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Year 4 - Psych > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

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1
Q

Neurosis
- Original use
- Freud and Jung
- Current use

A

Neurosis

  • Original use
    1. Disorders of sense and motion
    2. General affectation of nervous syndrome
  • Freud and Jung
    1. Emotional distress
    2. Ego defence mechanisms
  • Current use
    1. Functional illness
    2. Not psychotic
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2
Q

Lang’s Three System Model

A

Lang’s Three System Model

  • Inter-relating
    1. Thoughts
    2. Behaviour
    3. Feelings
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3
Q

Anxiety
- Physiology

A

Anxiety
- Physiology

  1. Sympathetic response
    - Adrenergic
  2. Fight/flight/freeze
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4
Q

Anxiety
- Sympathetic symptoms

A

Anxiety
- Sympathetic symptoms

  1. Emptying bowels, muscle hyperactivity
  2. Racing thoughts
  3. Inability to concentrate
  4. Cognitive bias
    - Attentional focus
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5
Q

Padesky’s Anxiety Equation

A

Padesky’s Anxiety Equation:

Anxiety =
Estimated danger/Estimated Coping

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6
Q

Anxiety disorders
- List

A

Anxiety disorders
- List

  1. Panic disorder
  2. Social Anxiety Disorder
  3. Specific phobias
  4. Health anxiety
  5. OCD/BDD
  6. PTSD
  7. GAD
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7
Q

Specific phobias
- Behaviour

A

Specific phobias
- Behaviour

  1. Fear
  2. Avoidance
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8
Q

Panic disorder
- Symptoms

A

Panic disorder
- Symptoms

  1. Random timing
  2. Fear of catastrophe
  3. Physiological
    - Choking, heart rate
    - Faint, shaky
  4. W,w/o agoraphobia
    - Avoidance of stimulus
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9
Q

GAD
- Types of worry
- Symptoms

A

GAD

  • Worries
  1. Type I
    - Specific content
    - Changing
  2. Type II
    - Worry about worry
  3. Positive worry beliefs
    - Belief that it is useful
  • Symptoms
    1. Insomnia
    2. Muscle tension/headache
    3. GI problems
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10
Q

Social anxiety disorder
- Core
- Behaviour

A

Social anxiety disorder

  • Core
    1. Fear
    2. Negative evaluation by others
  • Behaviour
    1. Avoidance
    2. Safety behaviours
    3. Anticipatory anxiety
    4. Analysis after encounters
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11
Q

OCD
- Symptoms

A

OCD
- Symptoms

  1. Intrusive thoughts
    - Unwanted
    - Recurring
    - Distressing
  2. Contents
    - Contaminated eg HIV
    - Causing harm
    - Behaving inappropriately
    eg. sexually
  3. Ego dystonic
    - not syntonic
    - repugnant to self-concept
  4. Compulsions
    - to manage distress/anxiety
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12
Q

Cognitive behaviour model
- OCD

A

Cognitive behaviour model
- OCD

  1. Trigger
  2. Interpretation
  3. Neutralisation
  4. Consequences
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13
Q

BDD
- Symptoms

A

BDD
- Symptoms

  1. Imagined defect in appearance
  2. Behaviours
    - Mirror gazing
    - Comparing features
    - Camouflaging
    - Skin picking and reassurance seeking
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14
Q

PTSD
- Core
- Features

A

PTSD

  • Core
    1. Event or situation
    2. Threatening or catastrophic
    3. Would cause distress in anyone
  • Features
    1. Re-experiencing
    2. Avoidance
    3. Hyperarousal
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15
Q

Anxiety disorders
- DDx

A

Anxiety disorders
- DDx

  1. Adjustment disorder
    - bereavement
  2. Other functional psychiatry
  3. Organic disorder
    - endocrine
    - neurological
    - drug-induced
    - substance misuse
    - infection/anaemia
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16
Q

Anxiety disorder
- History

A

Anxiety disorder
- History

  1. What happens
  2. What do you think
  3. How do you feel
  4. How do you behave
  5. How are you restricted
17
Q

Anxiety disorders
- Management

A

Anxiety disorders
- Management

  1. CBT
    - first line
    - most effective
    - Graded exposure
    - Systematic desensitization
  2. Medications
    - Specific (SSRIs)
    eg. Citalopram, sertraline, escitalopram
  • Symptomatic
    a. Beta blockers
    b. Benzodiazepines
  • Antihistamines
  • Alternative ADs
    eg. Pregabalin
18
Q

SSRIs
- Time for effect
- Initial ADR

A

SSRIs

  • Time for effect
    1. 3 weeks
  • Initial ADR
    2. Worse before it gets better
19
Q

Benzodiazepines
- Length of course

A

Benzodiazepines

  • Length of course
    1. No longer than 2 weeks
20
Q

Anxiety
- Head to toe

A

Anxiety
- Head to toe

  1. Light headed
  2. Dry mouth
  3. Lump in throat
  4. Palpitations
  5. Tremor
  6. Sweating
  7. Nausea/butterflies
    - vomit
  8. Urinary frequency
  9. Bowel frequency
21
Q

Anxiety disorders
- MSE Perception

A

Anxiety disorders
- MSE Perception

  1. Sensitive to noises
22
Q

PTSD Vs Acute Stress Vs Adjustment

A

PTSD Vs Acute Stress Vs Adjustment

  1. Adjustment
    - no nightmares
    - no flashbacks
  2. Acute Stress
    - <1mo
  3. PTSD
    - Any time
23
Q

PTSD
- Drugs

A

PTSD
- Drugs

  1. Sertraline
  2. Paroxetine
  3. Venlefaxine

Year 4 - Psych (11 decks)

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