Anxiety Disorders Flashcards

1
Q

What is neurosis?

A

Collective term for functional illnesses that are not psychotic

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2
Q

What is anxiety?

A

State consisting of psychological and physical symptoms brought about by a sense of apprehension at a perceived threat

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3
Q

What are the anxiety disorders?

A
Generalised anxiety disorder
Social anxiety 
Panic disorder
Obsessive compulsive disorder
Post traumatic stress disorder
Specific phobias
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4
Q

What are the psychological symptoms of anxiety?

A
Feeling of fear
Dizziness
Restlessness
Poor concentration 
Irritability 
Insomnia
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5
Q

What are the physical symptoms of anxiety?

A
Palpitations
Chest discomfort
Dry mouth 
Nausea
Hyperventilation 
Tremor 
Stomach upset
Sweating
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6
Q

What are panic attacks?

A

Acute onset of physical symptoms

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7
Q

What is a phobia?

A

Marked fear of a specific object or situation

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8
Q

What are the types of phobia?

A

Agoraphobia
Social phobia
Specific phobia

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9
Q

What is agoraphobia?

A

Fear of spaces

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10
Q

What is social phobia?

A

Fear of social situations

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11
Q

What are the features of OCD?

A

Obsessions = unwanted recurring distressing intrusive thoughts
Feeling of anxiety if not completed
Compulsions = neutralising behaviours

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12
Q

What are the types of compulsions?

A

Overt

Covert

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13
Q

What are overt compulsions?

A

Washing
Checking
Ordering

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14
Q

What are covert compulsions?

A

Praying
Counting
Repeating words

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15
Q

What is PTSD?

A

Stress disorder caused by exposure to an event or situation

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16
Q

What are the features of PTSD?

A

Re-experiencing
Avoidance
Hyperarousal

17
Q

What is generalised anxiety?

A

Present most of the time and not associated with specific objects/situations

18
Q

What is episodic anxiety?

A

Has an abrupt onset and occurs in discrete episodes

19
Q

What is GAD?

A

A syndrome of ongoing, uncontrollable, widespread worry that the patient recognizes as excessive and inappropriate.

Symptoms must be present on most days for at least 6 months

20
Q

How are anxiety disorders managed biologically?

A

SSRIs

Short term - benzo

21
Q

How are anxiety disorders managed psychologically?

A

Psychoeducation groups

CBT

22
Q

How are anxiety disorders managed socially?

A

Self-help methods
Support groups
Encourage exercise

23
Q

What are the ICD-10 criteria for GAD?

A

At least 6 months

At least 4 symptoms with one of autonomic arousal

24
Q

What ther conditions should you screen for with suspected GAD?

A

Depression

Substance misuse

25
Q

What is the first line drug for GAD?

A

SSRI

26
Q

What are the different types of specific phobias?

A

Animals

  • arachno (spiders
  • entomo (insects)
  • cyno (dogs)
  • ornitho (birds)

Nature

  • astra (thunder)
  • lilapso (storms)
  • aqua (water)

Blood/injection

Situation

  • claustro (small spaces)
  • acro (heights)
  • nycto (darkness)
27
Q

What are the ICD-10 criteria for agoraphobia?

A

Marked fear/avoidance of at least 2 of

  • crowds
  • public spaces
  • travelling alone
  • travelling away from home

Symptoms of anxiety in the feared situation

Significant emotional distress

Symptoms restricted to feared situation

28
Q

What are the ICD-10 criteria for social phobia?

A

Marked fear of being the focus of attention

At least 2 symptoms of anxiety + 1 of

  • blushing
  • fear of vomiting
  • urgency/fear of micturition/defecation

Significant emotial distress

Recongised as excessive or unreasonable

SYmptoms restricted to feared situation

29
Q

What are the ICD-10 criteria for specific phobias?

A

Marked fear of specific object or situation

Symptoms of anxiety in feared situation

significant emotional distress

Symptoms restricted to feared situation

30
Q

What are the ICD-10 criteria for a panic disorder?

A

Recurrent panic attacks not associated with specific situation/object

ALL of

  • discrete episoe of intense fear/discomfort
  • starts abruptly
  • reaches peak within few minutes
  • at least one symptom of autonomic arousal
  • other symptoms
31
Q

What are the ICD-10 criteria for PTSD?

A

Exposure to stressful event

Persistent remembering

Avoidance of similar situations

Inability to recall parts of event OR persistent increased psychological sensitvitiy

Occur within 6 months of event

32
Q

What is abnormal bereavement?

A

Delayed onset, more intense and prolonged >6months

33
Q

Wha is an acute stress reaction?

A

An abnormal reaction to suddent stressful events

Symptoms last less than 48hrs

34
Q

What is an adjustment disorder?

A

Significant distress accompanied by an impairment in social functioneing when adapting to new circumstances

Symptoms present for less than 6 months

35
Q

What are the ICD-10 criteria for OCD?

A

Obsessions and/or compulsions present on most days for at least 2 weeks

Obsessions/compulsions share a number of features

Cause distress