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Module 6 > anxiety and stress related disorders > Flashcards

anxiety and stress related disorders Flashcards

1
Q

stress related to positive things in our life

*engagements while in school, new job, pregnancy

A

eustress

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2
Q

negative stress

A

distress

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3
Q

psychological stress

A

feelings of guilt, joy

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4
Q

spiritual stress

A

our faith has been challenged and begin to exam all of our beliefs and whatever higher being we look to, also questioning our reason being here

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5
Q

physical stress

A

exercise, surgeries creating pain, homeless people, people who are ill

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6
Q

psychosocial stress

A

loss of support system or don’t have a support system, if we lose our status at place of employment, if something challenges our self esteem

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7
Q

when people use defense mechanisms what are they doing

A

helping relieve anxiety r/t stressors

*to cope with stress and anxiety

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8
Q

what techniques are used to manage stress

A 
relaxation techniques
reframing/decatastrophizing
sleep
physical exercise
reduced caffeine
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9
Q

what is the physiology of street/anxiety

A

amygdala sends to hypothalamus that there is a threat, the hypothalamus engages the sympathetic and parasympathetic, the SNS releases epinephrine, HR respirations BO all elevate, as adrenaline subsides and stress is prolonged then hypothalamus release ACTH which travels to adrenal glands and releases cortisol (the primary stress hormone), PNS takes over and cortisol levels drop returning to normal hopefully

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10
Q

in anxiety disorders what neurotransmitter is decreased

A

serotonin thats why we give SSRIs because its a serotonin reuptake

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11
Q

stress disorders have a ____ and that _____ is an exposure to an actual ______

A

cause; cause; trauma

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12
Q 
exposure to actual or threatened death, injury, or sexual violence
presence of intrusion symptoms
avoidance of associated stimuli
neg alterations in mood
hypervigilant, hyperaroused
*symptoms last longer than one month
and watch for suicidal ideation
A

post traumatic stress disorder

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13
Q

what meds are given for PTSD

A

SSRIs and others to treat target symptoms like psychosis

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14
Q

for dx criteria, what is the difference between PTSD and acute stress disorder

A

PTSD symptoms last longer than a month for acute stress the symptoms resolve within 1 month and will see depersonalization and derealization more

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15
Q

what is the tx for acute stress disorder

A

may resolve on own in a month
benzos prn for severe symptoms (short term and fast acting)
also telling story of what happened can help

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16
Q

what anxiety disorders are we talking about

A

agoraphobia, socio anxiety DO, specific phobia DO, panic DO, OCD, GAD

17
Q

state of heightened awareness, but still able to work, learn and solve problems.
*us going into an exam

A

mild anxiety

*foot or finger tapping, lip chewing, fidgeting

18
Q

narrowed perceptual field, selective inattention, less able to problem solve, HR and RR are up, somatic complaints

A

moderate anxiety

19
Q

perceptual field very limited, scattered attention, distorted perceptions, lessened problem solving ability, tunnel vision and more intense somatic complaints

A

severe anxiety

20
Q

unable to focus on environment, feeling of doom, disorganized thinking, no problem solving, emotional paralysis irrational

A

panic level anxiety

*dilated pupils, unintelligible communication

21
Q

reoccurring unexpected panic attacks
followed by at least 1 month of fear of reoccurrence or maladaptive change in behavior
R/O drug induced factors
often comorbid with agoraphobia and depression

A

panic disorder

22
Q

what is the tx for panic disorder

A

CBT reframing

and benzos and antidepressents

23
Q

persistent and irrational fear of specific object or activity
has to result in AVOIDANCE behaviors
*go to extreme measures to avoid something

A

phobic DOs

24
Q

marked fear of 2 or more of 5 situations
fear is disproportionate to the risk of danger
fear causes distress or impairment

A

agoraphobia

*assertiveness training works well

25
Q

what are the 5 situations of agoraphobia

A

public transportation, being in an open space, closed space, being in a crowd, or being outside the home alone

26
Q

what is the primary gain of agoraphobia

A

they don’t have to deal with anxiety if they had left

27
Q

what is the secondary gain of agoraphobia

A

someone else takes care of their necessities, buying groceries, they come to you

28
Q

fear of rejection by others
fear of exposure to social or performance situations
DO causes disruptions in life

A

social anxiety DO

*social skills training works well

29
Q

fear of one or more specific objects or situation

*fear of heights, closed spaces, spiders etc

A

specific phobias

*best treated with behavioral therapy

30
Q

excessive worry/ anxiety on more days than not for greater than 6 months
cannot control worry
causes disturbances in personal, scholastic, or employment performance
often cormorbid with depression/panic disorder

A 
generalized anxiety disorder GAD
*buspirone works well for chronic 
CBT
stress mngt
physical activity
31
Q

symptoms are direct result of medical condition

*COPD, Parkinson’s, metabolic disorders, hyperthyroidism

A

anxiety r/t other medical conditions

32
Q

presence of obsessions, compulsions or both
unable to ignore or suppress thoughts or actions
*obsessions and compulsions are time consuming > 1hr a day

A

OCD

33
Q

reoccurring and persistent thoughts, urges or images which are unwanted and intrusive causing distress to the individual

A

obsessions

34
Q

repetitive behaviors that the individual is compelled to perform in response to related obsession

  • aim is to alleviate anxiety
  • these are the actions
A

compulsions

35
Q

what are the tx for OCD

A

exposure/ response prevention

and SSRIs

Module 6 (11 decks)

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