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PSYCHIATRY II > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

1
Q

Conflictual threat
a. Fear
b. Anxiety

A

B. Anxiety

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2
Q

Awareness of profound nothingness in one’s life
a. Psychoanalytic Theory
b. Cognitive Behavioral Theories
c. Existential Theory

A

c. Existential theory

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3
Q

These three disorders used to be a part of the family of anxiety disorders, but now they are their own families

A

Obsessive Compulsive disorder
Post-traumatic Stress Disorder
Acute Stress Disorder

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4
Q

T/F: Neurological diseases are very notorious for mimicking anxiety or panic

A

F
Cardiac diseases

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5
Q

T/F: Benzodiazepines have very strong addictive component

A

T

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6
Q

T/F: Graves’ Disease causes panic disorder

A

F
Generalized Anxiety Disorder

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7
Q

T/F: Cardiomyopathy can cause obsessive-compulsive disorder

A

F
Panic Disorder

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8
Q

Freud first called panic disorder as __________

A

Anxiety neurosis

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9
Q

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

A

10 minutes
4 or more

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10
Q

T/F: The abrupt surge of panic attack only occurs from a calm state

A

F
Could be from a calm state or an anxious state

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11
Q

This refers to when things happening to you are not real or feeling like “everything is not real”
a. Derealization
b. Depersonalization

A

a. Derealization

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12
Q

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

A

1 month

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13
Q

Is panic disorder present in this scenario?

24F avoids going to school as she might lose control of herself once she enters the classroom

A

YES
as it showed significant maladaptive change in behavior related to the attacks

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14
Q

Panic attacks generally last ____ to ____ minutes

A

20-30 minutes, rarely an hour

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15
Q

This is the type of panic disorder where escape might be difficult or embarrassing

A

Panic disorder with agoraphobia

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16
Q

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

A

2 or more
6 months or more

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17
Q

T/F A person with panic disorder with agoraphobia can avoid open spaces

A

T

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18
Q

Onset of panic disorder is usually in the (early/late) adolescence or (early/late) adulthood

A

Late adolescence
Early adulthood

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19
Q

T/F: No psychosocial stressors are definitely identified in most cases of panic disorder

A

T

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20
Q

T/F: Mood disorders are longer and more difficult than panic disorders

A

F
Panic disorders are longer and more difficult

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21
Q

Time duration of social anxiety disorder

A

less than 6 months

22
Q

3 options for therapy for social anxiety disorders

A

Biologic Therapy
Psychologic Therapy
Social Therapy

23
Q

Fear of heights
Fear of darkness
Fear of flying
Fear of injections

A

Fear of heights - acrophobia
Fear of darkness - nyctophobia
Fear of flying - aerophobia
Fear of injections - trypanophobia

24
Q

These 2 are the most common among anxiety disorders

A

Panic disorder
Generalized Anxiety Disorder

25
Q

T/F: Panic disorder and panic attacks cause anxiety the whole day, while GAD cause discrete attacks

A

F
GAD - anxious the whole day
panic disorder and attack - discrete attacks

26
Q

Scales to assess GAD

A

Beck Anxiety Inventory (BAI)
Hospital Anxiety and Depression Cale (HADS)
Generalized Anxiety Disorder Scale (GAD-7)

27
Q

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

A

6 months
3 or more symptoms (1 only if children)

28
Q

T/F: Pharmacological treatment is rarely given on the first visit

Time frame for long term treatment:

A

T
6-12 months

29
Q

T/F pharmacological therapy for GAD is best when in monotherapy

A

F
in combinations

30
Q

Psychological treatments for GAD (4)

A

Cognitive-behavioral
Supportive
Insight-oriented
Psychodynamic therapy

31
Q

This psychological treatment for GAD addresses cognitive distortions and somatic symptoms

A

Cognitive-behavioral

32
Q

This psychological treatment for GAD gives reassurance and comfort

A

Supportive

33
Q

This psychological treatment for GAD uncovers unconscious conflicts and identify ego strengths

A

Insight-oriented

34
Q

This psychological treatment for GAD increases tolerance to anxiety rather than eliminate it

A

Psychodynamic therapy

35
Q

DOC for GAD

A

Benzodiazepines

36
Q

This GAD drug most not be given indefinitely; hence, 2 weeks treatment followed by 1-2 weeks tapering

A

Benzodiazepine

37
Q

Serotonergic agents for GAD

A

Buspirone
SSRI

38
Q

T/F: SSIRs are best for cognitive symptoms than somatic for GAD

A

F
Buspirone

39
Q

Effect of buspirone comes within______

A

2-3 weeks

40
Q

Gold standard of first-line agent for Panic disorders

A

SSRIs

41
Q

Arrange the following SSRIs from best to least tolerated

Fluvoxamine and sertraline
paroxetine
Fluoxetine

A

Paroxetine > fluvoxamine and sertraline > fluoxetine

42
Q

Which of the SSRIs for panic disorder is/are very sedating; thus can help if patient wants to sleep

Fluvoxamine and sertraline
paroxetine
Fluoxetine

A

Paroxetine

43
Q

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

A

Fluoxetine

44
Q

Benzodiazepines for panic disorder are slowly tapered after ____ weeks over a period of ____ weeks

A

4-12 weeks
4-10 weeks

45
Q

Full clinical benefit of TCA and tetracyclic drugs is achieved in ___ weeks

A

8-12 weeks
same with MAOIs

46
Q

T/F: SSRIs have more adverse effects than TCA and tetracyclic drugs

A

F
TCA and tetracyclic drugs have more adverse effects than SSRI

47
Q

T/F: TCA and tetracyclic drugs are very sedating, and not much available in the PH

A

T

48
Q

T/F: Monoamine oxidase inhibitors for panic disorder are less likely to cause overstimulation

A

T

49
Q

Pharmacological treatments for panic disorder

A

SSRI
Bezodiazepine
TCA and tetracyclic drugs
Monoamine Oxidase inhibitors

50
Q

Types of cognitive and behavioral therapy for panic disorder

A

cognitive therapy
applied relaxation
respiratory training
in vivo exposure

PSYCHIATRY II (4 decks)

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