ANXIETY DISORDERS; TRAUMA- AND STRESS-RELATED DISORDERS

Question 1

what demographics are MC in generalized anxiety disorder

Answer 1

• 2x common in women
• MC in 35+

Question 2

what is the diagnostic criteria for GAD

Answer 2

basically excessive worry about multiple things for at least 6 months

Question 3

what are the screening tools used to diagnose GAD

Answer 3

• initial is GAD-7
• then Beck anxiety inventory

Question 4

what is the first line treatment for GAD

also give second line and short term options

Answer 4

• SSRI/CBT (both)
• benzos (short term)
• TCA/buspirone 2nd line

Question 5

what is the criteria for panic attack

Answer 5

abrupt surge of intense fear that peaks within minutes

Question 6

What is the diagnostic criteria for panic disorder

Answer 6

1+ panic attack followed by >1 month of worry about additional attacks or changes in behavior to avoid attacks

do NOT only occur to specific trigger

Question 7

what is the treatment for panic disorder?

Answer 7

1st line: CBT + SSRI (paroxetine)
Adjuncts: BZD for PRN use

Question 8

what is the diagnostic criteria for agoraphobia

Answer 8

basically 6+ months of fear of trapped in public/open spaces without access to help in case they are in trouble or develope embarrassing s/s

Question 9

what is the tx for agoraphobia

Answer 9

SSRI/CBT

Question 10

what is the criteria for social anxiety disorder

Answer 10

Persistent (6+ months) of marked fear/anxiety about 1+ social situations in which the pt is exposed to possible scrutiny by others

Big part is fear of SCRUTINY

Question 11

What is the diagnostic criteria for acute stress disorder

Answer 11

Exposure to actual or threatened death, serious injury, or sexual violation with acute stress reactions lasting 3 days to 1 month.

Question 12

What is the treatment for acute stress disorder

Answer 12

trauma oriented CBT

Question 13

what is teh diagnostic criteria for PTSD

Answer 13

esxposure to trauma with symptoms lasting greater than 1 month

Question 14

what is the treatment for PTSD

Answer 14

1st line - trauma oriented CBT with exposure therapy

can add SSRI or SNRI

Question 15

what is the dianostic criteria for OCD

Answer 15

the presence of obsessions, compulsions, or both, that are time consuming (>1hr/day) or cause significant distress

Question 15

what are the levels of insight for OCD

Answer 15

• Good or fair insight - Pt recognizes OCD beliefs are definitely or probably not true, or that they may or may not be true
• Poor insight - Pt thinks OCD beliefs are probably true
• Absent insight/delusional beliefs - Pt is completely convinced that OCD beliefs are true

Question 16

what is the 1st line treatment for OCD

Answer 16

CBT with exposure therapy, SSRI, or combination

Question 17

what is the criteria for phobic disorder

Answer 17

Persistent (6+ months) of marked fear/anxiety about a specific object or situation

Question 18

what is the treatment for phobic disorder

Answer 18

CBT with exposure therapy

Question 19

what is the difference between phobic disorder and specific phobia

Answer 19

idk i should probably ask