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PSYCH > 5 Anxiety Disorders & OCD > Flashcards

5 Anxiety Disorders & OCD Flashcards

1
Q

What is normal anxiety? (2)

A
  1. ) A normal response to the threat of injury

2. ) A normal response to developmental changes

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2
Q

Who experiences anxiety?

A

everyone!

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3
Q

Normal anxiety is an __ __.

A

emotional process

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4
Q

Anxiety, which is an __ process, is a warning of __ and __ threat

A

adaptive

internal; external

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5
Q

What are examples of internal and external threats? (5)

A
  1. Bodily damage/ pain
  2. Possible punishment
  3. Separation from loved ones
  4. Threats to status or success
  5. Threats to unity or wholeness
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6
Q

Anxiety prompts a person to take necessary steps to prevent __ or __ __.

A

threat

lessen consequences

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7
Q

Does this describe fear or anxiety?

Deal with a threat

A

Anxiety

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8
Q

Does this describe fear or anxiety?

More insidious (not quite clear, uneasy feeling)

A

Anxiety

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9
Q

Does this describe fear or anxiety?

Uncertainty to the outcome

A

Anxiety

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10
Q

Does this describe fear or anxiety?

More sudden

A

Fear

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11
Q

Does this describe fear or anxiety?

Diffuse, unpleasant vague sense of apprehension

A

Anxiety

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12
Q

Does this describe fear or anxiety?

An alerting signal

A

Anxiety

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13
Q

Does this describe fear or anxiety?

Warnings of impending danger

A

Anxiety

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14
Q

Does this describe fear or anxiety?

Response to a known, external, or known threat

A

Fear

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15
Q

Does this describe fear or anxiety?

Response to an unknown or vague threat

A

Anxiety

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16
Q

Is this fear or anxiety?

“Thinking about going in the battlefield”

A

Anxiety

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17
Q

Is this fear or anxiety?

“Bullet whizzing by your head”

A

Fear

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18
Q

Is this fear or anxiety?

The impending - what is going to POSSIBLY happen

A

Anxiety

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19
Q

Is this fear or anxiety?

IN THE MOMENT

A

Fear

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20
Q

What are AUTONOMIC symptoms of anxiety? (13)

A
  1. Muscle tension
  2. Headache
  3. Perspiration
  4. Palpitations
  5. Tightness in the chest
  6. Stomach discomfort
  7. Restlessness
  8. Uneasiness
  9. Dizziness
  10. SOB
  11. Insomnia
  12. Feeling weak in the knees
  13. Loss of Appetite
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21
Q

What BEHAVIORAL symptom of anxiety does this describe?

  1. ) Staying awake, alert more
  2. ) seeing if there is danger around
  3. ) Got your guard up
A

Vigilance

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22
Q

Other general BEHAVIORAL symptoms of anxiety include __ or ___ behaviors

A

cautious ; avoidant

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23
Q

What are COGNITIVE symptoms of anxiety?

A

Changes and/or distortions in:

  1. ) thinking
  2. ) perception
  3. ) learning
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24
Q

What are examples of changes/distortions in thinking, perception, learning? (3)

A
  1. Time and Space
    (ex: “it felt like forever”)
  2. Persons and meaning of events
  3. Selective attention
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25
Q

Anxiety is considered ABNORMAL or PATHOLOGICAL when: (2)

A
  1. It is out of proportion to the situation that is creating it
  2. Interferes with social, occupational, or other important areas of function
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26
Q

What differs between Normal vs. Pathologic Anxiety? (4)

A
  1. Intensity and duration
  2. Trigger
  3. Emotional Response
  4. Coping
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27
Q

__ __ are the most common of all psychiatric disorders

A

Anxiety disorders

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28
Q

1 in __ people meet diagnostic criteria for at least one anxiety disorder

A

4

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29
Q

Are anxiety disorders more common in women or men?

What is the ratio?

