Anxiety Disorders Flashcards

1
Q

WHat is the diff between fear & anxiety?

A

Fear - rxn to immediate danger; short-lived
Anxiety - anticipated problem; longer-lived

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2
Q

What DSM criteria is anxiety dosrder? What are these 5 disorders?

A

DSM-5

panic disorder
Agoraphobia
Specific phobias
social anxiety disorer
General anxiety disorder

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3
Q

What are the symptoms of anxiety disoders?

A

Core: Anxiety & worries

Assoc symptoms: fatigue, poor concentration, problems in sleep, irritability, muscle tension, phobic avoidance, compulsion

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4
Q

What are the contirbuting factors to anxiety disorders?

A

Psycho-anaytic
Behavioral
Existential

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5
Q

What is the psychoanalytic theory?

A

2 kinds:
Death wish
Life wish

If these are not expressed appropriately through either aggression, sports, or sexually, this libido gets stick & builds up —> anxiety

Result of a psychic condlict betw unconscious sexual or aggressive wishes with threats from the superego or external reality

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6
Q

What are the diff behavioral theories

A

Avoidance conditioning
Modeling
Interoceptive conditioning
Fear-of-fear
Social skills deficits

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7
Q

What is the modeling/social learning theory?

A

Fear may be learned through imitating the actions of others

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8
Q

What is interoceptive conditioning?

A

Panic attacks are seen as clasically conditioning of the person to interna lbodily sensations of anxiety

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9
Q

What are the causes of anxiety disorders accdg to anxiety phenotype?

A

Amygdala cetered circuit is hyperactive —> fear

Cortico-striato-thalamo-cortical loop —> anxious misery, apprehensive expectation, obsessions

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10
Q

What are the neurotransmitters that drive CSTC loop which is linked to “worry” symptoms?

A

Serotonin (5-HT)
Norepinephrine
Gamma-Aminobutyric acid (GABA)

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11
Q

What part of the brain releases 5-HT/Serotonin?

A

Raphe nuclei

LOW levels of circulating 5-HT

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12
Q

How does NRE mediate arousal?

A
  1. Relays msges in the sympathetic NS (fight or flight)
  2. Wakefulness and arousal to respond to stimuli —> vigilance
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13
Q

What happens to NRE levels/secretion in anxiety disorders?

A

Dysregulated noradrenergic function —> INC sympathetic nervous system activity

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14
Q

What happens to GABA that promotes anxiety disorders?

A

DEC GABA —> hyperarousa

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15
Q

What disorder refers to recurrent unexpected panic attacks?

A

Panic disorders

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16
Q

What are the 2 types of panic attack? What is the diff between them?

A

Cued - cause is known (situational trigger: phobia)
Uncued - recurrent in unexpected situations

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17
Q

What are bioogical correlations of panic disorder in brain imaging?

A

Blood flow dysregulation in the hippocampus and amygdala

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18
Q

What is then used to test for panic attacks where CO2, Na lactate & HCO3 INC CO2 and Lactate concentrations —> respiratory stimulation

A

Panicogens

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19
Q

What are the 4 DSM-5 criter for panic disorder?

A

Crterion A, B, C & D

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20
Q

What is the definition of Criterion A for DSM-5 Criter of panic disorder?

A
  • Uncued panic attacks
  • reaches peak within minutes
  • 4 or more ff symptoms: palpitations, chest pains, shortness of breath, feelings of choking sweating, chills, trembling, dizziness, nausea, fear of losing control
21
Q

What is the definition of Criterion B for DSM-5 Criter of panic disorder?

A

atleast one of the attacks has been followed by 1 month of either persistent ceoncern or worry or change in behavior

Should last for 1 month

22
Q

What is the definition of Criterion C & D for DSM-5 Criter of panic disorder?

A

Not yet confirmed

23
Q

What is agarophobia?

A

Inability to flee anxiety-provokign situtations (ie crowds, stores, stores, malls, churches, trains, bridgets, etc)

24
Q

What are the criteria for Agoraphobia?

A

A, B, C, D, E, F & G

25
Q

What is the definition of Criterion A for Criteria for Agoraphobia?

