5. Anxiety, Obsessive-Compulsive, Trauma/Stressor

Question 1

Most common form of psychopathology

Answer 1

Anxiety

Question 2

Vitamin deficiency that causes anxiety

Answer 2

Vitamin B12

Question 3

Length of time it takes for SSRIs to work

Answer 3

4-6 weeks

*Higher doses usually required for anxiety than when treating depression

Question 4

Patient has comorbid anxiety and depression, the administration of what class of drug for anxiety may worsen depression

Answer 4

Benzodiazepines

Question 5

First line for anxiety

Answer 5

SSRIs

Question 6

Benzo MOA

Answer 6

Enhance activity of GABA at GABA-A receptor

Question 7

Non-addicting anxiolytic alternatives to benzos

Answer 7

Diphenhydramine

Hydroxyzine

Question 8

MOA Buspirone

Answer 8

5-HT1A partial agonist

*not very efficacious

Question 9

Good class of drugs for panic attacks of performance anxiety

Answer 9

Propranolol

*Beta-blockers

Question 10

Psychodynamic therapy

Answer 10

Facilitates the understanding and insight into the development of anxiety…ultimately increases anxiety tolerance

Question 11

Pharm goal for anxiety

Answer 11

Symptomatic relief.

Continue treatment for at least 6 months before attempting to titrate off medications

Question 12

Risk factor for panic attacks

Answer 12

Smoking

Question 13

Agoraphobia

Answer 13

Fear of fear

Avoidance behaviors that become so severe that patient is homebound

Question 14

Potentially life-threatening medical conditions that need to be ruled out when patient presents with a panic attack

Answer 14

Heart attack
Thyrotoxicosis
Thromboembolism

Question 15

Most common psychiatric disorder in women

Answer 15

phobias

Question 16

The majority of patients with selective mutism suffer from what?

Answer 16

Anxiety

Question 17

Time frame of stranger anxiety

Answer 17

Begins around 6 months and peaks around 9 months

Question 18

Time frame of separation anxiety

Answer 18

Begins at 1 year old and peaks by 18 months

Question 19

Can significantly reduce anxiety

Answer 19

Exercise

Question 20

Obsessions

Answer 20

Recurrent, intrusive, undesired thoughts that increase anxiety

Question 21

Compulsions

Answer 21

Repetitive behaviors or mental rituals

Question 22

Focuses on exposure and response prevention

Answer 22

CBT

Question 23

Egodystonic

Answer 23

OCD patients are distressed by their symptoms

Question 24

Egosyntonic

Answer 24

OCPD patients do not percieve their obsessions as an issue

Question 25

75 % of these individuals have co morbid mood or anxiety disorder

Answer 25

Hoarders

Question 26

Trichotillomania

Answer 26

Hair-pulling disorder

Question 27

Excoriation

Answer 27

Skin-picking disorder

Question 28

Drug to stop nightmares

Answer 28

Prazosin

Question 29

Difference between stressful events in adjustment disorder vs PTSD

Answer 29

Adjustment disorder: event is not life-threatening…ex. divorce, death of loved one etc.

PTSD: event is life-threatning