Anxiety Disorders

Question 1

how many Americans have an anxiety disorder at some point

Answer 1

25%

Question 2

people with anxiety disorders often also have what?

Answer 2

more than 1 anxiety disorder

or anxiety + depression/ other psych disorders

Question 3

how long must persistent anxiety last for w/ GAD?

Answer 3

6 months

Question 4

What are people w/ GAD constantly worried about

Answer 4

Minor matters, anticipating the worst

muscle tension, restlessness, irritability, fatigue

Question 5

is it typical to have GAD as the only dx?

Answer 5

No, typically comes w/ a mood disorder

Question 6

1st line tx for GAD

Answer 6

SSRIs

Question 7

drugs to use if SSRIs don’t work for GAD. FDA approved, works equally well as SSRI’s. Also a longer onset of action.

Answer 7

Venlafaxine

Question 8

how long does it take for SSRI to help w/ anxiety

Answer 8

3-6 months

Question 9

when are benzos used for GAD

Answer 9

while waiting for the SSRI to work

short term

Question 10

drug for GAD. FDA approved. Non-sedating, non-addictive. Requires twice daily dosing, studies show it does not work as well as antidepressants, and it would not treat co-morbid depression. Best for people haven’t tried other meds and don’t have hx of substance abuse.

Answer 10

Buspirone

Question 11

what is acute PTSD

Answer 11

more than 1 month but less than 3 months

Question 12

3 areas of PTSD symptoms

Answer 12

Re-experiencing
Numbing and avoidance
Hyper arousal

Question 13

intrusive recollections of the trauma, flashbacks of the trauma, nightmares about the trauma, distress at exposure to things that remind the patient of the trauma

Answer 13

re-experiencing

Question 14

hyper vigilance; difficulties sleeping; angry outbursts; poor concentration; exaggerated startle reflex

Answer 14

hyper arousal

Question 15

avoid thoughts, feeling or conversations associated with the trauma; avoid activities, people or places that remind them of the trauma; unable to remember important aspects of the trauma; feeling like they won’t have a future; restrict emotions and feeling detached from others

Answer 15

numbing and avoidance

Question 16

what can be used to tx nightmares and flashbacks w/ PTSD

Answer 16

Prazosin

Question 17

what antipsychotic is sometimes used for PTSD

Answer 17

Quetiapine

Question 18

when should benzos be reserved for w/ PTSD

Answer 18

limited tx of extreme arousal, insomnia, and axiety

Question 19

problem w/ benzos and PTSD

Answer 19

may make PTSD worse in acute stress disorder or increase risk

Question 20

_________ __________ CBT is an approach helpful for children and adolescents ages 4-18 who have experience trauma.

Answer 20

Trauma focused

Question 21

A period of intense fear that develops abruptly and reaches a peak within 10 minutes.

Answer 21

Panic attack

Question 22

4 of what 10 symptoms must be present for a panic disorder

Answer 22

Palpitations or pounding heart
sweating trembling or shaking,
shortness of breath or feeling like you can’t breath, choking sensation,
chest pain,
nausea,
dizziness or lightheadness,
feeling “unreal” or detached from yourself,
fear of losing control or going crazy,fear of dying, numbness or tingling,
chills or hot flushes

Question 23

what is the most disabling part of panic attacks

Answer 23

worrying about having another panic attack

Question 24

fear of being in a situation or place where escape or rescue would be difficult if a panic attack occurred.

Answer 24

agoraphobia

Question 25

first line tx for panic attacks

Answer 25

SSRIs

Question 26

other drugs for panic attacks

Answer 26

venlafaxine
TCAs, MAOIS
benzos (may not be beneficial)

Question 27

treatment for phobias

Answer 27

systematic desenitization-gradual exposure to the feared object

Question 28

biggest fear

Answer 28

fear of public speaking

Question 29

tx for performance anxiety for public smeaking

Answer 29

beta blockers (propranolol)

Question 30

first lines for general social phobias

Answer 30

SSRIs

Question 31

what is first line psychotherapy for social phobia

Answer 31

CBT

Question 32

common themes of obsessions

Answer 32

agression, sex, religion

Question 33

Repetitive behaviors or mental acts the person feels driven to perform in response to an obsession. Includes praying, counting, repeating words, hand washing, ordering things, and checking rituals

Answer 33

Compulsions

Question 34

first line tx w/ OCD

Answer 34

CBT “exposure and response prevention”

Question 35

how much time a day must a person take w/ obsessions and compulsions for it to be considering interfering w/ daily life

Answer 35

at least an hour

Question 36

first line meds for OCD

Answer 36

SSRIs