Anxiety Disorders Flashcards

1
Q

What anxiety disorder is described below:

Excessive anxiety/worry occurring, with difficulty controlling worrying
for at least 6 months about a number of events or activities

Affects women twice and much as men

Age of diagnosis usually about 20 years old

A

Generalized Anxiety Disorder

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2
Q

DSM-IV Criteria: Generalized anxiety disorder

3 of 6 symptoms present for more days than not:

A

C – concentration poor
R – restlessness
I – irritability
M – muscle tension
E – easy fatiguability
S – sleep disturbances

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3
Q

First line therapy for generalized anxiety disorders?

A

SSRIs

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4
Q

What anxiety disorder is described below?

Recurrent, unexpected panic attacks that occur abruptly and are accompanied by debilitating fear of having additional attacks

May have feelings of impending harm or death, fear of heart attack, fears of “going crazy”

2-3x more common in females

Average age of onset in mid 20s

A

Panic Disorder

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5
Q

What is the most common mental disorders in the US?

A

Phobias

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6
Q

What anxiety disorder is described below:

Marked and persistent unreasonable fear of object or situation

Anxiety response that can precipitate panic attack

Patients know it is an unreasonable fear (except children)

Object or situation avoided or endured with distress

A

Phobias

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7
Q

Types of phobias

A

O – other situations: Fear of situations that might lead to choking, vomiting, getting an illness

S – setting situations: Fear of situations that include bridges, tall buildings, flying, driving, confined spaces

N – natural environment: Fear of natural phenomena: storms, heights, water, lightning

A – animal: Fear of animals or insects

P – possibility of blood-injection injury: Fear of invasive procedures, injury, sight of blood, contamination by bodily fluids

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8
Q

What is the best treatment for phobias?

A

Psychotherapy and desensitization/exposure therapy

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9
Q

What anxiety disorder is described below:

involves exposure to a traumatic stressor

Stressor can be experienced, witnessed or learned about

Person’s response to event must involve intense fear, helplessness, terror

A

Post Traumatic Stress Disorder

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10
Q

For a diagnosis of PTSD, 3 or more of the following must be present for more than one month:

A

Inability to recall an important aspect of the event

Avoidance of activities, places, or people reminding person of the traumatic event

Attempts of avoiding talking or recalling event

Feelings of detachment or estrangement from others

Markedly decreased interest (anhedonia)

Restricted range of affect

Belief that future has been foreshadowed because of event

Re-experiencing event

Increased state of arousal characterized by at least two of the following: Insomnia, Irritability or anger outbursts, Poor concentration, Hypervigilance, Exaggerated startle response

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11
Q

What medications are considered first line in PTSD?

A

SSRIs are considered first line

Zoloft and Paxil

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12
Q

How long is the duration of acute stress disorder? (range)

A

Duration of 2 days to 4 weeks

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13
Q

For diagnosis of acute stress disorder, need three or more of the following for duration of 2 days to 4 weeks along with re-experience, anxiety/excessive arousal, avoidance

A

Detachment
Daze
Dissociative amnesia
Derealization
Depersonalization

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14
Q

What anxiety disorder is described below:

it must be debilitating/interfering with life (not a personality trait)

Obsessions and/or compulsions

Person aware they are unreasonable and excessive

Causes marked distress or significantly interfere with daily functioning

A

Obsessive Compulsive Disorder

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15
Q
A
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