Anxiety, OCD And PTSD

Question 0

Panic disorder last for? Men or women? Specific stressor?

Answer 0

Less than 30 minutes

Women; no specific stressor

Question 1

Panic disorder?

Answer 1

Feeling of doom with 4 symptoms of autonomic hyperactivity:

#Diaphoresis
#Trembling
#Chest pain and/or palpitations
#Chills
#Shortness of breath
#Dizziness
#nausea 

Etc

Question 2

Before diagnosing panic disorder need to rule out?

Answer 2

#Thyroid disease
#Hyperglycemia
#Cardiac disease

Question 3

Treatment for panic disorder?

Answer 3

Begin with SSRIs and benzodiazepine and taper off benzos

Question 4

Treatment for Phobias?

Answer 4

#Behavioral modification (systematic desensitization)
#Relaxation techniques

Question 5

Treatment for performance anxiety?

Answer 5

Beta blockers (atenolol or propranolol)

Question 6

Best treatment for OCD?

Answer 6

Flufoxamine (SSRI) or chlormipramine (TCA)

Question 7

Acute stress disorder versus posttraumatic stress disorder?

Answer 7

Less than one month versus more than one month

Question 8

Before diagnosing PTSD, must rule out?

Treatment?

Answer 8

Depression and substance abuse

#SSRIs
#Prazosin for nightmares
#Relaxation techniques, hypnosis
#Psychotherapy

Question 9

Treatment for generalized anxiety disorder?

Answer 9

#SSRIs
#Venlafaxine, Buspirone

Question 10

Adverse affects of Buspirone?

Answer 10

Non-specific - headaches, nausea, dizziness

Question 11

Benzos to give if:

1. Emergency
2. Addiction
3. EtOH withdrawal
4. Panic disorder

Answer 11

1. Lorazepam (IM)
2. Clonazepam (longer half life)
3. Chlordiazepoxide, oxzepam
4. Alprazolam

Question 12

Benzodiazepine antagonist? Can only use if? (Why?)

Answer 12

Flumazenil; acute OD (if pt is chronic abuser, can cause seizures)