Anxiety Flashcards
What are the anxiety disorders?
- agoraphobia
- generalized anxiety disorder
- panic disorder
- selective mutism
- separation anxiety disordersocial anxiety disorder (social phobia)
- specific phobia
What are the Obsessive-Compulsive related disorders?
- body dysmorphic disorder
- excoriation disorder(skin picking)
- hoarding disorder
- obsessive-compulsive disorder
- trichotillomania (hair pulling disorder)
What are the trauma & related disorders?
- acute stress disorder
- adjustment disorder
- disinhibited social engagement disorder
- post-traumatic stress disorder
- reactive attachment disorder
What is the criteria for separation anxiety disorder?
- Inappropriate fesr of being separated from an important attachment figue in the individual’s life (3+ of the following)
- physical symptoms d/t thought of being separated or actually being separated
- excessive distress at though of being away from home or actually being away from home
- excessive fear of something happening to the individual causing them to be away from their attachment figure
- reluctance of fear of leaving of leaving the home for fear of becoming separated from the attachment figure (ie. going to school / work)
- reluctance of fer to sleep away from attachment figure
- reluctance & fear to be alone without attachment figure
- nightmares with theme of separation
What is the term for the following situation:
minimum of one month of consistently refraining from speaking in specific social situations where one is customarily expected to conerse such as school or work. Individual converses freely in other settings.
selective mutism
What is the term for the following situation:
excessive or unreasonable fear regarding a specific item or activity
specific phobia
What is the term for the following situation:
Excessive or unreasonable fear of apearing in public or before a social group. Physicla symptoms of anxiousness occur at the thought of the activity. Must have at least 6 mo. duration.
social phobia/social anxiety disorder
Selective mutism requires a minimum of what time frame?
one month
Social phobia / social anxiety disorder requires the duration of at least what duration?
6 months
In children, anxiety may be expressed in what ways?
tantrums, freezing, clinging, failing to speak
What point does a fear become a phobia/?
when the fear is disproportionate ot the real danger or discomfort caused by ieas, objects, places & situations
What are the most common fears that bring people into the psychiatrist office?
driving over bridges
flying
riding in elevators or on escalators
What are the criteria for a panic disorder?
discrete period of intense fear with at least 4 of the following:
- racing heart
- sweating
- tremulousness
- shortnes of reath
- tightness in the throat
- chest pain
- nausea
- dizziness
- fear of going crazy
- fear of dying
- numbness or tingling
- chills or hot flashes
- feeling of not being oneself or life isn’t real
after the panic episode there must be a persisten concern of having another panic episode or significant maladaptive change in behavior related to the attack
What is the
“fear of the marketplace” - an individual who is affraid they will be caught somewhere away from home & will feel a sense of panic and will not be able to extricate himself / herself from this place - causing extreme distress
agoraphobia
Hos is agoraphobia characterized?
fear / anxiety about 2+
- using public transportation
- being in open spaces
- being in enclosed places
- standign in line or being in a crowd
- being outside of the home
often unable to leave home & becoem “homebound”
What is the criteria for generalized anxiety disorder?
excessive anxiety or worry occurring more days than not for at least 6 months about many activities such as work or school (3+ (1 in children) in 6 months)
- restlessness or feeling keyed up or on edge
- easily fatigued
- difficulty concentrating or reporting the mind goign blank
- irritability
- muscle tension
- sleep disturbance
What disorder is characterized by:
repetitive intrusive thoughts, images or impulses that they recognize as the product of their own mind an that generates anxiety & requires an action or thought to callm the initial repetitive thought to calm the anxiety
Obsessive Compulsive disorder
What are compulsions?
repetitive behaviors or mental acts
What is true about the obsessions & compulsions in OCD?
How frequently do they have to occur for diagnosis?
purpose of the compulsions is to prevent some dreaded event from occurring
adult OCD sufferer recognizes both the obsessions & compulsions are foolish
at least one hour of the patient’s time in a day
What are the 4 most common types of obsessions & compulsions?
- Fear of germs - washing/cleaning
- doubt - checking/confessing
- symmetry - organizing
- object value - hoarding
What condition is characterized by:
preoccupation with one or more perceived defects/flaws in their physical apearance that are NOT observable to others. Individual engages in repetitive behaviors or repetitive though processes in response to these concerns
body dysmorphic disorder
What conditon is characterized by:
persisting dificulty with discarding items, regardless of their value. Due to perceibed need to save the items & is due to the distress that occurs at the thought of discarding the items. This results in the accumulation of items causing congestion & clutter making living areas compromised for intended use
Hoarding Disorder
What conditon is characterized by recurrent pulling out of one’s hair, resultin in har loss - repeated attempts to decrease or discontinue the hair pulling
trichotillomanis
What are the components of reactive attachment disorder?
- consistent pattern of emotionally withdrawn behavior toward caregivers via
- child rarely seeks comfort when distressed
- child rarely respondso to comfort when given (when distressed)
- and 2+:
- minimal social/emotional responsiveness to others
- limited positive affect
- episodes unexplained irritability, sadness, fearfulness tha toccr even during nonthreatening interactions w/ adult caregivers
evident before age of 5 yrs
