Anxiety disorders Flashcards

1
Q

anx. epi

A
  • 25% lifetime prevalence
  • 2:1 F:M
  • highly comorbid
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2
Q

4 contibutions to anxiety disorders

A
  1. genes
  2. temperment
  3. partenting style
  4. stress exposures
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3
Q

5 DSM anxieties + 2 to know for exam

A
  1. specific phobia
  2. social anxiety
  3. panic
  4. agoraphobia
  5. GAD
    + OCD
    + PTSD
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4
Q

key features to all disorders (3)

A
  1. causes clinically significant impairment or distress
  2. not due to substance or medical problem
  3. not better explained by other condition
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5
Q

main features of GAD (3)

A
  • exc. anxiety and worry about A NUMBER of events
  • over 6 months
  • difficult to control worry
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6
Q

2 main feautes of panic

A
  1. recurrent panic attacks

2. followed by either persistent concern or worry about panic, or avoidance of behaviors

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7
Q

features of agoraphobia (2)

A
  1. fear of not being able to escape situations

2. persistent fear or avoidance of these situations

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8
Q

5 agoraphobic sits.

A
  1. public transit
  2. being in open spaces
  3. being in enclosed spaces
  4. standing in line or a crowd
  5. being outside home alone
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9
Q

3 features of social anxiety

A
  1. marked fear of social situation in which the indiv. is exposed to scrutiny by others
  2. indiv. fears they will act in an embarrassing way
  3. situation always evokes and they avoid
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10
Q

2 main features of specific phobia

A
  1. marked fear about specific thing

2. avoids

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11
Q

2 keys to OCD

A
  1. presence of obsession or compulsions or both

2. they are time consuming (>1hour per day)

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12
Q

5 key features to PTSD

A
  1. exposure to trauma (can be indirect)
  2. intrusive sx
  3. avoidance
  4. cog. alterations and mood changes
  5. altered arousal and reactivity
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13
Q

2 main treatments for anxiety

A
  1. CBT - waitlist

2. drugs

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14
Q

5 key parts to assessment

A
  1. diagnosis
  2. rule out medical conditions
  3. co-morbidities
  4. severity
  5. patient’s choice of treatment
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15
Q

main med for anx

A

SSRI

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16
Q

3 reasons for SSRI

A
  1. good evidence
  2. well tolerated
  3. effective for many common comorbidities
17
Q

4 less serious SEs of SSRI

A
  1. GI distress
  2. headaches
  3. agitiation
  4. insomnia/somnolence
18
Q

3 more serious SE of SSRIs

A
  1. sex
  2. prolonged QT
  3. suicide
19
Q

key to SSRI timing

A

takes 4 weeks to kick in

20
Q

what to do for inadequate repsonse

A

optimization

21
Q

what to do for partial response

A

augmentation or combination

22
Q

what to do when first line fails

A

switch

23
Q

what to do once meds help

A

stay on for at least a year - then slow taper

24
Q

what is role of benzos (2)

A
  • can use with SSRI for short term
  • use for sporadic attacks
  • clonazepam
25
Q

2 benzo cautions

A
  1. addictive - watch in substance abusers

2. falls/cog. impariement