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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
Which TCA works best for panic attack?
Imipramine (Tofranil)
26
What drugs is FDA approved for panic disorder?
Benzodiazepines
27
What drugs drug or class doesn't work for panic disorder?
Bupropion (NDR)
28
Panic disorder is a ....
diagnosis of exclusion
29
What is Agoraphobia?
fear of difficulty in escaping
30
What commonly occurs with panic disorder?
Agoraphobia
31
Extroversion or introversion is a symptoms of agoraphobia
Introversion
32
Screening tool for agoraphobia?
Fear questionnaire
33
1st line txt for agoraphobia?
CBT w/ SSRI, SNRI, TCA, Benzo
34
Which drug or class doesn't work in agoraphobia?
Bupropion (NDR)
35
Fear of thunderstorms?
Brontophobia
36
Fear of animals?
Zoophobia
37
Fear of heights?
Acrophobia
38
Fear of disease?
Nosophobia
39
Fear of death?
Thanatophobia
40
Fear of animals
Zoophobia
41
Fear of storms, height?
Environmental type
42
Fear of blood or a shot
Blood-injection/ injury type
43
Fear of enclosed spaces, flying, crowds
Situational type
44
Fear of snakes, spiders
Animal type
45
What has a strong association w/ vasovagal rxn?
blood-injection/injury phobia
46
Most common psychiatric disorders among women?
Phobias
47
A specific phobia that runs in family, w/ very high familial tendency
blood injection/ injury type
48
Recognition that fear is completely ??? or ????
irrational or excessive
49
What are s/s of specific phobia?
unable to control response, often embarrassed, functional impairment
50
How long does a diagnosis of specific phobia last?
>6 mo
51
1ST txt for specific phobias?
treat major psychiatric disorders... may resolve
52
The best txt for specific phobias?
Exposure- based treatment
53
What is NOT a first line txt for specific phobia?
medication
54
What is specific phobias are left untreated?
they can remain lifelong
55
How long does ASD occur for?
<1 mo after person is exposed to a traumatic event
56
The biggest risk factor for ASD?
witnessing a mass shooting
57
Presents with a flat or blunted affect, emotional numbing
ASD
58
MOST effective treatment for ASD?
CBT (trauma focused)
59
Med that hasn't shown to be effective in ASD?
SSRI
60
Med that has mixed results in ASD?
TCA (Imipramine) (Tofranil)
61
40-80% of pts with ASD develop ?
subsequent PTSD
62
30-60% OF who develop PTSD meet what criteria
for ASD in acute phase
63
ASD diagnosis is a poor predictor for what?
subsequent PTSD
64
What is PTSD?
intrusive and avoidance symptoms, negative changes in thought or mood, and arousal/reactivity
65
How long does PTSD last?
> 1 mo
66
30% of men and women who have spent time in a war zone experiences?
PTSD
67
Childhood trauma can lead to
suicidal behavior
68
What diagnostic screening tool is used for PTSD?
Clinician- Administrated PTSD Scale for DSM-5
69
What screening tool is used initial by us for PTSD?
Primary care PTSD screen for DSM-5
70
What comes next after a positive brief PTSD screen?
a structured interview by experienced clinician.
71
Standard for care for PTSD?
CBT, including virtual exposure
72
Used to txt depression, panic attacks, startle response, sleep disruption in PTSD?
SSRI
73
Used to treat sleep disruption in PTSD?
Trazodone
74
Used to treat nightmares/nighttime hyperarousal in PTSD?
Prazosin
75
Used to txt anxiety in PTSD?
Benzodiazepines
76
Used to txt impulsivity/explosiveness in PTSD?
Valproic acid or carbamazepine
77
Used to txt reexperiencing/ intrusive thoughts in PTSD?
Aripiprazole
78
Prognosis of PTSD?
50% spontaneously remit after 3 mo
79
What are 4 factors associated w good prognosis in PTSD?
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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