A

Women

2 to 1

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30
Q

50% report onset of anxiety disorder in __ or __

A

childhood

adolescence

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31
Q

35% of healthy people report having had a __ __ in the past year

A

panic attack

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32
Q

Anxiety disorders: 12-month prevalence of __%

A

18%

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33
Q

DSM 5 Anxiety Disorders ( 10)

A
  1. Separation Anxiety Disorder
  2. Selective Mutism
  3. Specific Phobia
  4. Social Anxiety Disorder (Social Phobia)
  5. Panic Disorder
  6. Agoraphobia
  7. Generalized Anxiety Disorder
  8. Substance/Medication-Induced Anxiety Disorder
  9. Anxiety Disorder Due to another medical condition
  10. Other specified anxiety disorder
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34
Q

Give two examples of medical conditions that can cause anxiety disorder:

A
  1. Pheochromoctyoma

2. Hyperthyroidism

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35
Q

Neurobiology of Anxiety Disorders:

Norepinephrine -

A

increased

- poorly regulated noradrenergic system

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36
Q

Neurobiology of Anxiety Disorders:

Cortisol -

A

increased

- hypothalamic-pituitary-adrenal axis

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37
Q

Neurobiology of Anxiety Disorders:

Serotonin -

A

decreased

- increased turnover in prefrontal cortex, nucleus accumbent, amygdala, and later hypothalamus

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38
Q

Neurobiology of Anxiety Disorders:

Gamma Aminobutyric Acid (GABA)

A

decreased

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39
Q

Neurobiology of Anxiety Disorders:

Corticotropin-Releasing Hormone (CRH) -

A
  • mediates the stress response

CRH increased activates HPA (hypothalamic-pituitary-adrenal axis) and increased release of cortisol and DHEA

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40
Q

Neuroanatomy of Anxiety:

______ is the primitive center of the brain and says “Is this a threat?”

A

Amygdala

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41
Q

Neuroanatomy of Anxiety :

What role does the hippocampus play?

A

memory related to fear responses

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42
Q

Neuroanatomy of Anxiety :

What is the role of the locus ceruleus?

A

Arousal

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43
Q

Neuroanatomy of Anxiety:

Role of the brainstem?

A

respiratory activation, heart rate

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44
Q

Neuroanatomy of Anxiety:

Role of the frontal cortex?

A

cognitive interpretations

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45
Q

Neuroanatomy of Anxiety:

Role of the thalamus?

A

integration of sensory stimuli

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46
Q

Neuroanatomy of Anxiety:

Role of the basal ganglia?

A

tremor

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47
Q

Neuroanatomy of Anxiety

Role of the Hypothalamic-Pituitary-Adrenal Axis (HPA) ?

A

increased cortisol levels

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48
Q

Panic disorder is characterized by __ __ __

A

recurrent panic attacks

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49
Q

What is a panic attack?

A

An abrupt surge of intense fear or intense discomfort that reaches a peak within minutes

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50
Q

Is the onset of a panic disorder predictable or unpredictable?

A

unpredictable

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51
Q

Panic disorder is manifested by __ __, __ or __

A

intense apprehension
fear
terror

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52
Q

Panic disorder is associated with feelings of __ __

A

impending doom

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53
Q

Someone with panic disorder experiences intense __ __

A

physical discomfort

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54
Q

Must there always be a trigger for panic disorders?

A

no

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55
Q

A.) Give examples of a panic response.

B.) Give an example of an emotional response

A

A.) Move, duck, freeze, fight back

B.) Fear

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56
Q

How many % of adults and adolescents experience a 12 month prevalence of panic disorder?

A

2-3%

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57
Q

Is panic disorder more common in males or females?

Ratio?

A

Females

2:1

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58
Q

There is a __ prevalence of panic disorder in children under 14

A

low

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59
Q

For panic disorder, there is a gradual __ in adolescence and __ in adulthood

A

increase

peaks

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60
Q

There is a __ in the prevalence of panic disorder in older adults over 64

A

decline

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61
Q

What is the median age for the onset of panic disorder?

A

20-24

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62
Q

What are the four categories of predisposing factors of panic disorder?

