Anxiety

Question 1

What is the criteria for a panic disorder?

Answer 1

experience of panic attacks accompanied by persistent fear of having additional attacks, implications of this one and social/behavioral changes due to the current attack

w/ or w/out agorophobia

Question 2

What exacerbate panic attack symptoms?

Answer 2

caffeine and nicotine

Question 3

What is panic attack a/w?

Answer 3

drug abuse and depression

Question 4

How do we treat panic disorders?

Answer 4

BZD- taper, SSRI, psychotherapy

Question 5

What is agorophobia?

Answer 5

fear of being at a public place unable to escape and with no help around if you had a panic attack

Question 6

What is the diagnostic criteria for a specific phobia?

Answer 6

persistent excessive fear brought about by specific situation or object
exposure to said object causes immediate anxiety
patient recognizes fear is excessive
situation is avoided

Question 7

T/F: specific phobias are more common in women and run in families

Answer 7

true

Question 8

What is the treatment for a specific phobia?

Answer 8

systemic desensitization, short course of BZD if necc

Question 9

What are the characteristics of Obsessive compulsive disorder?

Answer 9

obsession- recurrent and intrusive thought, feeling or idea
compulsion- a conscious repetitive behavior linked to an obsession that when preformed, functions to relieve anxiety caused by obsession.

time consuming and interfere with work, or social life

there is no realistic link between compulsions and obsession

preoccupied with lists and details, inflexible

Question 10

What is the treatment for OCD?

Answer 10

HIGH DOSES OF SSRIs

Question 11

What is the diagnostic criteria of PTSD?

Answer 11

response to a catastrophic (life threatening) traumatic event in which the patient re experiences the trauma, avoids reminders of the event, and experiences emotional numbing or hyperarousal

FLASH BACKS

Question 12

How do we treat PTSD?

Answer 12

TCAs- imipramine and doxepin
SSRI
anticonvulsants
Psychotherapy

Question 13

What is the criteria for generalized anxiety disorder?

Answer 13

persistent anxiety and hyperarousal for atleast 6 mo. They worry about general daily events and their anxiety is difficult to control. a/w:
restlessness
fatigue
diff concentrating
irritability
muscle tension
sleep disturbance

Question 14

How do we treat GAD?

Answer 14

buspirone
BZD
SSRI