ANXIETY 2 Flashcards
What is the diagnostic criteria for Social Phobia (Social anxiety disorder)?
- Marked fear of social/performance situation because it can lead to scrutiny or humiliation
- Person fears showing anxiety symptoms will cause negative evaluation.
- Situation is avoided or endured with anxiety
- Patient is aware fear is excessive
- > 6 months
Neuroimaging studies suggest OCD patients have an abnormality in what three brain areas?
- Caudate Nucleus
- Thalamus
- Orbitofrontal cortex
What is the diagnostic criteria for Panic Disorder?
- Recurrent panic attacks
2. 1 month of either 1) worry about next attack 2) behavioral change.
What is the average age of onset for Panic Disorder?
What are the three main RFs for Panic Disorder?
early 20s.
RF:
1) Smoking
2) Childhood abuse
3) Family hx of mood or anxiety disorders.
What are the 6 FDA approved meds for panic attack?
Fluoxetine
Paroxetine
Sertraline
Venlafaxine XR
Clonazepam
Alprazolam
What is the MOA of BZDs?
GABA-A agonist –> binding cause influx of Cl ions –> decreases neuronal activity.
GABA-A receptors have 3 subunit types..α1, α2 and α3…BSDs that bind to what subunit have a predominant hypnotic effect? Anxiolytic effect?
α1 = hypnotic effect
α2 and α3 = anxiolytic effect
What is the diagnostic criteria for Agoraphobia?
- Fear/avoidance of situations in which escape will be difficult or help unavailable.
- Need 2 of 5 of following situations
- Public transportation
- Open spaces
- Enclosed spaces
- Lines or crowds
- Outside of home alone. - > 6 months.
What are the two peak incidence of onset of agoraphobia?
Late adolescence
After age 40 years old.
What is the diagnostic criteria of GAD
- Excessive anxiety or worries over several issues for most day for 6 months.
- Worry is difficult to control
- 3 or more physical/vital sense symptoms (restlessness, sleep, concentration, irritability, muscle tension, fatigue, HA, ect)
