[Extreme fear of abandonment]Threat to self-concept[Excessive use of projection (attributing own thoughts and feel-●[Transient psychotic symptoms in response to severe stress, DefiDefiUnconscious confl[Depersonalization (feelings of unreality)]panied by an autonomic response (the source often nonspecifiUnmet needsunknown to the individual); a feeling of apprehension caused by an-ticipation of danger. It is an alerting signal that warns of impending danger and enables the individual to take measures to deal with threat.Possible Etiologies (“related to”)[Derealization (a feeling that the environment is unreal)]^ development]munication patterns, disorientation, misinterpretation of the ings to others)]environment]manifested by disorganized thinking, confusion, altered com-ANXIETY (SEVERE TO PANIC) nition: ning Characteristics (“evidenced by”) Vague uneasy feeling of discomfort or dread accom- icts [associated with fiPersonality Disorders xation in earlier level of ●^ c or^285
2506_Ch16_275-309.indd 0285 2506 Ch 16 275 - 309 .indd Short-term GoalClient will demonst rate use of relaxat ion techniques to maintain anxiety at manageable level.Long-term GoalClient will be able to recognize events that precipitate anxiety and intervene to prevent disabling behaviors.Interventions with 0 1. Symptoms of depersonalization often occur at the panic level [Acts of self-mutilation in an effort to fiGoals/Objectives 28 of unreality] 5 relieve the anxiety. Being able to feel pain or see blood is a resort to cutting or other self-mutilating acts in an effort to discourage repetition of the maladaptive behavior.reinforcement for this behavior. for the wounds in a matter-of-fact manner without providing of anxiety. Clients with borderline personality disorder often reassurance of existence to the person. If injury occurs, care Selected RationalesLack of reinforcement may nd relief from feelings 1 10/1/10 9:36:58 AM 0 / 1 / 10 9 : 36 : 58 AM
