Anxiety Disorders Flashcards
Conflictual threat
a. Fear
b. Anxiety
B. Anxiety
Awareness of profound nothingness in one’s life
a. Psychoanalytic Theory
b. Cognitive Behavioral Theories
c. Existential Theory
c. Existential theory
These three disorders used to be a part of the family of anxiety disorders, but now they are their own families
Obsessive Compulsive disorder
Post-traumatic Stress Disorder
Acute Stress Disorder
T/F: Neurological diseases are very notorious for mimicking anxiety or panic
F
Cardiac diseases
T/F: Benzodiazepines have very strong addictive component
T
T/F: Graves’ Disease causes panic disorder
F
Generalized Anxiety Disorder
T/F: Cardiomyopathy can cause obsessive-compulsive disorder
F
Panic Disorder
Freud first called panic disorder as __________
Anxiety neurosis
Criteria for panic attack include an abrupt surge of intense fear or discomfort that reaches a peak within ________ and during which time, ___ or more of the required symptoms occur
10 minutes
4 or more
T/F: The abrupt surge of panic attack only occurs from a calm state
F
Could be from a calm state or an anxious state
This refers to when things happening to you are not real or feeling like “everything is not real”
a. Derealization
b. Depersonalization
a. Derealization
Panic disorders are recurrent unexpected panic attacks, where at least one of the attacks has been followed by at least ______ of one or all of the required symptoms
1 month
Is panic disorder present in this scenario?
24F avoids going to school as she might lose control of herself once she enters the classroom
YES
as it showed significant maladaptive change in behavior related to the attacks
Panic attacks generally last ____ to ____ minutes
20-30 minutes, rarely an hour
This is the type of panic disorder where escape might be difficult or embarrassing
Panic disorder with agoraphobia
Panic disorder with agoraphobia requires a marked fear or anxiety about _____ or more of the ff situations:
- public transpo
-open spaces
-enclosed spaces
-standing in line or being in a crows
-being outside home alone
The fear. anxiety, or avoidance typically lasts for ____ or more
2 or more
6 months or more
T/F A person with panic disorder with agoraphobia can avoid open spaces
T
Onset of panic disorder is usually in the (early/late) adolescence or (early/late) adulthood
Late adolescence
Early adulthood
T/F: No psychosocial stressors are definitely identified in most cases of panic disorder
T
T/F: Mood disorders are longer and more difficult than panic disorders
F
Panic disorders are longer and more difficult
Time duration of social anxiety disorder
less than 6 months
3 options for therapy for social anxiety disorders
Biologic Therapy
Psychologic Therapy
Social Therapy
Fear of heights
Fear of darkness
Fear of flying
Fear of injections
Fear of heights - acrophobia
Fear of darkness - nyctophobia
Fear of flying - aerophobia
Fear of injections - trypanophobia
These 2 are the most common among anxiety disorders
Panic disorder
Generalized Anxiety Disorder
T/F: Panic disorder and panic attacks cause anxiety the whole day, while GAD cause discrete attacks
F
GAD - anxious the whole day
panic disorder and attack - discrete attacks
Scales to assess GAD
Beck Anxiety Inventory (BAI)
Hospital Anxiety and Depression Cale (HADS)
Generalized Anxiety Disorder Scale (GAD-7)
Criteria for GAD include:
excessive anxiety and worry for at least _______, and is associated with __ or more of the following symptoms:
- restlessness or feeling keyed up or on edge
- easily fatigued
-difficulty concentrating or mind going blank
-Irritability
-muscle tension
-sleep disturbance
6 months
3 or more symptoms (1 only if children)
T/F: Pharmacological treatment is rarely given on the first visit
Time frame for long term treatment:
T
6-12 months
T/F pharmacological therapy for GAD is best when in monotherapy
F
in combinations
Psychological treatments for GAD (4)
Cognitive-behavioral
Supportive
Insight-oriented
Psychodynamic therapy
This psychological treatment for GAD addresses cognitive distortions and somatic symptoms
Cognitive-behavioral
This psychological treatment for GAD gives reassurance and comfort
Supportive
This psychological treatment for GAD uncovers unconscious conflicts and identify ego strengths
Insight-oriented
This psychological treatment for GAD increases tolerance to anxiety rather than eliminate it
Psychodynamic therapy
DOC for GAD
Benzodiazepines
This GAD drug most not be given indefinitely; hence, 2 weeks treatment followed by 1-2 weeks tapering
Benzodiazepine
Serotonergic agents for GAD
Buspirone
SSRI
T/F: SSIRs are best for cognitive symptoms than somatic for GAD
F
Buspirone
Effect of buspirone comes within______
2-3 weeks
Gold standard of first-line agent for Panic disorders
SSRIs
Arrange the following SSRIs from best to least tolerated
Fluvoxamine and sertraline
paroxetine
Fluoxetine
Paroxetine > fluvoxamine and sertraline > fluoxetine
Which of the SSRIs for panic disorder is/are very sedating; thus can help if patient wants to sleep
Fluvoxamine and sertraline
paroxetine
Fluoxetine
Paroxetine
Which of the SSRIs for panic disorder is/are more activating; makes patient feel more anxious the first few days of taking it
Fluvoxamine and sertraline
paroxetine
Fluoxetine
Fluoxetine
Benzodiazepines for panic disorder are slowly tapered after ____ weeks over a period of ____ weeks
4-12 weeks
4-10 weeks
Full clinical benefit of TCA and tetracyclic drugs is achieved in ___ weeks
8-12 weeks
same with MAOIs
T/F: SSRIs have more adverse effects than TCA and tetracyclic drugs
F
TCA and tetracyclic drugs have more adverse effects than SSRI
T/F: TCA and tetracyclic drugs are very sedating, and not much available in the PH
T
T/F: Monoamine oxidase inhibitors for panic disorder are less likely to cause overstimulation
T
Pharmacological treatments for panic disorder
SSRI
Bezodiazepine
TCA and tetracyclic drugs
Monoamine Oxidase inhibitors
Types of cognitive and behavioral therapy for panic disorder
cognitive therapy
applied relaxation
respiratory training
in vivo exposure