A
  1. Genetics
  2. Biological
  3. Neurochemical
  4. Psychosocial
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63
Q

Predisposing factors for Panic Disorder: Genetics

Concordance rates for identical twins is __ %

Risk for the disorder in a close relative is __-__%

A

30%

10-20%

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64
Q

Predisposing factors for Panic Disorder: Biological

The neuroanatomical pathological involvement are located in the:
1.
2.

there is an abnormal regulation of __ __ __

A
  1. limbic system
  2. hippocampus

brain noradrenergic systems

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65
Q

Predisposing factors for Panic Disorder: Neurochemical

Increased ___
Decreased __ and __

A

norepinephrine

GABA; Serotonin

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66
Q

Predisposing factors for Panic Disorder: Psychosocial

Childhood experiences of __ and __ __

___ in the months preceding their first panic attack

A

sexual; physical abuse

stressors

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67
Q

Comorbidities associated with Panic Disorder (9)

A
  1. other anxiety disorders like agoraphobia
  2. major depressive disorder
  3. bipolar disorder
  4. etoh abuse
  5. cardiac arrhythmias
  6. hyperthyroidism
  7. asthma
  8. COPD
  9. irritable bowel syndrome
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68
Q

Most effective treatments for panic disorders:

A

pharmacotherapy and CBT

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69
Q

Treatment of Panic disorders;
Pharmacotherapy -

What are the 2 drugs approved for treatment of panic disorder by the FDA?

A

Xanax (Alprazolam) and

Paxil (Paroxetine)

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70
Q

Treatment of Panic disorders;
Pharmacotherapy -

All ___ are effective for panic disorder

A

SSRI’s

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71
Q

Treatment of Panic disorders;
Pharmacotherapy -

You want to use __ until SSRI is effective
Then, taper __ slowly over __-__ weeks

Have pt on SSRI for __-__ months

Provide _____

A

benzodiazepines

benzo
4-10 weeks

6-12 months

psychoeducation

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72
Q

Prolonged use of benzodiazepines can cause pt to __ __ and cause __/__

A

develop tolerance

addiction/dependency

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73
Q

Name 7 nursing interventions for someone with panic disorder:

A
  1. Stay with client to offer reassurance
  2. Calm non-threatening directive approach
  3. Low stimuli
  4. Administer medication as ordered
  5. When anxiety is reduced, begin to explore etiology
  6. Teach signs and symptoms of escalating anxiety
  7. Teach coping mechanisms (deep breathing)
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74
Q

A fear cued by the presence or anticipation of a specific object or situation is

A

phobia

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75
Q

What are 3 phobic disorders ?

A
  1. Agoraphobia - a condition in which people avoid ordinary places and activities for fear of a panic attack
  2. Social Anxiety Disorder (Social Phobia)
  3. Specific phobia
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76
Q

Prevalence of Specific Phobia

  1. 12-month prevalence __-__%
  2. __% in children
  3. __% in 13-17 y/o’s
  4. Older individuals __-__%
  5. Females to male ratio:
A
  1. 7-9%
  2. 5%
  3. 16%
  4. 3-5%
  5. 2:1
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77
Q

Course of Specific Phobia

  1. Develops following…
  2. Usually develops in…
  3. Children may express fear by…
A
  1. a traumatic event
  2. early childhood prior to age 10
  3. crying, tantrums, freezing, or clinging
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78
Q

Excessive fears are common in children but are usually __ and only __ __

A

temporary

mildly impairing

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79
Q

Specific phobia is characterized by …

A

fear of specific objects or situations that could conceivably cause harm

80
Q

The reaction of specific phobia is __, __, and __

A

excessive
unreasonable
inappropriate

81
Q

Specific phobia must interfere or restrict:

A

activities of daily living

82
Q

In specific phobia, fear or anxiety is circumscribed to the presence of a particular __ or __

A

situation

object

83
Q

In specific phobia, the individual ___ avoids the situation or object

A

actively

84
Q

What are the treatments for specific phobia? (5)

A
  1. behavior therapy
  2. psychotherapy
  3. hypnosis
  4. supportive therapy
  5. family therapy
85
Q

Treatment for specific therapy: Behavior therapy

What specific type of therapy is used here?

