Anxiety Disorders - Chapter 3 Flashcards
What is Anxiety
The threat of impending doom
What is the Neural change with an individual suffering from Anxiety?
Alterations in Norepi (locus ceruleus), Serotonin (Raphe Nuclei), Gaba, Glutamate
What is linked to the altered caudate and cingulate gyrus?
OCD
What is the hallmark symptom you look for when a patient suffers from Anxiety?
Recurrent and unexpected Panic Attacks
True or False, Panic attacks cannot be accounted for by another mental disorder?
True. Ie. Social phobia or OCD
What type of class of drugs are used for Anxiety? Hint: There are 4
Tricyclic Antidepressants, MAOI’s, SSRI’s and Benzodiazapine
What is the definition of a Specific phobia?
Intense fear of an object of situation
What is the most common psychiatric disorder?
Phobia
What are the 4 types of phobia?
Animal type, Natural Environment, Blood Injection injury type and Situational type
What is the best way to treat Specific phobia?
Systematic Desensitization or Flooding
True of False, Social Phobia can be generalized or limited to all situations?
False. It can be generalized or limited to SPECIFIC situations
What is the most common type of Social Phobia situation?
Generalized
What is the most effective Pharmocological product to treat Social Phobia?
SSRI’s
What is the definition of Generalized Phobia?
Worry about every aspect of life
True or False, Pt. who suffer from GAD can suffer panic attacks, phobias, obsessions or compulsions?
False. They do NOT suffer these issues
What is the best pharmcological class to treat GAD?
Benzodiazepine
What is the definition of PTSD?
Presistent re-experience of a trauma, efforts to avoid recollecting the trauma and hyperarousal
What is the time frame for Acute PTSD?
Less than 3 months from the event
Whats is time frame for Chronic PTSD?
More than 3 months from the event
What is Delayed Onset PTSD?
PTSD does not appear within the 6 months of the stressor
What part of the brain is altered in most PTSD pts.?
Hippocampal region. The volume changes.
What is the best treatment for PTSD?
Symptom directed pharms and psychotherapy
What is the best drug class for reducing PTSD?
SSRI’s
What is the best drug class for preventing the development of PTSD?
Propranolo and Beta Blockers