Anxiety + OCD Flashcards
What symptoms mentally present with anxiety?
Feeling of fear or dread
What are some physical symptoms of anxiety?
Palpitations Sweating Dry mouth Splanchnic vasoconstriction (butterflies) Tremor Paraesthesia (pins & needles) Depersonalisation Syncope
What can anxiety be classified as?
Generalised anxiety disorder Panic disorder Agoraphobia Simple phobia Social phobia Obsessive Compulsive disorder Post traumatic stress disorder
What is the incidence + prevalence of anxiety disorders?
→ Very prevalent
→ 10% of adult population
→ increasing in prevalence
What is the impact in terms of morbidity for anxiety disorders?
→ Very substantial.
→ People with high anxiety are often unhappy and report low wellbeing scores.
→ Loneliness, unemployment and financial difficulties are common.
→ can be the beginning of a trajectory associated with
eating disorders and self-harm – both of which are strongly associated with parasuicide and suicide.
What is the impact in terms of mortality for anxiety disorders?
→ Difficult to quantify, no consistent pattern between low-level anxiety disorders + mortality has been observed.
→ Any association appears weaker than that of depression + mortality.
Why is it difficult to quantify the burden of anxiety?
varying diagnostic criteria + cultural contexts
What are anxiety disorder inequalities in the UK?
→ Diagnosed more commonly among women than men.
→ 60% of LGBT community report anxiety in last 12 months.
→ Slightly higher prevalence among ethnic minorities in UK.
→ Prevalence of mixed anxiety and depression as high as 60%
among social care users
What are 2 main symptoms of OCD?
- Obsessions
* Compulsions
What are characteristics of “obsessions”?
- Ego-dystonic thoughts
- Repetitive, circular ruminations
- May be bizarre and sound delusional
- Insight maintained
- Unbidden and resisted
- Resistance leads to anxiety
What are characteristics of “compulsions”?
• Motor response to obsessional thoughts • Often ritualistic, stereotyped, precise • Examples: → Handwashing → Counting → Arranging + symmetry → Checking door locks • Start again if interrupted or doubt
How can anxiety + OCD be treated?
→ CBT (eg escape conditioning for phobias)
→ Clomipramine (ancient antidepressant, good for OCD)
What are 2 main symptoms of OCD?
- Obsessions
* Compulsions
What are characteristics of “obsessions”?
- Ego-dystonic thoughts
- Repetitive, circular ruminations
- May be bizarre and sound delusional
- Insight maintained
- Unbidden and resisted
- Resistance leads to anxiety
What are characteristics of “compulsions”?
• Motor response to obsessional thoughts • Often ritualistic, stereotyped, precise • Examples: → Handwashing → Counting → Arranging + symmetry → Checking door locks • Start again if interrupted or doubt
