anxiety/ocd Flashcards
physical and mental response to imminent threat
fear
anticipation of threat in the future
anxiety
what is the most common mental disorder?
anxiety
avoidance leads to ____, exposure leads to_____
anxiety; extinction
marked fear or anxiety about a specific object or situation
specific phobia
phobias activate what part of ANS
sympathetic nervous system arousal
mean age of onset for phobias
age 10
tx of anxiety disorders
exposure therapy
marked fear/anxiety of social situations involving exposure to possible scrutiny of others
social anxiety disorder
median age of onset of social anxiety disorder
13
tx of social anxiety disorder
psychotherapy
1st line pharmacotx for social anxiety disorder
SSRI, SNRI
recurrent unexpected panic attacks
panic disorder
abrupt surge of intense fear or discomfort within minutes
panic attack
oversensitivty to heartbeat changes
panic attack
1st line tx for panic disorder
CBT
1st line pharmacotx for panic disorder
slowly titrate up SSRI/SNRI
fear of not having access to help or of not being able to escape the situation
agoraphobia
what can develop as a result of a panic disorder
agoraphobia
onset of agoraphobia highest in which 2 age grps
age 17, after age 40
excessive anxiety/worry for more days than not for at least 6 months about a number of events
GAD
presence of which 3+ sx for defining GAD (6)
- restlessness
- easily fatigued
- difficulty concentrating
- irritability
- muscle tension
- sleep disturbance
dx of GAD peaks when?
middle age
which type of psychotx: cognitive element to change distorted thinking
CBT
which type of psychotx: decrease avoidance, decr attachment to thoughts
acceptance and commitment thearpy
which type of psychotx: address issues underlying fears
psychodynamic
what effect can SSRI/SNRI initially have in GAD?
initially increase anxiety
pharmacotx of GAD (3)
- SSRI/SRI
- benzos used acutely
- buspirone
MOA of buspirone
5 HT partial agonist
unwanted, recurrent, intrusive thoughts
obsessions
repetitive behaviors or mental acts that one feels driven to perform in response to an obsession
compulsion
mean age of onset of OCD
20 (age of onset younger in males)
preoccupation with a perceived defect or flaw in appearnce not observed by others
body dysmorphic disorder
indeciveness, perfectionism, procrastination, difficulty planning
common in those with hoarding
recurrent pulling out of one’s hair leaving noticeable hair loss w/ repeated attempts to stop
trichotillomania
1st line tx for trichotillomania
psychotherapy–>habit reversal therapy
recurrent skin picking resulting in lesions with repeated attempts to stop
excoriation disorder
