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anxiety (1) Flashcards

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1
Q

what is the most common mental health disorder?

A

anxiety

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2
Q

what kinf of anxiety can be good?

A

mild anxiety

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3
Q

what kind of anxiety is from tensions of day/day living, incresed alertness, wide perception

A

mild anxiety

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4
Q

what kind if anxiety focuses on only immediate concerns, narrows perception, has SELECTIVE INATTENTION, and physical symptoms begin

A

moderate anxiety

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5
Q

what kind of anxiety is where someone can only focus on one specific detail and nothing else, attentione xtremely limited, cannot think

A

severe anxiety

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6
Q

which level of anxiety includes fight/flight/freeze
-person is unable to communicate/function, no learning comprehension

A

panic

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7
Q

what is the INVOLUNTARY exclusion of a painful or conflictual thought, impulse, or memory from awareness. it is the primary ego defense, and other mechanisms tend to reinforce it

A

repression

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8
Q

what is the CONSCIOUS and intentional exclusion of materials from the consciousness

A

suppression

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9
Q

can suppression lead to repression?

A

yes

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10
Q

when is anxiety pathologic? (3 things)

A

-interferes with life
-it is out of proportion to the situation
-it interferes with social, occupational, or other important areas of functioning

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11
Q

which gender does anxiety occur more in?

A

women

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12
Q

what are the common types of anxiety commonly seen in children

A

separation anxiety and OCD

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13
Q

does anxiety cluster in afmilies?

A

yes

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14
Q

which neurotransmitter plays a big role in anxiety (and is it high or low in anxiety)

A

GABA, low in anxiety

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15
Q

whichparts of the brain play a part in anxiety

A

amygdala, limbic system, hippocampus

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16
Q

which part of the brain is memory related to fear?

A

hippocampus

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17
Q

which theorist says that anxiety comes from unconscious childhood conflicts that are repressed and an unsatisfactory parent/child relationship

A

freud (psychodynamic)

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18
Q

which theorist says that anxiety comes from when early needs go unmet, and that anxiety exoerienced early in life is then a model for anxiety experienced later when unpleasant events occur

A

sullivan (interpersonal)

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19
Q

which kind if risk factor consists of faulty, distorted, or counterproductive thinking and perceiving

A

cognitive

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20
Q

which kind if risk factor is a learned response that can be unlearned
-a conditioned response to a tragic event
-anxiety is “contagious”

A

behavioral - learning

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21
Q

risk factors for separation anxiety

A

-significant loss (death)
-change in environment
-physical/sexual assault
-genetic link

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22
Q

why are panic attacks unpredictable

A

they do not occur immediately before/after exposure

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23
Q

how many symptoms must be present to classify it as a panic attack

A

4

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24
Q

name some examples of a panic attack

A

palpitations, sweating, tremors, SOB, choking sensation, CP, dizzy, paresthesias, chills/hot, derealization/depersonalization, fear of dying, fear of losing cointrol

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25
Q

what disorder is classified by recurrent/unexpected episodes of panic attacks, followed by 1 month or more of fear/concern of another attack and changing behavior

A

panic disorder

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26
Q

what are persistent, irrational fears caused by presence or anticipation of a specific object, activity, or situation

A

specific phobias

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27
Q

what is fear of being in places or situations where escape might be difficult (or embarasssing) or help may nit be available.
-they fear leaving home
-common with panic attacks

A

agoraphobia

28
Q

what is severe fear/anxiety when exposed to social or performance situations - could be evaluated negatively by others

A

social anxiety disorder / social phobia

29
Q

what are the subtypes of phobias (5)

A

-animal type
-natural environemnt type
-blood injection type
-situation type
-other

30
Q

what disorder is chronic, unrealistic, excessive anxiety and worry - out of proportion

A

generalized anxiety disorder

31
Q

duration of generalized anxiety disorder

A

occurs more days than not, lasts for 6 months or longer

32
Q

what are unwanted, recurrent, intrusive, and oersistent ideas, thoughts, impulses

A

obsessions

33
Q

what are unwanted repetitive ritualistic behavior patterns or mental acts that are performed repeatedly

A

compulsions

34
Q

how long do obsessions/compulsions last ina day

A

more than an hour daily

35
Q

what are commo obsessions in ocd

A

contamination, harm to self/others, symmetry urges

36
Q

what are common compulsions in ocd

A

washing/cleaning, repeating, checking, touching, counting, ordering/arranging

37
Q

what is PANDAS?

A

Pediatric
Autoimmune
Neuropsychiatric
Disorders
Associated with
Streptococcal infections

38
Q

what is recurrent pulling of one’s hair that results in hair loss

A

trichotillomania

39
Q

what is the secret swallowing of pulled hair

A

trichophagia

40
Q

what are masses of digested hair

A

rapunzel syndrome

41
Q

what is a skin picking disorder

A

excoriation disorder/dermatillomania

42
Q

is pain felt in dermatillomania?

A

no

43
Q

persistent difficulty discarding/parting with possessions regardless of actual value

A

hoarding disorder

44
Q

treatment for hoarding

A

therapy and SSRIS

45
Q

what is an exaggerated belief that body is deformed or defective in some specific way

A

body dysmorphic disorder

46
Q

what is at high risk with body dysmorphic disorder

A

suicide

47
Q

what is a common anxiety rating scale

A

hamilon anxiety rating scale (HAM-A)

48
Q

describe what HAM-A scores mean

A

<17 = mild
18-24 = mild-mod
25-30 = mod-severe

49
Q

what is when one transferes emotions to another

A

displacement

50
Q

what is making up for a past act

A

undoing

51
Q

example is fear of flying

which therapist intervention for anxiety involves showing pictures, teaching coping, watching videos, going to an airport, playing games

slowly exposes client to fear

A

systematic desensitization

52
Q

which intervention for phobias involves not leaving the session until the phobia is gone

A

flodding

53
Q

what are the 2 therapy treatments for OCD

A

-exposure and response prevention and CBT

54
Q

which therapy for OCD is when feared objects, activities, or situations are ranked according to difficulty

A

exposure and response prevention

55
Q

what new treatment for OCD can successfully treat symptoms by disrupting the abnormal patterns of barin activity

A

deep brain stimulation

56
Q

which therapy for trichotillomania is awareness training, recognizes urges, thoughts, or sensations that precede bahavior

A

habit reversal therapy

57
Q

which drugs are 1st line for antianxiety treatment

A

antidepressants (SSRI and SNRI)

58
Q

which drugs help with the somatic manifestations of anxiety

A

noradrenergic agents (beta blockers and alpha 2 receptor agonists)
propranolol, clonidine

59
Q

what do anxiolyticsinhibit fir a calming effect

A

GABA

60
Q

contraindication os anxiolytics (xanax)

A

no other CNS depressants
no pregnancy
caution in elderly, hepatic, and renal
do not use in those with hx of abuse

61
Q

side effects of benzodiazepines for anxiety

A

drowsiness, confusion, ataxia, “hangover effect”, dry mouth, nausea

62
Q

what is important to remember about continuation/discontinuation of benzos for anxiety

A

need to wean off!

63
Q

example benzo used for anxiety

A

xanax

64
Q

which antianxiety does not depress CNS and has no abuse potential

A

nonbenzodiazepine - buspirone

65
Q

which anti anxiety meds are used for short term sleep aid for only a few days or weeks

A

sedative-hypnotic agents

66
Q

do sedative-hypnotic meds cause withdraw symptoms

A

Psych (19 decks)

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