Anxiety as a drug target Flashcards

1
Q

What is anxiety

A

the feeling of unease and fear which can range from mild to severe

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2
Q

List 5 physical signs of anxiety

A
  1. tachycardia
  2. palpitations
  3. dyspnea
  4. sweating
  5. nausea
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3
Q

What are the 6 types of anxiety disorders

A
  1. generalised anxiety disorder
  2. panic disorder
  3. social phobias
  4. specific phobia
  5. PTSD
  6. OCD
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4
Q

What is the difference between anxiety and fear

A

anxiety is what someone perceives to be a threat

Fear occurs in response to an actual threat

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5
Q

What are the 2 patterns of pathological anxiety

A
  1. generalised anxiety (always present)
  2. paroxysmal anxiety (happens intermittently)
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6
Q

Define GAD

A

General anxiety disorder is persistent for 6 months - of uncontrollable worrying

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7
Q

Define panic disorder

A

recurring and unexpected anxiety attacks or fear of another attack

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8
Q

define social phobia

A

fear of public scrutiny/humiliation

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9
Q

define specific phobia

A

restricted to specific objects or situations e.g. flying, heights, needles

has to be a pathological extreme to become anxiety disorder

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10
Q

define PTSD

A

flashbacks, hypervigilance, depression and numbing after a traumatic event

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11
Q

define OCD

A

recurrent/obsessive unwanted thoughts resulting in compulsive rituals to reduce anxiety

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12
Q

name 4 pharmacological treatments for anxiety

A
  1. SSRIs
  2. serotonin-noradrenaline reuptake inhibitors
  3. benzodiazepines
  4. beta blockers
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13
Q

whats is the aim of SSRIs

A

seretonin regulates mood - block the reuptake to leave more of it in the synapse to help resume normal communication and improve depressive symptoms

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14
Q

What is the aim of SNRIs

A

block the reuptake of serotonin and noradrenaline so they stay in the synaptic cleft longer

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15
Q

whats is the aim of benzodiazepines

A

they bind to the GABAa receptor and keep the channel open longer - this allows the influx of cl- causing hyperpolarization - this inhibits an AP from firing

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16
Q

what is the aim of beta blockers

A

they help with tachycardia and hypertension - they inhibit the uptake of noradrenaline to have a slower HR