Anxiety/somatoform Flashcards
What does the Yerkes-Dodson Law link together?
Arousal and performance
Anxiety symptoms related to fight or flight response?
Tachycardia Tachypnoea Palpitations GI symptoms Fear of dying Sweaty palms Dry mouth Butterflies in stomach Hands get cold and sweaty
Define GAD?
Persistent and generalised anxiety, not situation specific
Must be present for 6 months
Significant distress and disruption to normal functionning
4 autonomic arousal symptoms of GAD? how many must be present for diagnosis?
Sweating Palpitations Tremor Dry mouth 1 must be present
Respiratory and GI symptoms present in GAD?
Difficulty breathing Feeling like choking Chest pain Nausea Abdominal upset
GAD treatment steps?
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
1st,2nd,3rd line treatments for anxiety?
1st line - sertraline
2nd line - SSRI/SNRI
3rd line - pregabalin
What can be used as short term treatment in anxiety and what can be used as an adjuvant?
Short term Benzos
Adjuvant beta blockers
Examples of agoraphobia, treatment triad?
Crowded places, travelling alone, leaving home
Benzos short term
SSRI
CBT
name for phobia of doctors?
Latrophobia
name for phobia of injections?
Trypanophobia
What is the treatment for phobias?
Graded exposure and relaxation therapy with an exposure hierarchy and applied relaxation
4 autonomic arousal symptoms of a panic attack?
Feeling like choking
Palpitations
Chest pain
Dizziness
Panic disorder? Age most often suffering?
Recurrent panic attacks not restricted to any situation in particular
Bimodal distribution - late adolescents and early adulthood
Pharmacological and psychological treatment of panic disorder?
SSRIs and benzos short term
CBT
Define somatisation?
Symptoms for which there is no physical cause
2 classifications of somatisation disorders?
Dissociative
Somatoform
3 subcategories of somatoform disorders?
Somatisation disorder
Hypochondriacal disorder
Psychogenic pain disorder
Examples of somatisation disorder syndromes?
Ganser syndrome
Epidemic hysteria
Combat hysteria
Briquets Syndrome?
Somatoform disorder
Multiple somatic complaints
Back pain, heart, chest, menstrual, joints
Chronic usually depression and anxiety associated
High use of medical resources
Hypochondriacal disorder?
Preoccupied with having one or more serious physical disorders
What conditions can hypochondriacal disorder be secondary to?
Schizophrenia
Depression
Anxiety states
What is dissociative disorder and what is the usual cause for its development?
Loss or impairment of function, no underlying cause
Usually trauma related allowing adaptation to detach from the overwhelming experience
Symptoms of dissociative disorder?
Paralysis Anaesthesia Aphonia Sudden onset Short duration
3 subtypes of Dissociative disorder?
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
Epidemic hysteria?
School girls fainting is example, spread down hierarchy
Combat hysteria?
In war zones, mutism, paraplegia an blindness spread rapidly
