Anxiety

Question 1

generalised anxiety disorder

Answer 1

• generalised and persistent
• fears that someone will become ill or have an accident
• long-lasting
• not controllable
• causing significant distress and impairment in function

onset 20-40
more in females

Question 2

treatment of GAD

Answer 2

-CBT
- SSRIs/ SNRIs
- Pregabalin
- benzodiazepines (short term only)

Question 3

Panic disorder

Answer 3

• recurrent, panic, unpredictable
• secondary fear of dying, losing control or going mad
• can be associated with agoraphobia

onset mid 30s

Question 4

what causes panic attacks?

Answer 4

• lactate
• increased CO2
• increased metabolism in anterior pole of temporal lobe- parahippocampal gyrus

Question 5

treatment of panic disorder

Answer 5

-CBT
-SSRIs/SNRIs/TCAs
- benzodiazepines (short term)

Question 6

OCD

Answer 6

-present for at least 2 weeks
-resistance should be present
- not pleasant rituals

• at least 1 major depressive episode

Question 7

Treatment of OCD

Answer 7

-CBT
- SSRIs/ clomipramine