Anxiety And Stress Flashcards
GAD-7 anxiety
Self check , self applied and rate from 0-3
Helps give you coping strategies to employ
Eustress
Good stress
Motivates us and is what gears us up
distress
Negative stress
Causes emotional, physical, and psychological problems if we don’t do something about it
Psychological stress
Most likely anxiety or guilt and really positive emotions can be stressful in the moment (intense joy, a new baby)
Spiritual stress
Crisis of faith
Having difficulty in the moment connecting with their faith
What is my purpose? Why am i here?
Physical stress
Extreme temp, chaotic environment , scratch from a tag in a shit
Psychosocial
- where a person gets stress out about what is goin on in the way they think about themselves or the way they percieve themselves
Maybe lost opportunity and didn’t get to do a thing
Self esteem is challenged , end of relationship with difficulty with acceptance
Types of stress that can contribute to worsening symptoms of a mental health condition
Psychosocial
Psychological
Physical
Spiritual
When a type of stress interferes with someone with schizophrenia what can it do
Encourage hallucinations and delusions
When a type of stress affects someone with bipolar disorder what can it do?
It can trigger episodes of both mania and depression
When types of stress impacts someone with borderline personality disorder what can it trigger
Episodes of paranoia Anger and self harm
Healthy coping strategies
Altruism
Sublimation
Humor
Suppression
Altruism
Stress but it makes them motivated to increase someone’s welfare
Sublimation
When someone takes a socially unacceptable impulse and turns it into something socially acceptable
Can result in long time permanent conversion of that initial impulse
Humor
Used in both healthcare and pt, war zones
Dark jokes only funny to them
Suppression
Short term can be useful (instead of crying in class, hold it in till you get to your car)
(Avoid it turning into long term
Intermediate coping strategies /defense mechanism
Repression
Displacement
Reaction formation
Somatization
Undoing
Rationalization
Immature /primitive coping strategies or defense mechanism
Passive aggression
Acting out
Dissocialization
Devaluation
Idealization
Splitting
Projection
Managing stress techniques
Reframing/decatastrophizing
Sleep
Physical excercise
Reduced caffeine
Decatastrophizing
Can help rephrase the situation more realistically (instead of being dramatic)
Reframing
Telling yourself you are looking forward to it till you actually start looking forward to it
Sleep
Restorative
Important to protect
We prioritize sleep over interruption in psyche
So we get things like medication and assessments at the hours they are awake
In what situations do we not prioritize sleep
Thyroid or detoxing
What is effected by anxiety?
Epi and norepinephrine & cortisol /corticoids
Short term effects of epi and nor epi
Elevated heart and resp rate
Elevated ffa and glucose , and triglycerides increased platelet aggregation
Increased kidney clearance
Increased blood to skeletal muscles
Increased muscular tension
Short term effects of Orbison /corticoids
Decreased fluid loss
Increase glucose /gluconeogenesis
Less inflammation
Less brain norepinephrine
PTSD meds
1st line ssri
Low dose olanzapine
Prazosin
Uses for low dose anti psychotic olanzapine for PTSD
For psychosis
Uses of Prazosin for ptsd
Nightmares
Treatment meds for severe symptoms of anxiety with acute stress disorder
Benzodiazepine & hydroxyzine if tolerated
What is not useful for the treatment of acute stress disorder
Long term anxiolytics
Disassocuative disorders
Dissociative identity disorder
Dissociative amnesia
Dissociative amnesia
Dissociative amnesia with fugue
Depersonalization
Derealization
Dissociative identity disorder
Formerly known as multiple personality disorder
Disassociative amnesia
Unable to recall information about self
Disassociative amnesia with fugue
Amnesia for one’s identity may involve travel or wandering
Depersonalization
Experience of unreality of detachment from ONES MIND < SELF AND BODY
Derealization
Experiences of unreality or detachment from ones SURROUNDING
Propranolol
Used for nightmares and stuff
Eases physical symptoms of anxiety and not the anxiety it self
Clonidine
Anxiety disorder??
Triad for panic disorder treatment
CBT- reframing
Antidepressant - longer term
Benzo- short term
Agoraphobia
Marked by 1 of the following
Public trasportation
Being in open spaces
Being in an enclosed space (theater)
Standing in line or being in a crowd
Being alone outside the home
How long is agoraphobia last before diagnosed
Longer than 6 mo
Social anxiety when diagnosed
Greater than 6 mo
Acrophobia
Fear of heights
Claustrophobia
Fear of closed spaces
Fear of spiders
Arachnophobia
Fear of flying
Pteromechanophobia
Phobic disorder treatment
SSRI ( underlying depression)
Beta blockers (social events , performance anxiety)
Benzo acute management
Generalized anxiety treatment
CBT
Stress management
Physical activity
Medication
Meds for GAD
SSri
SNRI
Benzo
Buspirone
Anxiety r/t other medical condition that we should treat to help alleviate symptoms of anxiety
COPD
Parkinson’s
Metabolic disorders
Hyperthyroidism
What is the aim to treating OCD
Alleviate anxiety
Obsessions in OCD
Thoughts , intrusive
Compulsions in OCD
Behaviors
OCD contamination
Washing, cleaning
Loss or fear of loss OCD
Acquiring , collecting , saving
Symmetry OCD
Ordering , arranging , and repeating counting
Causing harm OCD
Avoidance of contact
OCD treatment
Exposure /response prevention
SSRI
Body dysmorphic disorder
Skin picking, mirror checking, brushing hair
Hoarding disorder
Dangerous , hoarding stuff
Trichotiillomania
Hair picking
Skin picking disorder
Risk of infection
