Anxiety Disorders Flashcards

1
Q

What are the qualifications for a Panic Disorder?

A

Recurring unexpected panic attacks
1 month of one of the following
-Persistent concern about having additional attacks
-Worry about the implications of the attack or its consequences
-A significant change in behavior related to the attacks (Avoidance)

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2
Q

What are the physiological symptoms of a Panic Attack?

A

Shortness of breath, palpitations, chest pain, choking or smothering sensations, fear of “going crazy” or losing control. Sweating, Trembling or shaking, Dizziness, Chills or heat sensations, Paresthesias (numbness or tingling sensations), Sense of derealization (feelings of unreality) or Depersonalization (being detached from oneself)

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3
Q

What are the key features distinguishing a Panic Attack?

A

Sudden or rapid onset of intense apprehension, fearfulness or terror, often associated with feelings of impending doom. May last 10-30 minutes at peak. People are often wiped out afterward, and the attack itself may be fairly traumatic. Rare in Children, first presenting in late adolescence

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4
Q

What’s the difference between anxiety and fear?

A

Anxiety: somatic symptoms of tension, anxiety is centered on the future stat, adaptive or maladaptive response to only potential threat or danger.

Fear: Adaptive response to real threat or danger, immediate fight or flight response to danger. More of a present-oriented response.

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5
Q

Is there gendered difference in the rate of anxiety disorders?

A

Yes, more common in women

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6
Q

What is agoraphobia?

A

Anxiety about, or avoidance of places or situations from which escape might be difficult (or embarrassing) or in which help may not be available in the event of having a panic attack or panic-like symptoms

For instance: crowds, travel, being outside of the home alone.

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7
Q

What distinguishes a phobia?

A

Marked and persistent fear that is excessive or unreasonable, cued by the presence of anticipation of a specific object or situation
-Interference with functioning

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8
Q

How are the Blood-injection-injury type phobias different than others?

A

Strong Vasovagal response, with a drop in blood pressure and tendency to faint. Also highly familial.

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9
Q

What are the four types of specific phobias?

A

Animal Type, Natural Environment Type, Situational Type, Blood-Injection-Injury Type

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10
Q

What distinguishes a social anxiety disorder?

A

Fear of situations in which they may be scrutinized or evaluated, and thus embarassed, humilliated, or viewed, as incompetent. They often recognize it as unreasonable, and may desire to interact with others. However, results in avoidance.

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11
Q

What characterizes Generalized Anxiety Disorder?

A

6 months of persistent and excessive anxiety and worry about a number of events or activities, with difficulty controlling worry. Highly comorbid with other anxiety disorders and depression.

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12
Q

What are physical symptoms of Generalized Anxiety Disorder?

A

Restlessness, feeling on edge, easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, sleep disturbances or unsatisfying sleep.

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13
Q

What helped convince people that biology played an important part of psychopathology?

A

The discovery that tertiary syphilis or neurosyphilis played a major role in general paresis.

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14
Q

What are the characteristics of separation anxiety?

A

-Occurs in children.
-Unrealistic worry something will happen to parents or something will separate them. Misses school because they are afraid something will happen. Often entails physical complaints, and excessive crying. It’s considered a risk factor for developing other anxiety disorders later on.

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15
Q

What characterizes a compulsion?

A

Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession in order to prevent distress in a situation. The rules guided the behavior often must be applied rigidly. The compulsion doesn’t necessarily have to be connected to the obsession in a realistic way.

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16
Q

What is an obsession (in the context of OCD)

A

Recurrent and persistent ego-dystonic thoughts, impulses or images, often intrusive or inappropriate, that cause anxiety and stress.
People then attempt to ignore, suppress, or neutralize such thoughts. They are not necessarily tied to worry about real-life problems.

17
Q

What is the general cycle of OCD behavior?

A

Obsessive thought, Anxiety, Compulsive behavior, Temporary relief

18
Q

What are the gender differences in typical OCD onset?

A

Men tend to present during adolescence. Women generally present in their 20’s

19
Q

What often is happening in the caudate nucleus in OCD patients?

A

It tends to be overactive, if a little small

20
Q

What is the Rorschach test?

A

Analysis of ambiguous stimuli. Questions about reliability and validity

21
Q

What is body dysmorphic disorder?

A

Preoccupation with imagined or minor physical defect in appearance.

22
Q

What is Trichotillomania?

A

Recurrent compulsive desire to pull out hair.

23
Q

What is exoriation disorder?

A

Recurrent compulsive desire to pick at skin

24
Q

What characterizes a somatic symptom disorder?

A

There are significant physical symptoms, but no identifiable organic cause.
-Not explained by substance use,
-Not intentionally feigned or produced (except for facetious or malingering)
-Not attributed to other mental disorder

25
Q

What treatments are available for Somatic Symptom disorder?

A

CBT is the favored treatment because it has the strongest evidence supporting it.
-Treated like anxiety or depressive disorders.
-Generally having a single doctor involved is best or “Gatekeeper physicians”
-Regularly scheduled brief visits
Rarely remits completely, but psychotherapy generally results in 50% lower health expenditures.

26
Q

What disorder is associated with la belle indifference?

A

Conversion disorder

27
Q

What are some examples of Conversion disorder?

A

Pseudoseizures (non-epileptic seizures)
Pain experienced on only half of the face,
Glove anesthesia -entire hand is numb),
Astasia-abasia -ability to move legs when lying or sitting but not to stand or walk

28
Q

What characterizes conversion disorders?

A

Unexplained deficits or symptoms in motor or sensory functions. Symptoms are often neurological: Paralysis, blindness, deafness or lost feeling
-Usually a single motor or neurological symptom with symbolic meaning
-Sometimes the symptoms are anatomically impossible to have
-Not intentionally feigned or malingered

29
Q

What characterizes Illness Anxiety Disorder?

A

Overwhelming preoccupation with, or fear of contracting or the belief of having a serious disease. They may have a few symptoms, such abdominal complaints. Resistant to reassurance doesn’t help.

30
Q

What is the difference between Somatic Symptom disorders and Mood Disorders?

A

Individuals with somatic symptom disorders have physical complaints regardless of mood state; mood disorders are specific to state.

31
Q

Which disorder is most commonly comorbid with anxiety disorders?

A

Depression

32
Q

Which type of medications are most likely to be effective in helping with Body dysmorphia

A

SSRI’s.

33
Q

What characterizes a factitious disorder?

A

Physical or psychological symptoms that are intentionally produced or feigned in order to assume the sick role. However, there is no obvious secondary gain, or clear advantage for assuming the sick role.

34
Q

What’s the difference between Factitious disorders and Malingering?

A