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Year 2 Psych exam I > Anxiety, Weiss > Flashcards

Anxiety, Weiss Flashcards

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1
Q

Anxiety

A 
excessive worry
has phsyical Sx
avoidant behavior
sense of dread
heightened apprehension
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2
Q

most common class of mental disorders in general population

A

anxiety disorders

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3
Q

causes of anxiety

A

psychological
psychoanalytic
behavioral
biological

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4
Q

pyschoanalytical theory of anxiety

A

signal to ego that unacceptable drive is pressing for conscious representation

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5
Q

behavioral therapy of anxiety

A

conditioned response to specific environmental stimuli

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6
Q

biological theory of anxiety

A

NT: NE serotonin, GABA

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7
Q

sub types of anxiety disorders

A

panic, agorophobia, generalized, specific phobias, social, separation, etc…

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8
Q

panic disorder

A

recurrent panic attacks followed by at least 1 mo of persistent concern, worry of implications, significant change in behavior related to attacks

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9
Q

what is a panic attack

A

discrete period of intense fear or discomfort assoc with multiple physical manifestations developing abrubtly and reaching peak in 10 min

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10
Q

Sx panic attack

A 
palpitations
sweathing
tremor
SOB
chest pain and discomfort
nausea, dizziness
fear of losing control
fear of dying
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11
Q

agoraphobiea

A

anxiety about being in places or situations from which escape is difficult or embarrassing if have panic attack there

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12
Q

demographics panic disorder

A

1:2 M:F
2% population
onset early adulthood

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13
Q

risk of panic disorder

A

higher rate of suicide

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14
Q

what medical disorders present like panic disorder

A 
CV disease
pulm disease
neuro disease
endo disease
drug intoxication
drug withdrawal
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15
Q

mental disorders that present like panic

A

malingering
hypochondriasis
phobias
PTSD

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16
Q

pharmacotherapy for panic disorder

A

TCA
SSRI!!
benzos– until on SSRI (used short term)

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17
Q

CBT for panic disorder

A

cognitive behavioral therapy
address patients false beliefs about attacks
gain sense of control

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18
Q

what is phobia

A

irrational fear resulting in conscious avoidance of feared object, activity or situation

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19
Q

increased risk for what with phobias

A

depression and substance abuse

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20
Q

common phobias

A

animals, insect, injury or procedures, heights, darkness

21
Q

social phobia

A

fear of humiliation or embarrassment in either general or specific social situations
public speaking, urinating in public restrooms, stage fright

22
Q

social phobia

A

fear of humiliation or embarrassment in either general or specific social situations
public speaking, urinating in public restrooms, stage fright

23
Q

patients with performance phobias release more what

A

NE than Epi

24
Q

genetics in social phbia

A

first degree relatives 3x more likely to be affected

25
Q

Tx specific phobias

A

exposure therapy
insight oriented psychotherapy
pharmacotherapy

26
Q

Tx social phobias

A

psychotherapy

pharmacotherapy (beta blockers, SSRIs, benzos or buspirone

27
Q

demogrpahic OCD

A

male= female
4th most common psych disorder
mean onset 20 y.o

28
Q

etiology OCD

A

biological factors: NT dystregulation, genetics
pyschological factors
learned theroty

29
Q

what is learned theory in OCD

A

person discovers that certain action reduces anxiety

personality traits

30
Q

brain imaging in OCD

A

increased frontal lobe, basal ganglia and cingulum activity
Tx reverses this
dec size caudates b/l

31
Q

obsession

A

recurrent and intrusive thought, feeling, idea or sensation

32
Q

compulsion

A

a conscious, standardized, recurrent thought or behavior, such as coutning, checking or avoiding

33
Q

obsession and compulsion affects on anxiety

A

obsession inc

compulsion dec

34
Q

most common pattern compulsion

A

obsession of contamination, compulsion washing and avoidign

35
Q

2nd pattern compulsion

A

doubt then checking

36
Q

pharmacotherapy Tx of OCD

A

clomipramine
SSRI
lithium
benzos

37
Q

psychotherapy for OCD

A

behavioral and family

38
Q

PTSD

A

emotional stress in life threatening magnitude
reexperience trauma in dreams and waking thoughts
avoid reminders
numb responsiveness
persisten hyperarousal

39
Q

epidemiology PTSD

A

combat related in men

women from assualt

40
Q

predisposing vulnerability to PTSD

A

presence of chilhood trauma, personality disorders, poor social support, genetic vulnerability to psych illness, recent stressful life change, recent excessive alcohol use

41
Q

good prognostic factors for PTSD

A

rapid onset Sx, short duration, good premorbid functioning, strong support, absence other disorders

42
Q

pharmacotherapy for PTSD

A 
SSRI
mood stabilizer
hypnotic
anxiolytics
antipsychotics
43
Q

pyschotherapy for PTSD

A

supportive
cognitive
gorup
family

44
Q

generalized anxiety disorder

A

excessive and pervasive worry accompanied by variety of somatic Sc that cause significant impairment in social or occupational funcitoning or marked distress

45
Q

demographics generalized anxiety disorder

A

co exists with another psych disorder
W:M 3:2
first seek Tx in 20s

46
Q

clinical features of generalized anxiety disorder

A 
anxiety, motor tension, autonomic hyperactivity
shakiness, restlessness
SOB, sweating, palpitations, GI
easy startle, irritability
chronic condition
47
Q

pharmacotherapy for generalized anxiety disorder

A 
benzo
busprione
mood stabilizer
antipsychotic
SSRI
48
Q

psychotherapy for generalized anxiety disorder

A

cognitive behavioral
insight oriented
supportive

Year 2 Psych exam I (15 decks)

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