Anxiety Disorders Flashcards
Marked or persistent fear (>6 months) that is excessive or unreasonable cued by the presence or anticipation of a specific object or situation
specific phobia
Etiology includes learning, contextual conditioning
specific phobia
Treatment for specific phobia
systemic desensitization
Marked fear of one or more social or performance situations in which the person is exposed to the possible scrutiny of others and fears he will act in a way that will be humiliating
social anxiety disorder
Recurrent unexpected panic attacks and for a one month period or more
Panic disorder
Persistent worry about having additional attacks. Worry about the implications of the attacks. Significant change in behavior because of the attacks
Panic disorder
Sx include: palpitations, rapid HR, sweating, trembling, SOB, chest pain, nausea, feeling dizzy, fear of dying
panic attack
When does a panic attack peak?
within 10 minutes
Marked fear or anxiety for more than 6 months about two of the following: public transportation, being in open spaces, being in enclosed spaces, standing in line, or being outside of the home alone
agoraphobia
Mean age of onset of agoraphobia
17 yrs
Excessive worry more days than not for at least 6 months about a number of events and they find it difficult to control the worry
Generalized anxiety disorder
Sx include: Restlessness or feeling keyed up or on edge, easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbance
generalized anxiety disorder
Percentage of people who suffer from GAD that have at least one other lifetime Axis I disorder
90%
Has a worse prognosis over 5 years than panic disorder
Generalized anxiety disorder
recurrent and persistent thoughts, impulses or images that are intrusive and unwanted that cause marked anxiety or distress
obsessions
Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession or according to rigidly applied rules.
compulsions
obsessions or compulsions cause marked distress, take > 1 hour/day or cause clinically significant distress or impairment in function
Obsessive-Compulsive Disorder
Effects men and women equally. Mean age of onset is 19.5 yrs with males having an earlier onset
Obsessive-Compulsive Disorder
Due to exposure to actual or threatened death, serious or sexual violence
post-traumatic stress disorder
Sx include: Recurrent trauma-related nightmares, dissociative rxns, intense physiologic distress at cue exposure
PTSD
Avoid distressing memories, thoughts or feelings of the event. Avoidance of external reminders of that arouse memories of event(s)
PTSD
How long must PTSD symptoms be present for diagnosis?
more than 1 month
Risk factors that increase chance of developing PTSD
“dose” of trauma, lack of social support, pre-existing psychiatric disorder
Presence of intrusion, negative mood, dissociation, avoidance, and arousal related to the trauma that lasts 3 days-1 month after trauma
Acute Stress Disorder
medication used to help cure nightmares in PTSD patients
prazosin
