5. Anxiety, Obsessive-Compulsive, Trauma/Stressor Flashcards
Most common form of psychopathology
Anxiety
Vitamin deficiency that causes anxiety
Vitamin B12
Length of time it takes for SSRIs to work
4-6 weeks
*Higher doses usually required for anxiety than when treating depression
Patient has comorbid anxiety and depression, the administration of what class of drug for anxiety may worsen depression
Benzodiazepines
First line for anxiety
SSRIs
Benzo MOA
Enhance activity of GABA at GABA-A receptor
Non-addicting anxiolytic alternatives to benzos
Diphenhydramine
Hydroxyzine
MOA Buspirone
5-HT1A partial agonist
*not very efficacious
Good class of drugs for panic attacks of performance anxiety
Propranolol
*Beta-blockers
Psychodynamic therapy
Facilitates the understanding and insight into the development of anxiety…ultimately increases anxiety tolerance
Pharm goal for anxiety
Symptomatic relief.
Continue treatment for at least 6 months before attempting to titrate off medications
Risk factor for panic attacks
Smoking
Agoraphobia
Fear of fear
Avoidance behaviors that become so severe that patient is homebound
Potentially life-threatening medical conditions that need to be ruled out when patient presents with a panic attack
Heart attack
Thyrotoxicosis
Thromboembolism
Most common psychiatric disorder in women
phobias