anxiety pt 1 Flashcards

1
Q

pathological anxiety

A

overwhelmed to the point that fxning is impaired :(

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1
Q

anxiety

A

normal emotion that keeps us alert, produces flight or fight to an unknown threat and helps us achieve goals

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2
Q

traditional psychoanalytical theory:

who came up with it?

A

-sigmeud freud

-conflict btw the ID and ego where aggressive and impulsive drives may be experienced as unacceptable resulting repression–> anxiety

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3
Q

learning theory

who created it:

A

Jean Piaget

-developmental milestones that represent interaction between maturing brain and environmental influences.

children learn according to the capacity if the brain to manage incoming stimuli and nature of the stimuli

!!!appropriate environmental responses facilitate normal learning process!!!

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4
Q

more learning theory where it affects kids

A

aberrant rxns produce problems in development…

ex. mom screams at spider so now kids screams at spiders

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5
Q

cognitive theory

A

abnormal emotional states such as anxiety and depression are result of distorted beliefs about self, world, future

-incorrect beliefs that interpret events in a dangerous or threatening matter (autonomic bad thought process]

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6
Q

neuro behavioral inhibition system

A

evaluate stimuli that is consistent with PUNISHMENT, NON REWARD, NOVELTY and fear that produces behavioral inhibition increase arousal and attention.

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7
Q

neuro behavioral inhibition system produces what responses

A

-GABA/ benz/ chloride receptor, chloride channel complex (emotions, memories)

-nonadrenergic nucleus locus coeruleus and brainstem nuceli ( fight or flight)

-serotonin and the raphe nuceli

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8
Q

where is the neural behavioral inhibition is mainly located in the

A

locus ceruleus

INC. NT/NE activity
dec serotonin

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9
Q

most common psychiatric illness:

A

anxiety

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10
Q

most common in :

A

women, young ppl, chronically ill

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11
Q

anxiety ABCs

A

alarm: my chest feels tight
belief : im having a heart attack
coping : call 911

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12
Q

what helps anxiety

A

-PCI:
-empathy: NURS in which we suck at but nurses do great

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13
Q

psychotherapy

A

WE DONT DO THIS:
-clinical psychologists
-social workers

-cognitive behavioral therapy:
-avoidant behavior causes impairments

  • new coping strategies that lead to dec sx,
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14
Q

GAD DSM-5 criteria

A

A. excessive anxiety and worry 6 months

B. finds it difficult to control the worry

C. 3 or more of the sx…
-restlessness
-being easily fatigued
-difficulty concentrated
-irritability
-muscle tension
-sleep disturbance

D. significant distress in social occupational

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15
Q

GAD-7 has to be greater

A

> 10

16
Q

comorbidity with depression

A

PHQ-9 and GAD-7

17
Q

anxiety 1st line tx:

A

SSRI/SNRI:
-duloxetine
-escitalopram
-paroxetine
-venlafaxine

-gad

18
Q

if you use SSRI/SNRI for anxiety, you must

A

-use half starting dose for depression if COMORBID- use the regular depression dose

19
Q

off label anxiety medications

A

-citalopram
-fluoxetine
-sertraline

20
Q

anxiety 2nd line tx:

A

benzodiazepines:
alprazolam
clonazepam
lorazepam

WEAN QUICKLY AND REFER TO PSYCH

21
Q

risks of benzodiazepin

A

-oversedation
-memory impairment
-long term dependence
-risk of abuse

22
Q

other pharm tx:

A

-buspirone:
+ low abuse pot
= delayed rx

-gabapentine, pregablin
+ block sx
= NOT block psychological sx

23
Q
A