anxiety disorders

Question 1

anxiety vs disorder

Answer 1

• anxiety: intense worry, apprehension or unease in response to a stimulus
• disorder: experienced without a trigger

Question 2

Responses to anxiety: 
cognitive
psychological 
physical 
behavioural

Answer 2

Cognitive:

• poor concentration
• confusion
• jumping to conclusions

psychological:
- edgy
- nervous
- fearful

Physical:

• Increased BP
• palpitations
• SOB

behavioural

• escape
• avoid siutations
• compulsive

Question 3

Generalised anxiety disorder

DSM

Answer 3

• excessive anxiety or worry occurring more days than not for 6mths or more. Difficult to control this worry, with 3 or more symptoms:
• Fatugue
• Restlessness
• Irritability
• Sleep disturbance

Question 4

Panic disorder
symptoms
Nursing mgmt

Answer 4

• palpitations
• sweating
• SOB
• Chest pain

nurse:
- stay with pt
- stay calm
- breathing
- short sentences
- calm environment

Question 5

Anxiety
Medications
- SSRI and Benzos

Answer 5

benzos

• rapid onset but risk of dependance
• suppress the CNS and enhance effects of GABA
• GABA makes neurones less responsive to excitatory neurotransmitters and therefore reduces symptoms of anxiety
• cause drowsiness