A

Marked fear/anxiety in 2 or more of the situations:
- waiting in line
- being outside the house
- traveling
- being alone in a crowded area
- being in an open space

26
Q

What is the definition of Criterion B for Agoraphobia?

A

Escape might be difficult and help might not be available

27
Q

What is the definition of Criterion C for Agoraphobia?

A

Situation almost always provoke fear/anxiety

28
Q

What is the definition of Criterion D for Agoraphobia?

A

Situations are actively avoided

29
Q

What is the definition of Criteria E of Agoraphobia?

A

Fear/anxiety is out of proportion to the actual danger

30
Q

What is the definition of Criterion F for Agoraphobia?

A

Lasts for 6 mons

31
Q

What is the definition of CriterionG for Agoraphobia?

A

Causes impairment

32
Q

What is one of the most common mental disorders where there is a disrupting, fear-mediated avoidance that is out of proportion of the danger posed by a particular object?

A

Specific phobias

33
Q

What are the 5 criterias for specific phobia?

A

Criterion A-F

34
Q

What is the definition of Criterion A & B for Specific phobia?

A

Criterion:
A = MARKED fear/anxiety abt a specific object/situation
B = Object/situation almost always provoked immediate fear/anxiety

35
Q

What is the definition of Criterion C & D for Specific phobias?

A

Criterion:
C = object/situation actively avoided/endured w/ intense fear/anxiety
D = fear/anxiety is oUT OF PROPORTION TO THE DANGER POSED BY THE OBJECT

36
Q

What is the definition of Criterion E&F for Specific phobias?

A

Criterion:
E = Fear, anxiety, or avoidance is PERSISTENT lasting 6 MONS OR MORE

F = fear/anxiety causes CLINICALLY SIGNIFICANT DISTRESS/IMPAIRMENT IN FUNCTIONING

37
Q

What is the fear of asymmetrical things?

A

Asymmetrophobia?

38
Q

What is the fear of books, children, garlic?

A

Books = BIBILIOPHOBIA
Children = PEDOPHOBIA
Garlic = ALLIUMPHOBIA

39
Q

What is the fear of peanut butter sticking to the roof of the moth? Technology? Mice? Pseudoscientific terms?

A

Peanut butter = ARACHIBUTYROphobia
Technology = TECHNOphobia
Mice = MUSOphobia
Pseudoscientific terms = HELLENOphobia

40
Q

What is aka as social phobia where the perosn has persistent, irrational fears of being linked to the presence of other ppl?

A

Social anxiety disorders

41
Q

What are the differnet DSM-5 Criteria for social anxiety disorder?

A

Criterion A-G

42
Q

What is the definition of Criterion A & B for Social anxiety disorder?

A

A = fear/anxiety whre indiv is exposed to possible scrutiny by others

B = infividual fears that he/she will act in a certain way they will be negatively evaluated

43
Q

What is the definition of Criterion C & D for Social anxiety disorder?

A

C = provokes fear/anxiety
D = SS are avoided or endured w/ intense fear/anxiety

44
Q

What is the definition of Criterion E, F & G for Social anxiety disorder?

A

E = fear/anxiety is out of proportion ot the danger posed by the social situation

F = persistent fear, anxiety, or avoidance that lasts 6 MONS OR MORE

G = fear/anxiety/avoidance causes clinically significant distress/impairment in functioning

45
Q

What is one of the most common anxiety disorder that coexists with another mental disorder?

A

Generalized anxiety disorder

46
Q

What are the DSM-5 criteria for GAD?

A

Criterion A-C

47
Q

What is the definition of Criterion A for GAD?

A

Excessive anxiety & worry abt # of events or activities -> NOT MORE THAN 6 MONTHS

48
Q

What is the definition of Criterion B & C of GAD?

A

B = individual finds it hard to control the worry

C = anxiety & worry is associated with ATLEAST 3 OF THE FF:
- restlessness or feeling keyed up or on edge
- being easily fatigued
- difficulty concentrating/mind going blank
- irritability
- muscle tension
- sleep disturbance