Chapter 5 pt 3

Question 1

what is the criteria for generalized anxiety disorder (GAD)

Answer 1

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

Question 2

what is the GAD Mnemonic

Answer 2

Worry WARTS
Worried
Wound up, Worn-out
Absent-minded
Restless
Tense
Sleepless

Question 3

1/3 of risk for developing GAD is what

Answer 3

genetic

Question 4

what can significantly reduce anxiety

Answer 4

exercise

Question 5

for patients with anxiety one should evaluate what

Answer 5

caffeine use and recommend significant reduction or elimination

Question 6

what is treatment for GAD

Answer 6

combine psychotherapy and pharmacotherapy

CBT and SSRI

Question 7

compulsions often take the form of what

Answer 7

repeated counting or checking

Question 8

patients with OCD often seek help rom primary care and other non psychiatric providers for what

Answer 8

help with the consequences of compulsions (excessive washing)

Question 9

what are the triad of uncontrollable urges”

Answer 9

OCD, ADHD, tic disorder

Question 10

what is criteria for OCD

Answer 10

obsession and/or compulsions that are time consuming (>1hr/daily) or cause significant distress or dysfucntion

Question 11

what are obsessions

Answer 11

recurrent, intrusive, anxiety-provoking thoughts, images, or urges, that the patients attempts to suppress, ignore or neutralize

Question 12

what is a compulsion

Answer 12

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

Question 13

how is OCD treated

Answer 13

CBT and pharmacotherapy

EXPSORUE and RESPONSE PREVENTION is used

SSRI’s first line meds
CLOMIPRAMINE (TCA-most serotonin selective) can also be used

Question 14

what is exposure and response prevention

Answer 14

prolonged, dreaded exposure to ritual-eliciting stimulus and prevention of the receiving compulsion

Question 15

what is the last resort treatment of OCD

Answer 15

psychosurgery (cingulotomy) or ECT

Question 16

what is the criteria for body dysmorphic disorder

Answer 16

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

Question 17

there is a higher prevalence of body dysmorphic disorder in what patient population

Answer 17

dermatologic and cosmetic surgery patients

Question 18

patients with body dystrophic disorder are what

Answer 18

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

Question 19

what is treatment for body dysmorphic disorder

Answer 19

SSRIs and/or CBT may reduce the obsessive and compulsive symptoms in many patients

Question 20

what is the criteria for Hoarding Disorder

Answer 20

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

Question 21

how is hoarding treated

Answer 21

CBT specialized for hoarding

SSRIs can be used but not as beneficial unless OCD symptoms are present (20% of individuals)

Question 22

75% of hoarders have comorbid what

Answer 22

mood or anxiety disorders

Question 23

harding is 3x more prevalent in what population

Answer 23

older peeps