anxiety disorder Flashcards
etiology of anxiety
non threating event cause overactivity of HPA
no negative feedback
Panic disorder description
its recurrent, random and unexpected
persisit worrying about future attacks
do not know the trigger
agrophobia descripton
persistent and excessive fear,
2 or more different situations outside of home. eh public transport, open spaces, enclosed spaces, being in a crow, outside of home, in a line.
agrophibia ethilogy
difficult to eascape
difficult to get help
specific phobia
persisitant and intnese fear to a specifc situation or object
you fear the thing or you avoid it
social anxiety
worried about being negatively evaulated in a social situation
can be avoided or maintained with intense fear
social anxiety performance only
you are able to socialized however in front of crowds you have anxitey
general anxiety disorder
multiple events is the trigger
everything all at the same time
gerneral anxitey disorder symptoms
restlessness
decrease concentration
muslce tension
irritability
insomia
seperation anxiety
you are triggered by the separtion of a major attachment of a specific person due to anticipated or actually loss or harm
when is separtion anxiety diagnosed
age 7-8
selective mutism
anxiety based whereby you cannot talk in social situations
you speak a lot at home or places where you are comfortable but out of the enivromnet you do not speak
anxiety first-line management
cognitive behavioural therapy
you identify the trigger and negative through pattern
slowly expose person to the fear stimuli in a safe environment
anxiety managment second line treatment
medications
1. benzodiazepine (short term bc highly addivitive)
2. Beta blockers ( for performance only social anxiety) (makes you calm)
3. antidepressants ( takes 4-6 weeks to work)
the anti-depressant is used with benzodiazepine because it takes a long to work, but it is the best/.
OCD
recurrent obsessions and or compulsions
obsession -can be thoughts, images or urges that are unwanted and intrusive
complusion- repetive behaviour or mental acts performed in response to the obsession
management of OCD first line
behavioural therapy
-expose to the obsession but avoid doing the compulsion response
etiology of OCD
overactive brain circulatory involving the frontal lobe
serotonin deficiency
OCD second line treatment
medications used with therapy
1. SSRI (serotonin reuptake inhibitor)
2. Tricyclic antidepressant
If patients are resistant to medication (OCD) 3rd line managemnent
these patients may require surgical intevions
1. deep brain stimulation
2. Ablative neurosurgery
❑ Anterior cingulate gyrus (cingulotomy)
❑ Internal capsule (capsulotomy)
Body dysmorphic disorder
preoccupied by the precived flaw which is non-existent to very minimal in appearance
beliefs can be delusional
hoarding disorder
accumulation of possessions which prevents the use of space
Excoriation Disorder
recurrent unwanted skin picking causing leasions ( compulsive)
this disorder is not explained by anything else
Trichotillomania
unwanted pulling of ones hair whiich results in hair losss.
Agrophibia and Panic
random and unexpected attacks and aviod open or crowded spaces because she fear that she wont get help
