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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
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
26
Scales to assess GAD
Beck Anxiety Inventory (BAI) Hospital Anxiety and Depression Cale (HADS) Generalized Anxiety Disorder Scale (GAD-7)
27
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)
28
T/F: Pharmacological treatment is rarely given on the first visit Time frame for long term treatment:
T 6-12 months
29
T/F pharmacological therapy for GAD is best when in monotherapy
F in combinations
30
Psychological treatments for GAD (4)
Cognitive-behavioral Supportive Insight-oriented Psychodynamic therapy
31
This psychological treatment for GAD addresses cognitive distortions and somatic symptoms
Cognitive-behavioral
32
This psychological treatment for GAD gives reassurance and comfort
Supportive
33
This psychological treatment for GAD uncovers unconscious conflicts and identify ego strengths
Insight-oriented
34
This psychological treatment for GAD increases tolerance to anxiety rather than eliminate it
Psychodynamic therapy
35
DOC for GAD
Benzodiazepines
36
This GAD drug most not be given indefinitely; hence, 2 weeks treatment followed by 1-2 weeks tapering
Benzodiazepine
37
Serotonergic agents for GAD
Buspirone SSRI
38
T/F: SSIRs are best for cognitive symptoms than somatic for GAD
F Buspirone
39
Effect of buspirone comes within______
2-3 weeks
40
Gold standard of first-line agent for Panic disorders
SSRIs
41
Arrange the following SSRIs from best to least tolerated Fluvoxamine and sertraline paroxetine Fluoxetine
Paroxetine > fluvoxamine and sertraline > fluoxetine
42
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
43
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
44
Benzodiazepines for panic disorder are slowly tapered after ____ weeks over a period of ____ weeks
4-12 weeks 4-10 weeks
45
Full clinical benefit of TCA and tetracyclic drugs is achieved in ___ weeks
8-12 weeks same with MAOIs
46
T/F: SSRIs have more adverse effects than TCA and tetracyclic drugs
F TCA and tetracyclic drugs have more adverse effects than SSRI
47
T/F: TCA and tetracyclic drugs are very sedating, and not much available in the PH
T
48
T/F: Monoamine oxidase inhibitors for panic disorder are less likely to cause overstimulation
T
49
Pharmacological treatments for panic disorder
SSRI Bezodiazepine TCA and tetracyclic drugs Monoamine Oxidase inhibitors
50
Types of cognitive and behavioral therapy for panic disorder
cognitive therapy applied relaxation respiratory training in vivo exposure

PSYCHIATRY II (4 decks)

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