Anxiety Disorder

Question 1

What is characterized by excessive and persistent worrying that is hard to control, causes significant distress, and occurs more days than not, for at least six months

Answer 1

Generalized Anxiety Disorder (GAD)

Question 2

Clinical Manifestations of what issue
Occurs more days than not, for at least six months
(a) Most do not present with “excessive worry”
-1) If asked typically will admit to worrying excessively about minor matters
(b) Hyperarousal and muscle tension common
(c) Poor sleep
(d) Fatigue
(e) Difficulty relaxing
(f) Headaches
(g) Pain in the neck, shoulder, and back

Answer 2

Generalized Anxiety Disorder (GAD)

Question 3

Generalized Anxiety Disorder (GAD) goes hand in hand with wit other psychiatric conditions?

Answer 3

(a) Depression
(b) Specific phobias
(c) “Medically unexplained” chronic pain

Question 4

What is the GAD 7 questions?

Answer 4

Over the last two weeks, how often have you been bothered by:
1) Feeling nervous, anxious, or on edge?
2) Not being able to stop or control worrying?
3) Worrying too much about different things?
4) Trouble relaxing
5) Being so restless that it is hard to sit still?
6) Becoming easily annoyed or irritable?
7) Feeling afraid as if something awful might happen?

Question 5

Treatment of Generalized Anxiety Disorder

Answer 5

(a) CBT, medications, or both
-1) SSRIs and SNRIs are the typical medication classes used as first line

Question 6

What is the screening tool used to asses for GAD?

Answer 6

GAD 7

Question 7

What is a spontaneous, discrete episode of intense fear that begins abruptly and lasts for several minutes to an hour

Answer 7

panic attack

Question 8

Anxiety`Disorder
DSM-5 Diagnostic Criteria: An abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time _____ or more of _____ symptoms occur

Answer 8

four of 13

Question 9

Treatment of Panic attacks

Answer 9

Benzodiazepines
1) Clonazepam, lorazepam, diazepam, alprazolam
-Antihistamines such as hydroxyzine may also be tried

Question 10

Why would you want to avoid chronic use of Benzos?

Answer 10

Due to addiction risk and risk of withdrawal if stopped abruptly after chronic use

Question 11

GAD Treatment

Answer 11

1) Benzos for Panic attacks
2) Hydroxyzine
-long term maintenance
–a) SSRI’s
–b) SNRI Venlafaxine

Question 12

What effects do SSRI’s have on GAD

Answer 12

(a) Reduce frequency of panic attacks
(b) Severity of anxiety
(c) Degree of phobic avoidances

Question 13

True/False
SSRI’s/SNRI’s can be used to beak an active panic attack

Answer 13

FALSE
they are not are not anxiolytics and are used for long term treatment