Anxiety Disorders

Question 1

What is criteria a and B for separation anxiety disorder

Answer 1

A: developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom the individual is attached as evidenced by at least three of the following:
1. Reoccurring excessive distress went anticipating or experiencing separation from home or from major attachment figures
2. Persistent and excessive worry about losing major attachment figures or about possible harm to them
3. Persistent and excessive worry about experiencing an untoward event (e.g. being kidnapped) that causes separation from a major attachment figure
4. Persistent reluctance or refusal to go out away from home to school to work or elsewhere because of fear of separation
5. Persistent and excessive fear about being alone or without major attachment figures at home
6. Persistent reluctance or refusal to sleep away from home or to go to sleep without being near a major attachment figure
7. Repeated nightmares involving the theme of separation
8. Repeated complaints of physical symptoms (headaches stomach aches) when separation from major attachment figure occurs or is anticipated

B: The fear anxiety or avoidance is persistent lasting at least four weeks in children and adolescents and typically six months or more in adults

Question 2

Criteria a for selective mutism

Answer 2

A: consistent failure to speak in specific social situations (at school) in which there is an expectation for speaking despite speaking and other situations. 

Question 3

Criteria b for selective mutism

Answer 3

B: The disturbance interferes with educational or occupational achievement or with social communication

Question 4

Criteria C selective mutism

Answer 4

The duration of the disturbance is at least one month

Question 5

Criteria D selective mutism

Answer 5

The failure to speak is not attributable to a lack of knowledge of or comfort with the spoken language required in the social situation

Question 6

Criteria a for specific phobia

Answer 6

Marked fear or anxiety about a specific object or situation (eg. Flying Heights animals receiving an injection seeing blood)

Question 7

Criteria B through D for specific phobia

Answer 7

B: The phobic object or situation almost always provoked immediate fear or anxiety

C: The phobic object or situation is actively avoided or endured with intense fear or anxiety

D: The fear or anxiety is out of proportion to the actual danger post by the specific object or situation and to the sociocultural context


Question 8

How long does the fear or anxiety typically persist for in specific phobia? 

Answer 8

Six months or more

Question 9

Specific phobia specifiers

Answer 9

Animal (spiders)
natural environment (heights/ storms)
blood injection injury (needles)
situational (elevators)
other (choking, vomiting)

Question 10

Criteria A social anxiety disorder

Answer 10

Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others
examples include social interactions (having a convo)
being observed ( eating)
and performing in front of others

Question 11

Criteria b and c, social anxiety disorder

Answer 11

B: The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated (eg. Lead to rejection or embarrassment )

C:  The social situation almost always provoke fear or anxiety

Question 12

Criteria D & E, social anxiety disorder

Answer 12

D: The social situations are avoided or endured with intense fear or anxiety

E: The fear or anxiety is out of proportion to the actual threat posed by the social situation into the sociocultural context

Question 13

How long does the fear or anxiety typically persist for in social anxiety disorder?

Answer 13

Six months or more

Question 14

Social anxiety specifier(s)

Answer 14

Specify If: performance only

Question 15

What is a panic attack?

Answer 15

An abrupt Surge of intense fear or intense discomfort that reaches a peak within minutes and during which time four or more of the following symptoms occur:
1. Palpitations pounding heart or accelerated heart rate

2. sweating

3.trembling or shaking

4. sensations of shortness of breath

5.feelings of choking

6. chest pain

7.nausea

8.feeling dizzy

9. chills

10.numbness

11. de realization

12 fear of losing control

13. fear of dying 

Question 16

Criteria A and B panic disorder

Answer 16

A: reoccurring unexpected panic attacks
B: At least one of the attacks has been followed by one month, or more, of one or both of the following:
1. Persistent concern or worry about additional panic attacks or their consequences
2. Hey significant maladaptive change in behavior related to the attacks (eg avoidance of exercise)

Question 17

Panic attack is not a mental disorder and should be specified if occurring in the context of another disorder. T or F 

Answer 17

T

Question 18

What are the two characteristic types of panic attacks

Answer 18

Expected and unexpected.

