Anxiety Disorders- Presentation, Diagnosis, Symptoms Flashcards
GAD definition
excessive, difficult to control anxiety and worry about multiple events or activities; symptoms of restlessness/feeling on edge or muscle tension
GAD diagnostic criteria
Persistent symptoms for most days for at least 6 months. It’s unrealistic or excessive about a number of events or activities
Accompanied by at least 3 physiologic or psychological symptoms
Psychological symptoms of GAD
excessive anxiety, worries that are difficult to control, feeling on edge, poor concentration or mind going blank
Physical symptoms of GAD
restlessness, fatigue, muscle tension, sleep disturbances, irritability
Impairment in GAD
socially, occupationally, poor coping skills
Medical illnesses and GAD
a lot of the diseases (the ones in the chart) are chronic, lifelong diseases and patients may feel anxiety about having these diseases, treating them, living with them, etc.
Anxiety syndromes
anxiety could be the presenting symptom of mood disorders, schizophrenia, delirium, dementia, substance abuse
Drug-induced anxiety syndromes causes
AEDs, ADs, antihypertensives, ABX, bronchodilators, corticosteroids, DAs, herbal agents, illegal drugs, stimulants, toxicity, withdrawal
PAD Definition
recurrent unexpected panic attacks, in absence of triggers; persistent concern about additional panic attacks and/or maladaptive change in behavior related to attacks for at least 1 month
PAD diagnostic criteria
Patient has ≥4 symptoms (psychological and physical)
How long do panic attacks last?
Attacks last 20-30 minutes, the first 10 minutes are the WORST
Psychological symptoms of PAD
fear of losing control, going crazy, dying, depersonalization, derealization
Physical symptoms of PAD
abdominal distress/nausea, chest pain/discomfort, chills/hot flashes, dizziness, palpitations/tachycardia, SOB, trembling/shaking, sweating
Agoraphobia definition
anxiety about being in at least 2 different situations or places where escape is difficult or help’s not available, develops in 50% of patients secondary to a panic attack but panic attacks may never be experienced
Specific phobias definition
persistent fear of object or situation and the patient is free of symptoms (symptoms aren’t there despite being around panic-stimulus)