Anxiety/somatoform

Question 1

What does the Yerkes-Dodson Law link together?

Answer 1

Arousal and performance

Question 2

Anxiety symptoms related to fight or flight response?

Answer 2

Tachycardia
Tachypnoea
Palpitations
GI symptoms
Fear of dying
Sweaty palms
Dry mouth
Butterflies in stomach
Hands get cold and sweaty

Question 3

Define GAD?

Answer 3

Persistent and generalised anxiety, not situation specific
Must be present for 6 months
Significant distress and disruption to normal functionning

Question 4

4 autonomic arousal symptoms of GAD? how many must be present for diagnosis?

Answer 4

Sweating
Palpitations
Tremor
Dry mouth
1 must be present

Question 5

Respiratory and GI symptoms present in GAD?

Answer 5

Difficulty breathing
Feeling like choking
Chest pain
Nausea
Abdominal upset

Question 6

GAD treatment steps?

Answer 6

Education and active monitoring
Low intensity self help and psychoeducational groups
CBT and applied relaxation or drug treatment
Complex drug and psychological treatment, MDTs, crisis service, inpatient

Question 7

1st,2nd,3rd line treatments for anxiety?

Answer 7

1st line - sertraline
2nd line - SSRI/SNRI
3rd line - pregabalin

Question 8

What can be used as short term treatment in anxiety and what can be used as an adjuvant?

Answer 8

Short term Benzos

Adjuvant beta blockers

Question 9

Examples of agoraphobia, treatment triad?

Answer 9

Crowded places, travelling alone, leaving home
Benzos short term
SSRI
CBT

Question 10

name for phobia of doctors?

Answer 10

Latrophobia

Question 11

name for phobia of injections?

Answer 11

Trypanophobia

Question 12

What is the treatment for phobias?

Answer 12

Graded exposure and relaxation therapy with an exposure hierarchy and applied relaxation

Question 13

4 autonomic arousal symptoms of a panic attack?

Answer 13

Feeling like choking
Palpitations
Chest pain
Dizziness

Question 14

Panic disorder? Age most often suffering?

Answer 14

Recurrent panic attacks not restricted to any situation in particular
Bimodal distribution - late adolescents and early adulthood

Question 15

Pharmacological and psychological treatment of panic disorder?

Answer 15

SSRIs and benzos short term

CBT

Question 16

Define somatisation?

Answer 16

Symptoms for which there is no physical cause

Question 17

2 classifications of somatisation disorders?

Answer 17

Dissociative

Somatoform

Question 18

3 subcategories of somatoform disorders?

Answer 18

Somatisation disorder
Hypochondriacal disorder
Psychogenic pain disorder

Question 19

Examples of somatisation disorder syndromes?

Answer 19

Ganser syndrome
Epidemic hysteria
Combat hysteria

Question 20

Briquets Syndrome?

Answer 20

Somatoform disorder
Multiple somatic complaints
Back pain, heart, chest, menstrual, joints
Chronic usually depression and anxiety associated
High use of medical resources

Question 21

Hypochondriacal disorder?

Answer 21

Preoccupied with having one or more serious physical disorders

Question 22

What conditions can hypochondriacal disorder be secondary to?

Answer 22

Schizophrenia
Depression
Anxiety states

Question 23

What is dissociative disorder and what is the usual cause for its development?

Answer 23

Loss or impairment of function, no underlying cause

Usually trauma related allowing adaptation to detach from the overwhelming experience

Question 24

Symptoms of dissociative disorder?

Answer 24

Paralysis
Anaesthesia
Aphonia
Sudden onset
Short duration

Question 25

3 subtypes of Dissociative disorder?

Answer 25

dissociative amnesia - loss of memory suddenly after stressful events, usually partial or selective
dissociative fugue - same as amnesia but with an apparently purposeful journey away from work or home, impaired memory and denial or personal identity lasting hours to days
dissociative stupor - sit or lie motionless but awake for hours, very stressful periods

Question 26

Epidemic hysteria?

Answer 26

School girls fainting is example, spread down hierarchy

Question 27

Combat hysteria?

Answer 27

In war zones, mutism, paraplegia an blindness spread rapidly