Anxiety, Stress, Somatic Disorders Flashcards
What is eustress?
Normal healthy stress
What is the difference between PTSD and acute stress disorder?
PTSD long term
ASD <1 month
Cause and symptoms same
What are the meds used to treat PTSD?
sertraline
paroxetine
fluoxetine (SSRI)
venlafaxine (SNRI)
What is secondary traumatic stress?
Compassion fatigue
When we are indirectly traumatized by others problems, hence, secondary
What med is given for PTSD related nightmares? What needs carefully monitored during admin?
Prazosin
–Watch for hypotension–
What is meant by a fugue state?
–This is a type of dissociative state–
Loss of self orientation
Sort of like amnesia-“wake up” without knowing how they got there and who they are.
Bewildered wandering
Also called dissociative amnesia with fugue.
What is dissociative identity disorder?
Multiple personality disorder
Caused from extreme childhood trauma
What is depersonalization/derealization disorder?
A type of dissociative disorder where the person experiences feeling unreal, detached, outside the body, numb, dreamlike.
Involves mind, self, body, surroundings.
What are some things to remember when we are treating a patient during a panic attack?
Anxiety increased? Listening decreased!
Stay with patient
Quiet environment
Prevent injury
Short, simple words
Gross motor movement
Listen for themes
Be patient
What is the limbic system and what does it do?
The emotional brain.
Made up of several organs including the amygdala, hippocampus, thalamus, basal ganglia, cingulate gyrus and hypothalamus.
The job of the limbic system is to scan for danger, fight/flight response, reset system after fight/flight.
What 3 neurotransmitters are responsible for anxiety responses?
Serotonin (too low)
GABA (too low)
Norepi (too high)
What is agoraphobia?
Fear of being in a place without help or escape
What is generalized anxiety disorder?
Worry disease
What meds are used to treat OCD?
SSRIs
TCA>clomipramine
What is the activating effect in SSRIs?
Can temporarily INCREASE symptoms
What is somatization?
Stress manifests as physical symptoms
What is illness anxiety disorder?
Hypochondria
What is functional neurological disorder?
Also called conversion disorder
Stress leads to neuro problems with no physiological cause
What is fictitious disorder?
Münchausen syndrome
What is fictitious disorder imposed on another?
Munchausen by proxy
What is malingering?
Faking or exaggerating symptoms
