Anxiety Disorders- Presentation, Diagnosis, Symptoms Flashcards

1
Q

GAD definition

A

excessive, difficult to control anxiety and worry about multiple events or activities; symptoms of restlessness/feeling on edge or muscle tension

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2
Q

GAD diagnostic criteria

A

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

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3
Q

Psychological symptoms of GAD

A

excessive anxiety, worries that are difficult to control, feeling on edge, poor concentration or mind going blank

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4
Q

Physical symptoms of GAD

A

restlessness, fatigue, muscle tension, sleep disturbances, irritability

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5
Q

Impairment in GAD

A

socially, occupationally, poor coping skills

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6
Q

Medical illnesses and GAD

A

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.

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7
Q

Anxiety syndromes

A

anxiety could be the presenting symptom of mood disorders, schizophrenia, delirium, dementia, substance abuse

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8
Q

Drug-induced anxiety syndromes causes

A

AEDs, ADs, antihypertensives, ABX, bronchodilators, corticosteroids, DAs, herbal agents, illegal drugs, stimulants, toxicity, withdrawal

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9
Q

PAD Definition

A

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

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10
Q

PAD diagnostic criteria

A

Patient has ≥4 symptoms (psychological and physical)

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11
Q

How long do panic attacks last?

A

Attacks last 20-30 minutes, the first 10 minutes are the WORST

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12
Q

Psychological symptoms of PAD

A

fear of losing control, going crazy, dying, depersonalization, derealization

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13
Q

Physical symptoms of PAD

A

abdominal distress/nausea, chest pain/discomfort, chills/hot flashes, dizziness, palpitations/tachycardia, SOB, trembling/shaking, sweating

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14
Q

Agoraphobia definition

A

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

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15
Q

Specific phobias definition

A

persistent fear of object or situation and the patient is free of symptoms (symptoms aren’t there despite being around panic-stimulus)

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16
Q

SAD definition

A

marked, excessive, unreasonable fear or anxiety about social situations in which there may be scrutiny by others, which is actively avoided

17
Q

Principal physical indicator and distinguishing feature of SAD

A

Blushing

18
Q

Common situations where SAD could be triggered

A

addressing a group of people, eating or writing in front of others, interacting with authority, public speaking, talking to strangers, use of public facilities

19
Q

Distinguishing feature of SAD vs. PAD

A

SAD is the fear of being embarrassed

PAD is the fear of having anxiety

20
Q

PTSD diagnostic criteria

A

Exposure to traumatic event is required that must include threatened death or serious injury- possible harm to self or others

Response to event must include intense horror, fear, or feelings of helplessness

Patients must have at least 1 intrusion symptom, 1 avoidance symptom, and at least 2 symptoms of each negative alterations in cognition and mood and symptoms of increased arousal; symptoms must be present >1 month and cause significant distress or impairment in functioning

21
Q

PTSD intrusion symptoms

A

recurrent, intrusive distressing memories of the trauma; recurrent, disturbing dreams of the event, dissociative flashbacks and feeling like the trauma event is recurring, physiologic reaction to or psychological distress from reminders of the trauma

22
Q

PTSD symptoms: negative alterations in thinking and mood

A

inability to recall an important aspect of the trauma, anhedonia, estrangement, restricted affect, negative beliefs about oneself, distorted beliefs causing one to blame others or themselves for the trauma, negative mood state

23
Q

PTSD avoidance symptoms

A

avoiding convos, thoughts, or feelings about the event, avoiding people, places, or activities that are reminders of the event

24
Q

PTSD specifiers

A

dissociative symptoms, depersonalization or derealization, with delayed expression: full criteria aren’t met until at least 6 months post-trauma

25
Q

PTSD hyperarousal symptoms

A

decreased concentration, easily startled, hypervigilance, sleep disorders/insomnia, agitation, irritability, outbursts, self-destructive behavior

26
Q

OCD: obsession

A

persistent, recurrent idea, thought-impulse that is intrusive and inappropriate and produces marked anxiety

27
Q

OCD: compulsion

A

repetitive behavior or mental act performed in response to an obsession