Anx Dis's Flashcards
Anxiety is __________oriented whereas fear is________
Future; present
Prevalence of anx disorders are
14% in Aus annually
Some of the comorbid risks associated with anx disorders are
Greater suicidality, unemployment, marital discord, greater medical costs, increased cardiovascular costs
The DSM anx disorders are
specific phobia generalised anxiety panic disorder agoraphobia social anxiety disorder
Which is INCORRECT of anx dis’d;
1. Interfere with important areas of function i.e. social, occupational etc., OR cause severe
distress
2. Not due to drug or medical condition
3. Symptoms persist for 12+ months OR 1+mth for panic disorder
4. Fears and anxieties distinct from another anx disorder
3 - 6+ months not, 12
Specific phobia - person recognises that the fear is irrational. (T/F)
True
Phobias often cluster, the two most common phobias are;
claustrophobia, acrophobia (heights).
Prepared learning refers to___________
Suggestion that we have an evolutionary advantage where the fear circuit is primed to automatically fear things that threaten life i.e. sharks vs flower
Social anxiety disorder involves person fearing;
a) being in room with many people
b) having fear of not being able to get out of crowded room
c) being negatively evaluated by others
d) none of the above
C - being negatively evaluated by others
Social anxiety disorder was classified as________ in the DSM-IV but was changed due to_________
Social phobia; social anx is MORE persistent + severe, interferes with function more than phobias do. ALTHOUGH can be both general or specific
Social anxiety is often associated with ___________ disorders. Otherwise, their coping strategies may include
MDD + alcohol abuse;
aggression, withdrawal, submission, hostility
Social anxiety clients often work in jobs below their competency because they cannot learn any new skills
T/F
False - do it bc they dont want to be criticised
Which is INCORRECT about social anxiety dis’d;
a) difficult to extinguish bc person actively avoids social settings
b) Person has unrealistically negative beliefs about the consequences of their behaviour
c) attend more to external cues than internal (social) cues
d) 30% of cases meet avoidant PD criteria, with symptom onset around adolescence
C - social anx dis’d clients focus more on the INTERNAL cues and get caught up in their own worry about negative evaluation rather than external conversation cues
Which is INCORRECT regarding panic disorder?
a) panic attacks are unrelated to specific situations
b) panic attacks involve a sudden apprehension and fear of impending doom
c) Panic attacks peak within 10 minutes
d) panic attacks involve 3 months of worrying about having another attack
D - wrong, because need to have worry about 1 month worry about having another attack
INCORRECT regarding panic disorder;
a) The lifetime prevalence of having a panic attack is 40%
b) attacks should be recurrent and consistent over the lifespan
c) panic disorders have onset in adolescence
d) none of the above
D - all true
Neurobiological aetiology of panic disorder -
hyperactive locus coereleus = increased norepinepherine which is important for fear response + activation of sympathetic NS
interoceptive conditioning refers to ___________in panic disorder
when person gets classically conditioned to fear all somatic responses i.e. racing HR from running, person links with last panic attack, leads to actually experiencing one. Those with PD more sensitive than gen pop to somatic changes
Agoraphobia is different from social anxiety disorder because_________
involves anxiety about not being able to escape from X situation = homebound
Why was Agoraphobia shifted from being listed under panic disorder?
Because the ICD-10 has long listed it as an independent disorder + more than HALF of those with agoraphobia did not experience panic attacks, but DID show worry about other anx symptoms
