Anxiety disorders Flashcards
exam 2
when patients have the following three groups of symptoms you should think about putting anxiety disorders on differential dx.
- somatic symptoms
- psychological symptoms
- behavior changes
Range in severity from mild (e.g. edginess) to severe the feeling that one is “going to die” or “lose control”
Affective symptoms
Include worry, apprehension, obsessions and thoughts about emotional or bodily damage.
cognitions
marked behavioral change in anxiety disorders
- avoidance or withdrawal of things that made them anxious
most common anxiety disorders
social phobia
generalized anxiety disorders needs at least excessive anxiety and worrying for at least ______.
symptoms include:
- restnlessness
- easily fatigued
- difficulty concentrating
- irritability
- muscle tension
- insomnia
how many of these symptoms are needed to dx.
duration of at least 6 months
- 3/6 symptoms
A discrete period of intense fear or discomfort, typically with a sense of impending catastrophe such as losing control, dying, or going crazy. The state of panic is associated with a range of somatic symptoms and may be associated with derealization and/or depersonalization.
Panic disorder- Panic Attack
can panic attacks be triggered by a specific place or emotional situation as well as a spontaneous thing?
Yas
somatic symptoms of panic disorder
most classic symptoms: Pulmonary : shortness of breath
others:
Cardiac: palpitations, tachycardia, chest pain
Gastrointestinal : nausea, abdominal distress
Neurological : shaking, dizziness, faintness, paresthesias
Autonomic arousal: sweating, chills, hot flashes
Anxiety about being in placed or situations from which escape might be difficult (or embarrassing)
agoraphobia
agorophobia a primary or secondary disorder
secondary
84% of panic disorder pt. have it
Social phobia
two situations:
- social
- performance situations
- they are going to face unfamiliar people or scrutiny by others
- will be humiliated or embarrassing
PTSD patients First experienced traumatic event.
then they have the following tree group of symptoms.
- re-experience traumatic event
- hyperarousal, hypervigilant
- avoidance or numbing
To meet the PTSD diagnosis criteria the patient need to have at least ____ re-experience symptoms.
re-experience symptoms are the following.:
- Intrusive recollection,
- Nightmares,
- Flashbacks
- Psychological distress at cues resembling events
- Physical reactivity to cues resembling event
at least one re-experience
Persistent avoidance of stimuli associated with the trauma (≥ ____)
- Thoughts, feeling or conversations*
- Activities, places or people*
- Inability to recall part of trauma
↓ interest in activities - Estrangement from others
- Restricted range of affect
- Sense of shorted life
At least or more than 3
