Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychiatry Year 3 Dundee > Anxiety > Flashcards

Anxiety Flashcards

1
Q

What conditions are seen as pathological anxiety in terms of extent and context?

A

Panic
Phobias
OCD
GAD - Generalised Anxiety Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the general symptoms of anxiety?

A 
Sweating
Cold Chills
Trembling
Muscle tension 
Dizzy
Dry mouth
Choking
Lump in throat 
Palpitations
Nausea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the cognitive symptoms of anxiety?

A 
Fear of loosing control
On edge
Concentrating difficulties 
Hypervigilance
Racing thoughts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the behavioural symptoms of anxiety?

A 
Avoidance
Exaggerated responce
Restles
Irritability
Difficulty in getting to sleep
Seeking reassurance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What hormones are involved in the stress response?

A

Catecholamines

Cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Epidemiology of GAD

A

20-40 yrs
1 in 10
2:1
F:M

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is GAD?

A

Generalised and specific anxiety but not specific to a particular environment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What needs to be investigated in order to diagnose GAD?

A

Hyperthyroidism and Substance abuse need to be ruled out.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In order to have a GAD diagnosis what must the patient present with?

A

Long lasting over 6 moths
Not controllable
Impaired function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What particular symptoms is GAD associated with?

A

Restlessness
Fatigued
Concentrating failure
Sleeplessness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is first line treatment for GAD?

A

CBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How long is a person required to undergo CBT in order to assess efficacy?

A

Up to 12 weeks

Less than 4 weeks a response is unlikely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What medication can be used in the treatment of GAD?

A

SSRIs SRNIs
Pregablin
BDZ ( acute short term if very distressed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Epidemiology of Panic Disorders

A

Adolescence to middle 30’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are Panic Disorders?

A

Recurrent and unpredictable attacks of sever anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some of the symptoms of Panic disorders?

A

Severe breathlessness
Dying
Depersonalisation
Dizziness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Once they have overcome this episode of Panic how do people with panic disorders usually feel?

A

Normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What other causes of these symptoms need to be excluded before a diagnosis of Panic disorder is given?

A

Hyperthyroidism
Caffeine
Intoxication
Depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are some known triggers of a Anxiety attack?

A

Lactate infusion

Rebreathing CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What medications can be used in the treatment of Panic disorders?

A

CBT
SRRI SRNI
Tricyclics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How long does the course of treatment for Panic disorders last?

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is a phobia?

A

A predictable onset of sever anxiety
Fear is recognised and often irrational
Avoidance and anticipatory anxiety are common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is Agoraphobia?

A

Fear of open spaces, crowds or being outside of ones home.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

How do Agoraphobes appear?

A

Due to high prevalence of avoidance they aren’t overly anxious.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are some signs someone maybe a Agoraphobe?

A

Others do their shopping for them
Drink alcohol before venturing out
Go shopping at night
Internet shopping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is a Specific phobia?

A

Marked or persistent fear that is excessive and caused by something specific.

27
Q

How does someone with a specific phobia present?

A

Immediate onset upon stimulation
Insight that response is unreasonable
Normal function is often impaired by phobia

28
Q

What is the treatment for phobias?

A

Exposure behaviour therapy +/- CBT

SSRIs SRNIs

29
Q

What is a Social Anxiety disorder?

A

Persistent fear of social performance

fear of intimate relations i.e. small group sessions

30
Q

What can proceed a Social Anxiety Disorder?

A

An embarrassing and humiliating experience

31
Q

Why do Social Anxiety Disorders have such an impact the QOL of a patient?

A

Poor social, school and poor employment

React to novelty experience by avoidance

32
Q

What is a Social Anxiety disorder?

A

Persistent fear of social performance

fear of intimate relations i.e. small group sessions

33
Q

What can proceed a Social Anxiety Disorder?

A

An embarrassing and humiliating experience

34
Q

Why do Social Anxiety Disorders have such an impact the QOL of a patient?

A

Poor social, school and poor employment

React to novelty experience by avoidance

35
Q

What is OCD?

A

Recurrent obsessional thoughts and or compulsive acts

36
Q

What are obsessional thoughts?

A

Ideas, images or impulses entering into the mind in a stereotyped way
Recognised as own by patients
Unpleasant and resisted

37
Q

What are compulsive acts?

A

Repeated rituals or behaviours.
Not enjoyable
Not functional
Recognised as pointless

38
Q

What must the patient have in order to have a diagnosis of OCD?

A

Present most days for at least two weeks

+ source of distress

39
Q

What are some common obsessions?

A

Contaminated with dirt germs viruses etc
Fear of harm
Excessive concern with order and symmetry

40
Q

What are some common compulsions?

A 
Checking
Cleaning
Repeating acts
Hoarding
Mental compulsion e.g. special words phrases repeated
41
Q

Epidemiology of OCD

A

No gender bias

Onset at any age but mean is 20 years

42
Q

What are some co-morbid diseases commonly found with OCD?

A

Schizophrenia
Tourettes
ED
Body dysmorphia

43
Q

What is first line treatment for OCD?

A

Low intensity psychological help - CBT - individual or group.

44
Q

What is second line for OCD treatment?

A

Intensive CBT or SSRI

Fluoxetine

45
Q

What is third line treatment for OCD?

A

SSRI + CBT

46
Q

What is 4th line for treatment of OCD?

A

Clomipramine - TCA

47
Q

PTSD - mild and 4 weeks post event - Treatment.

A

Watching and waiting

48
Q

PTSD - Within three months of event - Treatment

A

CBT (brief)

Hypnotic medication for sleep

49
Q

PTSD - Severe or more than three months post event- Treatment

A

Trauma focused CBT or EMDR

50
Q

What drugs have limited evidence but can be use for the treatment of PTSD?

A

Paroxetine and Amitriptyline

51
Q

What is first line for social anxiety?

A

Individual CBT

52
Q

What is second line for social anxiety?

A

SSRI review at 12 weeks

53
Q

What SSRI is used in social anxiety?

A

Setraline

54
Q

What is third line for social anxiety?

A

SSRI + CBT

55
Q

What is an alternative SSRI which can be used for social anxiety?

A

Fluvoxamines

56
Q

What SRNI can be used for social anxiety?

A

Venlafaxine

57
Q

What is 4th line for social anxiety?

A

Alternative SSRI or SRNI

58
Q

What is 5th line for Social anxiety?

A

MAOI - Moclobemide

59
Q

What is first line for Panic Disorder?

A

Self help

60
Q

What is second line for Panic Disorder?

A

CBT or SSRI

61
Q

What is third line for Panic disorder?

A

Tricyclics (Clomipramine)

62
Q

How long should treatment for panic disorder last?

A

6 months

63
Q

What treatments should be avoided in Panic disorder ?

A

Propanolol
BDZ
Sedatory 5-HT

Psychiatry Year 3 Dundee (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions