Anxiety disorders Flashcards

1
Q

What is anxiety disorder

A

anxiety = a feeling of unease, such as worry or fear, that can be mild or severe

  • anxiety disorders people find it hard to control their worries, have more constant feeling of anxiety and it can affect their daily life
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2
Q

Sx of anxiety

A

Restlessness
Fidgeting
Tension headaches
Trembling
Inability to relax
Worries about future/misfortuna
Feeling on edge
Difficulty concentrating

Light headed / dizziness
Sweating
Tachycardic
Epigastric discomfort
Dry mouth

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3
Q

What is a panic attack

A

Sudden onset of extreme anxiety

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4
Q

What is generalised anxiety disorder

A
  • Anxiety which is generalized and persistent
  • Often described as ‘free floating’ (no particular environmental
    circumstance)
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5
Q

GAD diagnostic criteria

A

GAD 7 - scoring scale

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6
Q

GAD treatment

A

CBT
SSRIs - half dose of depression - sertraline 1st line, venlafaxine 2nd line
Benzodiazepines - short term

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7
Q

What is panic disorder

A
  • Recurring panic attacks – sudden onset of physical and
    cognitive symptoms
  • Persistent worry about having another
  • May avoid situations that trigger attack
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8
Q

What is agoraphobia

A
  • Anxiety and panic symptoms associated with places or
    situations where escape may be difficult or embarrassing
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9
Q

What is social phobia

A

Overwhelming anxiety in everyday social situations

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10
Q

What is simple/specific phobia

A

Recurring excessive and unreasonable symptoms of anxiety in presence of specific feared object or situation

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11
Q

Panic disorder treatment

A

CBT
SSRI
Consider clomipramine or imipramine if no improvement
Benzodiazepines in emergency
Exercise
Support groups

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12
Q

Treatment for the following
agoraphobia
social phobia
simple phobia

A

Agoraphobia
- psychological therapy - systematic derealisation
- SSRI

Social phobia
- CBT
- SSRI

Simple phobia
- psychological therapy - systematic derealisation

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13
Q

What is OCD

A

recurrent obsessional thoughts and/or usually related compulsive acts

obsessive thoughts and compulsions can cause distress and also functional impairment to the sufferer

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14
Q

OCD management

A

CBT
SSRIs - usually high dose - escitalopram, fluoxetine
Clomipramine if SSRI fails

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