Anxiety Disorders

Question 1

panic disorder

Answer 1

recurrent unexpected panic attacks + following attack, 1m persistent concern about attacks/consequences (+/- agoraphobia); total >6m

Question 2

agoraphobia

Answer 2

anxiety in 2+ of being outside of home along, public transportation, open/enclosed spaces, in line or in a crowd’ total >6m

Question 3

social anxiety disorder

Answer 3

fear and anxiety of social situations, early onset (0-25 y/o), >6m; performance (public speaking) vs. generalized SAD

Question 4

generalized anxiety disorder

Answer 4

excessive worry in 2+ domains (family, health, $) >50% time for 6m with 3 symptoms (restlessness, difficulty concentrating, muscle tension, insomnia, irritability)

Question 5

specific phobias

Answer 5

extreme fear of specific object/situation, >6m

Question 6

epidemiology of anxiety disorders

Answer 6

most common psych disorder, lifetime prevalence >20%, F>M 2:1; risk factor for depression, alcohol use, suicide; early onset with chronic progression

Question 7

symptom clusters of anxiety disorder

Answer 7

panic attacks (sudden onset of fear + 4 addtl symptoms), anticipatory anxiety, avoidance

Question 8

treatment for anxiety disorders

Answer 8

short-term cognitive behavioral therapy (months), SSRIs for >8w for panic disorder, SAD generalized, GAD; benzodiazepenes for acute/rapid onset

Question 9

anxiety disorders

Answer 9

panic disorder, generalized anxiety disorder, social anxiety disorder (generalized, performance), agoraphobia, specific phobias, separation anxiety disorder, PTSD, OCD

Question 10

etiology

Answer 10

20-40% genetic (4-6x risk with 1st deg relative); excessive cortisol response; parental modeling, trauma, loss