Anxiety Disorders Flashcards
Models of stress?
Biomechanical
Medicophysiological
Psychological
Coping?
Problem focussed
Emotion focussed
Anxiety symptom groups?
Psychological arousal Autonomic arousal Muscle tension Hyperventilation Sleep disturbance
Phobias?
Core anxiety symptoms occur in particular circumstances
Generalised anxiety disorder (GAD)?
Core anxiety symptoms occur persistently (several months)
Differential diagnosis of anxiety disorders?
Depression
Schizophrenia
Dementia
Substance misuse
Thyrotoxicosis
Pheochromocytoma
Hypoglycemia
Asthma and or arrythmias
Management of GAD?
Counselling
Relaxation training
Medication (SSRI/TCA)
CBT
Management of social phobia?
CBT
Education and advice
Medication (SSRI)
OCD?
Obsessional thoughts
Compulsive acts
Insight is high
Anxiety comes from thoughts or attempts to resist
Management of OCD?
Good history and MSE to exclude treatable depressive illness Education/ explanation SSRI CBT Psychosurgery
PTSD?
Delayed and or protracted reaction to a stressor of exceptional severity
Three key elements of PTSD?
Hyperarousal
Re-experiencing phenomena
Avoidance of reminders
Management of PTSD?
Mild - watch and wait
Trauma focused CBT if more severe
Eye movement desensitisation and reprocessing (EMDR)
SSRI/TCA?