A

Exposure therapy - which consists of systematic desensitivation and flooding

86
Q

Treatment for specific therapy: Psychotherapy

What specific type of therapy is used here?

A

insight oriented therapy

87
Q

Name this disorder.
Characterized by an excessive fear or situations in which a person might do something embarrassing or be evaluated negatively by others.

A

social anxiety disorder (social phobia)

88
Q

In social anxiety disorder (social phobia), fear may be defined such as __ __

A

performance anxiety

89
Q

In social anxiety disorder (social phobia), person has marked intense fear of __ __

A

social situations

90
Q

Prevalence of social anxiety disorder:

  1. 12 month prevalence __% in adults and children
  2. Prevalence __ with age
  3. Higher in __
A
  1. 7%
  2. decreases
  3. Females
91
Q

Course of social anxiety disorder:

  1. Median age of onset __
  2. Onset may follow a __ __ such as __.
  3. Onset in adulthood is __
A
  1. 13
  2. stressful event; bullying
  3. rare
92
Q

Psychotherapy and pharmacotherapy treatment for social phobia:
(4)

A
  1. SSRI’s
  2. Benzodiazepines
  3. SNRI (Effexor, Venlafaxine)
  4. Buspar (Bupspirone)
93
Q

Treatment for social phobia associated with performance (2)

A
  1. Beta blockers Inderal (Propanolol), Tenormin (Atenolol)

2. Ativan (Lorazepam) or Xanax (Alprazolam)

94
Q

Name this disorder.

Characterized by fear of being in places or situations from which escape might be difficult.

A

Agoraphobia

95
Q

In agoraphobia, there is marked anxiety or fear of the following situations:
(6)

A
  1. using public transportation
  2. being in open spaces
  3. being in closed spaces
  4. standing in line or being in a crowd
  5. being outside of the home alone
  6. fear or not having control
96
Q

Prevalence of Agoraphobia

  1. 12 month prevalence is __ % in adolescents and adults
  2. 2 to 1 ratio of __ to __
A
  1. 1.7%

2. females to males

97
Q

Course of Agoraphobia

  1. Onset of symptoms usually in the __ -__’s
  2. Course typically __ and __
  3. Impairment can be __
A
  1. 20-30’s
  2. persistent; chronic
  3. severe
98
Q

Name this Disorder.

Characterized by persistent unrealistic and excessive chronic free-floating worry and anxiety

A

Generalized anxiety disorder (GAD)

99
Q

GAD occurs…

A

more days than not for at least 6 months

100
Q

GAD is not attributable to __ __ __

A

specific organic factors

101
Q

Symptoms of GAD cause clinically significant __ or __ in __, __, or other important areas of functioning.

A

distress; impairment

social; occupational

102
Q

Anxiety in Generalized Anxiety Disorder is associated with: (6)

A
  1. restlessness or feeling keyed up or on edge
  2. being easily fatigued
  3. difficulty concentrating or mind going blank
  4. irritability
  5. muscle tension
  6. sleep disturbance
103
Q

12 month Prevalence of GAD

  1. __% among adolescents
  2. __% among adults
  3. Lifetime prevalence is __
A
  1. 0.9%
  2. 2.9%
  3. 9.0%
104
Q

Prevalence of GAD:

Females are __ as likely to develop

A

twice

105
Q

Prevalence of GAD:

peaks in __ __

A

middle age

106
Q

GAD course:

  1. __ symptoms are common
  2. ___ complaints
  3. often __
  4. Frequent __ related exacerbations
A
  1. depressive
  2. somatic
  3. chronic
  4. stress
107
Q

“Period prevalence” is the proportion of a population that…

Which people are included in this period?

A

has the condition at some time during a given period (ex: 12-month prevalence)

People who already have the condition at the start of the study period as well as those who acquire it during that period.

108
Q

What are the treatments of GAD?

A

A.) Psychotherapy which includes:

  1. CBT
  2. Supportive
  3. Insight oriented psychotherapy

B.) Pharmacotherapy

109
Q

What are the drug classes used to treat GAD?

