Anxiety and Somatoform disorders Flashcards
Panic disorder
Panic attacks: Anxiety Palpitations CP Abd distress Fear of dying Feeling of impending doom
Worry about future panic attacks
Tx: Cognitive behavioral therapy (CBT)
SSRIs
TCAs – less often d/t SE
Benzodiazepines – acute episodes only
Specific phobias
Fear of specific object or situation
-> avoidance
Tx: systematic desensitization
Social anxiety disorder
Fear of embarrassment in social situations
Tx: SSRIs
b-blockers decrease sx
Agoraphobia
Fear of open spaces or public situations
Shut-ins
Tx: cognitive behavioral therapy
SSRIs
Obsessive compulsive disorder
Obsession: intrusive thoughts cannot be controlled
Compulsions- performance of a task to relieve the obsession
Tx:
SSRIs
Clomipramine
Generalized anxiety disorder
Uncontrollable anxiety and worry
6+ mo
insomnia
irritability
tension
tx: benzos
SSRIs
SNRIs
Buspirone
Post traumatic stress ds
Persistent re-experiencing of previous traumatic event
Night mares
Flashbacks
Intense fear
Hypervigilance – startle easiliy
More than 1 mo
(less than 1 mo acute stress disorder)
likely to have somatization
tx: psychotherapy
SSRIs
Adjustment disorder
Indentifiable psychosocial stressor
Less than 6 mo after stressor is gone
Buspirone
Stimulates 5HT receptors
Generalized anxiety use only
Malingering ds
Consciously faking for secondary gain
Factitious ds
Faking to adopt sick role
No secondary gain outside of the sick role
Munchausen sn
Severe, risk to life
Keep ill
By proxy: caregiver causes illness to kid
Somatic sx
Not faking
No external gain/secondary gain
Can’t find why pt feeling sx
Somatic sx ds
Pain, GI, pseudoneurlogic complains in more than 1 organ system
All tests normal
Excessive anxiety and worry
Longer than 6 mo
Illness anxiety ds
No sx
Worried they have it
Repeat appointments
Not faking
