Anxiety & Somatic Disorders

Question 1

Stages of General Adaptation Syndrome

Answer 1

Alarm rxn, Resistance, Exhaustion

Question 2

Alarm rxn stage

Answer 2

Body prepares for defense needs by turning glycogen stores into glucose for food

Question 3

Resistance stage

Answer 3

Blood is shunted to areas needed for defense. Lungs breath more air and heart beats faster

Question 4

Exhaustion stage

Answer 4

This happens when person responds negatively to stress and the body stores are therefor depleted

Question 5

Example of mild anxiety

Answer 5

student studying for an exam

Question 6

Example of moderate anxiety

Answer 6

a patient nervous about a surgical procedure

Question 7

Example of severe anxiety

Answer 7

person cant think or reason

Question 8

Treatment for anxiety disorders

Answer 8

Therapy (Cognitive behavioral therapy), Benzos

Question 9

Anxiety disorders

Answer 9

OCD, Phobias, panic disorder, PTSD

Question 10

Positive Reframing

Answer 10

used with anxiety disorders. Turning negative messages into positive ones

Question 11

Decatastrophizing

Answer 11

used with anxiety disorders. Making the situation more realistic. Example: “Is this really likely?” “Could you survive that?”

Question 12

Assertiveness training

Answer 12

used with anxiety disorder. Taking control of the situation. Being assertive with yourself

Question 13

What neurotransmitters play a role in the body’s level of natural anxiety

Answer 13

GABA- antianxiety agent; norepinephrine - increases anxiety

Question 14

Treatment of choice for elderly who have anxiety

Answer 14

SSRI’s are first choice because they can’t break down benzos as well as a young person

Question 15

s/s of a panic attack

Answer 15

sweating, tremors, SOB, sense of suffocation, chest pain, nausea, abdominal distress, dizziness, paresthesias, chills or hot flashes

Question 16

What kind of behavoirs do you see in people with panic disorder?

Answer 16

avoidance behavior (they don’t want people to see them like this so they avoid them) and Primary & Secondary gains. Primary- the relief of anxiety by staying inside to avoid anxiety outside the home, Secondary- the attention received from others

Question 17

agoraphobia

Answer 17

fear of the market place or going outside

Question 18

Autoatisms

Answer 18

automatic, unconscious mannerisms, Ex: twisting hair, jingling keys, tapping fingers

Question 19

Benzodiazepines (anti anxiety)

Answer 19

Diazepam (Valium), Alprazolam (Xanax), Chlordiazepoxide (Librium), Lorazepam (Ativan), Clonazepam (Klonopin) Oxazepam (Serax)

Question 20

OCD. Obsessions are what? The compulsions are what?

Answer 20

Obsessions are the reoccurring thoughts & the compulsions are the repetitive behaviors

Question 21

psychosmatic

Answer 21

connection between mind (psyche) and body (soma)

Question 22

Hysteria

Answer 22

multiple physical complaints with no organic basis

Question 23

Somatization

Answer 23

transference of mental experiences into body symptoms

Question 24

Three central features of Somatic Symptom Disorder

Answer 24

Physical complaints, psychological factors, symptoms of magnified health concerns

Question 25

physical complaints (Somatic Symptom Disorder)

Answer 25

they have symptoms but are unexplained

Question 26

Psychological factors (Somatic Symptom Disorder)

Answer 26

Dr will say there is nothing wrong with you but patient will not except that

Question 27

Symptoms of magnified Health Concerns (Somatic Symptom Disorder)

Answer 27

not under patients control

Question 28

Conversion Disorder

Answer 28

suddden loss in sensory or motor function (blindness or paralysis) & person is la belle indifferen (lack of concern or distress about issue)

Question 29

Body dysmorphic disorder

Answer 29

exaggerated defect in physical appearance. Ex. Thin person thinks their fat or they get their boobs removed and now they think their ugly

Question 30

Malingering

Answer 30

person pretends to be sick on purpose. Ex: I have cancer and they really don't

Question 31

Factitious disorder (Munchausen syndrome)

Answer 31

cause intentional harm to cause an actual sickness

Question 32

Munchausen by proxy

Answer 32

causing intentional harm to make someone else sick

Question 33

Treatment for Somatic and munchausen

Answer 33

antidepressants-SSRIs (Prozac, Paxil, Zoloft)

Question 34

Treatment for agoraphobia

Answer 34

Xanax or Tofranil

Question 35

Treatment for social phobia

Answer 35

Zoloft

Question 36

Treatment for Generalized Anxiety Disorder

Answer 36

Buspirone, SSRI's

Question 37

SSRIs

Answer 37

Fluoxetine (Prozec), Citalopram (Celexa), Serraline (Zoloft), Paroxetine (Paxil), Escitalopram (Lexapro)

Question 38

some SSRI's end in?

Answer 38

"pram"

Question 39

Most Benzo's end in

Answer 39

"pam" except for Alprazolam (Xanax), Chlordiazepoxide (Librium)