Anxiety Spectrum Disorders Flashcards
Social factors are often precipitants to
Anxiety disorders
Delusions are separated from preoccupation, rumination, and obsession by the fact that it is
Not based in reality, and it is fixed
Preoccupation with one or more perceived defects in physical appearance
Body Dimorphic Disorder
Repetitive behaviors (excessive grooming) or mental acts (comparing)
Body Dimorphic Disorder
Patient is preoccupied with body build being too small
Muscle Dysmorphia
A diagnosis of exclusion
-Symptoms develop in response to a stressor
Adjustment Disorders
In order to diagnose with adjustment disorder, we must establish a
Cause and Effect
Signs and symptoms must have onset within 3 months of acute stressor
-Once acute stressor is eliminated, symptoms must not persist for longer than 6 months
Adjustment disorders
Inhibited, emotionally withdrawn behavior
-Child/adolescent between 9 months and 5 years
Reactive Attachment disorder
Also characterized by social and emotional disturbance (irritability or sadness) and is not attributed to an autism disorder
Reactive Attachment Disorder
We often see a history of insufficient care, I.e. neglect with
Reactive attachment disorder
Child older than 9 months who actively approaches and interacts with unfamiliar adults
Disinhibited social engagement disorder
Consistent failure to speak in specific social situations
Selective mutism
A combination between major depression and anxiety
Generalized anxiety disorder
With generalized anxiety disorder, the SIG and A of SIG E CAPS becomes
SI: significant irritability
G: Generalized muscle tension
A: anxiety and excessive worry
Persistent difficulty discarding or parting with possessions
Hoarding disorder
Perceived need to save items/distress associated with discarding them
Hoarding disorder
Repetitive behaviors or mental acts that an individual feels driven to perform
Compulsions
Compulsions are aimed at reducing
Anxiety
Anxiety due to the direct physiological effects of a substance
Substance-induced anxiety disorder
We do not get substance-induced anxiety disorder from intoxication with
Opioids
We can experience substance-induced anxiety disorder from withdrawal from
Opioids, cocaine, and alcohol
Recurrent pulling out one’s hair, resulting in hair loss
-Repeated attempts to decrease or stop hair pulling
Trichotillomania
Recurrent, unexpected panic attacks
-With 1 month of worry, concern about attacks
Panic Disorder
May occur in the context of any mental disorder
Panic Attack
Precipitate panic more frequently (70%) in panic disorder than in patients w/o panic disorder (5%)
Lactate infusions
A discrete period of intense fear or discomfort in which four or more of the THISISNOTFUN symptoms develop abruptly and reach a peak within 10 minutes
Panic Attack
Panic attacks with associated medical conditions
-Pre-syncope due tp decreased vagaries input
Panic disorders
Anxiety about being in places from which escape might be difficult or embarrassing in the event of having a panic attack
Agoraphobia
Sedative-, hypnotic, or anxiolytics, as well as nicotine and opioids will NOT cause
Substance-induced anxiety disorder
A signal to the ego that a forbidden unconscious drive is pushing for conscious expression
Phobic Neurosis
Developmentally-inappropriate anxiety concerning separation from attachment figures
Separation anxiety disorder
Mitral valve prolapse and pre-syncope are associated medical conditions with
Panic disorder
Trauma between 10-16 months is suggestive of
Separation Anxiety Disorder
Fear of humiliation or embarrassment in social or performance situations
Social Anxiety Disorder
Has a “performance only” specifier
-Typically lasting 6 months or more
Social Anxiety Disorder
15 minutes prior to teaching, we can treat social anxiety disorder with
Propranolol
Exposure to actual or threatened death, serious injury, or sexual violence can lead to
Acute stress disorder or PTSD
PTSD has symptoms for longer than
1 month
Acute Stress Disorder has symptoms between
3 days and one month
Recurrent skin picking that results in skin lesions
-A variant of trichotillomania
Excoriation disorder
Fear cued by object or situation
Specific Phobia
