6. Anxiety (87%) Flashcards
Lorsqu’un patient se présente pour des symptômes d’anxiété, distinguez clairement la différence entre quoi et quoi?
la détresse ponctuelle (p. ex., peur, nervosité, inquiétude) du trouble anxieux.
Pour traiter l’anxiété, offrez le traitement approprié, qui peut inclure quoi ? (6)
- Techniques d’autogestion
- Suivi régulier à votre bureau
- Ressources communautaires
- Thérapies structurées (thérapie cognitivocomportementale, psychothérapie)
- Pharmacothérapie judicieuse
- Orientation vers d’autres professionnels de la santé avec soins partagés continus
Lorsque vous évaluez et traitez l’anxiété, discutez de l’automédication néfaste avec quoi ?
avec de l’alcool et autres substances.
Name screening tool for generalized anxiety disorder
GAD-7
Name psy DDX of anxiety (7)
- Generalized Anxiety Disorder
- Panic Disorder
- Agoraphobia
- Social Phobia
- Obsession
- Compulsions
- PTSD
Name criterias for Panic Disorder
> = 4
STUDENTS FEAR the 3 Cs
* Sweating
* Trembling
* Unsteadiness, dizziness
* Depersonalization, Derealization
* Excessive heart rate, palpitations
* Nausea
* Tingling
* Shortness of breath
* Fear of dying, losing control, going crazy
* 3 Cs: Chest pain, Chills, Choking
Describe : Agoraphobia
Marked fear or anxiety about two (or more) of the following five situations:
* Using public transportation (e.g., automobiles, buses, trains, ships, planes).
* Being in open spaces (e.g., parking lots, marketplaces, bridges).
* Being in enclosed places (e.g., shops, theaters, cinemas).
* Standing in line or being in a crowd.
* Being outside of the home alone.
Lasting for 6 months or more.
Name criterias for GAD
plus ou = 3
C-FIRST
* Concentration issues
* Fatigue
* Irritability
* Restlessness
* Sleep disturbance
* Tension (muscle)
Name Diagnostic Criteria for Phobic Disorders (4)
- sposure to stimulus almost invariably provokes an immediate anxiety response; may present as a panic attack
- person recognizes fear as excessive or unreasonable
- situations are avoided or endured with anxiety/distress
- significant interference with daily routine, occupational/social functioning, and/or marked distress
> 6 months
Name criteria : Obsessive-Compulsive Disorder
A. presence of obsessions, compulsions, or both obsessions are defin ned by (1) and (2)
* (1) recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and cause marked anxiety or distress in most individuals
* (2) the individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e. by performing a compulsion; see below)
compulsions are defined by (1) and (2)
* (1) repetitive behaviours (i.e. hand washing, ordering, checking) or mental acts (i.e. praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly
* (2) behaviours mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviours or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive
Name : Criteria for Post-Traumatic Stress Disorder
TRAUMA
* Traumatic event
* Re-experience the event
* Avoidance of stimuli associated with the trauma
* Unable to function
* More than a Month
* Arousal increased
* + negative alterations in cognition and mood
Name medical DDX of anxiety (7)
- Cardiovascular: Myocardial Infarction, Arrhythmia, CHF, valvulopathy
- Respiratory: Pulmonary Embolism, Asthma/COPD
- Endocrine: Hyperthyroidism, hypoglycemia
- Metabolic: Vitamin B12, porphyria
- Neurologic: TBI
- Medication-induced
- Substance-induced: Intoxication (caffeine, stimulants) or withdrawal (benzodiazepines, alcohol)
Name investigations : Anxiety (6)
Consider
- CBC
- Electrolytes, Fasting glucose
- TSH, LFTs
- Lipid profile
- UA, urine toxicology for substance abuse
- EKG for arrhythmia
