Anxiety Disorders Flashcards
symptoms of anxiety
- awareness of physical sensation
- awareness of being nervous or frightened
- effect on selectivity of attention
psychoanalytic cause of anxiety
- freud: buildup of libido
- psychic conflict between unconscious wishes and superego
- goal of therapy: increase anxiety tolerance (adapt and cope)
behavioral cause of anxiety
- conditioned response to a specific environmental stimulus
- seeing other people
existential cause of anxiety
- anxiety as a response to a perceived void in existence and meaning
biological cause of anxiety
- ans: sympathetic overdrive
- NE: increased noradrenergic function
- serotonin: stress = increase 5-ht turnover
- gaba
- hpa axis: stress = increased cortisol
what is panic disorder
- acute intense attack of anxiety accompanied by feelings of impending doom
- discrete periods of intense fear
- common associated: agoraphobia
what are panic attacks
- sudden period of intense fear or apprehension
- may last from minutes to hours
symptoms of panic attacks
read
course and prognosis of panic disorder
- late adolescence or early adulthood
- 30-40% are symptom free at long term follow up
- depression is comorbidity
treatment for panic disorder
- selective serotonin reuptake inhibitors
- benzodiazepines: rapid action
- duration of pharmacotherpay: 8-12 mos
- cognitive and behavior therapy + pharma = best results
what is agoraphobia
- fear/anxiety for places from which escape might be difficult
treatment for agoraphobia
- pharma: benzodiazepine, ssri
- psychotherapy: supportive psychotherapy, cognitive behavioral therapy
what are specific phobia
- excessive fear of a specific object, circumstance, or situation
- try to avoid the stimulus
- lasting 6 mos
- causes distress/impaired function
treatment for specific phobia
- behavior therapy
- insight oriented therapy
- exposure therapy
- hypnosis
what is social anxiety disorder
- fear of social situations
- late childhood or early adolescence
- chronic
- tx: pharma and psychotherapy
what is generalized anxiety disorder
- sustained or excessive anxiety and worry + motor tension or restlessness
- at least 6 mos
treatment for generalized anxiety
- psychotherapy
- benzodiazepines, ssri, snri
- 6-12 mos or lifetime
other anxiety disorders
- anxiety attributable to another medical condition
- substance induced anxiety disorder
- mixed anxiety-depressive disorder
what is ocd
- impulse intrudes itself insistently and persistently
- anxious dread and compulsion to reduce the anxiety
symptom patterns in ocd
- contamination!!
- pathological doubt
- intrusive thoughts
- symmetry
- other symptoms patterns
read body dysmorphic, hoarding, and hair pulling disorder
ok
what is excoriation
compulsive and repetitive picking of the skin that results in severe tissue damage and dermatologic intervention
symptoms of ptsd and asd
read
asd: 3 days to 1 month (acute)
ptsd: exceeds one month (chronic)
what is adjustment disorder
- emotional response to a stressful event
- emotional or behavioral symptoms in response to identifiable stressor occurring within 3 months of onset of stressor
- distress out of proportion
- significant impairment
