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Behavioral Medicine > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

1
Q

How do fear and anxiety differ?

A

Fear is natural response to a threat

Whereas…..

Anxiety is worrying about that threat

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2
Q

_____ is the emotional and physiological response to an imminent threat

A

Fear

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3
Q

________ is the anticipation or worry/preoccupation with a future threat

A

Anxiety

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4
Q

Is increased vigilance more closely associated with a fear response or anxiety?

A

Anxiety

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5
Q

Is the fight or flight response more closely associated with fear or anxiety?

A

Fear

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6
Q

Which anxiety disorder is best described below……

Distress from separation anticipation
Persistent worrying about separation
Has an impact of daily function/activites

A

Separation

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7
Q

How long do symptoms need to be present for CHILDREN to be diagnosed with separation anxiety?

Adults?

A

Children: 4 weeks

Adults: 6 months

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8
Q

At what age is separation a normal stage of development?

A

Around 9 months

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9
Q

What is the mainstay of separation anxiety management?

A

CBT

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10
Q

What is specific phobia disorder?

A

Irrational and excessive phobia to objects, places, or situations

***Must last for at least 6 months

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11
Q

Which of the following anxiety disorders is best described by the following……

Fear of embarrassment/humiliation
Fear of social situations (eating, using the bathroom)

A

Social Anxiety Disorder

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12
Q

When do specific phobias tend to onset?

A

Childhood (<12 y.o.)

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13
Q

Does social anxiety onset gradually or fairly suddenly?

A

Gradually

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14
Q

How many patients with SAD eventually develop a substance abuse disorder?

A

1/8th

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15
Q

How many patients with SAD will likely meet the criteria for another psychiatric condition?

A

50%

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16
Q

What medications are first line for SAD treatment?

A

Fluoxetine
Paroxetine
Sertaline

Venlafaxine

17
Q

How long do panic attacks typically last?

A

5 - 10 minutes

18
Q

How is panic disorder classified?

A

Unexpected panic attacks with at least 1 month of worrying about having panic attacks

19
Q

T/F: Many patients do undergo extensive medical workups before other conditions are ruled out

A

True

20
Q

What is the mainstay of panic disorder management?

A

Medications (fluoxetine, paroxetine, sertraline, venlafaxine) in combination with therapy (Panic Control Therapy)

21
Q

Which anxiety disorder is described below…..

Excessive worrying about life and circumstances

A

Generalized Anxiety Disorder

22
Q

Is GAD more common in men or women?

A

Women (<30 y.o.)

23
Q

What management option works best for GAD?

A

Medications (paroxetine, escitalopram, venlafaxine, buspirone) in combination with therapy

24
Q

How is obsessive compulsive disorder described?

A

Plagued by intrusive thoughts
Compulsions to distract /relieve anxiety
Compulsions are repetitive, intentional, and time consuming

25
Q

When does OCD typically onset?

A

Late teens to early 20s

26
Q

What percent of patients with OCD will have a deteriorating course?

A

10%

27
Q

What commonly exacerbates OCD symptoms?

A

Stress

28
Q

What is the most effective treatment of OCD?

A

Medication (SSRIs) in combination with therapy

29
Q

What is relaxation training?

A

Control over both their body and their mental states. Many forms, one is progressive muscle relaxation and patients systematically proceed through each muscle group learning to tense and relax.

30
Q

What is exposure training?

A

Gradually placing the patient in situations or in contact with objects they would usually avoid. Can start with simple visualization, then approaching scenarios/places/things and gradually increase to full exposure. AKA systematic desensitization.

31
Q

What is Flooding?

A

Similar to exposure therapy but the patient is exposed by placing them in continuous contact with whatever their feared stimulus.

32
Q

What is behavioral modifications therapy?

A

Desirable behaviors are paired with positive reinforcements whereas undesirable behaviors are paired with negative reinforcers

33
Q

____________ therapy focuses on the patient’s relationships as well as establishes present vs the past

A

Interpersonal therapy

34
Q

What disorder is dialectical behavioral therapy used for?

A

Borderline personality disorder

35
Q

What are the 4 specific target areas of dialectical behavioral therapy?

A

Mindfulness
Interpersonal Effectiveness
Distress Tolerance
Emotional Regulation

36
Q

What form of therapy (behavioral or cognitive) is recommended for each of the following disorders…….

Social Phobia
GAD
Panic Disorder
Separation Anxiety
OCD
A

Social Phobia: Behavioral

GAD: CBT

Panic: CBT (Panic control therapy)

Separation: CBT

OCD; CBT (Exposure/Response Prevention)

Behavioral Medicine (16 decks)

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