Anxiety Disorders

Question 1

Anxiety

Answer 1

vague uneasy feeling of discomfort or dread accompanied by an autonomic response

source is often nonspecific or unknown

affects cognition and produces distortions of perception

Question 2

Etiology theories of anxiety disorders

Answer 2

psychodynamic
cognitive behavioral theory
cognitive
biological

Question 3

psychodynamic etiology

anxiety

Answer 3

based on fear/freud’s original hypothesis

Question 4

cognitive-behavioral theory

anxiety

Answer 4

occurs as environment gives cues associated with anxiety producing events/Piaget

Question 5

cognitive anxiety etiology

anxiety

Answer 5

distorted beliefs about self, world and future/Beck

Question 6

2 major components/symptoms of anxiety

Answer 6

• awareness of physiological sensations (palpitations, sweating)
• awareness of being nervous or frighting

Question 7

fear

Answer 7

normal response to known sweat

Question 8

anxiety

Answer 8

alerting system of impending danger (unknown threat)

secondary to norepinephrine and serotonin

Question 9

MSE of an anxiety disorder

Answer 9

A/O/3

mood: normal or depressed
affect: normal
suicidal ideation possible
cognition, insight, judgement intact

Question 10

Anxiety H and P always aks

Answer 10

caffeine, OTC meds, herbals, street drugs

Question 11

diagnostic test for anxiety

Answer 11

no labs specific or consistent finding on neuroimaging

Question 12

GAD PET

Answer 12

shows increased blood flow right parahippocamus in frontal lobe

Question 13

treatment of anxiety disorders

Answer 13

psychopharmacological and psychotheraby

Question 14

pharmacological drugs in anxiety disorders

Answer 14

Benzodiazepines
SSRIs
Tricyclics (not first line)
MOI (not first time)

Question 15

etiology phobias

Answer 15

anxiety + specific environmental event

onset in early childhood/early adult hood

Question 16

MSE in phobias

Answer 16

irrational fear of specific situation, activity, object

depression often co-exists

Question 17

marked fear or anxiety about a specific object or situation

Answer 17

specific phobia

Question 18

specific phobia behaviors

Answer 18

phobic object or situation is actively avoided

phobic object always provokes immediate fear or anxiety

fear or anxiety is out of proportion to the actual danger posed by specific object or situation

Question 19

social phobia

Answer 19

social situations are avoided or endured with intense fear or anxiety

Question 20

social phobia treatment

Answer 20

therapy is most important

CBT 1st choice, social skills training, relaxation training, group therapy

Question 21

social phobia treatment

medications

Answer 21

SSRI, Benzodiazepine, Effexor, Buspar, Beta blocker

Question 22

diagnostic criteria for GAD

Answer 22

1. persistent fear, worry, or tension in the absence of panic attacks for at least 6 months
2. person finds it difficult to control worry
3. need 3+ of (restlessness, fatigue, difficulty concentrating, irritability, muscle tension, sleep disturbance)
4. anxiety, worry cause significant distress/impairment in social, occupational areas
5. disturbance not due to substance abuse or general medical condition

disturbance is not explained better by another mental disorder

Question 23

GAD treatment

Answer 23

variable response to therapy and medications

psychotherapy useful

anxiolytic

Question 24

prognosis of GAD

Answer 24

chronic for most patients

unusually treated in primary care setting

Question 25

disorder characterized by recurrent, unexpected panic attacks

Answer 25

panic disorder

Question 26

panic attack

Answer 26

abrupt surge of intense fear or intense discomfort that reaches a peak within minutes and during which time 4+ symptoms occur