A
  1. SSRI’s
  2. Benzodiazepines
  3. Buspar (Buspirone) - anti-anxiety medication
110
Q

Which SSRI’s are used to treat GAD?

A
  1. Paxil (Paroxetine)
  2. Lexapro (Escitalopram)
  3. Cymbalta (Duloxetine)
  4. Effexor (Venlafaxine)

FDA Approved

111
Q

Which benzodiazepines are used to treat GAD?

A
  1. Xanax (Alprazolam)
  2. Ativan (Lorazepam)
  3. Klonipin (Clonazepam)
112
Q

In substance/medication-induced anxiety disorder, anxiety or panic are a direct result of the physiological consequences of:
(4)

A
  1. intoxication
  2. withdrawal
  3. exposure to a medication
  4. substance
113
Q

The involved substance in substance/ medication-induced anxiety disorder has to be capable of __ __

A

producing symptoms

114
Q

List the associated substances involved in substance/medication-induced anxiety disorder
(10)

A
  1. alcohol
  2. caffeine
  3. cannabis
  4. phencyclidine
  5. other hallucinogen
  6. opioid
  7. sedative, hypnotic or anxiolytic
  8. amphetamine (or other stimulant)
  9. cocaine
  10. other (or unknown) substance
115
Q

These associated substances are substances in the …

A

DSM 5 that carry codes for the disorder

116
Q

In Anxiety Disorder Due to Another Medical Condition, what are the predominant clinical symptoms?

A

panic or anxiety

117
Q

In Anxiety Disorder Due to Another Medical Condition, symptoms (of anxiety) are best explained the…

A

associated physical condition

118
Q

In Anxiety Disorder Due to Another Medical Condition, the __ __ precedes __

A

medical condition

anxiety

119
Q

What medical conditions are known to include anxiety? (5)

A
  1. Endocrine disease
  2. Cardiovascular Disorders
  3. Respiratory Illness
  4. Metabolic disturbances
  5. Neurologic disorders
120
Q

During your assessment of anxiety disorders it is important to distinguish between what two things?

A

anxiety disorders and a medical condition

121
Q

During the assessment of anxiety disorders, what are your disease differentials? (6)

A
  1. Cardiovascular
  2. Pulmonary
  3. Neurological
  4. Endocrine
  5. Drug Intoxications/Drug Withdrawal
  6. Other conditions
122
Q

Name 6 anxiety screening tools

A
  1. Generalized Anxiety Disorders Scale (GAD-7)
  2. Beck Anxiety Inventory (BAI)
  3. Hamilton Anxiety Rating Scale (HAM-A)
  4. Burns Anxiety Inventory (BAI)
  5. Zung Self-Rating Anxiety Scale
  6. State-Trate Anxiety Inventory (STAI)
123
Q

GAD-__ subscale (+) go on to GAD-7

Score of __ or more on the GAD-7 or __ or more on the GAD-__ warrant further assessment

A

2

8
3

2

124
Q

Anti-anxiety agents are considered __ treatments, or treatments in addition to the primary treatment

A

adjunctive

125
Q

Anti-anxiety agents are usually given in __ situation with use until __ takes effect

A

acute

SSRI

126
Q

Do anti-anxiety agents have a rapid or slow onset of action?

A

rapdi

127
Q

Benzodiazepines enhance ___

A

GABA

128
Q

What are two other types of anti-anxiety agents besides benzodiazepines?

A
  1. Antihistamines Vistaril (Hydroxyzine)

2. Buspar (Buspirone) onset of action delayed

129
Q

Name 7 Benzodiazepines

A
  1. Chloridiazepoxide (Librium)
  2. Clonazepam (Klonipin)
  3. Clorazepate (Tranxene)
  4. Diazepam (Valium)
  5. Lorazepam (Ativan)
  6. Oxazepam (Serax)
  7. Xanax (Alprazolam)
130
Q

