Anxiety/OCD/Trauma

Question 1

Distinguishing Normal from Pathological

Answer 1

1. Intensity
2. Impairment
3. Ability to recover

Question 2

Normal Fears in Infants

Answer 2

• Fear of loud noises
• Fear of being startled
• Fear of strangers (around 8 – 10 months)

Question 3

Normal Fear in Toddlers

Answer 3

• Imaginary Creaturs
• Darkness
• Normative separation anxiety

Question 4

NF in School-age Children

Answer 4

• worries about injury and natural events
• Confidence vs eagerness
• Mostly in girls
• Separation Anxiety
• Phobias
• GAD

Question 5

NF in Adolescents

Answer 5

• Fears related to school
• Fears related to social competence
• Fears related to health issues

Question 6

Behavioral Inhibition

Answer 6

• tendency to be unusually withdrawn or timid and to show fear and withdrawal in novel and/or unfamiliar social and nonsocial situations
• Thus, Behavioral Inhibition is a risk factor for the development of anxiety disorders in children

Question 7

Neurobiology of Anxiety

Answer 7

Reticular Activating System (a network of ascending, arousal-related neural systems)

Question 8

Hippocampus

Answer 8

Involved in the storage of sensory information and is very sensitive to stress

Question 9

Limbic Systems

Answer 9

Cues are paired (Growl and threat)

Question 10

Insecure attachment may be a risk factor for

Answer 10

the development of childhood anxiety disorders

Question 11

Untreated childhood anxiety…

Answer 11

• typically continues into adulthood

- may develop into depressive disorders

Question 12

Risk Factors of Anxiety D/O

Answer 12

• behavioral inhibition in childhood
• parents have d/o
• insecure attachment

Question 13

DSM-IV disorders include

Answer 13

1. Separation Anxiety Disorders
2. Panic Disorder
3. Specific Phobia
4. Social Phobia (Social Anxiety Disorder)
5. Obsessive-Compulsive Disorder
6. Posttraumatic Stress Disorder
7. Acute Stress Disorder
8. Generalized Anxiety Disorder

Question 14

DSM 5 Anxiety disorders

Answer 14

• Separation Anxiety Disorder
• Selective Mutism
• Specific Phobia
• Social Anxiety Disorder
• Panic Disorder
• Generalized Anxiety Disorder
• Unspecified Anxiety Disorder

Question 15

DSM: Selective Mutism

Answer 15

Consistent failure to speak in specific social situations (in which there is an expectation for speaking, e.g., at school) despite speaking in other situations

Question 16

Panic Attacks

Answer 16

The occurrence of unexpected panic attacks is required for a dx of Panic D/O; situationally bound or predisposed attacks are common in Panic D/O but also occur in the context of other anxiety disorders (e.g., specific and social phobia, PTSD)

Question 17

Panic Disorder

Answer 17

-PANIC DISORDER is characterized by the
Recurrent unexpected panic attacks
-persistent concern about having additional attacks
-worry about the implications of the attack or its consequences
-a significant change in behavior related to the attacks

Question 18

DSM-5 pays more attention to (PTSD)

Answer 18

the behavioral symptoms that accompany PTSD and proposes four distinct diagnostic clusters instead of three. They are described as re-experiencing, avoidance, numbing and arousal.

Question 19

Patients with PTSD have (bigger/smaller) hippocampus

Answer 19

smaller because of stress

Question 20

What predicts who develops PTSD?

Answer 20

• Closer physical proximity
• Closer emotional proximity (death)
• More exposure to media coverage
• Cognitive factors

Question 21

Acute vs PTSD

Answer 21

PTSD if it persists for longer than 4 weeks

Question 22

Trichotillomania

Answer 22

• Recurrent pulling out of hair resulting in noticeable hair loss
• An increasing sense of tension immediately before pulling out the hair or when attempting to resist the behavior
• Pleasure, gratification, or relief when pulling out the hair