Anxiety Flashcards

1
Q

In agoraphobia the fear is due to being unable to escape when experiencing (3 things):

A
  1. panic symptoms 2. incapacitating behavior (falling) 2. embarrassing (incontinence)
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2
Q

What are three things agoraphobics do when faced with agoraphobic situations?:

A
  1. avoid 2. endure distressed 3. require a companion
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3
Q

In panic disorder what are the two features of the panic attacks?

A
  1. unexpected 2. recurrent
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4
Q

Most common phobia?

A

animals

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5
Q

How likely is OCD to affect men vs women?

A

M= F in adults, M> F in adolescence

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6
Q

Mean age of onset of OCD?

A

early 20s

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7
Q

What is a potential OCD result of Group A hemolytic step infections?

A

rheumatic fever and 10-30% will develop Sydenham’s chorea and show OCD sx.

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8
Q

Which parts of the brain are involved in OCD?

A

Increased activity in the orbitofrontal cortex, caudate, thalamus and cingulum.
Smaller caudates

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9
Q

What is the most common obsession?

A

contamination

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10
Q

What (two) types of neurosx is used in OCD tx?

A

cingulotomy or capsuolotomy

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11
Q

What components of OCD are treated by CBT and ERP respectively?

A

CBT- obsessions, ERP- compulsions

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12
Q

Most common imagined defect in body dysmorphic?

A

Hair followed closely by nose=skin

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13
Q

Is YBOS used to diagnose?

A

No, just symptom severity

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14
Q

What is YBOS scored out of?

A

40

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15
Q

Is YBOS clinican or pt completed?

A

Clinician

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16
Q

Is d-cycloserine a panicogen?

A

No, opposite effect

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17
Q

How many people who develop PTSD had ASD?

A

50%

18
Q

Should you debrief a trauma?

A

No

19
Q

What % of people with PTSD have a co-morbidity?

A

60% have 2-3 co-morbidities

20
Q

Are SSRIs and EMDR as effective in the combat pop for PTSD?

A

No, less

21
Q

What happends in the Broca’s region during flashbacks?

A

Decreased activity

22
Q

Which parts of the brain have increased activation in PTSD?

A

Right brain, amygdala

23
Q

What effect does the stress from PTSD have on the hippocampus?

A

lower volumes

24
Q

What is the difference bw implosive therapy vs systematic desensitization in PTSD?

A

intense vs graded

25
Q

In children is OCD acute or gradual in onset?

A

gradual

26
Q

Which side of the brain is most activated in PTSD?

A

right

27
Q

Minimum amount of time before PTSD can be dx?

A

1 mo

28
Q

Explain classical conditioning

A

When a response to a neutral stimulus is conditioned via a unconditioned stimulus.

29
Q

Explain operant conditioning

A

Conditioning that makes an association bw a behavior and a consequence.

30
Q

What is a negative reinforcer

A

The desired behavior increases in an attempt to stop the reinforcer (i.e. nagging)

31
Q

What is negative punishment?

A

The undesired behavior decreases by taking something away (drivers license)

32
Q

What is positive punishment?

A

The undesired behavior decreases by adding something (beating)

33
Q

What is abreaction in PTSD tx?

A

Experiencing the affect

34
Q

Three neurotransmitters associated with anxiety?

A

NE, 5HT, GABA

35
Q

What is the first and second most common co-morbidity to OCD?

A
  1. MDD 2. social phobia
36
Q

What is a unique symptom of OCD?

A

compulsions

37
Q

Most common anxiety d/o?

A

specific phobia

38
Q

PANDA causing OCD is most common in which gender

A

little boys

39
Q

which gender does body dysmorphic d/o affect more?

A

M=F

40
Q

what is the Cannon’s hypothesis

A

that a stimulus can prompt both an emotional and physical rxn

41
Q

Percent who respond to first ssri treatment for ocd?

A

40-60%