anxiety DOs Flashcards

1
Q

subtypes of phobias

A

animal, natural environment, blood-injection injury, situation, and other

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2
Q

comorbidity of GAD and MDD

A

59%

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3
Q

time requirement for specific phobia

A

6 mo

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4
Q

meds that can cause anxiety

A
amphetamines
appetite suppressants
albuterol
caffeine
cocaine
decongestants
other stimulants
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5
Q

medical conditions that cause anxiety

A
adrenal tumors
chronic ETOH use DO
hypoglycemia
hyperthyroidism
cushing disease
arrhythmias
parathyroid disorders
seizures
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6
Q

time required for buspar efficacy comparable to benzos

A

4 weeks

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7
Q

short acting benzos

A

alprazolam, midazolam, oxazepam, triazolam

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8
Q

medium to longer acting benzos

A

chlordiazepoxide, diazepam, flurazepam, lorazepam

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9
Q

agoraphobia

A

at least 2: public transporation, open spaces, enclosed spaces, a crowd or line, outside the home alone

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10
Q

FDA approved for social phobia

A

paroxetine, sertraline, venlafaxine LA

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11
Q

1 mg alprazolam = _ mg lorazepam

A

2mg

1 mg alprazolam=1mg clonazepam
=10mg diazepam
=50mg chlordiazepoxide
=30mg phenobarbital

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12
Q

social phobia risk factors

A

not exposed to social situations
having parents who are controlling/overprotective
being exposed to traumatic social situations
seeing others experience a traumatic social situation

***6 MONTHS

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13
Q

1st line treatment of anxiety DOs

A

SSRIs

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14
Q

GAD diagnosis

A
constant worry for 6 mo
plus 3/6 somatic sx:
restlessness
fatigue
poor concentration 
irriatbility 
muscle tension 
sleep disturbance 

5% lifetime prevalence

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15
Q

brain effect of GAD

A

larger amygdala volume.

part of limbic system, plays role in anxiety, fear, anger, violence

lesion- kluver bucy syndrome: behavioral and emotional symptoms like hypersexuality, hyperorality, hyperphagia

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16
Q

OCD tx

A

clomipramine or SSRIs

17
Q

prevalence of panic DO and age of onset

A

2-3%

early adulthood

18
Q

ocd is associated w/ this infection

A

Group a Strep

associated with PANDAS: pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections

can get ocs, tic, neuropsych symtoms following Group A beta hemolytic strep infections

19
Q

is there an age requirement for separation anxiety do?

A

no

20
Q

good for both social anxiety do and social phobia

A

phenelzine, MAOI

but SSRIs are still first line

21
Q

time requriement for PTSD

A

> 1 mo

delayed onset: 6 mo

22
Q

hypothesized physiology behind panic do

A

elevated catecholamines in CNS

23
Q

lifetime prevalence of anxiety DOs

A

28.8%

24
Q

hyperventilation

A

decreased CO2
respiratory alkalosis
hypocapnia

25
Q

herbal supp with data showing efficacy in anxiety

A

Kava Kava

26
Q

common herbal supp and treating DO

A

St johns wart- somatoform DOs

kava kava- anxiety

27
Q

population that responds well to SSRIs for panic DO

A

later age of symptom onset

28
Q

FDA approved for GAD

A

effexor
paxil
lexapro
cymbalta

29
Q

Taijin Kyofusho

A

japan. fear that their apperance or behavior will be offensive to others.

30
Q

good for anxiety and improves exercise tolerance and feelings of dyspnea

A

buspar

31
Q

also called flooding

A

in vivo exposure

in vivo= enter

enter situation causing anxiety, sy

32
Q

primary inhibitory neurotransmitter in CNC involved with anxiety

A

GABA

33
Q

serotonin syndrome

A
confusion
hyperthermia
myoclonus
tachycardia
hyperreflexia
34
Q

response prevention

A

refraining from compulsions, avoidance or escape behaviors

35
Q

1mg alprazolam is equivalent to how many ativan?

A

1mg xanex=2mg ativan

36
Q

washout time required

A

SSRIs: none

switching to MAOI from TCAs: 1 week

from MAOI to SSRI, TCA or atypical- 2 weeks

37
Q

deep brain stimulation for OCD targets this part of the brain

A

Ventral striatum

38
Q

FDA approved fro Tourettts

A

abilify
haldol
pimozide

39
Q

off label for kleptomania

A

naltrexone - antagonist at mu and kappa opiod receptors
also for self harm

SSRIS for kepto as well