Question 19

Criteria A, agoraphobia

Answer 19

Marked fear or anxiety about two or more of the following situation:
1. Using public transportation
2. Being in open spaces
3. being in enclosed spaces
4. Standing in line or being in a crowd
5. Being outside of the home alone

Question 20

Criteria B, agoraphobia

Answer 20

The individual fears or avoids the situation because of thoughts that escape might be difficult or help might not be available in the event of developing panic like symptoms or other incapacitating or embarrassing symptoms

Question 21

Criteria A- D generalized anxiety disorder

Answer 21

A: excessive anxiety and worry occurring more days and not for at least six months about a number of events or activities

B: The individual find it difficult to control the worry

C: The anxiety and worry or associated with three or more of the following symptoms (with at least some symptoms having been present for more days tonight for the past six months)
1. restlessness or feeling keyed up
2. Being easily fatigued
3. Difficulty concentrating
4. Irritability
5. Muscle tension
6. Sleep disturbance

D: The anxiety or physical symptoms cause clinically significant distress or impairment and social occupational or other important areas of functioning

Question 22

Define obsessions

Answer 22

Recurrent and persistent thoughts urges or images that are experienced as intrusive and unwanted

Question 23

Define compulsions

Answer 23

Repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly

Question 24

Criteria A obsessive compulsive disorder

Answer 24

A: presence of obsessions compulsions or both

— Obsessions are defined by 1and2
1. Recurrent and persistent thoughts urges or images that are experienced as intrusive and unwanted and causes distress
2. The individual attempts to ignore or suppress such thoughts or to neutralize them with some other thought or action (compulsion)

— compulsions are defined by 1&2:
1. Repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession
2. The behaviors or mental acts or aimed at preventing or reducing anxiety however are not connected in a realistic way with what they are designed to neutralize or are excessive

Question 25

Criteria B obsessive compulsive disorder

Answer 25

The obsessions or compulsion or time consuming (more than 1 hour a day) or cause clinically significant distress or impairment in social occupational or other important areas of functioning

Question 26

OCD specifiers

Answer 26

1. With good or fair insight (recognizes OC may not be true)

2.with poor insight (OC is prob true)

3. With absent insight/ delusional beliefs (OC are true)

Question 27

What are the common themes of OCD

Answer 27

Cleaning
symmetry
forbidden or taboo thoughts
harm

Question 28

What are the diagnostic criteria (A-D) for body dysmorphic disorder

Answer 28

A: Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others

B: at some point during the course of the disorder the individual has performed repetitive behaviors or mental acts in response to the appearance concerns

C: The preoccupation causes clinically significant distress or impairment and social occupational or other important areas of functioning

D: The appearance preoccupation is not better explained by concerns with body fat or weight in an individual whose symptoms meet diagnostic criteria for an eating disorder

Question 29

Body dysmorphic disorder specifiers

Answer 29

With muscle dysmorphia
with good or fair insight
with poor insight
with absent insight/delusional beliefs

Question 30

Criteria A-C hoarding disorder

Answer 30

A: persistent difficulty discarding or parting with possessions regardless of their actual value

B: The difficulty is due to a perceived need to save the items and to distress associated with discarding them

C: The difficulty discarding possessions results in the accumulation of possessions that congest and clutter active living areas and substantially compromise their intended use. if living areas are uncluttered it is only because of the interventions a third parties

Question 31

Hoarding disorder specifiers

Answer 31

With excessive acquisition (If difficulty discarding possessions is accompanied by excessive acquisition of items that are not needed or for which there is no available space)
with good or fair insight
with poor insight
with absent insight/ delusional beliefs

Question 32

Trichotillomania  is also known as what? 

Answer 32

Hair pulling disorder

Question 33

What are the diagnostic criteria for trichotillomania

Answer 33

A: reoccurrent pulling out of one’s hair resulting in hair loss
B: repeated attempts to decrease or stop hair pulling
C: The hair pulling causes clinically significant distress or impairment and social occupational or other important areas a functioning

Question 34

Exocoriation disorder is also known as what

Answer 34

Skin picking disorder

Question 35

Diagnostic criteria for excoriation disorder

Answer 35

A: recurrent skin picking resulting in skin lesions
B: Repeated attempts to decrease or stop skin picking
C: The skin picking causes clinically significant distress or impairment social occupational or other important areas of functioning