anxiety disorders Flashcards
What are the GI symptoms of anxiety
Autonomic symptoms:
* Dry mouth
* Swallowing difficulties
* Dyspepsia, nausea and wind
* Frequent loose motions
What are the respiratory symptoms of anxiety
Tight chest and difficulty inhaling
What are the cardiovascular symptoms for anxiety
- Palpitations
- chest pain
What are the genitourinary symptoms of anxiety
- Frequency
- Urgency
- amenorrhoea
- dysmenorrhoea
- erectile dysfunction
What are the CNS symptoms of anxiety
Dizziness and sweating
What are the psychological symptoms for anxiety
- Fearful anticipation
- irritability
- sensitivity to noise
- poor concentration
- worrying thoughts
What is used to diagnose anxiety
ICD 11
Define generalised anxiety disorder
Persistant symptoms which are not confined to a stressful event over several months
Who is more likely to present with anxiety
Women > men
Childhood or adolescence first presentation commonly
What is the management for generalised anxiety disorder
- Councelling
- Relaxation training
- Medication - antidepressant SSRI or TCA
- Cognitive behavioural therapy
What is the main difference between phobic anxiety disorders and generalised anxiety disorder
Phobic anxiety disorder occurs due to circumstances or situations which can be avoided
What is the common presentation of obsessive compulsive disorder (OCD)
compulsive acts or rituals
- stereotypical behaviours repeated again and again
- The act not being useful and possibly causing harm to self or others
What is the management of OCD
Education and explanation
Serotonergic drugs - SSRI e.g fluoxetine
Cognivitative behavioural therapy
Psychosurgery
What gene is affected in OCD
Gene coding for 5HT receptors
