Anxiety DO Flashcards
You must have Generalized Anxiety for ____mo+ for it to be considered a DO
6mo+
To have separation anxiety DO, you must be >____yo and have it for at least _____mo+ (Kid) or ____mo+ (Adult)
> 3yo
1mo+ (Kid)
6mo+ (Adult)
To have Panic DO, you must have recurrent panic attacks with ____mo+ of worrying about future attacks + change in behavior
1mo+
To have a phobia, you must have ss for ___mo+
6mo+
To have selective mutism, you must have ss for ____mo+ and it cannot be all social situations
1mo+
To have social anxiety DO, you must have ss ___mo+
6mo+
Separation anxiety is normal in kids ____mo - ____yo
6mo - 3yo
Peds ___-___yo should be screened for anxiety
8-18yo
Generalized Anxiety DO Tx: SSRI or SNRI for ____yr+
1yr+
incr q 3-4days
Onset: 4-6wk
SE: Wt gain, sexual dysfn, insomnia or sedation
Panic attack DO Tx should be continued for ___yr+ AFTER ss control
1yr+ AFTER ss control
Adjunct Tx for pt with Panic DO, marked Distress, and NO substance abuse
Long-acting Benzo (Clonazepam)
Substance Abuse -> GABA or Pregabalin
Adjunct Tx for pt with Panic DO, marked Distress, and Substance abuse
GABA or Pregabalin
NO substance abuse -> Long-acting Benzo (Clonazepam)
Pharm Tx for Phobias
Benzos PRN -> Short onset (Lorazepam)
Selective Mutism Tx:
SSRI if ≥ ___yo
6
SSRI (Fluvoxamine,, Fluoxetine)
2 specific SSRIs for Selective Mutism in kids 6yo+
Fluoxetine (Prozac)
Fluvoxemine (Luvox)
Social Anxiety DO Tx if
REFRACTORY?
MAOIs
Social Anxiety DO Tx if Performance Only
Benzos
BB (Propanolol)
Can you take Benzos PRN for social anxiety DO?
Yes
Alprazolam. Clonazepam
Adjunct meds for Generalized Anxiety DO
- Benzos
- Buspirone
- Pregabalin
- Mirtazipine
- TCAs
Screening tool for Generalized Anxiety DO?
GAD-7
One of the most important differentials to R/O during a panic attack
Heart Attack
1 question to ask parent of a child who you suspect selective mutism prior to Dx?
Can the child speak and understand language?
