Anxiety Flashcards
Anxiety and suicide
Higher risk of suicide. 18x risk increase from the average person. Most anxiety disorders substantially increase suicide risk.
How many panic symptoms needed to make the panic attack diagnosis?
4 (lightheaded, sweating, paresthesias, hot/cold flushes, fear of dying or going crazy, derealization/depersonalization, choking, SOB, chest pain, plapitations, nausea).
Which antidepressant is good to use on anxiety when SSRI, SNRI, remeron, bzd have failed?
MAOI, phenelzine.
Good benzo to use for specific phobia (eg, before a flight or test)
Diazepam due to rapid onset. Take 5-10 mg 30 min before.
What pathogen in PANDAS? What is one of the main symptoms?
Group A strepococcus infection . Obsessive or compulsive symptoms.
When you see refusal to go to school, what disorder?
Separation Anxiety disorder . Home schooling is a contraindication because you enable the kid’s avoidance.
Medication for somatic sx disorder and illness anxiety disorder?
SSRI’s, robust support from meta analysis. NNT is 3 for somatic symptom.
What 3 SSRI’s are FDA approved for panic?
sertraline, fluoxetine, and paroxetine.
Which benzos do you give in severe liver disease?
Oxazepam, Temazepam, Lorazepam
What does hyperventiliatoin syndrome look like?
palpitations, arrhythmias, chest pain, paraesthesia to extremities or face, tetany, carpopedal spasm, fear of dying, hallucinations, fatigue, excessive sweating, and dry mouth
Biggest risk factors for panic disorder?
Difficult childhood (physical/sexual abuse)
Treatment for selective mutism
Defocused communication, hierarchal exposure, shaping, and social skills training
GAD: sx present for more than half the days for how many months?
6
Common peaks of panic disorder?
20 and 50 yo
Age of onset of panic disorder
Panic disorder usually has its onset in late adolescene and early adulthood. The median age of onset in the United Staes is 20-24 years. Onset after 45 years of age is uncommon.
