Anxiety and anxiolytics first half 2.0 Flashcards

1
Q
A
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2
Q
A
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3
Q

What is anxiety?

A

a normal, physiological response to threatening situations that serves as a protective function

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4
Q

What is pathological anxiety?

A

concern about stressor is out of proportion to the realistic threat and can occur without exposure to an external stressor

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5
Q

How many people in the UK are affected by anxiety disorders?

A

8 million

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6
Q

Examples of anxiety disorders?

A

Specific phobias, social anxiety, panic disorder, PTSD, OCD, Generalised anxiety disorder, premenstrual dysphoric disorder

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7
Q

length of generalised anxiety disorder?

A

6 months

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8
Q

What are the core symptoms of anxiety disorders?

A

Negative cognition, physiology (heart racing etc), avoidance behaviour

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9
Q

What is negative cognition?

A

A bias to interpret unthreatening situations as threatening

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10
Q

Physiological symptoms of anxiety disorders?

A

Racing heart, restlessness, sweating, increased blood pressure

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11
Q

Part of anxiety disorder that the cortex is involved in?

A

negative cognition

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12
Q

Part of anxiety disorder that hippocampus the is involved in?

A

Memory

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13
Q

Part of anxiety disorder that the amygdala is involved in?

A

fear perception

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14
Q

Part of anxiety disorder that the hypothalamus is involved in?

A

Stress responsiveness

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15
Q

Part of anxiety disorder that the basal ganglia/cerebellum are involved in?

A

movement control

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16
Q

What hormone is released upon the perception of stress?

A

Corticotropin releasing hormone

17
Q

Which part of the brain releases Corticotropin releasing hormone?

A

Hypothalamus

18
Q

Where is Corticotropin releasing hormone released onto?

A

Pituitary gland

19
Q

Which stress related hormone is released by the pituitary gland?

A

Adrenocorticotropic hormone (ACTH)

20
Q

Where is ACTH released onto?

A

The adrenal gland

21
Q

What is produced by the adrenal glands in response to ACTH?

A

Glucocorticoids, particularly cortisol

22
Q

Why is cortisol released in response to stress?

A

To give you the energy for the fight or flight response, as it is responsible for metabolism of glucose and lipids

23
Q

Where is adrenaline released from in response to stress?

A

Adrenal glands

24
Q

Which brain area is first used in the fear response and why?

A

Thalamus as it deals with sensory stuff

25
Q

Which brain area is used after the thalamus in the fear response?

A

Amygdala

26
Q

Role of amygdala in fear response?

A

Switching on amine NTs (noradrenaline etc)

27
Q

Role of periaqueductal grey in fear response?

A

Innate avoidance behaviour (e.g. stepping back)

28
Q

Which brain area releases cortisol in response to stress?

A

Hypothalamus

29
Q

Where are most anxiety disorders thought to originate?

A

Prefrontal cortex and hippocampus

30
Q

Why is noradrenaline released in the fear response?

A

Need to be hyper aware of your surroundings

31
Q

Which NTs are implicated in the fear response?

A

Serotonin and noradrenaline

32
Q

Role of GABAa networks?

A

Fast inhibition