Anxiety Flashcards
List ten non psych causes of symptoms of anxiety
Hyperthyroid Menopause Drugs (cocaine) Caffiene Arrhythmia COPD/Asthma PE Infection/pneumonia Diabetes Epilepsy IBS
What should you also assess for when someone has anxiety
Depression
Suicide
How to screen for anxiety
In the past two weeks have you been botherd by:
Feeling nervous anxious or on edge
Feeling paniced or frightned
Avoided situations that make you anxious
What blood work to get while investigating for anxiety
CBC A1C Lipids Lytes LFTs Creat TSH B12 Drug screen ECG
List the components of CBT for anxiety
Exposure Safety response inhibition Cognitive strategies Arousal management Surrender of safety signals
List the symptoms of GAD
Sleep Disturbance Irritable Concentration issues Keyed up or restless Fatigued Muscle tension
Medications for GAD classes
Benzos MAOI SSRI SNRI Azapirone TCA Antipsychotics Anticonvulsants
Most effect medications for GAD
- Duloxetine
- Pregabalin
- Venlafaxine
- Escitalopram
- Mirtazapine
- Sertraline
- Floxetine
- Busrione
- Algomelatine
How to treat OCD
Not anxiety anymore just as a side note, now in it’s own category and so is PTSD
Treat with SSRI
List secen risk factors for anxiety
Family history Personal history Adverse childhood experiences (measure with ACE score) Female Chronic medical illness Behavioural inhibition
How to treat PTSD
SSRI, SNRI
therapy
Group therapy is good
Don’t debrief everyone
List four things to do when prescribing benzos
Try to do lower dose and less time Address fears Aboid in elderly as it increases all cause mortality Don't combine with opioids Consider dependence
How to treat Excoriation
SSRI and antipsychotic Treat wounds (anbx, occlusive dressing)
List symptoms of panic disorder
Sweating Trembling Unsteadiness Derealization Excess HR Nausea Timgling SOB Fear of dying Choking Chills Chest pain
How to treat panic disorder
Citalopran, fluozetine, Flovoxamine, Paroxetine, sertraline or venlafacine
More rapid response if you add a benzo
