anxiety disorder Flashcards

1
Q

what is negative reinforcement

A

a behaviour that removes the native consequence eg putting in sunscreen in sun so not burnt

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2
Q

treatment o mild anxiety disorder

A

CBT

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3
Q

treatment of mod-severe anxiety

A

SSRI

for a year

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4
Q

what is the first line medication (not class) used in anxiety

A

fluoxetine

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5
Q

what part of the brain is responsible for the stress response

A

amygdala

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6
Q

what hormone is released in response to stress

A

cortisol

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7
Q

how long must anxiety be present for for GAD diagnosis

A

most days for min 6 months

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8
Q

when does GAD typically present

A

20-40s

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9
Q

treatment of GAD

A

CBT, SSRI/SNRI, pregabalin, Benzes short term

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10
Q

howling must treatment of GAD be continued for

A

upwards of 18 months

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11
Q

symptoms of GAD

A

generalised anxiety no restricted to any particular environment, nervousness, trembling, eating, muscle tensions, dizzy , epigastric discomfort, fears that themselves or loved one will become ill.

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12
Q

what is a panic disorder

A

recurrent attacks of severe anxiety which aren’t restricted to situation and unpredictable.

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13
Q

main symptoms of panic attacks

A

palpations, chest pain, choking sensation, dizziness, depersonalisation or derealisation, secondary fear of death.

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14
Q

50-67% of people with panic disorder also have what other anxiety disorder

A

agoraphobia

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15
Q

what are biological triggers of panic attacks

A

infusion of lactate or rebreathing co2

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16
Q

treatment of panic attacks

A

CBT/self help
SSRI/SNRI/TCA
Benzes short term - try avoid

17
Q

how long should treatment commence for in panic disorders

A

6 months

18
Q

when do phobias typically present by

A

early onset early adolescence -30s

19
Q

what is agoraphobia

A

fears of leaving home , entering shops, crowds, public places or travelling alone in trains, buses or planes

20
Q

in phobias is fear seen as rational

A

no

21
Q

give examples of specific fears

A

flying, heights, animals, injections

22
Q

treatment of specific phobias

A

graded exposure

cat and ssri if needed

23
Q

common anxiety symptoms seen in social anxiety disorder

A

blushing/ shaking
fear of vomiting
urgency or fear of micturition or defection

24
Q

treatment of social anxiety

A

cat
SSRI/SNRI
Benzes short term

25
Q

what does ego -dystonic mean

A

goes against the persons self eg kill family if they love them

26
Q

how long must obsessional features be present for in OCD

A

most days for at least 2 weeks

27
Q

give some criteria for OCD

A

must be own thoughts
must be resisted
must be unpleasant
must be repetitive

28
Q

when does OCD usually present

A

usually 20 (teens for males)

29
Q

treatment of OCD 1,2,3 line

A

1st - CBT
2nd SSRI(fluoxetine)
3rd - clomipramine

30
Q

what receptor do Benzos work on ? what else works on this receptor. what ion enters through channels?

A

GABA -A receptor ( alcohol and barbiturates) chloride (cl -)