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Year 4 Psychiatry > Anxiety > Flashcards

Anxiety Flashcards

1
Q

Definition of anxiety

A

State which presents itself with psychological and physical symptoms linked to a perceived threat

At least 6 months

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2
Q

Psychological symptoms of anxiety

A

Psychological:

  • fear & impending doom
  • dizziness/faint
  • restless
  • exaggerated startle response
  • irritability
  • insomnia
  • Depersonalization
  • Globus hystericus
  • Inability to concentrate
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3
Q

Globus hystericus

A

Dry mouth
Feeling of lump in throat
Forced swallowing

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4
Q

CVD symptoms of anxiety

A

Palpitations
Tachycardia
Chest discomfort

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5
Q

GI symptoms of anxiety

A

Dry mouth
Nausea
Abdominal discomfort
Frequent/loose motions

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6
Q

Respiratory symptoms of anxiety

A

Tachypnoea

Chest tightness

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7
Q

GU symptoms of anxiety

A

Urinary frequency
Impotence
Amenorrhoea

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8
Q

Severe symptoms of anxiety

A

Hyperventilation causes a decrease in CO2 which causes respiratory symptoms

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9
Q

Types of anxiety

A 
Generalised anxiety disorder 
Social anxiety 
Specific phobias 
Panic disorder
Health Anxiety 
Obsessive compulsive disorder 
Post traumatic stress disorder
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10
Q

Cognitive bias

A

Focussing on something means that you notice it more so more likely to worry about it being abnormal

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11
Q

Padeskys anxiety equation

A

Anxiety = estimate of danger/ estimate of coping

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12
Q

Problems with safety behaviours

A

Believing that they are only coping due to the safety behaviour and won’t be able to cope without it

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13
Q

Panic disorder

A

A fear of ones own physiological and psychological reactions

Bodily changes viewed as signs of impending collapse

Avoiding situations that trigger the reactions

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14
Q

Generalised anxiety

A

Fear of the future thus are over-cautious & avoids risks

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15
Q

GAD type I

A

Specific content where worries change and vary

  • Normal
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16
Q

GAD type II

A

Worries about worrying

17
Q

Why is GAD maintained?

A

Opinion that worry is useful:

  • prepare for problems
  • stops bad things happening
18
Q

Social anxiety disorder

A

Fear of negative evaluation by others

  • avoid social situations
  • unhelpful post mortems
19
Q

GAD ICD- 10 Diagnosis

A
  1. Period of at least 6 months with symptoms
  2. At least 4 symptoms
  3. does not meet the criteria for panic disorder, phobia, anxiety disorders, OCD or hypochondriacal disorder
  4. Must not be sustained by a physical disorder, an organic mental disorder or psychoactive substance related disorder
20
Q

Management of GAD

A

Biopsychosocial model

  • Biological - antidepressants and antianxiolytics
  • Psychological - CBT

Social - Social prescribing

Year 4 Psychiatry (17 decks)

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