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Behavioral Health > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

Skaggs

1
Q

What is Generalized Anxiety Disorder?

A

Excessive and persistent worrying that is hard to control, causes significant distress or impairment and occurs on more days than not for AT LEAST 6 MO

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2
Q

T/F GAD is moderately heritable?

A

TRUE

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3
Q

Pathognomic feature of GAD?

A

excessive and persistent worrying

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4
Q

What are the 6 symptoms seen in GAD?

A 
Restlessness, feeling on edge
Easily fatigued
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbance
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5
Q

How many symptoms must a adult have for GAD?

A

> 3

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6
Q

How many symptoms must a child have for GAD?

A

> 1

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7
Q

What screening tool is used for GAD?

A

The General Anxiety Disorder 7 (GAD-7)

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8
Q

What is the treatment for GAD?

A

Cognitive behavioral therapy + SSRI

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9
Q

What is the 1st line med for txt of GAD?

A

SSRI

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10
Q

What is the 2nd line med for txt of GAD?

A

TCA

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11
Q

If patients don’t respond to 1st or 2nd line med txt for GAD what is used?

A

Benzo’s

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12
Q

T/F GAD is chronic?

A

TRUE

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13
Q

What age does GAD disappear?

A

50 yr

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14
Q

What is GAD replaced with after age 50y?

A

Undifferentiated Somatization disorder

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15
Q

In patients with coronary disease there is an association between what?

A

anxiety and mortality

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16
Q

Panic attack is seen in what age and sex?

A

all ages mostly female

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17
Q

What is panic attack?

A

abrupt surge of intense fear, reaching a peak within minutes

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18
Q

How many symptoms should develop abruptly in Panic attack?

A

> 4

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19
Q

At least 1 of two things must be met for diagnosis of panic attack?

A
  • worry about additional attacks

- maladaptive change in behavior

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20
Q

What is the txt for panic attack/disorder?

A

CBT w/ meds

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21
Q

What are 1st line meds used for panic attack?

A

SSRI

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22
Q

What are 2nd line meds used for panic attack?

A

SNRI and TCA

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23
Q

What TCA works best for panic attack?

A

Imipramine (Tofranil)

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24
Q

What is FDA approved for panic attack txt?

A

Benzo’s

25
Q

What does not work for the txt of panic attack?

A

Bupropion

26
Q

What can reduce panic attack symptoms?

A

exercise

27
Q

When should panic attack be considered a diagnosis of exclusion?

A

in pts that meet criteria for life threatening illness

28
Q

What is Agoraphobia?

A

fear or anxiety about and/or avoidance of situations where help may not be available or where it may be difficult to leave the situation in the event of developing panic like symptoms

29
Q

What 5 things do Agoraphobia ppl fear?

A 
using public transportation
being in open spaces
being in enclosed places
standing in line or being in a crowd
being outside of the home alone
30
Q

How many things must be met for DSM-5 criteria for agoraphobia?

A

> 2

31
Q

What questionnaire is used for agoraphobia?

A

The Fear questionnaire

32
Q

What is the treatment for agoraphobia?

A

CBT w/ meds

33
Q

What is 1st line med for agoraphobia?

A

SSRI, SNRIs, TCA, Benzo

34
Q

What is the prognosis for agoraphobia?

A

most pt recover with txt

35
Q

What are the four types of phobias?

A

animal
environmental
blood injection/ injury type
situational type

36
Q

Zoophobia?

A

animals

37
Q

Brontophobia

A

thunderstorms

38
Q

Acrophobia

A

heights

39
Q

Nosophobia

A

disease

40
Q

Thanatophobia

A

death

41
Q

The most common psychiatric disorder among women?

A

phobias

42
Q

What is the predominant age and sex for phobias?

A

15yr and female

43
Q

What symptoms seen with exposure to phobic stimuli?

A

sympathetic activation, pallor, dizziness, or paresthesias

44
Q

What is the txt for specific phobias?

A

treat major psychiatric disorders first

45
Q

What is not a 1st line txt for specific phobia?

A

medication

46
Q

Prognosis of specific phobias?

A

lifelong if untreated, excellent w/ treatment

47
Q

What is acute stress disorder?

A

acute stress reactions that may occur in the initial month after a person is exposed to a traumatic event

48
Q

What makes up the major prevalence of ASD?

A

witnessing a mass shooting

49
Q

What are the clinical manifestations of ASD?

A

presents w/ severe levels of re-experiencing and anxiety in response to reminders of the recent trauma

50
Q

What is the most effective txt for ASD?

A

CBT

51
Q

What drugs haven’t been shown to be effective in ASD?

A

SSRI

52
Q

Helpful for acute anxiety, agitation, or sleep disturbance in the immediate period following the traumatic event?

A

Benzo

53
Q

What is post-traumatic stress disorder (PTSD)?

A

intrusive and avoidance symptoms, negative changes in thought or mood, and arousal/reactivity for at least 1 month following a traumatic event

54
Q

What is the treatment for PTSD?

A

early CBT, w/ virtual exposure, has been shown to speed recovery

55
Q

Prognosis for PTSD?

A

symptoms spontaneously remit after 3 mo

56
Q

Which med doesn’t work for Agoraphobia?

A

Bupropion

57
Q

Which specific phobia has the highest level of familial tendency?

A

blood injection/ injury type

58
Q

What are two things that must be recognized in specific phobia?

A

fear is irrational or excessive or egodystonic

59
Q

In order to be diagnosed with ASD what criteria must be met?

A

directly experiencing the traumatic event or related to someone that did!

Behavioral Health (14 decks)

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