Anxiety Disorder: Generalised Flashcards
What is stress?
- cognitive appraisal indicates whether an event is perceived as good or bad for the individual
The social readjustment rating scale provides a score for ‘life changing events’. What does this scale aim to do and over what timescale?
1 - rank life events on how stressful they are over 1 month
2 - rank life events on how stressful they are over 6 months
3 - rank life events on how stressful they are over 12 months
4 - rank life events on how stressful they are over 2 years
3 - rank life events on how stressful they are over 12 months
- higher scores equates to risk of developing a stress-related disorder
When we talk about the normal response to a stressor, there are 3 components. What are these?
1 - automatic, emotional, psychological
2 - physical, emotional, psychological
3 - somatic, emotional, psychological
4 - mental, emotional, psychological
3 - somatic, emotional, psychological
- somatic (fight or flight)
- emotional
- psychological (reduce the response and try to develop coping strategies)
When we talk about the normal response to a stressor, there are 3 components:
1 - somatic (fight or flight)
2 - emotional
3 - psychological (reduce the response and try to develop coping strategies)
What does the somatic response mean?
- physiological response to stressor
- somatic relates to the body
- do we run or fight?
When we talk about the normal response to a stressor, there are 3 components:
1 - somatic (fight or flight)
2 - emotional
3 - psychological (reduce the response and try to develop coping strategies)
Match the emotional responses feat, anxiety and depression with the following occurrences as an example of emotional response to stress?
- danger
- threat
- separation/loss
- how we may feel to specific occurrences
- danger = fear
- threat = anxiety
- seperation/loss = depression
Fear and anxiety are 2 different responses to a stressor. Which is associated with:
- immediate danger with risk present
- excessive and unfocussed fear from a specific stimulus
- fear = immediate danger with risk present
- anxiety = excessive and unfocussed fear from a specific stimulus
danger is present
- anxiety = threat is not currently present, rather anxiety/fear of the threat
When we talk about the normal response to a stressor, there are 3 components:
1 - somatic (fight or flight)
2 - emotional
3 - psychological (reduce the response and try to develop coping strategies)
There are 2 main types of psychological response, what are they?
1 - adaptive and toxic
2 - adaptive and maladaptive
3 - maladaptive and toxic
4 - maladaptive and irrational
2 - adaptive and maladaptive
- adaptive (relief and development to deal with in future and develop coping strategies)
- maladaptive (relief in short term, but long term problem)
Avoidance and denial are short term psychological responses to stressors. These are maladaptive, why?
1 - provides short term relief, but increases risk of depression
2 - provides short term relief, but increases risk of mortality
3 - provides short term relief, but associated with drugs and alcohol
4 - provides short term relief and no coping strategy
3 - provides short term relief, but associated with drugs and alcohol
- short term relief allows continued performance (alcohol or drugs use)
- alcohol or drugs can become the patients coping strategy
What is an acute stress reaction?
1 - response to exceptionally stressful event (physical or psychological)
2 - symptoms develop quickly
3 - symptoms generally subside within few days of stressor being removed
4 - all of the above
4 - all of the above
An acute stress reaction occurs when symptoms develop due to a particularly stressful event. The symptoms develop quickly but do not usually last longer than a few days. The events are usually very severe and an acute stress reaction typically occurs after an unexpected life crisis. Which of the following are common symptoms of an acute stress reaction?
1 - dissociative symptoms
2 - insomnia
3 - restlessness
4 - poor concentration
5 - autonomic arousal
6 - anger/anxiety/ depression
7 - social withdrawal
8 - all of the above
8 - all of the above
An acute stress reaction occurs when symptoms develop due to a particularly stressful event. The symptoms develop quickly but do not usually last long. The events are usually very severe and an acute stress reaction typically occurs after an unexpected life crisis. Dissociative symptoms can occur, what are these?
1 - separation from oneself thoughts and their bodies
2 - separation from family, friends and/or the environment they are in
3 - feeling unreal and detached, separated from people, as through by a pane of glass
4 - separated from the environment
2 - separation from family, friends and/or the environment they are in
- patients dissociates from those around them
- patients often describe an emotional numbness
Dissociative symptoms can occur following an acute stress response, which is an emotional numbness and separation from the stressor. People can also separate from other people, these are called Depersonalisation and Derealisation, which 2 of the below are these?
1 - separation from oneself thoughts and their bodies
2 - separation from family, friends and/or the environment they are in
3 - feeling unreal and detached, separated from people, as through by a pane of glass
4 - separated from your surroundings and feeling as though events are not real
3 - feeling unreal and detached, separated from people, as through by a pane of glass
= depersonalisation
4 - separated from your surroundings and feeling as though events are not real
= derealisation
Following an acute stress reaction patients can have a normal physiological response, however, they can also develop an adjustment disorder, what is this?
1 - an gradual and prolonger excessive response to a stressor lasting <6 months
2 - separation from family, friends and/or the environment they are in
3 - feeling unreal and detached, separated from people, as through by a pane of glass
4 - separated from the environment
1 - an gradual and prolonger excessive response to a stressor lasting <6 months
- > 6 months it becomes a different disorder
- occurs following an acute or ongoing stressor, no stressor means no adjustment disorder
Which of the following is included in the definition of anxiety?
1 - bodies natural response to a stressor
2 - feeling of fear and/or apprehension about what’s to come
3 - stressor may or may be present though
4 - all of the above
4 - all of the above
When we think about anxiety, which of the following are psychological responses a patient may present with?
1 - fearful anticipation
2 - irritability
3 - restlessness
4 - poor concentration
5 - worry
6 - all of the above
6 - all of the above
When we think about anxiety, what is the common term used to describe our autonomic responses?
- fight or flight response
- cardiac, respiratory, GIT and/or micturition
When we think about anxiety, what happens to muscle tension?
1 - tremors
2 - headaches
3 - aching muscles
4 - all of the above
4 - all of the above
- body prepares for fight or flight
When we think about anxiety, what happens to our respiration rate?
- hyperventilation
- dizziness, tingling of hands and feet, breathlessness
When we think about anxiety, which of the following does NOT occur in the cardiovascular system?
1 - bradycardia
2 - palpitations
3 - chest pain
4 - missed heart beats
1 - bradycardia
- typically it would be tachycardia