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
