Anxiety disorders and PTSD - Kohlenberg

Question 1

what is fear?

Answer 1

emotional response to a REAL perceived threat

Question 2

what is anxiety?

Answer 2

anticipation of a future threat

Question 3

what are the criteria for specific phobia?

Answer 3

lasting over 6 months

7-9%; sometimes presents after a trauma

Question 4

how do you treat specific phobias?

Answer 4

1. exposure to the feared stimulus
2. systematic desensitizatoin
   (via in-session exercise or in vivo exposure)

Question 5

What is social anxiety disorder?

Answer 5

fear of talking, meeting unfamiliar people, being observed, performing, avoiding social situations

Question 6

How many of the panic symptoms must you experience to have a panic attack?

Answer 6

4

Question 7

What are the symptoms of panic attack?

Answer 7

Palpitations, accelerated heart rate
Sweating
Trembling, shaking
Chest pain
Nausea
Chills
Paresthesias
Derealization
Fear of losing control or going crazy
Fear of dying
Dizzy

Question 8

What are the criteria for panic attacks?

Answer 8

1 month of worry about additional attacks
sig. maladaptive change in beahavior to avoid them
Not attributable to physiological effects of substance or meds

Question 9

what is the median age of onset for panic attacks?

Answer 9

20-24

Question 10

What are the treatments for panic attacks?

Answer 10

1. exposure
2. interoceptive exposure (increasing heart rate, hyperventilation, inducing dizziness)
3. relaxation skills, breathing, imagery

Question 11

What are the criteria for agoraphobia?

Answer 11

fear of 2 or more: 
Using public transportation
Being in open spaces
Being in enclosed spaces
Standing in line or being in a crowd
Being outside of the home alone
and then avoiding these stiuations

Question 12

what is agoraphobia often preceded by?

Answer 12

panic attacks

Question 13

T/F: complete remittance of agoraphobia is common

Answer 13

false; it is rare

Question 14

What are the criteria for GAD?

Answer 14

difficulty controllong worry
3 specific anxiety Sx (restlessness, fatigue, etc)
Interferes with life
clinically sig. distress
shows avoidance to stressors

Question 15

What makes up the obsessive part of OCD?

Answer 15

1. recurrent and persistent thoughts, urges or images, they are intrusive and unwanted, and cause marked distress.
2. The individual tries to ignore or suppress them, or to neutralize them by another thought or action.

Question 16

What are the compulsive parts of OCD?

Answer 16

1. Repetitive behaviors or mental acts, that the person feels driven to perform in response to an obsession
2. this is done to prevent or reduce anxiety

Question 17

What is the risk of suicide related to OCD?

Answer 17

thoughts in 50%

attempts in 25%

Question 18

what are the criteria for body dysmorphic disorder?

Answer 18

Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.
Repetitive behaviors (mirror checking, excessive grooming, skin picking…)

Question 19

what are the criteria for hoarding disorder?

Answer 19

Persistent difficulty discarding or parting with possessions, regardless of their actual value.
This is due to a perceived need to save items and to distress associated with discarding them.
Clinically significant distress

Question 20

75% of pts with hoarding issues have comorbid…

Answer 20

MDD, social phobia, GAD, OCD

mood or anxiety disorder