Anxiety disorders Flashcards

1
Q

What does neurosis mean?

A

“Abnormal / diseased neurone”
Functional illness
Distress without psychosis (delusions / hallucinations)

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2
Q

What is Lang’s three system model?

A

Interaction between thoughts, feelings, and behaviours

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3
Q

What are the systems involved in anxiety?

A

Perceived danger > + autonomic nervous system (sympathetic)
> fight / flight / freeze

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4
Q

What effect does anxiety have?

A

Physiological arousal (sympathetic)
Racing thoughts, inability to concentrate
Cognitive bias

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5
Q

What is Padesky’s anxiety equation?

A

Anxiety = estimate of danger / estimate of coping

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6
Q

How do phobias present?

A

Marked feat of object / situation
Marked avoidance of objects / situations

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7
Q

What is panic disorder (+/- agoraphobia)

A

Fear of own physiological / psychological reactions
Bodily changes viewed as signs of impending collapse, insanity, or death
Avoidance of situations that may trigger these reactions = agoraphobia

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8
Q

What are the physical symptoms of panic disorder?

A

Sense of dread
Choking
Rapid heart beat
Shaky
Wobbly legs
Feeling faint

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9
Q

What is the cognitive model of panic?

A

Internal / external trigger > perceived threat > anxiety
misinterpretation > anxiety > physical / cognitive symptoms
> avoidance and safety behaviour

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10
Q

What is the difference between type 1 and type 2 worries?

A

Type 1 = worry about external events and physical symptoms
Type 2 = which concerns negative appraisals of worrying (ie. worry about worrying)

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11
Q

What is social anxiety disorder?

A

Fear of negative evaluation by others
Leads to avoidance of feared situations, anticipatory anxiety, unhelpful ‘post mortems’

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12
Q

What are the symptoms of OCD?

A

Unwanted recurring distressing intrusive thoughts or images = OBSESSIONS
These obsessions are ego dystonic (thoughts, impulses, behaviours that are distressing / repugnant / against morals or self-concept)
Obsessions > compulsions
Neutralising behaviours = COMPULSIONS

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13
Q

What are the types of neutralising behaviours (OCD)?

A

Overt = washing, checking, ordering / aligning
Covert = praying, counting, repeating words

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14
Q

What is body dysmorphic disorder?

A

Characterised by preoccupation with imagined defect in appearance
> time consuming behaviours
e.g. mirror gazing
> excessive camouflaging tactics
e.g. skin picking
> reassurance seeking

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15
Q

What is PTSD caused by?

A

Exposure to event / situation of exceptionally threatening or catastrophic nature which would be likely to cause pervasive distress in almost anyone

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16
Q

What are the features of PTSD?

A

Re-experiencing
Avoidance
Hyperarousal

17
Q

What are the common PTSD co-morbidities?

A

Other anxiety disorders
Depression
Substance misuse

18
Q

DDx for anxiety?

A

Adjustment disorders / bereavement
Other functional psychiatric illnesses
Organic disorders:
- endocrine
- neurological (dementia / MS / lupus)
- drug induced (steroids, antihypertensive agents)
- alcohol and illicit drug misuse
- MISC = infection, anaemia, etc.