Anxiety Disorders

Question 1

Key features of anxiety disorders

Answer 1

Diffuse, unpleasant and vague sensation of apprehension

May be with HTN, diarrhea, sweating, HR increase

Can be patho or normal

Question 2

Anxiety disorders demographics

Answer 2

More in females and lower SES

Question 3

Specific phobia

Answer 3

Fear or anxiety about a specific object or situation

Almost always provokes fear and is actively avoided

Out of proportion to actual danger

Causes CSI

6 mos or more

Question 4

Social anxiety disorder (social phobia)

Answer 4

Fear or anxiety about one or more social situations in which exposed to possible scutirny

Fears he will she will act in a way OR show anxieyt symptoms that will be neg evaluatied

6 mos or more

CSI

Question 5

Phobias

Answer 5

Single most common mental disorder

Most common among women and second for men (behind sub abuse)

Females have more social phobia

High risk of sub related idsorders

Question 6

Phobias tx

Answer 6

Exposure - behavioral therapy

Cog - reinforcing realization that is in fact safe

Psycho and pharma can work

Beta blockers can tx performance anxiety

Psycho therapy may include cog retraining, desnesi, rehearsla, and HW

Question 7

Panic attakc

Answer 7

Surge of intense fear or intense discomfort that reaches a peak within minutes and 4 of a lot of symptoms occur

Question 8

Panic Disorder

Answer 8

Recurrent, unexpected panic attakcs

At least one attakc followed by a month of persistent concern or maladtaptive change

Question 9

Panic disordeer demo

Answer 9

Women are 2-3 times more likely than men

Mean age i 25

CNS and PNS dysregulation

Question 10

Panic attack other things

Answer 10

SSRI is first line

Caffeien, nicotine can add

Chronic disorder

SUicide

Question 11

Tx of panic disorder

Answer 11

SSRI, TCAs

Continue pharma for 8-12 months after effective

Cog and behavioral therapies work

Cog therapy includes providing info, elciiting automatic thoughts and testing validity of maaldaptive assumptins

ASlso applied relxation or FT

Question 12

Agoraphobia

Answer 12

2 or more:

Public transport, open spaces, enclosed places, line, outside of home alone

Fears because of thoughts that escape might be difficult

6 mos

CSI

Fear or anxiety causing

Question 13

Generalized anxiety disorder

Answer 13

Excessive anxiet yand owrry occurring more days than not for at least 6 mos

Difficult tocontolr

3 of symptoms

CSI

Question 14

GAD demo

Answer 14

Women to men is 2:1

Usually in 20s

Use cog-behavioral and supportive

CBT - address distoriions

Behavioral - relaxation and biofeedback

Supportive - resaaurance and comfort

Question 15

GAD txs

Answer 15

SSRIs, buspar, BZPs