Chap.8 - anxiety disorders

Question 1

Mild anxiety - normalcy, physio and psycho sx

Answer 1

Normative level - experienced by all.
VS, pupils, muscle tone normal.
Perception broad and heightened.

Question 2

Moderate anxiety - normalcy, physio and psych sx

Answer 2

Normative level in response to stressors
VS normal, HR and muscle tone increased
Subjective feeling of tension or worry, narrowed perception

Question 3

Severe anxiety - normalcy, physio and psych sx

Answer 3

Pathological level
VS increased, diaphoresis, muscles rigid - fight or flight response
Perceptual field greatly narrowed, difficulty problem solving, automatic behavior

Question 4

Panic - normalcy, physio and psych sx

Answer 4

Pathological level
Pale, hypotensive, SOB, decreased hand-eye coordination
Scattered perceptions, illogical thinking, may experience hallucinations or delusions

Question 5

The most common group of psychiatric disorders are the _____ disorders

Answer 5

Anxiety

Question 6

With anxiety disorders, symptoms significantly impair functioning and occur more days than not for ___ months or more

Answer 6

Six

Question 7

Psychodynamic theory of anxiety holds that anxiety is a result of _____ of sexual drive, and of a conflict between the __ and the _____

Answer 7

Repression of sex drive

The id and the superego

Question 8

Anxiety arises out of conflict of perception that an individual’s needs will not be met because of rejection, feelings of inferiority, inability to engage with significant others. Name the theory and the theorist.

Answer 8

Interpersonal theory

Harry Stack Sullivan

Question 9

The _____ system, the ___ axis, and low levels of the NT ____ are implicated in anxiety disorders.

Answer 9

Limbic system
HPA axis
GABA

Question 10

Anxiety disorders are experienced in about __ % of Americans

Answer 10

18%

Question 11

Except for OCD and social phobia, which gender experiences anxiety more commonly?

Answer 11

Women and girls

Question 12

If an individual has a first-degree relative with panic disorder, that individual is ___ times more likely to develop panic disorder.

Answer 12

8 - 20

Question 13

First line pharm treatment for chronic anxiety

Answer 13

SSRIs

Question 14

First line pharm treatment for acute anxiety

Answer 14

BZO

Question 15

BZO are contraindicated in patients with a history of _____ _____ _____

Answer 15

Substance use disorder

Question 16

BZO with long half lives - like _____ and _____ - have less withdrawal and rebound anxiety

Answer 16

Klonipin (clonazepam)

Valium (diazepam)

Question 17

BZO with short half-lives - like _____ and _____ - have more difficult withdrawal and greater rebound anxiety

Answer 17

Ativan (lorazepam)

Xanax (alprazolam)

Question 18

Anxiolytics in children

Answer 18

Tenex (guanfacine)

Minipres/Catapres (clonidine)

Question 19

Non-BZO anxiolytics for adults

Answer 19

Gabapentin

Buspirone

Question 20

COPD, asthma, and PE may _____ anxiety

Answer 20

Worsen, exacerbate

Question 21

Three ratings scales for anxiety disorders

Answer 21

Zung Self-rating Anxiety Scale
Hamilton Rating Scale for Anxiety (HAM-A)
Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)