anxiety disorders Flashcards
Symptoms of moderate anxiety
- Voice tremors
- Cant focus
- Shakiness
- Repetitive questioning
- Somatic complaints
- ↑ HR, RR, PR, muscle tension
- Pacing, banging hands on table
Symptoms of severe anxiety
- Loud & rapid speech
- Feeling of dread
- Confusion
- Purposeless activity
- Sense of impending doom
- Hyperventilation
- Tachycardia
- Withdrawal
- Threats & demand
Nursing interventions of severe/panic anxiety
- Maintain a calm manner
- Always stay with patients
- Minimise environmental stimuli
- Use clear, simple statements, repetition
- Use low-pitched voice
- “Presenting reality” if perception is distorted
- Administer meds as prescribed (eg. anxiolytics)
List the types of anxiety disorders
- Generalised Anxiety Disorder (GAD)
- Social anxiety
- Panic disorder w/wo agoraphobia
- Specific phobia
- OCD
- Adjustment disorder
Risk factors of GAD
- older age
- chinese ethnicity
- being divorced
Symptoms of panic attacks (at least 5)
- Palpitations
- SOB
- Nausea
- Abdominal distress
- Trembling
- Derealisation
- Depersonalisation
- Choking
- Sweating
List out the common OCDs
- Contamination
- Pathological doubt
- Need for symmetry
- Somatic obsession
- Worry about discarding something important
List out pharmaco treatments of OCDs (+ if patient anxious and if patient is delusional)
- TCAs – clomipramine (oral)
- SSRIs (Fluvoxamine (Luvox), Fluoxetine (Prozac), Paroxetine (Paxil), Sertraline (Zoloft), Citalopram)
- TCAs/SSRI + Buspirone (if anxious) with Clonazepam
- TCAs/SSRI + antipsychotics (if delusional)
Difference btw anxiety and anxiety disorder
Anxiety: A response to stimuli/stress with emotional, cognitive, and physical symptoms
Anxiety disorder: Groups of mental problems with excessive Anxiety, affecting normal functioning.
What does this describe?
“Excessive & irrational fear of a specific object, circumstance, or situation. The fear produce conscious avoidance of the fear object, activity, or situation.”
Phobia
What does this describe?
“A marked and persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny of others”
Social phobia
Fear and avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed
agoraphobia
2 essential features of OCD
Obsession and Compulsion
Psychotherapy treatment of OCD
- Behaviour therapy)
- Exposure in vivo
- Exposure in fantasy
- Response prevention
- Patient education - Patient education
How will client overcome OCD with psychotherapy?
The client will overcome his disabling fear by gradual exposure to the feared object.
