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Behavioral Health > Anxiety > Flashcards

Anxiety Flashcards

1
Q

What is GAD?

A

Excessive and persistent worrying that is hard to control, causes significant distress or impairment

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2
Q

How long should a diagnosis of GAD last?

A

at least 6 mo

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3
Q

T/F is GAD inheritable?

A

True (moderately)

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4
Q

The pathognomic feature of GAD?

A

Excessive and persistent worrying

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5
Q

What are 4 symptoms seen in GAD?

A

Muscle tension
Headaches
Difficulty relaxing
Irritability

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6
Q

How many symptoms must be met for adults w/ GAD?

A

> 3

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7
Q

How many symptoms must be met for children w/ GAD?

A

> 1

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8
Q

Screening tool used for GAD?

A

General Anxiety Disorder 7 (GAD-7)

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9
Q

1st Treatment for GAD?

A

CBT + SSRIs

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10
Q

2nd line of txt for GAD?

A

TCA

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11
Q

Med for pt whom has limited or no response to 1st and 2nd line GAD therapy?

A

Benzodiazepine

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12
Q

At age 50yr what does GAD usually turn into?

A

undifferentiated somatization disroder

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13
Q

What is the association of GAD in CHD pts?

A

anxiety and mortality

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14
Q

What age is panic attack seen?

A

all ages, younger pts

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15
Q

25% have panic disorder when they present with ??? in the ER?

A

chest pain

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16
Q

What associated condition is seen with panic attack?

A

PTSD

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17
Q

What is panic attack?

A

abrupt surge of intense fear, reaching a peak within minutes

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18
Q

How many symptoms must be met for panic attack?

A

> 4

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19
Q

What are 4 symptoms of panic attack?

A

Sweating
palpitations
chest pain
fear of dying

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20
Q

What 2 manifestations must be met for panic disorder?

A

> 1 mo
Worry about additional attacks
Maladaptive change in behavior

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21
Q

What is the 1st line txt for panic attack?

A

CBT w/ SSRI

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22
Q

How should SSRI be dosed in a pt with bipolar?

A

go low and slow

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23
Q

Why special attention for bipolar pts on SSRI txt?

A

because they can develop manic disorder

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24
Q

2nd line txt for panic disorders?

A

SNRIs, TCA

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25
Q

Which TCA works best for panic attack?

A

Imipramine (Tofranil)

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26
Q

What drugs is FDA approved for panic disorder?

A

Benzodiazepines

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27
Q

What drugs drug or class doesn’t work for panic disorder?

A

Bupropion (NDR)

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28
Q

Panic disorder is a ….

A

diagnosis of exclusion

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29
Q

What is Agoraphobia?

A

fear of difficulty in escaping

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30
Q

What commonly occurs with panic disorder?

A

Agoraphobia

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31
Q

Extroversion or introversion is a symptoms of agoraphobia

A

Introversion

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32
Q

Screening tool for agoraphobia?

A

Fear questionnaire

33
Q

1st line txt for agoraphobia?

A

CBT w/ SSRI, SNRI, TCA, Benzo

34
Q

Which drug or class doesn’t work in agoraphobia?

A

Bupropion (NDR)

35
Q

Fear of thunderstorms?

A

Brontophobia

36
Q

Fear of animals?

A

Zoophobia

37
Q

Fear of heights?

A

Acrophobia

38
Q

Fear of disease?

A

Nosophobia

39
Q

Fear of death?

A

Thanatophobia

40
Q

Fear of animals

A

Zoophobia

41
Q

Fear of storms, height?

A

Environmental type

42
Q

Fear of blood or a shot

A

Blood-injection/ injury type

43
Q

Fear of enclosed spaces, flying, crowds

A

Situational type

44
Q

Fear of snakes, spiders

A

Animal type

45
Q

What has a strong association w/ vasovagal rxn?

A

blood-injection/injury phobia

46
Q

Most common psychiatric disorders among women?

A

Phobias

47
Q

A specific phobia that runs in family, w/ very high familial tendency

A

blood injection/ injury type

48
Q

Recognition that fear is completely ??? or ????

A

irrational or excessive

49
Q

What are s/s of specific phobia?

A

unable to control response, often embarrassed, functional impairment

50
Q

How long does a diagnosis of specific phobia last?

A

> 6 mo

51
Q

1ST txt for specific phobias?

A

treat major psychiatric disorders… may resolve

52
Q

The best txt for specific phobias?

A

Exposure- based treatment

53
Q

What is NOT a first line txt for specific phobia?

A

medication

54
Q

What is specific phobias are left untreated?

A

they can remain lifelong

55
Q

How long does ASD occur for?

A

<1 mo after person is exposed to a traumatic event

56
Q

The biggest risk factor for ASD?

A

witnessing a mass shooting

57
Q

Presents with a flat or blunted affect, emotional numbing

A

ASD

58
Q

MOST effective treatment for ASD?

A

CBT (trauma focused)

59
Q

Med that hasn’t shown to be effective in ASD?

A

SSRI

60
Q

Med that has mixed results in ASD?

A

TCA (Imipramine) (Tofranil)

61
Q

40-80% of pts with ASD develop ?

A

subsequent PTSD

62
Q

30-60% OF who develop PTSD meet what criteria

A

for ASD in acute phase

63
Q

ASD diagnosis is a poor predictor for what?

A

subsequent PTSD

64
Q

What is PTSD?

A

intrusive and avoidance symptoms, negative changes in thought or mood, and arousal/reactivity

65
Q

How long does PTSD last?

A

> 1 mo

66
Q

30% of men and women who have spent time in a war zone experiences?

A

PTSD

67
Q

Childhood trauma can lead to

A

suicidal behavior

68
Q

What diagnostic screening tool is used for PTSD?

A

Clinician- Administrated PTSD Scale for DSM-5

69
Q

What screening tool is used initial by us for PTSD?

A

Primary care PTSD screen for DSM-5

70
Q

What comes next after a positive brief PTSD screen?

A

a structured interview by experienced clinician.

71
Q

Standard for care for PTSD?

A

CBT, including virtual exposure

72
Q

Used to txt depression, panic attacks, startle response, sleep disruption in PTSD?

A

SSRI

73
Q

Used to treat sleep disruption in PTSD?

A

Trazodone

74
Q

Used to treat nightmares/nighttime hyperarousal in PTSD?

A

Prazosin

75
Q

Used to txt anxiety in PTSD?

A

Benzodiazepines

76
Q

Used to txt impulsivity/explosiveness in PTSD?

A

Valproic acid or carbamazepine

77
Q

Used to txt reexperiencing/ intrusive thoughts in PTSD?

A

Aripiprazole

78
Q

Prognosis of PTSD?

A

50% spontaneously remit after 3 mo

79
Q

What are 4 factors associated w good prognosis in PTSD?

A

Rapid engagement of txt
Early and ongoing social support
Avoidance of retraumatization
Absence of other psychiatric disorders/ substance abuse

Behavioral Health (14 decks)

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