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Psyc Test 1 > Anxiety + Trauma-Related Disorders > Flashcards

Anxiety + Trauma-Related Disorders Flashcards

1
Q

Anxiety Disorder List

A
  • Generalized Anxiety Disorder
  • Panic Disorder
  • Agoraphobia
  • Simple Phobia
  • Social Phobia
  • PTSD
  • OCD (trochotillomania, hoarding, body dysmorphia
  • anxiety 2ndary to GMC/Substance
  • Separation anxiety
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2
Q
  • Readiness to take defensive action
  • Hardwired response to theat/acute stress (MOA NTs, in CNS/PNS)
  • conditioned learning

S/s?

A

Paroxysmal anxiety

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3
Q

Cognitive element

  • Anticipatory anxiety (fear of fear),
  • misinterpretation of body sensations
  • belief = avoidance is protective
A

Panic disorder

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4
Q

Cognitive Elements

  • negative social expectations
  • Distorted interpretations of others’ responses (fear of judgment)
  • belief that avoidance is protective
A

Social phobia

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5
Q

Cognitive elements

  • contents of memory
  • belief self unable to withstand
  • overestimation of risk
  • repition of traumatic experiences
A

PTSD

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6
Q

Physiological base anxiety

A

Stress = HPA cortisol NEG FEEDBACK SHUT DOWN

Fight or flight = locus ceruleus (NE), medial raphe (5-HT=Serotonin)

  • bladder inhibition = pee self
  • HR up
  • –>BODY MISINTERPRETS PHYSICAL S/S = self-feeds

Central NTs (gaba glutamate)

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7
Q

Stress response pathway

A

*Hypothalamus –> Anterior Pituitary –> Adrenal Cortex

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8
Q

Shallow breathing effect

A

Low CO2, trigger chemoreceptor response –> anxiety

TX: DEEP CONTROLLED BREATHING

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9
Q

Behavioral aspect

Agoraphobia

A

Panic disorder

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10
Q

Behavioral aspect

Avoiding social situations

A

Social phobia

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11
Q

Behavioral Aspect

  • Avoid internal cues (numbing/forgetting)
  • Avoid situations resembling trauma
  • Using Substance to avoid feelings
A

PTSD

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12
Q

Behavioral aspect

*avoiding trigger, regardless of intellectual reasoning ability

A

Simple phobia

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13
Q

Connected anxiety circle

A

*Threat
*anticipation/prediction
*Arousal
*Avoidance (rewarding)
*Risk factors (genetic, sensitizing experience)
THEN START AGAIN

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14
Q

Avoidance

what promotes?
Leads to?

A

Reward promotes

Leads to MORE DYSFUNCTION

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15
Q

Anxiety Tx

A
  • Benzo
  • ADD
  • other serotonin agents : Buspar
  • Anticonvulsant/Atypical Antipsycs
  • Cognitive Behavioral therapies (exposure, systematic desensitization, flooding)
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16
Q

Other causes of Anxiety

Meds

A
  • Amphetamines
  • Thyroid- Synthroid
  • Steroids - prednisone
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17
Q

Choosing Benzos for acute treatment

A
  • INTERMEDIATE T1/2 - LESS ABUSE
  • ANTICIPATORY WORRY for KNOWN TRIGGER EVENT - even just relief of thought of having dose nearby

*Clonazepam

PUTS OUT FIRE, DOESN’T TURN DOWN GENERATOR

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18
Q

Long term Pharm Tx - anxiety

A

*SSRI

TURN DOWN GENERATOR

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19
Q

Psychotherapeutic Tx - Anxiety disorder

A

(Don’t know trigger)

  • Breathing exercises
  • Mindfullness (name sensations of item in hand)
  • Muscle release/tension exercises
20
Q

Behavioral Tx

A

Work on not avoiding

21
Q

Social phobia

possible Tx

A

Propranolol

22
Q

Simple phobia

Tx

A
  • Systematic desensitization
  • Deep breathing/Mindfulness

Not much pharm - Benzo for specific trigger events

23
Q

OCD

Tx

A

SSRI
(High-dose)

*CBT = Exposure/response Therapy (do thing they try to avoid, stop compulsive behavior)

24
Q
  • Disordered Sleep
  • Muscle pain
  • Worry
  • (others!)

Min 3 needed to Dx:

A

Generalized Anxiety Disorder

25
Q

Generalized Anxiety Disorder

Tx

A

Rx: SSRI

*CBT = Cognitive distortions (about Diabetic)

26
Q

*Fear of body symptom/sensation
*Panic
*Agoraphobia
Before 30 y/o

A

Panic Disorder

27
Q

*Fear of scrutiny/humilation
*Panic, blushing, tremor
*social isolation
Before 25

A

Social phobia

28
Q

Anxiety in childhood?

