Anxiety and OCD

Question 1

What is anxiety?

Answer 1

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

Question 2

General screening questions for GAD?

Answer 2

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

Question 3

Questions to ask for GAD and criteria in DSM?

Answer 3

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

Question 4

Abnormal anxiety response?

Answer 4

Greater intensity/duration, interferes with one’s quality of life and ability to function. Can produce paralysis and inaction

Question 5

Social anxiety disorders questions?

Answer 5

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,.

Question 6

What’s a panic disorder and questions?

Answer 6

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.

Question 7

What is agoraphobia?

Answer 7

Fear/anxiety about 2/more of the following: open space, closed space, using public transport being outside of home along, being in a crowd.

Question 8

What is a specific phobia?

Answer 8

Marked fear or anxiety about specific object or situations like fear of heights

Question 9

What are obsessions?

Answer 9

Unwanted/intrusive/persistent thoughts, impulse, or images that are incongruent with persons usual thoughts pattern, and they cause anxiety/distress.

Question 10

What is compulsions?

Answer 10

Behaviour performed repeatedly with goal of preventing and relieving anxiety/distress caused by obsessions.

Question 11

What is OCD? screening questions

Answer 11

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,

Question 12

Biological assessment?

Answer 12

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).

Question 13

Psychological domain assess and interventions?

Answer 13

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

Question 14

Social domain?

Answer 14

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

Question 15

True or false: SSRIs are first line of treatment for OCD

Answer 15

True

Question 16

Gold standard treatment for hoarding disorder?

Answer 16

CBT

Question 17

What is a normal response to anxiety?

Answer 17

Adaptive response to perceived threat and it motivates us to act.

Question 18

What is GAD?

Answer 18

Unwarranted and enduring anxiety that occurs across life situations. The anxiety symptoms will impact a persons functioning (social, personal, occupational). They spend lots of time worrying. Comborid depression is common

Question 19

What is SAD (social anxiety disorder)?

Answer 19

Social anxiety disorder that causes intense fear of social situations and person feels heavily evaluated by others. They are highly sensitive to criticism, have poor self esteem, and they have distorted views of their strengths/weakness. SAD onset is in early adolescence and there is 2 subtypes (general and specific)

Question 20

What is panic?

Answer 20

Normal or extreme overwhelming form of anxiety that’s often initiated when an individual is placed in real/perceived threatening situations

Question 21

What is a panic disorder?

Answer 21

Person has repeated episodes of panic. The panic attacks are abrupt surges in intense fear/discomfort. Panic attacks can be in response to a threat, or they can be random. They can physiological changes (sweat, SOB, nausea, pounding heart). People with PD will have persistent worry about additional attacks. More common in women.

Question 22

What is a hoarding disorder?

Answer 22

Subset of OCD and it involves excessive acquisition of material items/they refuse to discard them. They clutter living areas and it becomes a barrier for daily living. HD is prevalent in older adults and they rarely seek treatment. It co-occurs with mood/anxiety disorders, as well as ADHD.