Ch 18 Anxiety and OCD

Question 1

predisposing factors for GAD and panic

Answer 1

abnormalities of temporal lobe (hippocampus + amygdala)
elevated lactate
abnormal norepi
decreased serotonin + GABA

Question 2

panic disorder

Answer 2

sudden, overwhelming feeling of terror or impending doom
recurrent panic attacks that are unpredictable

Question 3

generalized anxiety disorder

Answer 3

chronic, unrealistic excessive anxiety and worry for at least 6 months

Question 4

cognitive therapy

Answer 4

individual counseling
goal is to learn coping mechanisms
5-20 sessions

Question 5

panic disorder meds

Answer 5

benzodiazepines are 1st line

Question 6

phobia

Answer 6

a persistent, intensely felt, and irrational fear of a specific object, activity, or situation that results in a compelling desire to avoid the feared stimulus

Question 7

behavioral therapies for phobias

Answer 7

systematic desensitization
implosion therapy/flooding

Question 8

systematic desensitization

Answer 8

exposure therapy

Question 9

implosion therapy

Answer 9

flooding

Question 10

agoraphobia

Answer 10

the fear of being vulnerable and unable to get help or escape the setting

Question 11

social anxiety disorder

Answer 11

an excessive fear of situations in which a person might do something embarrassing or be evaluated negatively by others
1st line med- SSRIs (sertraline, paroxetine)

Question 12

specific phobias

Answer 12

fear of specific objects or situations that could conceivably cause harm (e.g., snakes, heights), but the person’s reaction to them is excessive, unreasonable, and inappropriate
(split into 5 groups)

Question 13

obsessions

Answer 13

intrusive thoughts that are recurrent and stressful. although they are recognized by the individual as irrational, they cannot be ignored

Question 14

compulsions

Answer 14

repetitive ritualistic behaviors or mental acts that the individual feels driven to perform, which are intended to reduce the anxiety associated with obsessive thoughts

Question 15

OCD

Answer 15

include the presence of obsessions or compulsions, or both, the severity of which is significant enough to cause distress or impairment in social, occupational, or other important areas of functioning

Question 16

body dysmorphic disorder

Answer 16

exaggerated belief that the body is deformed or defective in some specific way
contains depression + OCD
treat w antidepressants

Question 17

trichotillomania

Answer 17

hair pulling disorder
impulse is preceded by an increasing sense of tension and results in a sense of release or gratification from pulling out the hair
scalp, eyebrows, lashes
more prevalent in kids 4-17
bipolar+mood disorders common

Question 18

hoarding disorder

Answer 18

persistent difficulties discarding or parting with possessions, regardless of their actual value.
family history and genetic disposition
more common in men

Question 19

hoarding therapies

Answer 19

individual psychotherapy
motivational interviewing
skills training