Anxiety Flashcards
1
Q
Anxiety becomes abnormal when:
A
- disproportionate
- causes distress
- impairs function
- can’t be controlled
2
Q
Symptoms of anxiety
A
-persistent fear of worry
-plus at least 3 of
poor concentration
restlessness
fatigue
muscle tension
initial insomnia
for >6 months
3
Q
What to exclude:
A
Alcohol misuse
Drug misuse
hyperthyroidism
phaeochromocytoma
4
Q
Epidemiology of GAD
A
women>men
age of onset median - 30yrs
5
Q
Aetiology of GAD
A
First degree relative Fx ^2.5x Gene 2p21 2q12 Overactive amygdala childhood trauma major life stress
6
Q
Treatment of GAD
A
CBT
Lifestyle changes
Therapy
SSRI
Tricyclics
Pregablin
Benzos
7
Q
SSRI for GAD
A
50-70% effectiveness
1-3 weeks to work
side effects
GI disturbance