Anxiety-ILA

Question 1

What can cause PTSD?

Answer 1

any trauma eg war, sexual assault, traumatic birth, road accident

Question 2

What are the symptoms of PTSD?

Answer 2

these can happen for the first timke up to years later.

• RE-EXPERIENCING the event in flashbacks or nightmares
• having TRIGGERS for it happening
• AVOIDANCE of people/trigger/talking about it
• HYPERAROUSAL causing them to be on edge, irritable, insomnia and poor concentration
• feelings of guilt or shame

Question 3

What are the differentials of PTSD?

Answer 3

Generalised anxiety
Depression
Phobias
Alcohol dependence

Question 4

What is the management for PTSD

Answer 4

Antidepressants
CBT
Eye movement desensitisation
Group therapy

Question 5

What are obsessions and what are examples?

Answer 5

Unwelcome thoughts or urges that repetitively appear in mind eg thoughts of harming yourself, others or contamination

Question 6

What are compulsions? And give an example

Answer 6

Repetitive activities done to reduce anxiety of an obsession
eg cleaning, checking (usually will have a number in mind), counting, ordering, hoarding, wash hands, repeat words, think neutralising thoughts, need reassurance from others, symmetry

Question 7

What is the most common compulsion?

Answer 7

hand washing

Question 8

What is the management for OCD?

Answer 8

CBT
SSRI – fluoxetine good for anxiety
clomipramine
If keeps washing hands need dermatology review

Question 9

What is needed for a diagnosis of generalised anxiety disorder?

Answer 9

6 months of prominent tension, worry and apprehension

4 out of: tiredness, tremor, dry mouth, palpitations, excess sweating, hot flush, chills, numbness, difficulty breathing, N+V, dizziness, hyperventilation (chest pain, tinnitus, paraesthesia), headaches, muscle tension, dysphagia

Question 10

What congitive symptoms are associated with anxiety?

Answer 10

Sense of dread, ruminations, restlessness, irritable, fear of loss of control or death, on edge

Question 11

What biological smptoms are associated with anxiety?

Answer 11

Decreased concentration and sleep - with intial insomnia rather than EMW

Question 12

What is the management for generalised anxiety disorder?

Answer 12

SSRI - sertraline
CBT
Exercise, meditation, hypnosis

Question 13

What are the symptoms of social anxiety disorder?

Answer 13

Every day activities dread like using the phone, going shopping, working

Avoidance of social gatherings

Scared of blushing or incompetence

Find it difficult to do things when others watch

May get panic attacks

Avoid humiliation

Question 14

What is the management for social anxiety?

Answer 14

CBT

SSRI

Self help

Question 15

What is a phobia?

Answer 15

Where anxiety is triggered by a specific stimulus

Question 16

What is an example of a phobia?

Answer 16

agorophobia- fear of leaving safety

Question 17

Wat are the physical symptoms of phobias?

Answer 17

Palpitations 
chest pain 
choking 
Tachypnoea 
Dry mouth 
Urgency of micturition 
Dizziness 
Blurred visions 
Parasthesia

Question 18

What are the congitive symptoms of phobias?

Answer 18

Feeling of impending doom 
Fear of dying 
Fear of losing control 
Depersonalisation 
Derealisation

Question 19

what is the management for phobias?

Answer 19

Physical anxiety symptoms manage with propranolol, pregabalin and diazepams
Graded exposure
Mindfulness
Psychoeducation

Question 20

What is panic disorder?

Answer 20

It’s like phobias but panic attack occurs without trigger

Question 21

What causes a panic attack?

Answer 21

flight or fight system is activated causing an adrenaline rush

Question 22

What is the management for panic disorder?

Answer 22

same as phobias so:
Physical anxiety symptoms manage with propranolol, pregabalin and diazepams  
Graded exposure  
Mindfulness  
Psychoeducation