Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Y5 Psych > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

1
Q

% of EDs that are men / boys

A

15 to 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

BMI of bulaemia

A

normal / above normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

BMI of binge eating disorder

A

above normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

BMI of anorexia

A

low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what common belief do eating disorders have

A

individuals judge their self worth in terms of their shape / weight / eating / ability to control these features

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

EDs have highest rate of mortality of any mental illness. true or false?

A

TRUE - pre pandemic for sure but likely now

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ED with the highest mortality rate

A

anorexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

why does anorexia have the highest mortality rate

A

physical decline & suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

sex ratio of AN

A

1:10 F:M

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

age on onset for AN usually

A

16 to 17

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

diagnostic for AN

A

15% below expected or BMI under 17.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

behaviours of AN

A

self induced weight loss
avoidance ofcertain foods / resitriction
vomitting / purging / xs exercise / appetite suppresants / laxatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

thoughts of AN

A

body image distortion
dread of fatness
overvalued ideas
imposed low weight threshold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

endocrine disorders of AN

A

HPA axis
amonorhoea
reduced libido / impotence
raised GH levels
altered TFTs
abnormal insulin secretion
delayed / arrested puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

causes of EDs

A

genetics, personality, cultural enviroment, reaction to traumatic life event

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

physiological risk factors

A

lack of adaptive coping strategies
easily anxious / shy
personality traits: perfectionist / rigidity / impulsive
low self esteem
feelings of inadequacy / lack of control in life
depression, anxiety, anger, lonely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

overlap of AN with other mental health disorders

A

depression - Sx of depression are Sx of starvation too
anxiety / OCD / social phobia - obsessions / compulsions related to food / exercise / weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

maintaining factors of AN

A

starvation –> difficulty concentrating / infelxible thinking / low mood / bloating makes ppl feel they lose control / guilt and denial
affected loved ones –> unhelpful, conflict, anger, carers can be lulled in false sense of security, intelligence masks it, splitting of family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how can you think of ED

A

like a food phobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

dental and renal consequences of ED

A

dental caries

renal calculi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

blood issues of AN

A

anaemia, leucopaenia, thrombocytopaenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

neuro signs of AN

A

peripheral neuropathy, loss of brain volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

reproductive issues of AN

A

infertility, low birth weight infant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

