to treatment and incapacity worsening. Among them, there are beliefs of healing, solicitude, self-efficacy when coping with pain, and fear of pain and movement avoidance1-5. Beliefs are pre-existing, stable and culturally learned notions about situations, events, people and ideas. The way in which we “under- stand” something and the meanings we attribute to it influence our emotions and behaviors with regard to such situations, ideas and people1,2. Fear of movement is called kinesiophobia by some authors and is a situation where individuals develop exacerbated fear because they believe that movement is the cause of pain and of injury worsening, so they start avoiding movement and emphasizing immobility behaviors which result in further incapacity, dependence and disuse6. Immobility in acute and chronic pain has different reasons. In acute pain, immobility aims at healing the injury, is temporary and adaptive. In chronic pain, immobility is not justified because very often there is no injury to heal, the painful condition is prolonged and immobility leads to further functional, emotional and social disorders. Not all chronic pain individuals develop exacerbated fear of movement, and some may also deal with pain and physical activity in an adaptive manner. If painful experience is not perceived as a threat, it may be faced by the individual.