anxiety disorders

Question 1

what are symptoms of anxiety ?

Answer 1

psychological - fear, irritable, poor concentration, worry thoughts
autonomic - GI dry mouth, swallowing, tight chest, palpitations, urinary, sweat, dizzy
muscle tension - tremor, headache, pain
hyperventilation - hypocapnia
sleep disturbance - insomnia, waking

Question 2

what are phobic and GAD ?

Answer 2

same symptoms, phobic only in specific circumstances

Question 3

what physical conditions are anxiety differentials ?

Answer 3

thyrotoxicosis
phaeochromocytoma
hypoglycaemia
asthma

Question 4

how do you manage GAD ?

Answer 4

CBT
meds - sedatives, SSRI, TCA
counselling
relaxation training

Question 5

what are core features of obsessive compulsive disorder ?

Answer 5

recurrent obsessional thought/compulsive acts

unpleasant/distressing

Question 6

what gene is associated with OCD ?

Answer 6

5HT gene

Question 7

how do you manage OCD ?

Answer 7

CBT
SSRI - fluoxetine
clomipramine

Question 8

what are key elements to PTSD ?

Answer 8

1. hyperarousal - anxiety, irritable, insomnia
2. re-experience phenomena - flashbacks, nightmares
3. avoidance of reminders

Question 9

what are risk factors for PTSD ?

Answer 9

mood disorder
previous trauma
lack of social support
female

Question 10

what are protective factors to PTSD ?

Answer 10

higher education and social group

good paternal relationship

Question 11

how do you manage PTSD ?

Answer 11

watchful waiting
CBT
eye movement desensitisation
SSRI/TCA