Anxiety disorders Flashcards
Name the Anxiety disorders and the duration for which main symptoms must be present before being able to diagnose
- Generalized anxiety disorder (6 months)
- Separation anxiety disorder (4 weeks children, 6 months adults)
-Selective mutism (1 month)
-Specific phobia (6months)
-Social anxiety disorder (6months)
-Panic disorder (1month)
-Agorophobia
DSM criteria for Generalised Anxiety Disorder
- Severe feelings of anxiety or worry that happen most days for at least 6 months
-The client cannot control their anxiety or worry
- 3 or more symptoms must be present for most days in the past 6months. In children 1 symptom must be present.
Restlessness
Fatigue
Trouble focusing
Irritability
Muscle Tension
Sleep problems
Anxiety affects ROSE - relational occupational, social and educational functioning
-Anxiety is NOT due to medical or substance use
-Anxiety NOT better explained by another mental disorder.
What are assessments for Anxiety disorders?
- GAD-7 (7-item Generalised anxiety disorder Scale)
-Hamilton Anxiety Rating Scale (HAM-A): A clinician-administered scale assessing a broader range of anxiety symptoms.
-Beck Anxiety Inventory (BAI): A self-report tool focusing on physiological and cognitive aspects of anxiety.
- CGI (Clinical global impressions scale)
Differential for Generalised anxiety disorder?
- Social anxiety/phobia. This focuses more on social situations.
-PTSD and ASD. While these share many symptoms with GAD, the key differentiator is exposure to a traumatic event.
-OCD is accompanied by compulsions, obsessions, preoccupations, and unrealistic fears.
-Depressive disorders - these include symptoms that go beyond anxiety both in bredth and severity in occurrence.
-Medication/Substance-induced
Common treatment for GAD?
- CBT
-ACT
-DBT
What is a specific phobia? When does this become a disorder?
Required
-A marked fear about an object or situation
-The specific object or situation almost always causes immediate fear or anxiety
-Object actively avoided or insured with intense fear/anxiety
-Fear or Anxiety excessive or disproportionate to the threat.
-Duration, 6 months or more.
-Causes impairment or distress in social or occupational functioning
-Not better explained by other mental disorders
What treatments are used for specific phobias?
- Exposure therapy
-Systemic desensitisation
-cognitive therapy
-relaxation techniques
What are the two main eating disorders?
What are any subtypes
What duration before diagnosis including subtypes?
Anorexia Nervosa - 3 months symptoms
Subtype: Restrictive type
Binging purging type
Bulimia - 1x week for 3 months
binge eating followed by compensatory behavior.
Mild
Moderate
Severe
Extreme
Specifiers for eating disorder Anorexia Nervosa?
In partial remission - meaning that person no longer meets the requirement a) of low body weight, tho may still meet b) fear of gaining weight and c) poor body image.
In full remission
Assessment scale for Anorexia Nervosa
Binge Scale // Bing eating disorder clinical interview
Eating disorder examination
Dutch eating behavior questionnaire
Eating Attitude test
Most common therapeutic approach for eating disorders?
FBT - family-based therapy (most effective)
based on parent intervention and care for their child or adolescent.
Cognitive behavioural
Interpersonal Psychotherapy
Comorbidity for eating disorders?
What techniques are commonly used?
Obsessive-compulsive
Major depressive
As a result for anxious behavior relaxation techniques are often used alongside roleplay, journaling, exposure exercises, and other homework assignments.
