Chapter 5 pt 3 Flashcards
what is the criteria for generalized anxiety disorder (GAD)
excessive, anxiety/worry about various daily events/activitites for ≥ 6 MONTHS
difficulty controlling worry
≥ 3 symptoms: restless, fatigue, impaired concentration, irritability, muscle tension, insomnia
not caused by substance or medical ondition
what is the GAD Mnemonic
Worry WARTS Worried Wound up, Worn-out Absent-minded Restless Tense Sleepless
1/3 of risk for developing GAD is what
genetic
what can significantly reduce anxiety
exercise
for patients with anxiety one should evaluate what
caffeine use and recommend significant reduction or elimination
what is treatment for GAD
combine psychotherapy and pharmacotherapy
CBT and SSRI
compulsions often take the form of what
repeated counting or checking
patients with OCD often seek help rom primary care and other non psychiatric providers for what
help with the consequences of compulsions (excessive washing)
what are the triad of uncontrollable urges”
OCD, ADHD, tic disorder
what is criteria for OCD
obsession and/or compulsions that are time consuming (>1hr/daily) or cause significant distress or dysfucntion
what are obsessions
recurrent, intrusive, anxiety-provoking thoughts, images, or urges, that the patients attempts to suppress, ignore or neutralize
what is a compulsion
repetitive behaviors or mental acts the patient feels driven to perform in response to an obsession or a rule aimed at stress reduction or disaster prevention
how is OCD treated
CBT and pharmacotherapy
EXPSORUE and RESPONSE PREVENTION is used
SSRI’s first line meds
CLOMIPRAMINE (TCA-most serotonin selective) can also be used
what is exposure and response prevention
prolonged, dreaded exposure to ritual-eliciting stimulus and prevention of the receiving compulsion
what is the last resort treatment of OCD
psychosurgery (cingulotomy) or ECT
what is the criteria for body dysmorphic disorder
preoccupation with one or more perceived deficits or flaws in physical appearance that are not observable by or appear slight to others repetitive behaviors (skin picking, excessive grooming) or mental acts (comparing appearance to others) are performed in response to the appearance concerns preoccupation causes significant distress or impatient in function not better accounted for by concerns with body fat/weight in an eating disorder
there is a higher prevalence of body dysmorphic disorder in what patient population
dermatologic and cosmetic surgery patients
patients with body dystrophic disorder are what
preoccupied with body parts that they perceive as flawed or defective, having strong beliefs that they are unattractive or repulsive
they spend significant time trying to cover it up
what is treatment for body dysmorphic disorder
SSRIs and/or CBT may reduce the obsessive and compulsive symptoms in many patients
what is the criteria for Hoarding Disorder
persistent difficulty discarding possessions, regardless of value
difficulty is due to need to save the items and distress associated with discarding them
results in accumulation of possessions that congest/clutter living areas and compromise use
clinically significant distress or impairment in social, occupational, or other areas of functioning
not attributable to other medical condition
how is hoarding treated
CBT specialized for hoarding
SSRIs can be used but not as beneficial unless OCD symptoms are present (20% of individuals)
75% of hoarders have comorbid what
mood or anxiety disorders
harding is 3x more prevalent in what population
older peeps
