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Behavioral Med > Anxiety & Obsessive-Compulsive Disorders > Flashcards

Anxiety & Obsessive-Compulsive Disorders Flashcards

1
Q

excessive and persistent worry that is hard to control, causes significant distress or impairment, and occurs more days than not for at least 6 months

A

generalized anxiety disorder

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2
Q

GAD is often comorbid with _____ and _____ _____ _____

A

depression
substance use disorders

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3
Q

besides excessive worry, how many other symptoms does an adult present with if they have GAD?

A

3 or more

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4
Q

besides excessive worry, how many other symptoms does a child present with if they have GAD?

A

1

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5
Q

if a patient presents with restlessness, easy fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance - what diagnosis should we think of?

A

generalized anxiety disorder

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6
Q

what screening tool can be used for GAD?

A

general anxiety disorder 7

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7
Q

along with CBT, what is the first line medication to treat GAD?

A

SSRI

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8
Q

what is the 2nd line medication to treat GAD?

A

tricyclic antidepressants

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9
Q

what medications can be used for GAD if the patient has limited or no response to an SSRI and tricyclic antidepressants?

A

benzodiazepines

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10
Q

uses thought exercises or real experiences to facilitate symptoms reduction and improved functioning

A

behavioral therapy

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11
Q

GAD usually has a _____ course

A

chronic

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12
Q

in 40-year follow up, GAD tended to disappear at about age 50 but was replaced by _____ _____ _____

A

undifferentiated somatization disorder

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13
Q

there is an association between anxiety and mortality in patients with _____ _____

A

coronary disease

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14
Q

abrupt surge of intense fear, reaching a peak within minutes

A

panic attack

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15
Q

a patient presents with palpitations, sweating, trembling, SOB sensation, chest pain, nausea, dizziness, derealization, paresthesia, fear of dying and chills/hot flashes. what are they likely experiencing?

A

panic attack

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16
Q

recurrent unexpected panic attacks and over one month of worry about additional attacks/implications of the attack OR a significant maladaptive change in behavior related to the attacks

A

panic disorder

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17
Q

what is the treatment for panic attacks and panic disorder?

A

CBT + medications

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18
Q

what is the 1st line medication for panic attacks and panic disorder?

A

SSRIs

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19
Q

what are the 2nd line medications for panic attacks and panic disorder? (2)

A

SNRI
tricyclic antidepressants

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20
Q

what can be used as a medication for panic attacks/panic disorder if SSRIs, SNRIs, and tricyclic antidepressants do not work?

A

benzodiazepines

21
Q

what is the rule of thumb for bipolar patients with panic attacks/panic disorder who are taking an SSRI?

A

go low and slow

22
Q

which tricyclic antidepressant works best for panic attacks/panic disorder?

A

tofranil (imipramine)

23
Q

fear or anxiety about and/or avoidance of situations where help may not be available or where it may be difficult to leave the situation in the event of developing panic-like symptoms or other incapacitating/embarrassing symptoms

A

agoraphobia

24
Q

what are 2 medical conditions that may exacerbate agoraphobia?

A

crohn’s disease
IBS

25
Q

what can be used to diagnose a patient with agoraphobia?

A

the fear questionnaire

26
Q

what is the treatment for agoraphobia?

A

CBT + medications

27
Q

what are the 1st line medications for agoraphobia?

A

SSRIs
SNRIs
tricyclic antidepressants
benzodiazepines

28
Q

excessive/irrational fear and avoidance of clearly discernible, circumscribed objects and situations

A

specific phobias

29
Q

what kind of phobia is associated with a strong vasovagal reaction?

A

blood-injection / injury phobia

30
Q

what is the predominant age for specific phobias?

A

15 years

31
Q

what is the most common psychiatric disorder among women?

A

phobias

32
Q

which type of phobia has a very high familial tendency?

A

blood-injection / injury phobia

33
Q

what will a patient with a specific phobia be able to do?

A

recognize that the fear is completely irrational and/or excessive

34
Q

a patient presents with irrational or egodystonic fear of a specific situation, activity, or object with associated avoidant behavior. they also have sympathetic activation, pallor, dizziness, and/or paresthesia. what are they likely experiencing?

A

a specific phobia

35
Q

what is our first treatment goal for a patient with specific phobias?

A

treat major psychiatric disorders first

36
Q

what are the first line treatments for specific phobias? (2)

A

CBT
exposure-based treatment

37
Q

what medication, if any at all, can be used to treat specific phobias - even though medications are not the first line?

A

benzodiazepines

38
Q

acute stress reactions that may occur in the initial month after a person is exposed to a traumatic event

A

acute stress disorder

39
Q

when must acute stress disorder occur after a person is exposed to a traumatic event?

A

in the same month

40
Q

what are the top 4 incidences that cause acute stress disorder?

A

witnessing a mass shooting
assault
motor vehicle accident
mild TBI

41
Q

a patient presents with severe levels of re-experiencing and anxiety in response to reminders of a recent trauma, and may present with a flat or blunted affect (emotional numbness)

A

acute stress disorder

42
Q

what kind of symptoms does a patient with acute stress disorder exhibit?

A

dissociative symptoms

43
Q

what is the most effective treatment for acute stress disorder?

A

CBT that is trauma focused

44
Q

what medication may be helpful for acute anxiety, agitation, or sleep disturbance for acute stress disorder?

A

benzodiazepines

45
Q

between 40-80% of patients with acute stress disorder develop subsequent _____

A

PTSD

46
Q

repetitive behaviors or mental acts

A

compulsions / rituals

47
Q

repetitive and persistent thoughts, images, or urges

A

obsessions

48
Q

what is the treatment for OCD?

A

CBT
SSRI
TCA

49
Q

which TCA can be used to treat OCD?

A

clomipramine

Behavioral Med (9 decks)

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