Benzos must be…

A

tapered slowly and cautiously

131
Q

Withdrawal from benzos can be ___-______

A

life-threatening

132
Q

Benzodiazepine caution in the __

A

elderly

133
Q

Extreme caution/contraindicated in individuals with __ __ __

A

substance abuse histories

134
Q

What are benzodiazepine side effects? (9)

A
  1. Confusion
  2. Drowsiness
  3. Lethargy
  4. May aggravate symptoms of depression
  5. Orthostatic hypotension
  6. Paradoxical excitement
  7. Potentiates side effects of other CNS depressants (ETOH)
  8. Psychological and physical dependence
  9. Tolerance
135
Q

Name 6 different SSRI’s

A
  1. Paxil (Paroxetine/Paroxetine CR)
  2. Prozac (Fluoxetine)
  3. Zoloft (Sertraline)
  4. Celexa (Citalopram)
  5. Lexapro (Escitalopram)
  6. Luvox (Fluvoxamine)
136
Q

SSRI’s are first line agents for __ __ __

A

chronic anxiety disorders

137
Q

SSRI’s act on the __ system and indirectly on __

A

serotonin

GABA

138
Q

SSRI’s take __-__ __ to reach symptom control

A

3-4 weeks

139
Q

SSRI’s work best when combined with ___

A

psychotherapy

140
Q

What are 5 common side effects to SSRI’s ?

A
  1. Initial activation, anxiety, insomnia
  2. GI: Nausea, diarrhea
  3. Sleepiness
  4. Emotional Flattening
  5. Sexual side effects: decreased libido and difficulty reaching orgasm
141
Q

SNRI’s are …

A

dual serotonin and norepinephrine reuptake inhibitors

142
Q

name 2 examples of SNRI’s

A
  1. Effexor (Venlafaxine)

2. Cymbalta (Duloxetine)

143
Q

4 common side effects to SNRI’s

A
  1. sexual dysfunction
  2. weight gain
  3. sedation
  4. increased BP (Venalfaxine)
144
Q

8 nursing interventions for anxiety disorders

A
  1. stay with the client
  2. offer reassurance of safety and security
  3. maintain a calm directive approach to talk about symptoms
  4. simple words, brief messages spoken calmly and clearly to explain hospital experiences
  5. teach diaphragmatic breathing
  6. low stimuli
  7. administer PRN meds as ordered, assess for effectiveness and side effects
  8. teach relaxation techniques
145
Q

Obsessive-Compulsive disorder is characterized by the presence of __, __ or both the severity of which is significant enough to cause __ or __

A

obsession
compulsions

distress; impairment

146
Q

In OCD, individual ____ that the behavior is excessive or unreasonable

A

recognizes

147
Q

What are common compulsions? (5)

A
  1. hand washing
  2. ordering
  3. counting
  4. praying
  5. repeating words (silently)
148
Q

Define obsession

A

a recurrent and intrusive thought, feeling, idea, or sensation

149
Q

Define compulsion

A

a conscious standardized, recurrent behavior

Ego-dystonic-unwanted, appears irrational

150
Q

12 month prevalence of OCD

A

1.2%

151
Q

Does OCD occur more frequently in males or females?

A

equally common in men and women

152
Q

what is the mean age of onset for OCD?

A

19.5 y/o

153
Q

How many % of cases of OCD start by age 14?

A

25%

154
Q

__ have an earlier onset of OCD than ___

A

males

females

155
Q

Is the onset of OCD usually rapid or gradual?

A

gradual

156
Q

If left untreated, OCD can become __

A

chronic

157
Q

OCD is often complicated by __ or __ __

A

depression

substance abuse

158
Q

Name 6 DSM 5 Obsessive-Compulsive Disorders

A
  1. Hoarding disorder
  2. Excoriation (Skin Picking) Disorder
  3. Substance/Medication Induced Obsessive-Compulsive and Related Disorder
  4. Obsessive-Compulsive and Related Disorder Due to Another Medical Condition
  5. Other Specified Obsessive-Compulsive and Related Disorder
  6. Unspecified Obsessive-Compulsive and Related Disorder
159
Q

What are 4 types of OCD treatments?

