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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
what can be used to diagnose a patient with agoraphobia?
the fear questionnaire
26
what is the treatment for agoraphobia?
CBT + medications
27
what are the 1st line medications for agoraphobia?
SSRIs SNRIs tricyclic antidepressants benzodiazepines
28
excessive/irrational fear and avoidance of clearly discernible, circumscribed objects and situations
specific phobias
29
what kind of phobia is associated with a strong vasovagal reaction?
blood-injection / injury phobia
30
what is the predominant age for specific phobias?
15 years
31
what is the most common psychiatric disorder among women?
phobias
32
which type of phobia has a very high familial tendency?
blood-injection / injury phobia
33
what will a patient with a specific phobia be able to do?
recognize that the fear is completely irrational and/or excessive
34
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 specific phobia
35
what is our first treatment goal for a patient with specific phobias?
treat major psychiatric disorders first
36
what are the first line treatments for specific phobias? (2)
CBT exposure-based treatment
37
what medication, if any at all, can be used to treat specific phobias - even though medications are not the first line?
benzodiazepines
38
acute stress reactions that may occur in the initial month after a person is exposed to a traumatic event
acute stress disorder
39
when must acute stress disorder occur after a person is exposed to a traumatic event?
in the same month
40
what are the top 4 incidences that cause acute stress disorder?
witnessing a mass shooting assault motor vehicle accident mild TBI
41
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)
acute stress disorder
42
what kind of symptoms does a patient with acute stress disorder exhibit?
dissociative symptoms
43
what is the most effective treatment for acute stress disorder?
CBT that is trauma focused
44
what medication may be helpful for acute anxiety, agitation, or sleep disturbance for acute stress disorder?
benzodiazepines
45
between 40-80% of patients with acute stress disorder develop subsequent _____
PTSD
46
repetitive behaviors or mental acts
compulsions / rituals
47
repetitive and persistent thoughts, images, or urges
obsessions
48
what is the treatment for OCD?
CBT SSRI TCA
49
which TCA can be used to treat OCD?
clomipramine

Behavioral Med (9 decks)

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