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#Phase 2.1: Mental Health > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

1
Q

What are the types of anxiety disorders? (5 things)

A
  1. GAD
  2. Panic disorder
  3. Phobias
  4. OCD
  5. PTSD
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2
Q

What is Generalised Anxiety Disorder (GAD)?

A

Free floating anxiety most of da time

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3
Q

What are the risk factors for GAD diagnosis? (6 things)

A
  1. Female
  2. FHx of psychiatric disorders
  3. Childhood trauma (abuse / parents / bullying)
  4. Environmental stressors (trauma / violence / jobless / poor)
  5. Substance dependence
  6. Chronic / painful illness (e.g arthritis)
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4
Q

What are the somatic CF of GAD? (3 things)

A
  1. Increased HR
  2. SOB
  3. Trembling
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5
Q

What are the 2 different diagnostic criteria for GAD? (2 things)

A
  1. DSM-V diagnostic criteria
  2. ICD-10 diagnostic criteria

They can overlap, so use dem + own Clinical Judgment for diagnosis

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6
Q

What are the DSM-V diagnostic criteria for GAD? (3 things)

A
  1. 6+ months excessive disproportionate worrying + unable to control worry + causes distress
  2. 3+ symptoms happening most of the time, from:
  • Restlessness / nervousness
  • Being easily fatigued
  • Poor concentration
  • Irritability
  • Muscle tension
  • Sleep disturbance
  1. The worry not caused by different Mental Disorder / Substance Abuse
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7
Q

What questionnaire can be done to assess severity of GAD?

A

GAD-7 anxiety questionnaire

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8
Q

What conditions does GAD co-morbid w? (5 things)

A
  1. Major depression
  2. Panic disorder
  3. Phobic anxiety disorders
  4. Health anxiety
  5. OCD
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9
Q

What is the NICE Step wise approach for managing GAD? (4 steps)

A

Step 1: Education abt GAD + Active monitoring

Step 2: Individual/guided Self-help / psychoeducational groups

Step 3: CBT / Applied relaxation / Drug Treatment

Step 4: Highly specialist input (multi agency teams)

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10
Q

What is the first line drug treatment for GAD?

A

Sertraline (SSRI)

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11
Q

What is a Panic disorder?

A

Condition where you have regular panic attacks (extreme surge of anxiety symptoms)

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12
Q

How do you grade Moderate vs Severe Panic disorder?

A
  • Moderate = 4+ panic attacks per month
  • Severe: 4+ panic attacks per week
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13
Q

What is the Step-wise treatment for Panic disorders? (5 things)

A

Step 1: Recognition + Diagnosis

Step 2: Primary care treatment (CBT / Drug treatment)

Step 3: Review + Consider alt treatments

Step 4: Review + Refer to Specialist MH services

Step 5: Care in Specialist MH services

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14
Q

What is the FIRST LINE drug treatment for Panic disorders?

A

SSRI

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15
Q

What are the SECOND LINE drug drug for Panic disorders? (1st line contraindicated / no response @ 12 wks)

A

Imipramine / Clomipramine

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16
Q

What is a Phobia?

A

Extreme / irrational fear of something

17
Q

What are some common Phobias? (2 things)

A
  1. Agoraphobia
  2. Social phobia
18
Q

What is Agoraphobia?

A

Fear of going somewhere where ppl r der (stops u leaving da house)

19
Q

What is Social phobia?

A

Fear of being w other people (hard to talk to ppl)

20
Q

What is the treatment for Phobias?

A

CBT (cognitive behavioural therapy)

21
Q

What is OCD? (2 things)

A

Condition involving:

  1. Obsessions: unwanted thoughts / intrusive images
  2. Compulsions: repetitive behaviours (you feel you need to do to relieve obsession)
22
Q

What conditions does OCD co-morbid w? (5 things)

A
  1. Anxiety
  2. Depression
  3. Eating disorders
  4. Autistic spectrum disorder
  5. Phobias
23
Q

What is the treatment for MILD OCD? (2 things)

A

CBT including ERP (exposure and response prevention)

24
Q

What is ERP (Exposure & Response Prevention) (3 things)

A
  1. Exposing pt to anxiety provoking situation (e.g having dirty hands)
  2. Stopping them from engaging in usual safety behaviour (e.g washing hands)
  3. Helps confront anxiety + habituation –> eventual extinction of response
25
Q

What is the treatment for MILD OCD not responding to CBT? (2 things)

A
  1. SSRI
  2. More intensive CBT
26
Q

What is the treatment for MODERATE OCD? (2 things)

A
  1. SSRI
  2. More intensive CBT
27
Q

What is the specific SSRI for Body Dysmorphic Disorder (BDD)

A

Fluoxetine

28
Q

What is the treatment for SEVERE OCD? (2 things)

A

SSRI + CBT together

29
Q

What should you do if SSRI is effective for OCD?

A

Keep them on it for 12 months to prevent relapse

30
Q

What is PTSD?

A

Severe chronic disorder that develops after experiencing / witnessing a traumatic event

31
Q

What are the most common causes of PTSD in Men / Women?

A
  • Men = Combat trauma
  • Women = Sexual assault
32
Q

What conditions does PTSD co-morbid w? (3 things)

A
  1. Mood disorders
  2. Substance use disorders
  3. Anxiety disorders
33
Q

What are the CF of PTSD? (4 things)

A
  1. Recurring invol memories from trauma
  2. Recurring nightmares related to trauma
  3. Flashbacks – feeling like re-experiencing trauma
  4. Sleep disturbance
34
Q

How long should symptoms be present for for a PTSD diagnosis?

A

1+ month

35
Q

What is the treatment for PTSD? (2 things)

A
  1. CBT
  2. SSRI
36
Q

What is the FIRST LINE SSRI for PTSD?

A

Sertraline

37
Q

What medications should you give PTSD pt suffering from insomnia / nightmares?

A

Alpha blockers (Prazosin)

#Phase 2.1: Mental Health (7 decks)

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