Anxiety disorders pt 1

Question 1

Fear

Answer 1

a present oriented mood state
immediate fight or flight
abrupt activation of sympathetic nervous system
strong avoidance

Question 2

Anxiety

Answer 2

a future oriented mood state
apprehension about future danger
physical symptoms of tension
may lead to avoidance

Question 3

4 types of symptoms

Answer 3

physiological/ somatic
cognitive
behavioral
emotional

Question 4

Panic attack

Answer 4

abrupt experience of intense fear

Question 5

Panic attack physical

Answer 5

heart palpitations, chest pain, dizzy, sweat, chills/heat

Question 6

Panic attack cognitive

Answer 6

fear of losing control, dying, going crazy

Question 7

Expected (cued)

Answer 7

it is happening in a particular context in response to a stressor you can point out - public speaking

Question 8

Unexpected (uncued)

Answer 8

randomly occurring - walking down street randomly

Question 9

Characteristic of anxiety disorers

Answer 9

perverse and persistant
involve excessive avoidance
clinically significant distress

Question 10

Increased physiological vulnerability

Answer 10

polygenetic influence - cortisol and HPA axis

Question 11

Brain circuits and neurotransmitters

Answer 11

GABA, Noradrenergic, serotonergic

Question 12

Limbic system

Answer 12

Behavioral inhibition system (BIS)- brain stem, amygdala
Flight or flight (FSS) system - panic circuit, alarm and escape response

Question 13

Frued

Answer 13

anxiety- psychic reaction to danger
infantile fear situations

Question 14

Behaviorists

Answer 14

classical and operant
modeling
more accurate, especially phobia

Question 15

Comorbidity

Answer 15

having more than one diagnosis at once - very common across anxiety disorder (w/ depression)
half have 2+

Question 16

Suicide attempt with anxiety

Answer 16

similar as MDD, but not exclusively w depression

Question 17

Generalized Anxiety Disorder - GAD

Answer 17

excessive uncontrollable anxious apprehension and worry about multiple areas of life
6+ months

Question 18

GAD symptoms

Answer 18

muscle tension, restlessness, fatigue, irritability, concentration difficulties, sleep disturbance

Question 19

GAD percentage

Answer 19

5.7 in lifetime

Question 20

GAD onset

Answer 20

insidious and early adulthood

Question 21

Biological GAD

Answer 21

genetic inheritance
less responsive

Question 22

Psychological GAD

Answer 22

Active cognitive processing (even though low physiological processing- Left v right brain
High threat sensitivity
The worrying is becoming avoidance
Start thinking the worrying is what is preventing the outcome

Question 23

Treatments GAD pharma

Answer 23

Benzo, Antidepressants - not riding of disorder, managing symptons

Question 24

Treatments GAD Psych

Answer 24

cognitive-behavioral therapy ( exposure, coping)
Meditation
better long term

Question 25

Panic disorder and Agoraphobia

Answer 25

2 separate things, but commonly present together

Question 26

Clinical description panic

Answer 26

unexpected panic attacks
anxiety, worry, or fear of another attack
persists for 1+ month

Question 27

Agoraphobia

Answer 27

Fear or avoidance of situations/ events

Question 28

Panic disorder onset

Answer 28

acute, between 20-24

Question 29

Panic disorder prevelance

Answer 29

4.7

Question 30

Causes of panic disorder

Answer 30

Generalized biological vulnerability (Alarm reaction to stress, Fight, flight, freeze overload)
Cues get associated with situations- Conditioning occurs
Cognitive biases - Overly close attention to and misinterpretation of bodily sensations

Question 31

Safety behaviors

Answer 31

actions to avoid or reduce anxiety-provoking situations

Question 32

Treatments of panic/agoraphobia

Answer 32

benzo - gaba
SSRI
high relapse rate

Question 33

Psychological interventions

Answer 33

exposure based