Anxiety and OCD Flashcards
What is anxiety?
Emotion characterized by apprehension, dread of something potentially threatening, and uncertain outcome. Triggered by perception of threat which causes physical and emotional changes. Women are affected more and its most common mental illness
General screening questions?
During past 2 weeks how much have you been bothered by…., are you frequently tense/irritable/have trouble sleeping, do you feel panic/frightened, do you avoid situations that make you anxious
Questions to ask for GAD and criteria in DSM?
Q- during past 4 weeks have you been bothered by feeling worry/tense/anxious most of the time
C- excessive anxiety/worry occurring more days than not for at least 6 months, individual finds it difficult to control the worry
Abnormal anxiety response?
Greater intensity/duration, interferes with one’s quality of life and ability to function
Social anxiety disorders questions?
Does your fear of embarrassment cause you to avoid doing things/speaking to others, do you avoid activities where you’re the center of attention,.
What’s a panic disorder and questions?
Panic is an overwhelming form of anxiety initiated when person is placed in real/perceived life threatening situations. Do you have sudden episodes/attacks of intense fear nad if you had >1 attack does the worst part of attach peak within several minutes.
What is agoraphobia?
Fear/anxiety about 2/more of the following: open space, closed space, using public transport being outside of home along, being in a crowd.
What is a specific phobia?
Marked fear or anxiety about specific object or situations like fear of heights
What are obsessions?
Unwanted/intrusive/persistent thoughts, impulse, or images that are incongruent with persons usual thoughts pattern, and they cause anxiety/distress.
What is compulsions?
Behaviour performed repeatedly with goal of preventing and relieving anxiety/distress caused by obsessions.
What is OCD? screening questions
Obsessive compulsive disorder. Person has obsessions and they try to ignore and suppress them by doing another action.
SQ- are you bothered by repeated thoughts of hurting someone, sexual thought, concern about germs, mental rituals and do you have trouble resisting these thoughts
do you feel driven to preform action over and over till it feels right (HH, cleaning, checking locks/doors, organizing,
Biological assessment?
Triggers (what they experiences before and during times of anxiety/panic)- have they had this before, what’s helped in the past to manage symptoms, what do you do to manage.
Substance use, sleep patterns, physical activity, breathing control (obverse rate/pattern/depth), perform diaphragmatic breathing exercises. Nutrition, relaxation techniques (important).
Psychological domain assess and interventions?
Assess pattern of anxiety/symptoms, emotion/cognitive/behavioural responses, mental status/social ideations, thought patterns, comorbid depression symptoms. Perception of symptoms, self report scales, coping strategies.
I- CBT, distraction, positive self talk
Social domain?
Family functioning (how has disorder affected family life/your work/world life balance), coping strangles to manage symptoms. How was disorder affected fam members, cultural factors, time management, family support
True or false: SSRIs are first line of treatment for OCD
True
