Chapter 38 - Management of Anxiety Disorders Flashcards
Anxiety treatment is determined by:
-type of disorder
-severity
-prior level of functioning
-motivation
-support
-adherence
What is generalized anxiety disorder?
uncontrollable worrying that lasts 6 months or longer, isn’t situational
What are non-drug treatment for GAD?
-therapy
-CBT
-biofeedback
-meditation
What drugs are drugs for GAD?
-benzodiazepines (lorazepam, alprazolam, clonazepam)
-buspirone
-antidepressants (SSRIs and SNRIs)
Is Buspirone a CNS depressant?
no, so it has no abuse potential
How long do Buspirone effects take to develop?
slowly over a month
What are the adverse effects of Buspirone?
-dizziness
-nausea
-headache
-nervousness
-sedation
-lightheadedness
What does Buspirone interact with?
-erythromycin
-grapefruit juice
Does Buspirone enhance the depressant effects of alcohol?
no
What are the withdrawal symptoms of Buspirone?
none
What receptor does Buspirone block?
5-HT1A
What characterizes a panic disorder?
-racing heart
-chest pain
-SOB
-choking feeling
-dizziness
-nausea
-fear of losing control
-fear of dying
-numbness
-chills
-flushing face
What % of Canadian have a panic disorder?
4
Who is at higher risk for a panic disorder?
-women (2x more likely)
-young adults
-people with chronic illness
-family hx
How are panic disorders treated?
-CBT
-antidepressants (SSRIs, tricyclic antidepressants, MAOIs)
-benzodiazepines
What is the role of benzodiazepines in panic disorder treatment?
-if needed
-second line
-augmentation
How is OCD treated?
-CBT
-SSRIs
-TCAs
-augmenting drugs (buspirone, ondansetrol, inositol, ketmine, antipsychotics, DBS)
How is social anxiety treated?
-psychotherapy
-SSRIs
-benzodiazepines (second-line)
-propanolol
What kind of anxiety is propanolol used for?
performance anxiety
How is PTSD treated?
-psychotherapy
-efficacy strongest with SSRIs (fluoxetine, paroxetine, sertraline) plus a serotonin/norepi reuptake inhibitor (venlafaxine)
PTSD is linked to co-morbidities such as:
-cancer
-CV disease
-stroke
Who is at higher risk for PTSD?
-doctors, nurses, paramedics, firefighters, cops, veterans
-women (2x more)
-refugees
-indigenous people
-psychiatric hx
Lavendar is approved for ___
GAD
N-acetyl cysteine is approved for OCD and _________________
trichotillomania