endocrine issues of AN

A

low K/Na/sugar/Ca/body temp
amenorrhoea, osteoporosis, high cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
russels sign?
callused skin over interpharangeal joints due to xs vomitting
26
hypercaratonaemia?
orange tint to skin like jaundice but spares sclera
27
heart and tummy issues of AN
low BP, porlonged QT, arrhytmias, cardiomyopathy delayed gastric emptyingd
28
derm issues of AN
dry scal skin, brittle hair, lanugo hair
29
screening questionaire of AN
SCOFF
30
what is included in SCOFF Qs
do you make yourself sick when you feel full *************
31
other features to look for in AN
overvalued ideas about shape / weight body image disturbance hormonal disturbance - no periods etc emotionally labile hide behaviours
32
Ix of AN
full psych history SCOFF questionnaire to screen current ED Sx - vomiting, laxatives, exercise, periods bio/ psycho / social factors collateral history from family - also to see fmaily dynamics
33
blood tests for AN
FBC - high HB in dehydration ESR - organic cause U&Es - urea/creaitnine/K/Pi/Mg - low CK - raised in exercising Amylase - raised = vomitting glucose LFTs - elevated TFT albumin cholesterol - elevated hypercortisolaemia, raised GH, low LH/FSH, low E/P
34
why would Na be low in AN
ppl drink lots and lots of water to gain weight for weigh ins
35
why check Mg/Pi
refeeding syndrome
36
Mx of AN
early referral to EDU rest, food, warmth CBT / family intervention dietician gives nutritional education ?MHA assessment if needed / refusing --> contact seniors
37
what drug may be used in AN
olanzapine - will cause them to gain weight too
38
key difficulty in Mx of AN
how to introduce food whilst maintaining the relationship with patient
39
guidelines for Mx of acute physical deterioration of AN
marzipan guidelines
40
how to assess the physically unwell AN patient
marzipan guidelines looks at BMI, vital signs, clinical signs, blood tests inpatient may be necessary
41
reasons for inpatient admission for AN
rapid weight loss severe electrolute imbalnace marked chaneg in mental state psychosis / suicide failure of outpatient Tx physiological complications - bradycardia, low BP
42
refeeding diet content & why
low fibre, phosphate rich diet (milk) - reduce refeeding syndrome
43
process of refeeding syndrome
in starvation, main source from carbs --> fatty acids / amino acids so reduced insulin secretion refeeding = insulin secretion resumes, so increased glycogen, fat, protein synthesis - uses up Mg/K --> cardiac abnormalities
44
what should happen if the patient deteriorates
consents --> use MCA to check if they can consent not consent --> MHA and can give food under this
45
bulaemia nervosa diagnostic criteria
preoccupation with eating craving for food binges attempts to counyer the fattening effects of food by vomitting / laxatives
46
co-morbidities of BN
anxiety / mood disorder cutting / overdose
47
Tx of BN
fluoxetine CBT / family therapy
48
key features of how to talk to patient with ED
collaborative approach - agree a care plan with them avoid conflict / anxiety facilitate their motivation to change compassion and understanding - EDs are lonely support family MDT approach
49
what is anxiety
fight or flight respons due to adrenal hypothalamocortical axis is overran in an unhelpful well perception of threat / reaction is unnecessarily high
50
psychological sx of anxiety
feeling worried poor concentration irritable depersonalised / derealised difficulty falling asleep
51
physical sx of anxiety
fast heart rate / palpitations chest discomfort tremore headache restlessness dry mouth indigestion / farting hyperventilating dizziness ED / increased urinary freq
52
define phobia
fear out of proportion to the situation can't be reasoned away not rationalised beyond voluntary control avoidance of fear
53
epidemiology of phobias
lifetime prevalance 5-10%
54
sex distribution of phobia
F>M 2:1
55
age peak of phobias
presents age 5-9
56
signs of phobias
avoidance, fear, disability
57
aetiology of phobias
3/4 have 1st degree relative with same phobia phobias develop through modelling or conditioning
58
what is agorophobia
a fear of being in situations where escape might be difficult or that help wouldn't be avilable if things go wrong eg open/confined spaces
59
sex distribution of agorophobia social phobia?
f>m 4:1 f>m 3:2
60
what is social phobia
marked fear of being the focus of attention, or fear of behaving in a way that will be embarrassing / humiliating
61
Mx for phobias
CBT with exposure therapy meds used would be SSRI / venlafaxine, beta blockers
62
drugs of choice for social phobia
SSRI
63
what drug should be avoided in phobias
benzodiazepine
64
define panic disorder
intermittent intense anxiety NOT triggered by a specific stimulus unpredictable
65
are panic attacks panic disorder?
NO - they have a specific stimulus so they are more a phobia
66
sx of panic disorder
the panic attack sx fear of dying hyperventiliating sweating, dizziness palpitations chest discomfort desire to flee
67
Mx for panic disorder
CBT / relaxation techniques SSRIs not benzos
68
what is GAD
generalised anxiety disorder excessive and uncontrolled anxiety, NOT triggered by a specific stimulus continuous (most days over 6 months)
69
sx of GAD
motor tension, restlessness, irritability, somatic Sx comorbid depression / OCD / panic disorder
70
are all anxiety disorders more common in women
all except OCD, which is even
71
risk factors of GAD
history of trauma low socioeconomic status substance abuse chronic illness
72
Ix and Mx for GAD
rating scales eg GAD-7 Mx 1 = educate and monitor 2 = CBT 3 = high intensitiy CBT +/- drugs 4 = speciialist intervention
73
meds for GAD
SSRIs, SNRI, pregabalin
74
define OCD
obsessions are recurrent, unwanted and intrusive thoughts/images/impulses in ones mind, despite attempts to resit compulsions are repeated and seemingly purposeful rituals that are carried out
75
diagnostic for OCD
Sx present on most days for at least 2 successive weeks and be the source of distress or interference with activities
76
most common OCD types
checking compulsions 63% washing 50% fears of contamination 45% obsessive doubts 42%
77
aetiology of OCD
FHx - 35% of 1st degree relative tics 20% anakastic personality stress basal ganglia defects
78
Mx of OCD
CBT - ERP SSRIs - high dose or clomipramine (TCA)
79
prognosis of OCD
70% respond to Tx but can be chronic better if mild sx / short prognosis
80
what is in the GAD 7
81
define PTSD
an event of exceptionally threatening or catastrophic nature likely to cause pervasive distress in anyone
82
3 key sx of PTSD
reliving trauma - flashbacks, recurrent nightmares hyperarousal / vigilance avoidance due to perceived fear of re-exposure
83
prevalence of PTSD
lifetime = 6.8%
84
aetiology of PTSD
10% of people who have experienced severe trauma predisposing traits = neuroticism, FHx of psych, child abuse, poor early attachment, survivor guilt
85
mx of PTSD
psychological - CBT (trauma focused) or EMDR (eye movement desenistisation and reprocessing) pharmacological - mirtazipine / SSRI / venlafaxine MDMA - 80% cure rate at 12 weeks
86
prognosis of PTSD
majority recover chronic cases can change personality sx precipitated by anniversaries of trauma

Y5 Psych (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions