Anxiety Disorders- Clinical Aspects

Question 1

Acute stress lasts?

Answer 1

Hours to 3 days

Question 2

Adjustment disorders lasts to?

Answer 2

Up to 6 months

Question 3

Key features of PTSD?

Answer 3

Re-experiencing flashbacks nightmares
Numbness/detachment
Avoidance
Hypervigilance
Insomnia
Anxiety/depression

Question 4

PTSD most recover within?

Answer 4

1 year?

Question 5

GAD prevalence?

Answer 5

8.9%

Question 6

GAD co-morbidity percent?

Answer 6

70

Question 7

Increase in GAD genetic predisposition in first degree relatives?

Answer 7

X5

Question 8

Panic differentials?

Answer 8

Hypoglycaemia
Carcinoid 
Phaechromocytoma
Asthma/PE
Arrhythmia
Drugs
Seizures 
Vestibular

Question 9

Agoraphobia?

Answer 9

Fear of being in situation where escape might be difficulty or help wont be available

Question 10

Panic attacks population percentage?

Answer 10

7-9

Question 11

Panic disorder percentage?

Answer 11

1.5-2.5%

Question 12

Genetic predisposition panic in 1st degree relatives?

Answer 12

7 fold

Question 13

Panic attacks may be triggered in?

Answer 13

Locus coeruleus (increased firing associated with increased CO2)

Activation of noradrenergic neurons

SSRIs are effective

Question 14

Treatment of Panic disorders?

Answer 14

Benzos in short term but not in long term

Question 15

Biphasic anxiety disorder?

Answer 15

Initial short lived sympathetic arousal then parasympathetic arousal

Question 16

Phobia disposition 1st releatives?

Answer 16

31%

Question 17

Prevalence of OCD?

Answer 17

2-3%