Claustrophobia
Contributing factors: Fear of specific objects
Impaired social interaction related to fear of close spaces evidenced by fear of social isolation
Interventions : aversion therapy; relaxation therapy, exposure therapy, support groups
Planning outcomes: cope, reduce anxiety, normal thought process,
Social Anxiety disorder
Contributing factors: fear of saying something foolish in public, looking awkward while eating or
drinking, stage fright, childhood mistreatment
ineffective coping related to low self esteem as evidenced by looking awkward while eating or
drinking
Risk for anxiety related to social isolation as evidenced by stage fright
Interventions:milieu management, relaxation techniques, support groups, breathing techniques
Planning outcomes: patient will verbalize different coping mechanisms
Generalized anxiety disorder
Contributing factors: interpersonal relationships, wor
S&S: excessive worry (at least 6 months), procrastination, sleep disturbances, irritability
ineffective coping related to situation stress
Interventions: staying with patient, referral to psychiatrist, speak slowly and calmly, relieving
factors, antianxiety meds, relaxation techniques
Planning outcomes: identify what is causing the anxiety
Substance induced anxiety
Contributing factors: alcohol, cocaine, heroin, awareness of diagnosis, support system
Interventions: Administartion of correct medication, education on comfort measures, education
on…
CBT therapy, resources on support group
Planning outcomes: patient will be able to acknow
S&S: persistent worry, excessive sweating,
Agoraphobia (fear of open spaces)
Contributing factors: adverse childhood experiences, stressful life events, genetics
Ineffective coping related to fear of surroundings and external stimuli as evidenced by erratic
behavior
Interventions: Active listening, acknowledging feelings, relaxation techniques, education on
coping mechanism
Planning outcomes: patient verbalizes and acknowledges feelings, identify stressors and
relievers
Separation anxiety
Contributing factors: environment stressors, physical or sexual assault,
Impaired coping related to fear of permanent separation evidenced by
Interventions: CBT, SSRIs (older children)
Planning outcomes: will be able to successfully be separated; interact with others
S&S: headache, GI upset