anxiety/ocd

Question 1

physical and mental response to imminent threat

Answer 1

fear

Question 2

anticipation of threat in the future

Answer 2

anxiety

Question 3

what is the most common mental disorder?

Answer 3

anxiety

Question 4

avoidance leads to ____, exposure leads to_____

Answer 4

anxiety; extinction

Question 5

marked fear or anxiety about a specific object or situation

Answer 5

specific phobia

Question 6

phobias activate what part of ANS

Answer 6

sympathetic nervous system arousal

Question 7

mean age of onset for phobias

Answer 7

age 10

Question 8

tx of anxiety disorders

Answer 8

exposure therapy

Question 9

marked fear/anxiety of social situations involving exposure to possible scrutiny of others

Answer 9

social anxiety disorder

Question 10

median age of onset of social anxiety disorder

Answer 10

13

Question 11

tx of social anxiety disorder

Answer 11

psychotherapy

Question 12

1st line pharmacotx for social anxiety disorder

Answer 12

SSRI, SNRI

Question 13

recurrent unexpected panic attacks

Answer 13

panic disorder

Question 14

abrupt surge of intense fear or discomfort within minutes

Answer 14

panic attack

Question 15

oversensitivty to heartbeat changes

Answer 15

panic attack

Question 16

1st line tx for panic disorder

Answer 16

CBT

Question 17

1st line pharmacotx for panic disorder

Answer 17

slowly titrate up SSRI/SNRI

Question 18

fear of not having access to help or of not being able to escape the situation

Answer 18

agoraphobia

Question 19

what can develop as a result of a panic disorder

Answer 19

agoraphobia

Question 20

onset of agoraphobia highest in which 2 age grps

Answer 20

age 17, after age 40

Question 21

excessive anxiety/worry for more days than not for at least 6 months about a number of events

Answer 21

GAD

Question 22

presence of which 3+ sx for defining GAD (6)

Answer 22

1. restlessness
2. easily fatigued
3. difficulty concentrating
4. irritability
5. muscle tension
6. sleep disturbance

Question 23

dx of GAD peaks when?

Answer 23

middle age

Question 24

which type of psychotx: cognitive element to change distorted thinking

Answer 24

CBT

Question 25

which type of psychotx: decrease avoidance, decr attachment to thoughts

Answer 25

acceptance and commitment thearpy

Question 26

which type of psychotx: address issues underlying fears

Answer 26

psychodynamic

Question 27

what effect can SSRI/SNRI initially have in GAD?

Answer 27

initially increase anxiety

Question 28

pharmacotx of GAD (3)

Answer 28

1. SSRI/SRI
2. benzos used acutely
3. buspirone

Question 29

MOA of buspirone

Answer 29

5 HT partial agonist

Question 30

unwanted, recurrent, intrusive thoughts

Answer 30

obsessions

Question 31

repetitive behaviors or mental acts that one feels driven to perform in response to an obsession

Answer 31

compulsion

Question 32

mean age of onset of OCD

Answer 32

20 (age of onset younger in males)

Question 33

preoccupation with a perceived defect or flaw in appearnce not observed by others

Answer 33

body dysmorphic disorder

Question 34

indeciveness, perfectionism, procrastination, difficulty planning

Answer 34

common in those with hoarding

Question 35

recurrent pulling out of one’s hair leaving noticeable hair loss w/ repeated attempts to stop

Answer 35

trichotillomania

Question 36

1st line tx for trichotillomania

Answer 36

psychotherapy–>habit reversal therapy

Question 37

recurrent skin picking resulting in lesions with repeated attempts to stop

Answer 37

excoriation disorder