Anxiety Disorders

Question 1

Anxiety

Answer 1

Diffuse, unpleasant, vague sense of apprehension
Usually w/ diarrhea, sweating, HTN, tremor, tachy
Patho or normal or SA
Women more likely
Incidence dc with SES

Question 2

Specific Phobia

Answer 2

Fear/anxiety about object/siituation
Phobic object/situation provokes immediate fear/anxiety
Fear/anx out of proportion to danger
Persistant, 6mnths +
CSI, not explained w/ other mental disorder

Question 3

Specify SP stimulus

Answer 3

Animal/Natural enviro/Blood-injection-injury/Situational/Other

Question 4

SAD (social phobia)

Answer 4

Fear/anx about social situations when indiv faces possible scrutiny
Fears showing anx symptoms & will be (-) eval
Social situations almost always provoke anx/fear
Typically avoided
Persistent, 6mnths+, OoP
CSI, no drug/mental do
W/ other dz, anx must be excessive/unrelated

Question 5

Phobias facts

Answer 5

Most common MDO
Females most common
SUD is a concern

Question 6

Treatment of Phobias

Answer 6

Exposure (Behav therapy)- gradual, self-paced exposure
Cog- reinforce that its safe
Pyshco/pharm therapy
BB for anx

Question 7

Panic attack

Answer 7

Abrupt surge of fear/discomfort- 4 symptoms
Palpitations/racing heart
Sweating
Trembling
SOB
Choking
Chest pain/discomfort
N, ab distress
Dizzy/unsteady
Chills
Paresthesias
Derealization/Depersonal
Lose control
Fear of dying

Question 8

Panic Disorder

Answer 8

Recurrent, unexpected PA
1 attack w/ 1 month+ of 
Concern/worry about PA/consequences
Or maladaptive behavior change related to attacks
No drug/MC/MDO

Question 9

PD facts
More common in
Coexist
Etiology

Answer 9

More likely in women, 25y/o
Coexist w/ other conditions (dep, anx, person, SU do)
CNS/PNS dysregulation
Genetic component

Question 10

PD more facts
Occurrence
Exacerbations
Therapy

Answer 10

Can vary in occurrence
Caffeine/nico can exacerbate
Chronic, inc risk of suicide
Pharm/Psycho therapy (SSRIs 1st)
BZP= concern for dependence, CI, abuse

Question 11

PD facts 3

Therapy

Answer 11

TCAs effective
Continue pharm therapy 8-12 mnth after effective
Cog- info, testing validity of thoughts
Behav/relax/resp training/family therapy also effective

Question 12

Agoraphobia

Answer 12

Fear/anx about 2 or more 
Public transport
Open spaces
Enclosed spaces
Standing in line/crowds
Being outside alone
Think that escape might be difficult, no help
Always fear/anx
Avoid situations, companions, or have fear/anx

Question 13

Agoraphobia more

Answer 13

Fear/Anx OoP
Persistent, 6mnths+
CSI
W/ other conditions, fear/anx must be excessive
Not explained by other MDO

Question 14

GAD

Answer 14

Anx/worry more days than not for 6mnths, dif to control
3 of following- restless/edgy
Easily fatigued
Difficulty concentrating
Irritability
Muscle tension
Sleep probs
CSI, no drug/MC/MDO

Question 15

GAD Facts
More common in
Non-pharma therapy

Answer 15

More common in women
20 y/o, few seek tx
Blood work, EKG, thyroid tests
R/o caffeine, AW, S/H withdrawal
Chronic
CBT/Behav/Supportive

Question 16

GAD Facts 2

Answer 16

Wait for prescribing drug
SSRI/Buspar/BZP
SSRI esp w/ MD
Buspirone= non-addictive
Limit BZP (alcohol prob)