Anxiety Management Flashcards
If a patient has anxiety and moderate/severe depression, which do you treat?
Depression
Most depressants are anxiolytics - true/false?
True
BZDs are commonly used in anxiety management - T/F?
False - unless in special situations - flights and weddings
What is ‘extinction’?
the underlying process behind exposure to a stimulus with anxiety that is manageable and we don’t avoid it to habituate and learn that the stimulus doesn’t signal fear
What is graded exposure?
systematic desensitisation
What is exposure like in graded exposure therapy?
gradual and progressive
What is ‘flooding’ therapy?
full exposure to the feared stimulus and staying with it until fear reduces
What is cognitive behavioural therapy?
involving the patient in questioning/testing their thoughts, you can influence their emotions and behaviour
How is PTSD managed pharmacologically?
SSRI’s
Venlafaxine, phenelzine
some BZD’s
Anticonvulsants
olanzapine
How can PTSD be managed with psychotherapy?
CBT with a trauma focus
EMDR
How is OCD managed pharmacologically?
serotonergic antidepressants (SSRI, clomipramine)
augmentation with antipsychotics - risperidone, aripiprazole
lamotrigine
How is OCD managed psychologically?
exposure and response prevention
CBT with exposure emphasis
How is GAD managed pharmacologically?
SSRI
SNRI - venlafaxine, duloxetine
Pregabalin
How is GAD managed psychologically
guided self-help if mild
CBT
relaxation (short term)
How is social phobia managed pharmacologically?
SSRI
SNRI
BZD
anticonvulsants
