Anxiety

Question 1

What are the 3 models of stress?

Answer 1

Biomechanical “engineering”
Medicophysiologica
Psychological (Transactional)

Question 2

What is the psychological model of stress?

Answer 2

Interactive

Individuals reaction to stress will depend upon a balance between cognitive processing and their ability to cope

Question 3

How can you cope with stress?

Answer 3

Problem focus = efforts directed to modifying stressor

Emotional focus = modifying emotional reaction

Question 4

What is general anxiety disorder and phobias?

Answer 4

• Several months of symptoms
• All the symptoms of anxiety can occur (psychological arousal, autonomic arousal, muscle tension, hyperventilation and sleep disturbance)

Question 5

What is the DD for anxiety disorders?

Answer 5

Depression, schizophrenia, dementia, substance misuse

Thyrotoxicosis, phaeochromocytoma, hypoglycaemia, asthma and arrhythmia’s

Question 6

What is the management of generalised anxiety disorders?

Answer 6

Counselling
Relaxation training
Medication (SSRI’s + TCA)
CBT

Question 7

What is OCD?

Answer 7

Recurrent obsessional thoughts or act

Ideas, images or impulses
Unplesant and distressing
Usual key anxiety symptoms arise because of distress or attempts to resist

Question 8

What is OCD management?

Answer 8

Education and explanation

Medication = SSRI and clomipramine
CBT
Psychosurgery

Question 9

Define PTSD

Answer 9

Delayed and or protected reaction to a stressor of exceptional severity

Question 10

What are the 3 key elements to PTSD?

Answer 10

Hyperarousal (anxiety, irritability, insomnia)
Re-experiencing phenomena (flashbacks and nightmares)
Avoidance of reminders (emotional numbness)

Question 11

What is the management of PTSD?

Answer 11

NICE
Mild = watchful waiting
Trauma-focused CBT
Eye movement desensitisation
SSRI's or TCA's