Anxiety/Somatoform/Dissociative D/O

Question 1

panic d/o

Answer 1

panic attacks, sx for AT LEAST 1 month

Question 2

hypochondriasis

Answer 2

most common ages 20-30s’
MEN = WOMEN
no assoc w/ soc/edu/marrital status
chronic relapsing course

Question 3

Somatization

Answer 3

5-10% are in primary care
20x F>M
poor edu, young female
rural or low SES

Question 4

Body Dysmorphic d/o

Answer 4

M=F,

Teens to 40y.o.

Question 5

pain d/o

Answer 5

ages 40-50

2x F> M

Question 6

Dissoc ID D/o

Answer 6

hallucinations of all senses are common
look for childhood abuse
dramantic changes in mannerisms, tone of voice, and affect
fluctuation of skills, well learned abilities and habits

Question 7

anxiety and med conditions

Answer 7

seen in endocrinopathie
- pheo, hyperthyroid, hyperPTH, hyperCortisol
Also in metabolic problems
- hypoxemia, hyperCa, HYPO-glycemia
Neuro d/o
- including vascular , trauma an degenerative types

Question 8

PTSD sx

Answer 8

emotional numbing
flashback,
poor [ ]
exagg. startle response
dissoc amnesia

Question 9

panic d/o tx

Answer 9

SSRI + BZD, eventually taper off the BZD but keep the SSRI

Question 10

OCD drug trial lenght

Answer 10

MIN of 12weeks,