Anxiety

Question 1

Anxiety disorders

Answer 1

Characterized by excessive or inappropriate fear or anxiety and cause significant social and occupational malfunctioning
Fear are manifested as increase fight or flight response.
Anxiety involves apprehension of future threat.

Question 2

TREATMENT
Pharmacotherapy
Psychotherapy

Answer 2

Pharmacotherapy includes SSRIs,BZD,buspirone ,bet blockers and TCAs.
Psychotherapy includes
Cognitive Behavioral Therapy examines relationship between anxiety driven cognition, thought and behavior.
Psychodynamic Psychotherapy
Facilitates adaptive coping styles for anxiety.

Question 3

Panic Attack

Answer 3

A fear response involving sudden onset intense anxiety
Features
P palpitations, paresthesias
A abd discomfort
N nausea, numbness
I intense fear of dying or going crazy
C chest pain,chills
S sweating,shortness of breath
Panic disorder is recurrent and unexpected panic attacks.
TTT combination of psychotherapy and pharmacotherapy.

Question 4

Agarophobia

Answer 4

Intense fear of being in public places where escape is not possible e g being outside of home alone, trains, crowded places etc

Question 5

Phobia

Answer 5

Irrational excessive fear that leads to endurance of anxiety or avoidance of feared object or situation.

Question 6

social anxiety disorder

Answer 6

fear of scrutiny by others or fear of being humiliated or embarrassed.

Question 7

Selective mutism

Answer 7

inability to speak in public for more than 1 month despite intact ability to comprehend and use language.symptoms typically start in childhood.

Question 8

Separation Anxiety Disorder

Answer 8

Excessive and developmentally
fear or anxiety of detachment from attachment figures
Stranger anxiety begins around
6 months and peaks around 9 months, while separation anxiety typically
emerges by 1 year of age and peaks by 18 months.

Question 9

Generalized anxiety disorder

Answer 9

*Patients with GAD have persistent, excessive anxiety about many aspects of
their daily lives. Often they experience somatic symptoms including fatigue
and muscle tension. *

Question 10

Obsessive compulsive disorder

Answer 10

Obsessive-compulsive disorder (OCD) is characterized by obsessions and/or
compulsions that are time-consuming, distressing, and impairing.
Obsessions
are recurrent, intrusive, undesired thoughts that increase anxiety. Patients may
attempt to relieve this anxiety by performing compulsions, which are repetitive behaviors or mental rituals.
Anxiety may increase when a patient resists
acting out a compulsion.
TTT is same but if resistant, we do cingulotomy.

Question 11

1.Hoarding disorder
2.Trichotillomania
3.Excoriation disorder

Answer 11

1.persistent difficulty discarding possessions regardless of value.

2.Hair pulling disorder….Recurrent pulling of hair in anxiety resulting in hair loss along with recurrent efforts to stop this habit.

3.recurrent skin picking resulting in lesions and recurrent efforts to stop this habit.

Question 12

Trauma and stress related disorders
1.PTSD
2. Adjustment disorder

Answer 12

*1.Posttraumatic stress disorder (PTSD) is characterized by the development of
multiple symptoms after exposure to one or more traumatic events: intrusive
symptoms (e.g., nightmares, flashbacks), avoidance, negative alterations in
thoughts and mood, and increased arousal.
2.Adjustment disorders occur when behavioral or emotional symptoms
develop after a non-life-threatening, stressful life event (e.g., divorce, death of
a loved one, or loss of a job).

Question 13

Body Dysmorphic disorder

Answer 13

Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable by others.
Individuals spend significant time to correct perceived flaws with makeup, dermatological procedures or plastic surgery.