Anxiety disorders Flashcards
1
Q
Generalized anxiety disorder- Eti
A
- Onset 20-35 years
- Rate increases with age
- M>W
2
Q
Generalized anxiety disorder- Sx
A
- Present more days than not for > 6 months
- Apprehension, worry, irritability, difficulty concentrating
- Somatic complaints: cardiac- tachy, HTN, GI, HA, near syncope
3
Q
Panic disorder- Eti
A
- Familial
- Onset under 35
- 3-5% population
- W>M
- Alcohol abuse
- Correlation with OCD
4
Q
Panic disorder- Sx
A
- Short lived, recurrent, unpredictable episodes of intense anxiety
- Marked physiologic manifestations (dyspnea, tachycardia, palpitations)
- Sleep panic attacks
- Freq go to ED for MI sx
5
Q
Phobic disorders- Sx
A
- Out of proportion fear of specific objects or situations
- Global (agoraphobia) or specific (heights)
- Chronic
6
Q
Generalized anxiety disorder- Tx
A
- Benzodiazapines
- SSRI and SNRIs
- CBT
7
Q
Panic attacks- Tx
A
- Benzodiazepines
- SSRIs
- Support groups
8
Q
Phobic disorders- Tx
A
- SSRIs or gabapentin
- Beta blockers
- CBT, desensitization
9
Q
Post-traumatic stress disorder- Eti
A
- Very common in veterans
- Re-experiencing traumatic event
- Trauma and stressor related disorder
- More common with physical injury
- Many other associated problems- divorce, parenting
10
Q
Post-traumatic stress disorder- Sx
A
- Hx of exposure to life threatening events
- Followed by intrusive or avoidance symptoms
- Hyperarousal, startle rxn, night terrors
- Precipitated by events that remind
- > 1 month
11
Q
Post-traumatic stress disorder- Tx
A
- Brief, soon after psychotherapy
- No psych debriefing
- Stop drug and alcohol use
- SSRIs Sertraline and paroxetine
12
Q
Post-traumatic stress disorder- Prog
A
- Sooner tx = better prog
13
Q
OCD- Eti
A
- M:W
- 2-3% general population
- Comorbidity with depression, neuro abn
14
Q
OCD- Sx
A
- Ritualistic performance of action to alleviate anxiety
- Obsession- anxiety provoking thoughts
- Compulsions- repetitive actions
- Individual acknowledgement as absurd
15
Q
OCD- Tx
A
- SSRIs and clomipramine, fluoxetine
- Systematic desensitization
- CBT
