10-31 Anxiety Disorders

Question 1

Dx Criteria for Panic D/O

Answer 1

–Recurrent, unexpected & disabling panic attacks
—w/ agoraphobia and/or fear of ‘nother attack
—not better explained…

Question 2

Dx Criteria for GAD

Answer 2

A. Excessive worry (more days than not) x6 mos
B. Difficult to ctrl worry
C. W/ 3+ of:
—restlessness, fatiguability, diff conc, irritability, muscles tense, sleep disturb
D. Significant impairment
E. Not drugs or dz
F. Not other d/o

Question 3

Dx Criteria for OCD

Answer 3

A. Obsessions and/or compulsions
—obsessions ego-dystonic; tries to ignore/neutralize them
—compulsions not logical
B. Time-consum, impairment
C. Not substance or dz
D. not other d/o

SPECIFIERS
—w/ insight? delusions?

Question 4

rationale for the evolutionary role of anxiety

Answer 4

protects us from attackers, evolutionarily advantageous

Question 5

Describe the role of avoidance and operant conditioning in anxiety disorders

Answer 5

—operant conditioning: reinforce or punish

—avoidance is a negative reinforcement (if I don’t do “x” I will continue not to experience “y”)

Question 6

Be familiar with multiple treatment approaches for anxiety disorders

Answer 6

PANIC D/O TX: CBT incl exposure + SSRIs; benzos only short-term
GAD TX: CBT + SSRIs or SNRIs
OCD: CBT + clomipramine, fluoxetine, fluvoxamine; psychosurg

Question 7

psychotic to neurotic spectrum: where are anxiety d/o’s?

Answer 7

neurotic end