Anxiety Disorders Flashcards

1
Q

What is fear?

A

A cognitive response to a specific source or object that the person can identify or describe. Involves the intellectual or cognitive appraisal of threatening stimuli

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2
Q

True or false: Fear provokes anxiety

A

True

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3
Q

What is fear caused by?

A

Anxiety caused by consciously recognized and realistic danger.

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4
Q

What is anxiety?

A

Integral part of the universal human experience.

A vague, subjective feeling of uneasiness, tension, apprehension or dread.

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5
Q

What causes anxiety?

A

Anxiety results from an external threat to one’s integrity

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6
Q

What is the function of anxiety?

A

The function of anxiety is to warn individual of impending threat, conflict or danger.

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7
Q

What are typical physiological changes during mild anxiety?

A

Vitals normal

Mild muscle tension

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8
Q

What are typical physiological changes during moderate anxiety?

A

Vitals slightly elevated

tension, excitement

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9
Q

What physiological changes occur during severe anxiety?

A

Fight or flight

ANS stimulated

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10
Q

What physiological changes occur during panic level of anxiety?

A

BP drops, pale, ANS increased

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11
Q

What cognitive/perception changes occur during mild anxiety?

A

PF broad, aware
Thoughts controlled
Able to learn
Able to problem-solve

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12
Q

What cognitive/perception changes occur during moderate anxiety?

A

PF narrows, alert
Can be confused
Able to learn
Able to problem-solve

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13
Q

What cognitive/perception changes occur during severe anxiety?

A

PF narrows more
Selective attention
Time distortion
Problem-solving difficult

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14
Q

What cognitive/perception changes occur during panic level anxiety?

A

PF scattered/close

No problem solving

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15
Q

What emotional/behavioural changes occur during mild anxiety?

A

Feels comfort/safety

Habitual behaviours

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16
Q

What emotional/behavioural changes occur during moderate anxiety?

A

Feels ready/challenged
Engaged in competition
Learning new skills

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17
Q

What emotional/behavioural changes occur during severe anxiety?

A

Feels threatened, startled
Activity increases or decreases
Shaky, stuttering
Disorganized

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18
Q

What emotional/behavioural changes occur during panic level anxiety?

A

Feels helpless/angry/fear

Combative or withdrawn

19
Q

What are the four types of anxiety?

A

Signal
Trait
State
Free-floating

20
Q

What is signal anxiety?

A

Precipitation identified. There is some kind of environmental cue.

21
Q

What is trait anxiety?

A

Function of personality structure.

This is just part of our personality.

22
Q

What is state anxiety?

A

Conflicting or stressful situations

23
Q

What is free-floating anxiety?

A

Unattached to any idea or event. There is no cue, it just comes on. The person might not know why.

24
Q

What are the most common psychiatric disorders treated by health care professionals?

A

Anxiety disorders.

25
Q

How many canadians are affected by anxiety disorders?

A

~19 million Canadians are affected

26
Q

Are anxiety disorders more common in men or women?

A

Women

27
Q

What is the typical age of onset for anxiety disorders?

A

Late adolescence to mid 30’s

28
Q

What is generalized anxiety disorder?

A

Excessive anxiety and worry occurring more days than not.

29
Q

What are the diagnostic criteria for generalized anxiety disorder?

A

At least 6 months of symtpom duration
Presence of 3 of the following:
Restlessness, edginess, fatigue, poor concentration, irritability, muscle tension, sleep disturbance

Anxiety and worry that interfere with normal social and occupational functioning

30
Q

What is agoraphobia?

A

Anxiety about being where excape is difficult
Situations are avoided or endured with anxiety
Not due to the effects of a medical condition, substance or other mental disorder.

31
Q

What are the diagnostic criteria for panic disorder?

A

● Individuals with panic disorder meet these 2 criteria:

Presence of recurrent or unexpected panic attacks

At least one of the attacks has been followed by:

1) persistent concern about having additional attacks_
2) worry about the implications of the attack 
3) a significant change in behaviours as a result
32
Q

What is a panic attack?

A

Discrete period of intense fear, discomfort, dread or doom. Develops abruptly, peaks in 10 minutes

33
Q

What is a specific phobia?

A

Marked, persistent, excessive fear

Cued by presence/anticipation of specific object or situation

34
Q

What is agorophobia?

A

Anxiety about being where escape is difficult
Situations are avoided or endured with anxiety
Not due to the effects of a medical condition, substance or other mental disorder

35
Q

Do people with a simple phobia recognize that their fear is excessive or unreasonable?

A

Yes.

36
Q

What is social phobia?

A

Marked, persistent fear of one or more social or performance situations, exposing individual to scrutiny while behaving in embarassing way

37
Q

What is the treatment for social phobia?

A

Treated with psychotherapy or SSRIs

38
Q

What is PTSD? (Post-traumatic stress disorder)

A

Reaction to traumatic events

Symptoms are present for more than one month and will impair functioning

39
Q

What is acute stress disorder?

A

Different from PTSD:

● Experience three symptoms of dissociation: numbing, detachment, dazed, derealization, depersonalization, dissociative amnesia

● The symptoms of dissociation prevent the individual from adaptively coping with the trauma

● Shorter time frame of development and duration of symptoms (2-30 days)

● Not able to pursue a necessary task

40
Q

What is OCD (obsessive compulsive disorder)?

A

Obsession cannot be suppressed/ignored and therefore interferes with normal functioning

41
Q

What are obsessions?

A

Obsessions: recurrent or persistent unwanted thoughts, impulses or images that cause anxiety

42
Q

What are compulsions?

A

Compulsions: repetitive behaviours that the person feels driven to perform in response to the obsession

43
Q

What is the treatment for OCD?

A

Treated with behavioural therapy or medications (SSRIs TCAs)

44
Q

What are four types of medications used to treat anxiety?

A

● Benzodiazepines
Lorazepam, Clonazepam, Diazepam

● SSRIs/SNRIs
Fluoxetine, Paroxetine, Sertraline, Venlafaxine

● TCAs
Clomipramine

● Other
Beta-blockers, Buspirone, Tegretol