Chapter 38 - Management of Anxiety Disorders

Question 1

Anxiety treatment is determined by:

Answer 1

-type of disorder
-severity
-prior level of functioning
-motivation
-support
-adherence

Question 2

What is generalized anxiety disorder?

Answer 2

uncontrollable worrying that lasts 6 months or longer, isn’t situational

Question 3

What are non-drug treatment for GAD?

Answer 3

-therapy
-CBT
-biofeedback
-meditation

Question 4

What drugs are drugs for GAD?

Answer 4

-benzodiazepines (lorazepam, alprazolam, clonazepam)
-buspirone
-antidepressants (SSRIs and SNRIs)

Question 5

Is Buspirone a CNS depressant?

Answer 5

no, so it has no abuse potential

Question 6

How long do Buspirone effects take to develop?

Answer 6

slowly over a month

Question 7

What are the adverse effects of Buspirone?

Answer 7

-dizziness
-nausea
-headache
-nervousness
-sedation
-lightheadedness

Question 8

What does Buspirone interact with?

Answer 8

-erythromycin
-grapefruit juice

Question 9

Does Buspirone enhance the depressant effects of alcohol?

Answer 9

no

Question 10

What are the withdrawal symptoms of Buspirone?

Answer 10

none

Question 11

What receptor does Buspirone block?

Answer 11

5-HT1A

Question 12

What characterizes a panic disorder?

Answer 12

-racing heart
-chest pain
-SOB
-choking feeling
-dizziness
-nausea
-fear of losing control
-fear of dying
-numbness
-chills
-flushing face

Question 13

What % of Canadian have a panic disorder?

Answer 13

4

Question 14

Who is at higher risk for a panic disorder?

Answer 14

-women (2x more likely)
-young adults
-people with chronic illness
-family hx

Question 15

How are panic disorders treated?

Answer 15

-CBT
-antidepressants (SSRIs, tricyclic antidepressants, MAOIs)
-benzodiazepines

Question 16

What is the role of benzodiazepines in panic disorder treatment?

Answer 16

-if needed
-second line
-augmentation

Question 17

How is OCD treated?

Answer 17

-CBT
-SSRIs
-TCAs
-augmenting drugs (buspirone, ondansetrol, inositol, ketmine, antipsychotics, DBS)

Question 18

How is social anxiety treated?

Answer 18

-psychotherapy
-SSRIs
-benzodiazepines (second-line)
-propanolol

Question 19

What kind of anxiety is propanolol used for?

Answer 19

performance anxiety

Question 20

How is PTSD treated?

Answer 20

-psychotherapy
-efficacy strongest with SSRIs (fluoxetine, paroxetine, sertraline) plus a serotonin/norepi reuptake inhibitor (venlafaxine)

Question 21

PTSD is linked to co-morbidities such as:

Answer 21

-cancer
-CV disease
-stroke

Question 22

Who is at higher risk for PTSD?

Answer 22

-doctors, nurses, paramedics, firefighters, cops, veterans
-women (2x more)
-refugees
-indigenous people
-psychiatric hx

Question 23

Lavendar is approved for ___

Answer 23

GAD

Question 24

N-acetyl cysteine is approved for OCD and _________________

Answer 24

trichotillomania