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845 > Anxiety > Flashcards

Anxiety Flashcards

1
Q

Anxiety Disorders

A
  • Specific phobia
  • Social Anxiety Disorder
  • Panic Disorder
  • Agoraphobia
  • GAD (Generalized Anxiety Disorder)
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2
Q

Specific Phobia

A
  • Anxiety

- Avoidance of specific object/situation

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3
Q

Social Anxiety Disorder

A
  • Anxiety

- Avoidance of social situations

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4
Q

Panic Disorder

A
  • Repeated unexpected panic attacks

- Concern/avoidance

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5
Q

Agoraphobia

A
  • Anxiety

- Avoidance of crowded/enclosed/open situations

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6
Q

GAD

A
  • Worry anxiety

- Somatic/cognitive/irritability symptoms

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7
Q

Obsessive Compulsive/Related Disorders

A
  • OCD
  • Body Dysmorphic Disorder
  • Hoarding Disorder
  • Trichotillomania
  • Excoriation Disorder
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8
Q

OCD

A
  • Obsessive Compulsive Disorder
  • Obsessions/compulsions
  • Impairment
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9
Q

Body Dysmorphic Disorder

A
  • Preoccupation with perceived bodily flaws

- Repetitive behavior

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10
Q

Hoarding Disorder

A
  • Difficulty discarding possessions due to distress

- Accumulation

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11
Q

Trichotillamania

A
  • Repeated pulling out of hair

- Difficulty stopping

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12
Q

Excoriation Disorder

A
  • Recurrent skin picking

- Difficulty stopping

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13
Q

Trauma/Stressor-Related Disorders

A
  • Acute Stress Disorder
  • Post-traumatic Stress Disorder
  • Adjustment Disorders
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14
Q

Acute Stress Disorder

A
  • Trauma
  • Some PTSD symptoms
  • < 1 month
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15
Q

PTSD

A
  • Trauma
  • Intrusion
  • Avoidance
  • Mood disturbance
  • Hyperarousal
  • > 1 mo
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16
Q

Adjustment Disorder

A
  • Stress
  • Significant emotional/behavioral symptoms
  • Other disorders not present
17
Q

Neurophysiology + Anxiety

A
  • Heightened “bottom up”: apprehension, fear and related memory functioning
  • Lowered “top down”: cognitive and emotional regulation control of apprehension/fear
18
Q

Screening Tests

A
  • GAD-7 for anxiety disorders (differing sensitivity/specificity)
  • PC-PTSD-5: PTSD
19
Q

Anxiety Disorder NonPharm

A
  • Cognitive behavioral therapy
  • Exposure therapy
  • Psychodynamic psychotherapy
  • Somatic therapies: exercise, deep brain stimulation
20
Q

Anxiety Disorder Pharm

A
  • SSRI
  • SNRI
  • 5HT2 antagonist
  • 5HT1A partial agonist
  • Multimodal serotonergic agents
  • TCA
  • MAOI
  • Benzos

-CAM: Kava

21
Q

Serotonin Syndrome

A
  • Difficult to study
  • Precipitated by single or multiple serotonergic medications
  • D/C med
  • Use benzo
  • Hypertensive, mydriasis, diarrhea, tremor, agitation
22
Q

Serotonin Withdrawal Syndrome

A
  • D/C syndrome
  • Malaise HA, imbalance, tremors, sleep disturbances, GI disturbances, anxiety
  • Reassure or start fluoxetine and taper (less likely to cause)
23
Q

Pregnancy + Antidepressants

A
  • Spontaneous abortion
  • Preterm birth
  • Neonatal withdrawal syndrome
  • Cardiac malfunctions
  • Sertraline and paroxetine minimally excreted in breast milk
24
Q

Benzos + Pregnancy

A
  • CI
  • Excreted in breast milk
  • Hypoglycemia, respiratory suppression, neonatal withdrawal, “floppy” infant
25
Q

No Anti-Panic Property Drugs

A
  • Buspirone
  • Propranolol
  • Hydroxyzine
26
Q

Panic Disorder Treatments

A
  • Psychotherapy
  • SSRI or SNRI
  • Imipramine
  • Benzo
27
Q

Social Anxiety Disorder Treatment

A
  • Psychotherapy
  • SSRI or SNRI
  • Gabapentin
  • Benzo
  • MAOI
28
Q

Acute Stress Treatments

A
  • CHT
  • Cognitive Processing Therapy
  • Prolonged Exposure Therapy

-Possibly: morphine, hydrocortisone, imipramine

29
Q

Ineffective for Acute Stress

A
  • SSRI
  • Propranolol
  • Benzo
30
Q

PTSD Treatments

A
  • Acute: psychotherapy or medication
  • Relapse: Medication
  • DON’T USE BENZOS
31
Q

PTSD Drug Options

A
  • SSRI or SNRI
  • Prazosin augmentation
  • TCA
  • Quetiapine
  • Antipsychotic augmentation?
32
Q

OCD Treatment

A
  • Medications/therapy for acute
  • Medications for relapse
  • SSRI or SNRI
  • Clomipramine
  • Augmentation with SDA
33
Q

Weight Gain Drugs

A
  • Gabapentin
  • Amitriptyline
  • Mirtazapine
  • Olanzapine
  • Risperidone
  • Quetiapine
  • Divalproex
34
Q

Weight Loss Drugs

A
  • Topiramate
  • Bupropion
  • Fluoxetine

845 (24 decks)

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