Anxiety Disorders

Question 1

difference between panic and anxiety disorders

Answer 1

panic - unpredictable, not restricted to specific situations

anxiety - well defined situations, predictable

Question 2

define social anxiety disorder

Answer 2

fear of negative evaluation by others, avoidance of feared situations and use of safety behaviours

Question 3

define specific phobias

Answer 3

restricted to specific objects or situations

Question 4

Diagnostic criteria of OCD

Answer 4

2 weeks of intrusive thoughts and compulsions to fend them off. Acknowledged as coming from pts own mind.

Question 5

Diagnostic criteria of GAD

Answer 5

6 months of Autonomic arousal + 3 others of:

WATCHERS - Worry, Anxiety, Tension in muscles, Conc, Hyperarousal, Energy, Restlessness, Sleep

Question 6

PTSD diagnostic criteria

Answer 6

TRAUMA - Traumatic event (within 6 months), Re-experience, Avoidance, Unable to function/disinterest in usual activities, Month or more of symptoms, Arousal increased

Question 7

manage panic disorder

Answer 7

SSRIs +/- BZDs, CBT. Emergencies use BZD. ST BZDs are diazepam and lorazepam
Psychoeducation and CBT

Question 8

manage phobias

Answer 8

graded exposure

Question 9

manage OCD

Answer 9

SSRIs, TCAs, CBT (graded exposure), ECT if suicidal

Question 10

manage GAD

Answer 10

Buspirone (ST), pregabalin, antidepressants, CBT, psychoeducation

Question 11

manage PTSD

Answer 11

SSRIs, nitrazepam (insomnia), BZD (hyperarousal), CBT, EMDR

Question 12

Differentials for anxiety disorders

Answer 12

CHAP - Cushings, hyperthyroidism, Anemia, Pheochromocytoma