Chapter 11 - Anxiety Disorders

Question 1

Mild anxiety

Answer 1

restlessness, increased motivation, irritability

Question 2

Moderate anxiety

Answer 2

agitation, muscle tightness

Question 3

Severe anxiety

Answer 3

inability to function, ritualistic behavior, unresponsive

Question 4

Panic anxiety

Answer 4

distorted perception, loss of rational thought, immobility

Question 5

Separation anxiety disorder

Answer 5

excessive fear or anxiety when separated from individual with emotional attachment

Question 6

Panic disorder

Answer 6

recurrent panic attacks

Question 7

Phobias

Answer 7

fears a specific object or situation unreasonably

Question 8

Generalized anxiety disorder (GAD)

Answer 8

uncontrollable, excessive worry for more than 3 months

Question 9

Obsessive compulsive disorder (OCD)

Answer 9

intrusive thoughts of unrealistic obsessions

Question 10

Hoarding disorder

Answer 10

difficulty parting with possessions

Question 11

Acute stress disorder

Answer 11

exposure to traumatic event causes numbing, detachment, amnesia for at least 3 days (not more than 1 month)

Question 12

PTSD

Answer 12

intense fear, horror, flashbacks, feeling of detachment and foreboding, restricted affect, impairment for longer than 1 month

Question 13

Anxiety

Risk factors

Answer 13

woman
genetic
trauma
acute medical condition (hyperthyroidism, pulmonary embolism)
adverse effects of meds
chemical or withdrawal effects

Question 14

Panic disorder

Data

Answer 14

15-30 mins
4 or more present:
palpitations
SOB
choking
chest pain
nausea
feelings of depersonalization
fear of dying/insanity
chills/hot flashes

Question 15

Phobias

Data

Answer 15

social phobia - fear of embarrassment

Agoraphobia - avoids being outside, impaired ability to work

Question 16

GAD

Data

Answer 16

uncontrollable, excessive worry for more than 3 months
significant impairment in functioning
restlessness, muscle tension, avoidance of stressful events, increased time/effort needed to prepare for events
procrastination in decision-making
seeks repeated reassurance

Question 17

Acute Stress Disorder vs. PTSD

Answer 17

both = after trauma, fear, helplessness, horror
ACD = immediate and for 3 days - 1 month
PTSD = can be delayed for months-years, duration = more than 1 month
ACD = distress when reminded, dreams/images, reliving thru flashback
PTSD = intrusive recollection of event, dreams/images, reliving thru flashbacks, illusions, hallucinations
ACD = dissociative manifestations, amnesia of trauma, absent emotional response, decreased awareness of surroundings, depersonalization, severe anxiety
PTSD = increased arousal, irritability, difficulty concentrating, sleep disturbances, avoidance of stimuli associated with trauma

Question 18

Standardized screening tools

Answer 18

Hamilton Rating Scale for Anxiety
Modified Speilberger State Anxiety Scale
Yale-Brown Obsessive-Compulsive Scale
Hoarding Scale Self-Report
National Stressful Events Survey