Anxiety Disorders

Question 1

Treatment of Anxiety Disorders

4

Answer 1

1. Cognitive therapy
2. Breath retraining (modify nervous system activity)
3. Behavior therapy
4. Meds (Benzodiazepines, Antidepressants)

Question 2

What is Panic Disorder

Answer 2

1. Recurrent and unexpected panic attacks
2. At least 1 month pt must have fear of future panic attacks OR change their behavior d/t the fear

Question 3

Symptoms of Panic Disorder

Answer 3

Abrupt onset
Symptoms like a heart attack

Question 4

Etiology of Panic Disorder
Classical/Operant?

Answer 4

Classical conditioning
Panic is a conditioned response to a neutral stimulus that has been paired with a sitmulus that naturally produces fear

Question 5

Treament of Panic Disorder

Answer 5

1. CBT
2. Systematic Desensitization
3. Meds-Antidepressants or benzodiazepines

Question 6

What is Agoraphobia?

Answer 6

Persistent and excessive fear of 2+
1. Using public transportation
2. Open spaces
3. Enclosed spaces
4. Crowds
5. Being outside of the home alone
Due to not being able to get medical help

Question 7

Specific Phobia

Answer 7

Persistent and excessive fear of an object or situation
Marked distress or impairement in functioning
Examples: blood, spiders

Question 8

Etiology and Tx of Specific Phobia

Answer 8

Classical conditioning
Tx:
1. Systematic Desensitilization
2. Exposure therapy

Question 9

Social Anxiety Disorder

Answer 9

Excessive, persistent, and unrealistic fear of social situations

Question 10

What does “performance only mean”

Social Anxiety Disorder

Answer 10

Fear is restricted to speaking or performing in public

Question 11

Tx of Social Anxiety Disorder

Answer 11

1. Cognitive
2. Behavioral Therapy
3. Meds-SSRI and anti-hypertensives for physical symptoms

Question 12

Generalized Anxiety Disorder (GAD)

Answer 12

Diagnosis of exclusion

Question 13

Treatment of GAD

Answer 13

1. Cognitive Therapy
2. Behavioral Therapy (biofeedback)

Question 14

Separation Anxiety Disorder

Length and symptoms

Answer 14

1. Symptoms persist 1+ month
2. Marked distress (mental or physical) when the person is serpated from the person they are attached to
3. Dx usually around 7-8 yrs of age

Question 15

Separation anxiety disorder Tx

Answer 15

Reward separation-token economy

Question 16

Selective Mutism

Answer 16

• Refusal to speak but not due to lack of knowledge or communication disorder
• Symptoms last for 1+ month
• Onset usually 5-6 yrs old-improved by age 10

Question 17

Tx for Selective Mutism

Answer 17

Behavior principles
1. Shaping
2. Desentization
3. Token Economies

Question 18

Anxiety Disorder Differentials

Answer 18

1. Medical Conditions (thyroid problems, menopause)
2. Substance induced (caffeine)

Question 19

What is Obsessive-Compulsive Disorder (OCD)

Answer 19

1. Recurrent obsessions and/or compulsions
2. Obsessions/compulsions are time consuming, distressful or disruptive
3. Symptoms are not explained by other disorder

Question 20

Does OCD have a genetic component?

Answer 20

YES, strong
Some show an overactivity of specific brain circuitry or serotonin deficiency

Question 21

Tx of OCD

Answer 21

1. Behavioral Therapy (Exposure and Response Prevention)-results within 2-3 weeks
2. Pharmocological (SSRI and 1 TCA)
3. Psychosurgery (cingulotomy, capsulotomy)
4. Deep Brain Stimulation
5. Yale-Brown Obsessive Compulsive Scale -useful to monitor symptom changes over time

Question 22

Tx of OCD-Related Disorders

Body Dismorphic, Hoarding, Excoriation
Trichotillomania

Answer 22

1. Behavioral therapy
2. SSRI