Anxiety Flashcards

1
Q

What are the Anxiety sub-types?

A
  • Specific phobia
  • Social anxiety disorder
  • Generalised anxiety disorder
  • Panic disorder
  • Agoraphobia
  • Separation anxiety disorder
  • Selective mutism
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2
Q

Specific phobia is when

A

there is a marked fear or anxiety about a specific object or situation.

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3
Q

Social anxiety disorder is when

A

Persistent fear or anxiety about 1 or more social or performance situations that is disproportionate

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4
Q

GAD is when

A

there is excess worry about a number of events or activities and difficulty controlling this

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5
Q

Separation anxiety disorder is when there is

A

excessive fear or anxiety focussed on separation from home or attachment figures

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6
Q

Selective mutism is when there is

A

Consistent failure to speak in social situations when there is an expectation to do so

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7
Q

Panic disorder is when there are recurrent

A

unforeseen panic attacks ~ i.e. an abrupt surge of intense fear

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8
Q

Agoraphobia is when you have

A

marked fear or anxiety about situations where escape might be difficult

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9
Q

In many cases, the presentation of anxiety is ____ and it is difficult to _________ between disorders. Also, __-_______ is very common

A

complex
differentiate
co morbidity

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10
Q

What are some risk factors for anxiety?

A
  • female
  • unmarried
  • unemployed
  • stressful life events
  • family history
  • younger age
  • poor physical or mental health
  • specific personality traits
  • certain parenting styles e.g. over-protective, lacking emotional warmth etc
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11
Q

What are some presenting symptoms of anxiety?

A
Apprehension (low mood, loss of interest)
Irritability
Cued or spontaneous panic attacks
Poor concentration
Poor sleep
Avoidance
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12
Q

Obsessive Compulsive Disorder is a

If compulsion is resisted, anxiety levels are _____

A

time consuming obsession and compulsion which interferes with a person’s day to day functioning, work or relationship.
increased

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13
Q

Post Traumatic Stress Disorder is intense and prolonged and can be delayed response to a particular trauma. It is characterised by

A

emotional numbness, detachment, flashbacks, recurring memories and vivid dreams.
You do not have to be personally involved - can be a bystander or rescue worker

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14
Q

What are some symptoms in anxiety?

A
Dry mouth
Difficulty swallowing
Increased heart rate
Palpitations
Awareness of missed beats
Lack of libido
Failure of erection
Sweating 
Tremor
Sighing
Avoidance
Sleep disturbances
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15
Q

It is normal to have anxiety as a means of overcoming or responding to a crisis e.g. exams. However, in anxiety disorders, the anxiety

A

remains after the stress has ceased

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16
Q

MECHANISM OF ANXIETY:

What are the two brain systems involved in fear and anxiety?

A

Defence system - responds to both learned and unlearned threats; can initiate fear, fight, flight or freeze behaviour

Behavioural Inhibition System - responsible for avoidance. System to regulate avoidance in response to punishment/ threat

17
Q

Treatment options for anxiety?

A
  • self help
  • psychological therapy
  • pharmacological therapy
18
Q

What do you offer for GAD if they ask for drug treatment?

What do you NOT offer?

A

Sertraline
SSRI
BDZs (don’t give in primary or in secondary) / antipsychotic (don’t give in primary)

19
Q

What are first line interventions?

First line pharmacological treatment?

A

Self-help, CBT
SSRI - however can increase anxiety at start of treatment
Pregabalin can be used as an alternative or an adjunct
BZDs used for immediate relief for certain situations