A
  1. Pharmacotherapy
  2. Behavior therapy
  3. Family therapy particularly in childhood
  4. group
160
Q

Name 2 Pharmacotherapy treatments for OCD

A
  1. SSRI

2. Anafranil (Clomiprimine)

161
Q

Name 4 behavior therapy treatment for OCD

A
  1. Desensitization
  2. thought stopping
  3. flooding
  4. aversive conditioning
162
Q

If treatment resistant, what 4 other options are there to treat OCD?

A
  1. ECT
  2. Cingulotomy
  3. Capsulotomy
  4. Deep brain stimulation
163
Q

__ dosing may need to be higher in the treatment of OCD

A

SSRI

164
Q

For someone with OCD, person is __ by whatever they are doing

A

disturbed

165
Q

Name this disorder:

Exaggerated belief that the body is deformed or defective in some specific way

A

Body Dysmorphic Disorder (BDD)

166
Q

BDD is/ is not observable to others ?

A

is not

167
Q

In BDD, individual performs repetitive behaviors __ __, __ __, __ __

A

mirror checking
excessive grooming
reassurance seeking

168
Q

In BDD, __ causes clinically significant distress and impairment

A

preoccupation

169
Q

Muscle dysmorphia is mostly common in __

A

males

170
Q

Prevalence of BDD in females

A

2.5%

171
Q

Prevalence of BDD in males

A

2.2%

172
Q

Prevalence of BDD in dermatology patients

A

9-15%

173
Q

Prevalence of BDD in cosmetic surgery (US)

A

7-8%

174
Q

Prevalence of BDD in international cosmetic surgery

A

3-16%

175
Q

Prevalence of BDD in adult orthodontia patients

A

8%

176
Q

Prevalence of patients presenting for maxillofacial surgery

A

10%

177
Q

mean age of onset of BDD

A

16-17

178
Q

subclinical symptoms of BDD being on average at age

A

12-13

179
Q

course of BDD is acute/or chronic?

A

chronic

180
Q

rates of __ __ and __ are high in both children/adolescents and adults with BDD

A

suicidal ideation

attempts

181
Q

Name this Disorder.

Characterized by the recurrent pulling out of one’s hair

A

Tricotillomania or Hair-Pulling disorder

182
Q

In Tricotillomania, patient has had __ __ to stop

A

repeated attempts

183
Q

Tricotillomania causes clinically significant __ or __

A

distress; impairment

184
Q

12 month prevalcne for trichotillomania in adults and adolescents

A

1-2%

185
Q

Are males or females more affected by trichotillomania?

ratio?

A

females

ratio : 10:1

186
Q

Onset of trichotillomania is usually

A

puberty

187
Q

usual course of trichotillomania is __

A

chronic

188
Q

pharmacotherapy for BDD

A
  1. Anafranil (Clomiprimine)

2. Prozac (Fluoxetine)

189
Q

pharmacotherapy for trichotillomania

A
  1. SSRI’s augmented with pimozide

2. Olanzapine

190
Q

Name this disorder.
excessively saving items that others may view as worthless

Having persistent difficulty getting rid of or parting with possessions

leads to clutter that disrupts their ability to use their living or work spaces

A

hoarding disorder

191
Q

prevalence of hoarding disorder

A

2-5% of the population

192
Q

In hoarding disorder, patient has impaired __, __, and other important areas of functioning

A

social

occupational

193
Q

Potential consequences of hoarding disorder include:

A

health and safety concerns
fire hazards
tripping hazards
health code violations

194
Q

hoarding disorder is associated with

A

family strain and conflicts
isolation
loneliness

195
Q

in hoarding disorder, patient is unwilling to have anyone else …

A

enter the home

196
Q

in hoarding disorder, patient is not able to perform …

A

daily tasks such as cooking and bathing in the home

197
Q

8 nursing diagnoses associated with anxiety and OCDs

A
  1. panic anxiety
  2. powerlessness
  3. fear
  4. social isolation
  5. ineffective coping
  6. ineffective role performance
  7. disturbed body image
  8. ineffective impulse control

PSYCH (9 decks)

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