Anxiety Flashcards

1
Q

What are the three general categories of anxiety symptoms?

A

Biological
Cognitive
Behavioural

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2
Q

Give some biological symptoms of anxiety

A
Sweating/hot flushes
Shaking
Muscle pains
Dry mouth
Difficulty breathing
Palpitations
Chest pain
Nausea
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3
Q

Give some cognitive symptoms of anxiety

A
Fear of losing control
Difficulty concentrating
Derealisation/depersonalisttion
Hypervigilance
Meta-worry
Health anxiety
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4
Q

Give some behavioural symptoms of anxiety

A

Avoiding situations
Difficulty sleeping
Excessive use of alcohol/drugs
Restlessness

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5
Q

Which brain structure assesses whether sensory information requires a stress response?

A

Amygdala

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6
Q

When is anxiety pathological?

A

When it is more extreme than normal

When it occurs in situations that are not normally anxiety provoking

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7
Q

Give some examples of anxiety disorders

A
Generalised anxiety disorder
Panic disorder
Agoraphobia
Social phobia
OCD
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8
Q

What is generalised anxiety disorder?

A

Anxiety that is generalised and persistent in any particular environment

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9
Q

Give some symptoms of generalised anxiety disorder

A
Persistent nervousness
Muscular tensions
Sweating
Palpitations
Dizziness
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10
Q

What criteria are required for generalised anxiety disorder?

A

Lasting most days for at least 6 months
Non-controllable
Causes significant distress

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11
Q

How is generalised anxiety disorder treated?

A

CBT
SSRIs/SNRIs
Pregabalin

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12
Q

What occurs in panic disorder?

A

Recurrent unpredictable attacks of severe anxiety

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13
Q

Give some symptoms of panic disorder

A

Palpitations
Chest pain
Dizziness

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14
Q

What phobia is commonly associated with panic disorder?

A

Agoraphobia

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15
Q

How can panic disorder be treated?

A

CBT

SSRIs/SNRIs/TCAs

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16
Q

What is agoraphobia?

A

A cluster of phobias embracing fears of leaving home, or entering crowds

17
Q

What is a specific phobia?

A

A marked and persistent fear that is excessive or unreasonable cued by a specific thing

18
Q

How are specific phobias treated?

A

Behavioural therapy - graded exposure

SSRIs/SNRIs

19
Q

What is social phobia?

A

A persistent fear of one or more social situations where the person will be scrutinised by others

20
Q

Give some common anxiety symptoms of social phobia

A

Blushing/shaking
Fear of vomiting
Urgency
Fear of defecation

21
Q

How is social phobia treated?

A

CBT

SSRIs/SNRIs

22
Q

What criteria are required for OCD?

A

Obsessional symptoms/compulsive acts present for at least two weeks and be a source of distress and interference with activities

23
Q

Give some common obsessions in OCD

A
Contamination from dirt, germs etc.
Fear of harm
Concern with symmetry
Physical symptoms
Hoarding
24
Q

Give some common compulsions in OCD

A

Checking
Cleaning/washing
Repeating acts
Symmetry

25
Q

How is OCD treated?

A

CBT - response prevention

SSRIs/clomipramine

26
Q

Benzodiazepines enhance the effect of which neurotransmitter?

A

GABA

27
Q

When should benzodiazepines be used in anxiety?

A
Short bursts (allow someone to fly etc.)
Alcohol withdrawal