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Psychiatry > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

1
Q

Differentiate between fear and anxiety

A

Fear is negative emotional state due to current events and Anxiety is negative emotional state due to anticipatory events

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2
Q

State 3 neurotransmitters involved in anxiety

A

Serotonin
Adrenaline
GABA

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3
Q

Describe general anxiety disorder

A

Excessive anxiety and worry of multiple events for most days for at least 6 months

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4
Q

BESKIM

A

Blank mind
Easily fatigued
Sleep disturbance
Keyed up
Irritable
Muscle tension

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5
Q

Describe GAD worries x5

A

Excessive
Pronounced
Prolonged
Pervasive ie spreading
Interferes with functioning

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6
Q

Differential diagnosis for anxiety x5

A

OCD
PTSD
Affective disorder
Psychotic disorder
Organic/substance induced

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7
Q

Define agoraphobia

A

Fear of situations where escaping may be difficult or help may not be available if panic symptoms occur

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8
Q

First and second line treatment of GAD and one side effect for each

A

SSRI- paroxetine, sexual dysfunction
SNRI- duloxetine, elevated BPs

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9
Q

Pharmacological treatment for anxiety x5

A

SSRI
SNRI
Anxiolytics
Benzodiazepines
Tricyclic antidepressants

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10
Q

Criteria A of agoraphobia x5

A

Marked anxiety or fear in 2/more of :
1. Using public transport
2. Standing in a line or crowd
3. Being in open spaces
4. Being in enclosed spaces
5. being outside of home

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11
Q

3 differentials for agoraphobia

A

Panic attacks
Social phobia
Separation anxiety

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12
Q

Management of agoraphobia x3

A
  1. SSRIs
  2. CBT to help patient challenge their thoughts
  3. Exposure therapy
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13
Q

Management of panic disorders x4

A

SSRI
SNRI
CBT
Beta blockers in acute attack

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14
Q

Describe the 5 factors that make up criteria A of separation anxiety

A
  1. Excessive worry about anticipatory separation from of an attachment figure
  2. Excessive worry about experiencing untoward event
  3. Fear of leaving the house
  4. Fear of being alone without attachment figures at home
  5. persistent and excessive worry about losing major attachment figures
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15
Q

Risk factors of separation anxiety x4

A

Changing schools
Death of a parent
Divorce of parents
Parental overprotection

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16
Q

Management of separation anxiety disorder on children x3

A

Family therapy; parent child interaction therapy
CBT -exposure therapy
SSRI- Fluoxetine

17
Q

Cognitive symptoms associated with a panic attack x3

A

Fear of dying
Depersonalization
Fear of losing control

18
Q

Differential diagnosis for separation anxiety disorder x5

A

Generalized anxiety disorder
Social anxiety disorder
Panic disorder
Agoraphobia
Bereavement

19
Q

DSM 5 Criteria for social phobia x10

A

a. Excessive fear or anxiety about 1/more social situation
b. Fear of being negatively judged
c. Social situation must always provoke anxiety
d. Social situations are avoided or endured with intense fear
e. Fear or anxiety is out of proportion
f. Period of 6m
g. Functional impairment and distress
h. Not due to substances
i. Not due to mental disorder
j. Not due to medical condition

20
Q

Management of social anxiety disorder x5

A

Pharm-B blockers and Antidepressants
Non pharm:
Relaxation training
Social skills
Integrated exposure methods

21
Q

Which ADs have onset in middle childhood x2

A

Specific phobia
Separation anxiety

22
Q

Which ADs have onset in middle (1) and late (adolescent)

A

Middle- social anxiety disorder
Late- agoraphobia, panic disorder

23
Q

Characteristics of anxiety AD x4

A

Excessive
Out of proportion
Persistent and prolonged
Causing functional impairment

24
Q

Which genes increase susceptibility for AD x2

A

Serotonin transporter gene
Gene for HPA axis

25
Q

How does epigenetics cause AD x3

A

Hypermethylation> gene suppression> Increased stress vulnerability

26
Q

Describe a neurotic personality

A

The tendency when faced with ambiguous sensations to interpret them as threatening

27
Q

Risk factors of separation anxiety disorder x2

A

Attachment disorders
Traumatic experiences

Psychiatry (27 decks)

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