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
Which brain area is used after the thalamus in the fear response?
Amygdala
26
Role of amygdala in fear response?
Switching on amine NTs (noradrenaline etc)
27
Role of periaqueductal grey in fear response?
Innate avoidance behaviour (e.g. stepping back)
28
Which brain area releases cortisol in response to stress?
Hypothalamus
29
Where are most anxiety disorders thought to originate?
Prefrontal cortex and hippocampus
30
Why is noradrenaline released in the fear response?
Need to be hyper aware of your surroundings
31
Which NTs are implicated in the fear response?
Serotonin and noradrenaline
32
Role of GABAa networks?
Fast inhibition