Anxiety

Question 1

Anxiety vs Fear

Answer 1

Anxiety: anticipation of threat
Fear: emotions to danger

Question 2

Abnormal anxiety

Answer 2

Out of proportion or prolonged

Question 3

Symptom of children

Answer 3

Abdominal pain

Question 4

NT involved in anxiety

Answer 4

NE, Serotonin, Dopamine, GABA

Question 5

Separation Anxiety

Answer 5

Abnormal after 2.5 years.
Often with another anxiety disorder.
Etiology: Parent (modeling, styles, anxiety), External stress
Tx: CBT, Family psychosocial therapy, SSRI

Question 6

Specific phobia

Answer 6

Cued by specific object or situation
Greater than 6 months.
Etiology: Modeling (runs in the family), Substance abuse common
Tx: Anti-anxiety meds, Desensitization

Question 7

Social anxiety

Answer 7

Fear of embarrassment (not actual situation)
Sx: blushing & muscle twitching
Etiology: Parent with panic disorder, overcritical, not caring
Tx: SSRI, SNRI, Buspar, Benzo
BB for performance.
CBT, Exposure therapy

Question 8

Panic disorder

Answer 8

Etiology: Greater life events/loss 
Hyperventilation: paper bag to avoid resp alkalosis
May vasovagal & lose consciousness 
Course: Chronic, late adolescence 
Tx: CBT, SSRI, Benzos. 6-12 mo.

Question 9

Agoraphobia

Answer 9

Fear of places can’t escape from.
1st line=SSRI
Benzo, TCA, Pyschotherapy

Question 10

GAD

Answer 10

Worry about everyday things, constant
More days than not for >6 mo.
Presentation: may be due to somatic sx, “as long as can remember”
Course: lifelong
Tx: lifelong-SSRI, SNRI, Benzo, Buspirone
Drug therapy often needed for CBT to work
Does not CURE.

Question 11

Due to other medical condition

Answer 11

1. MCC: Cardiomyopathy & waiting transplant
2. Sjogrens & Graves ds
   Course: wax & wane with medical condition
   Tx: Tx underlying condition
   If still–SSRI, Benzo, therapy

Question 12

Substance-induced

Answer 12

Sympathomimetics (amphet, cocaine, caffiene)
Serotenergic (LSD, MDMA)
Other
Alcohol
Sx: Memory & cognition may be impaired

Question 13

other specified

Answer 13

1. Limited sx attack
2. GAD but occurs on less than more days than not
3. Kayal cap
4. Ataque de nervious
   Communicated why ds doesn’t meet full criteria