A

Less common

29
Q

*fear of natural environment, blood, idiosyncratic
*Panic
*Avoidance of stimulus
Before 12 y/o

A

Simple Phobia

30
Q

*Memory of trauma, related strong unpleasant emotion
*Panic, Tonic, Persistent tension
*Dissociation / Amnesia
All Ages

A

ASD/PTSD

31
Q
  • Fear over money, health, safety, failure
  • Tonic, persistent tension, H/A, insomnia
  • General constriction of life
A

*GAD

32
Q
  • Obsession - contamination, fear of offending/sex/violence
  • Panic, intense distress if cannot nullify
  • compulsive behavior
A

OCD

33
Q 
3+
*Distress w/ separation from attachment
*Worry about losing attachment
*fear of being alone
*repeated nightmares about separation
*refusal to sleep away from attachment
*Physical symptoms w/ separation
Kids = 4 weeks+
Adults = 6 months +
A

Separation Anxiety Disorder

34
Q
  • Palpitations
  • Sweating
  • Shaking
  • SOB
  • Choking
  • chest pain
  • discomfort
  • Nausea/ GI pain
  • chills
  • Derealization/dying fear

+ 1 month worrying about attacks
AND/OR +behavior mod (avoidance)

A

Panic disorder

35
Q

Depression w/ anxiety

Classification

A

If anxiety = clinical issue,

Becomes GAD comorbidity

36
Q

*Exposure to actual death threat/serious injury
*intrusion s/s involving event (worries, nightmares, flashbacks, triggers)
*Avoidance
*negative s/s + pessimistic interpretation
*Hypervigilance, arousal
*not due to substance
1+ months

A

PTSD

  • w/ dissociative s/s? (Depersonalization/derealization
  • w/ delayed expression? (6 months after event dx
37
Q

*developmentally inappropriate excessive fear of separation w/ physical s/s
*4+ weeks in child
6+ months in adult

A

Separation anxiety

38
Q
  • Women>more
  • Isolated, irrational fear
  • > 6 months
  • onset age 12, resolve in adulthood
A

Specific phobia

39
Q
  • humiliation or embarassment in social settings
  • > 6 months
  • women>men
A

Social anxiety disorder

40
Q
  • Fear/avoidance of places or situations that are difficult to escape in the event of panic attack
  • > 6 months
  • Women>men
  • occurs as consequences of panic d/o
A

Agorophobia

41
Q
  • attack = abrupt surge of intense fear/ discomfort w/ 4 of 12 symptoms
  • disorder = 1 attack followed by maladaptive change in behavior w/ persistent worry
  • > 1 month
  • possible ER = chest pain
  • onset = mid 20s
A

Panic d/o

42
Q
  • excessive worry about life circumstances
  • 3 of 6 s/s
  • intermittent >6 months
  • Women>men
  • Blacks>
  • <30 y/o
  • FH
A

Generalized Anxiety Disorder

43
Q
  • > 1 month
  • Reexperiencing trauma in dreams
  • avoidance of associated stimuli
  • Negative mood
  • outbursts
  • subtype : dissociative + delayed expression (>6 months after trauma)
  • post-rape, post-combat
A

PTSD

44
Q
  • precursor to PTSD

* >3 days to <1 month

A

Acute stress d/o

45
Q
  • develop clinically significant emotional or behavioral sx in response to non-life threatening stressor (divorce, etc)
  • <3 months onset, 6 month termination
  • Women, unmarried, young
A

Adjustment d/o

46
Q

Agoraphobia Tx

A

SSRI + exposure therapy

47
Q

Adjustment D/o

Tx

A
  • therapy

* Rx for symptoms (insomnia, anxiety)

Psyc Test 1 (7 decks)

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