Anxiety Disorders Flashcards
Summarize the etiology and pathophysiology of panic disorder.
Sudden overwhelming episodes of anxiety that include both somatic and psychic elements - along with worry about either the implication of the attack or about having
future attacks
Lifetime prevalence = 1.5% - 3.5%
fem>male
Summarize the etiology and pathophysiology of generalized anxiety disorder.
Excessive worry and more generalized somatic symptoms of anxiety (Worry, Anxiety, Tension)
75-90% comorbid with other psychiatric disorders (most commonly depression)
5.1% prevalence
fem>male
Summarize the etiology and pathophysiology of social phobia.
Overwhelming anxiety in situations where one would have to interact with others, be the center of attention, or perform in front of others
13.5% prevalence
Summarize the etiology and pathophysiology of OCD.
Obsessions: recurrent, persistent thoughts, images, or impulses that are intrusive and cause anxiety
Compulsions: repetitive behaviors or mental acts that are performed in order to reduce anxiety
2.5% prevalence
adolescence-early adult onset
PANDAS and Tourette’s correlations
Sudden overwhelming episodes of anxiety that include both somatic and psychic elements - along with worry about either the implication of the attack or about having
future attacks
Lifetime prevalence = 1.5% - 3.5%
fem>male
panic disorder
Excessive worry and more generalized somatic symptoms of anxiety (Worry, Anxiety, Tension)
75-90% comorbid with other psychiatric disorders (most commonly depression)
5.1% prevalence
fem>male
generalized anxiety disorder
Overwhelming anxiety in situations where one would have to interact with others, be the center of attention, or perform in front of others
13.5% prevalence
social phobia
Obsessions: recurrent, persistent thoughts, images, or impulses that are intrusive and cause anxiety
Compulsions: repetitive behaviors or mental acts that are performed in order to reduce anxiety
2.5% prevalence
adolescence-early adult onset
PANDAS and Tourette’s correlations
OCD
How do you treat panic disorder?
Benzodiazepines TCADs MAOIs SSRIs SNRIs CBT
How do you treat social phobia?
Benzodiazepines Beta blockers MAOIs SSRIs CBT
How do you treat generalized anxiety?
Benzodiazepines Buspirone TCAs MAOIs SNRIs SSRIs CBT
How do you treat OCD ?
Clomipramine
SSRIs
Augmentation with atypical antipsychotics
behavioral therapy
List the common general medical-induced causes of anxiety.
Hyper/hypothyroidism Hyperparathyroidism Mitral valve prolapse Cardiac arrhythmias Coronary insufficiency Pheochromocytoma Hypoglycemia True vertigo
List the common general substance-induced causes of anxiety.
Drug/Alcohol withdrawal
Cannabis intoxication
