Anxiety Disorders Flashcards
1
Q
Panic disorder: definition
A
- Sudden overwhelming episodes of anxiety (som and psych), along with worry about the attack or future attacks.
- First attack happens randomly.
2
Q
Panic disorder: etiology, pathophysiology
A
- Etiology
- First drug use
- unknown
- Pathophysiology
- not completely understood
- amygdala conditioned fear responses
3
Q
Agoraphobia: definition
A
- Fear of the marketplace.
- Can evolve from panic disorder.
4
Q
Social Phobia: definition
A
- Situational
- socialized
- anticipatory
- Performing in front of others, being the center of attention, eating in public, writing in public, using public restroom, using telephone
5
Q
Social Phobia: etiology, pathophysiology
A
- Etiology
- Runs in families
- Pathophys
- Learned by being paired with traumatic events
- Fear of rejection is antecedant to social phobia
6
Q
Generalized anxiety disorder: definition
A
- Excessive worry and more generalized somatic symptoms of anxiety
- WAT- worry, anxiety, tension
7
Q
Generalized anxiety disorder: etiology, pathophysiology
A
- Etiology
- Almost always comorbid with another psych disorder: largely depression
- Inherited and environmental
- Pathophys
- Cognitive distortions in which pts perceive situations as dangerous when they are not
8
Q
Obsessive Compulsive Disorder: definition
A
x
9
Q
Obsessive Compulsive Disorder: etiology, pathophysiology
A
- Etiology
- Classic and operant conditioning
- Seen after brain injury and disease
- Biologic basis, maybe 5HT
- Pathophys
- Multiple brain regions affected
- Relative imbalance of direct and indirect pathway, thalamic disinhibition
10
Q
Panic disorder: diagnosis
A
- occurance of panic attack
- palpitations
- sweating
- SOB
- shaking
- chest pain or discomfort
- nausea
- dizziness
- fear of losing control/going crazy/dying
- depersonalization.
- Note: somatic and psych complaints
11
Q
Social Phobia: diagnosis
A
- Fear
- Anxiety upon exposure
- Insight
- Avoidance
- Impairment
- Specific to situations
- Sx for duration of 6 months
12
Q
Generalized anxiety disorder: diagnosis
A
- Anxiety/worry over 6 month period for multiple events and situations
- Uncontrollable worry
- 3 of 6 sx:
- restlessness
- easily fatigued
- trouble concentrating
- irritability
- muscle tension
- disturbed sleep
- Not in context of other disease
- sx ==> impairment
13
Q
Obsessive Compulsive Disorder: diagnosis
A
- Obsessions, compulsions, or both
- Insight
- sx ==> impairment
- Specific
14
Q
Panic disorder: Non-pharm + Pharm tx
A
- Non-Pharm:
- CBT, Panic reduction therapy
- Pharm:
- Benzodiazepines
- TCADs
- MAO-i’s
- SSRI
- SNRI
15
Q
Social Phobia: Non-pharm + Pharm tx
A
- Non-Pharm:
- CBT- particularly group therapy
- Pharm:
- Benzos
- β blockers
- MAOi’s
- SSRIs
16
Q
Generalized anxiety disorder: Non-pharm + Pharm tx
A
- Non-Pharm:
- CBT
- relaxation techniques
- Pharm:
- Benzodiazepines
- buspirone (not usually the best choice)
- TCAs
- MAOi’s
- SNRIs
- SSRIs
- gabapentin
- β blockers
17
Q
Obsessive Compulsive Disorder: Non-pharm + Pharm tx
A
- Non-Pharm:
- Exposure response prevention
- Pharm:
- SSRI’s
- Atypical antipsychotics
- clomipramine
18
Q
Common medical presentations of anxiety disorders
A
- Worry, fear
- Cognitive distortions
- Physiologic response to anxiety
19
Q
Types of pt. presentations of anxiety
A
- Psychologizer (15%) → a person who knows its anxiety causing symptoms
- Initial Somatizer (34%) → a person who has been tense/fatigued and wonders if its anxiety
- Facultative Somatizer (26%) → hasn’t thought of anxiety as reason, not closed off
- Persistant Somatizer (25%) → denial of anxiety upon presentation of somatic complaints.
