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Psychiatry AM > Anxiety disorders > Flashcards

Anxiety disorders Flashcards

1
Q

What are the 3 models of stress?

A

Biomechanical
Medicophysiological
Psychological

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2
Q

What is the biomechaical model of stress

A

Stimulus disturbs environment and puts stress and strain on person

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3
Q

What is the medicophysiological model os stress?

A

General and non specific reaction to demand occurs and produces fights flight response
If stressor persists, person will experience alarm reaction and physiological adaption followed by exhaustion

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4
Q

What is the psychological model of stress?

A

stress occurs when there is an imbalance between perceived stress and perceived ability to cope

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5
Q

What are the 2 methods of dealing with stress?

A

Problem focused- efforts are directed toward modifying stressor
Emotion focused- modify emotional reaction

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6
Q

What are the symptom groups of stress?

A 
Psychological arousal
Autonomic arousal
Muscle tension
Hypertension
Sleep disturbance
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7
Q

What are the symptoms of psychological arousal?

A 
Fearful anticipation
Irritability
Sensitivity to noise
Poor concentration
Worrything thoughts
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8
Q

What are the symptoms of autonomic arousal?

A 
GI- dry mouth, dyspepsia, nausea, wind
Tight chest
Palpitations
Abnormal periods
Erectile failure
Dizziness, sweating
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9
Q

What can happen with sleep when stressed?

A

Insomnia
Frequent waking
Nightmares and night terrors

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10
Q

What are phobic anxiety disorders?

A

Anxiety disorders that occur in certain circumstances e.g. agoraphobia, social ohobia

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11
Q

What are the predominant symptoms in phobic anxiety disorders?

A

Blushing

Tremor

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12
Q

What is the management of phobos anxiety disorders?

A

CBT
Education and advice
Medication- SSRI

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13
Q

What is generalised anxiety disorder?

A

Persistent symptoms not confined to situation or object

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14
Q

What is the differential for generalised anxiety disorder?

A 
Depression
Schizophrenia
Dementia
Substance abuse
Thyrotoxicosis
Phaechromocytoma
Hypoglycaemia
Asthma and/or arrhythmia
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15
Q

What is the management of generalised anxiety?

A

Counselling
Relaxation training
Medication- SSRIs, TCAs, sedatives generally avoided
CBT

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16
Q

What is OCD?

A

Recurrent obsessional thoughts and/or compulsive acts

17
Q

What are obsessional thoughts?

A

Ideas, images or impulses
Occuring repeatedly but nt willed
Unpleasant and distressing
Anxiety like symptoms arise- due to nature of thoughts or attempts to resist

18
Q

What are compulsive acts or rituals?

A

Stereotypical behaviours repeated again and again
No enjoyable or helpful
Often viewed as preventing self or someone else from harm, or pointless and are resisted but overcome by anxiety

19
Q

What is the treatment of OCD?

A

Education
Medication- SSRI or TCA
CBT
Psychosurgery

20
Q

What is PTSD?

A

Delayed and/or protracted reaction to stressor of exceptional severity

21
Q

What is PTSD often a response to?

A

Combat
Natural or human caused disaster
Rape, assault, torture
Witnessing a distressing event

22
Q

What are the 3 key elements to the PTSD reaction?

A

Hyperarousal
Re-experiencing phenomena
Avoidance of reminders

23
Q

What are the hyperarousal symptoms in PTSD?

A

Persistent anxiety
Irritability
Insomnia
Poor concentration

24
Q

What are the signs of avoidance of reminders in PTSD?

A

Emotional numbness
Cue avoidance
Recall difficulties

25
Q

What are the vulnerability factors for PTSD?

A

Mood disorder
Previous trauma
Lack of social support
Female

26
Q

What is the management PTSD?

A

Trauma focused CBT
Eye movement desensitisation and reprocessing
Medication- SSRI or TCAs

27
Q

What is the screening for PTSD?

A

Screen survivors of disaster at 1 month

If mild symptoms, watchful wait and review

Psychiatry AM (16 decks)

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