anxiety disorders Flashcards
what can pathological anxiety involve
generalised anxiety disorder, phobia, panic disorder
what is anxiety comorbid with
depression, substance misuse, another anxiety disorder
prevalence
6% of the population- generalised is 2-4%
what type of people does anxiety more affect
women, young adults, middle aged
aetiology
genetics, biological, childhood- abuse, separations, excessive conformity; stress- financial problems, chronic disease
what is the biological link
low levels GABA, heightened amygdala activation
what is the chance of someone having anxiety disorder if first degree relative has it
x4
what is panic disorder
recurrent episodic severe panic attacks- unpredictable and not restricted to one type of situation
diagnosis panic disorder
at least 3 panic attacks in 3 week period
symptoms panic disorder
palpitations, sweating, breathless, feeling of choking, chest pain, nausea, dizzy, derealisation, depersonalisation. typically last a few mins
what is first line treatment panic disorder
SSRIs, CBT
what are not recommended in panic disorder
benzos as these can make worse
what is generalised anxiety disorder
generalised, persistent, excessive anxiety or worry bout a number of events the patient finds difficult to control
diagnostic GAD
at least 3 weeks (ICD10), or >6m (DSM)
what is anxiety associated with in GAD
subjective apprehension, increased vigilance, restless and on edge, sleeping difficulties, autonomic hyperactivity
ddx GAD
withdrawal from drugs, excessive caffeine consumption, depression, psychosis, organic- thyrotoxicosis, hypoglycaemia, phaechromocytoma,