Anxiety disorders Flashcards
1
Q
ICD 10 criteria for generalised anxiety disorder
A
- Anxiety which is generalized and persistent but not restricted to, or even strongly predominating in, any particular environmental circumstances.
- Variable dominant symptoms including persistent nervousness, trembling, muscle tension, sweating, lightheadedness, palpitations, dizziness, and epigastric discomfort.
- Expression of fears such as that the person or a relative will shortly become ill or have an accident.
2
Q
Factors that increase the likelihood of a diagnosis of generalised anxiety disorder
A
- Female sex.
- Family history of anxiety.
- Current physical or emotional stress.
- History of physical or emotional trauma.
- History of other anxiety disorders such as panic disorder, social phobia, or specific phobias.
- Chronic pain or physical illness (such as arthritis, cancer, coronary heart disease, cerebrovascular accident, or chronic obstructive airway disease).
- History of substance abuse.
- Repeated visits with the same physical symptoms which do not respond to treatment (for example insomnia, headache, or fatigue).
3
Q
Signs of GAD on physical examination
A
- Tachycardia
- Tachypnoea
- Trembling
- An exaggerated startle response
4
Q
GAD is often co-morbid with:
A
- major depression
- panic disorder
- phobic anxiety disorders
- health anxiety
- obsessive-compulsive disorder
5
Q
Which questionnaire can be used to assess GAD?
A
Generalized anxiety disorder questionnaire (GAD-7)
6
Q
Treatment of generalised anxiety disorder
A
Psychological therapy
- Applied relaxation
- CBT
Pharmalogical therapy
- SSRI
- SNRI
- pregabalin
7
Q
Features of PTSD
A
- Exposure to traumatic event
- Emotional numbness/detachment
- Intrusive flashbacks or vivid dreams
- Disabling fear of re-exposure causing avoidance of perceived similar situations
8
Q
Management of PTSD
A
Psychological
- Trauma based CBT
- Eye movement desensitisation
- Reprocessing
Pharmacological
- SSRI
- SNRI
