Anxiety Disorders - Weiss

Question 1

anxiety

Answer 1

excess worry
associated physical sx
avoidant behavior
sense of dread

Question 2

MC class of mental disorders in general population

Answer 2

anxiety disorders

Question 3

5x more likely to access medical care

Answer 3

pt with anxiety disorders

Question 4

panic disorder

Answer 4

recurrent, unexpected panic attacks
followed 1 month persistent concern
change behavior

Question 5

panic attack

Answer 5

discrete period of intense fear or discomfort

develop abruptly and reach peak within 10 minutes

Question 6

sx of panic attack

Answer 6

palpitations
sweating
tremor
SOB
chest pain
nausea
dizzy
fear losing control
fear of dying

Question 7

agoraphobia

Answer 7

anxiety about being in place or situation

-from which escape difficulty when panic attack happens

Question 8

panic disorder epidemiology

Answer 8

female > male
early adulthood onset
attacks - few minutes

associated - agoraphobia, depression, substance abuse

higher rate suicide

Question 9

tx panic disorder

Answer 9

SSRI - take time to work
tricyclic
benzo - works acutely

Question 10

SSRI tx

Answer 10

takes time to work

so tx with benzo acutely

Question 11

cognitive behavioral therapy

Answer 11

for panic attacks

address pt false belief

Question 12

phobia

Answer 12

irrational fear

-resulting in conscious avoidance of feared objects, activity, or situation

Question 13

most common mental disorder in US

Answer 13

phobia

Question 14

social phobia

Answer 14

fear of humiliation or embarassment in social situation

public speaking
urinating public restroom
stage fright

Question 15

phobia of darkness, snakes, and heights

Answer 15

put them in dark elevator, hang over bridge, fill it with snakes

survive it - won’t be afraid

Question 16

tx of specific phobia

Answer 16

exposure therapy

if avoid it - fuel the monster

Question 17

social phobia tx

Answer 17

psychotherapy

pharm - beta-blockers, SSRIs, benzos, buspirone

Question 18

obsessive compulsive disorder

Answer 18

obsession - thought - increase anxiety

compulsive - behavior - to lower anxiety

Question 19

diagnosis of OCD

Answer 19

either obsession or compulsion - 75% have both

Question 20

tx of OCD

Answer 20

pharm - clomipramine, SSRI, lithium, benzos

psychotherapy

also - ECT and psychosurgery (cingulotomy)

Question 21

PTSD

Answer 21

experience life threatening stressor
-fear of dying

re-experience through dream or walking though

persistent hyperarousal

Question 22

tx of sexual dysfunction with antidepressant use

Answer 22

lower dose

try a combo