Chapter Five: Anxiety Disorders Flashcards

1
Q

Fear

A

Immediate alarm reaction to danger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Anxiety

A

Negative mood state characterized by bodily symptoms or physical tension and apprehension about the future

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Genetic inheritance is

A

Polygenetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Decreased…

A

GABA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

System involved…

A

Serotonergic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

CRF

A

Genes can increase the likelihood that this sysytem is turned on
-CRF is involved in turning on the HPA Axis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Teens who smoke have…

A

A greater risk of developing an anxiety disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Limbic System: BIS

A

Behavioural Inhibition System

  • Activation at the prospect of danger
  • Freeze, experience anxiety, evaluate the situation with anxiety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Limbic System: FFS

A

Fight or flight system

-Immediate alarm-escape response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Limbic System: Major brain structure

A

Amygdala

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Psychological Vulnerabilities

A
  • Personality traits
  • Behavioural tendencies
  • Temperament (calm, reactive, sensitive, fidgety, etc.)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Social Vulnerabilities

A

Stressful life events

  • Death, injury, divorce
  • Can trigger biological/psychological vulnerabilities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most people have…

A

More than one anxiety disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Comorbidities

A

MDD

Suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Gender

A

More females than males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Physical Illness Comorbidity

A

Thyroid problems, respiratory problems, gastrointestinal problems, migraines, allergies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Triple Vulnerability Model

A
  1. Generalized biological vulnerability
  2. Generalized psychological vulnerability
  3. Specific Psychological vulnerability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Panic Attack

A

An abrupt experience of intense fear and discomfort, accompanied by unpleasant physical symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Panic Attack Symptoms

A

MUST HAVE 4 OF THE FOLLOWING

  • Increased heart rate, palpitations
  • Sweating
  • Trembling
  • Shortness of breath
  • Choking
  • Chest pain
  • Nauseas/dizziness
  • Chills/heat
  • PARESTHESIAS (numbness)
  • Derealization/depersonalization
  • Fear of losing control
  • Dear of dying
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

GAD

A

Excessive anxiety/worry for more days than not, about work, family, appointments, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

GAD duration

A

-6 months

22
Q

GAD Course

A

Chronic

23
Q

GAD Onset

A

Early and Gradual

24
Q

Gender

A

2/3 females

25
Q

GAD symptoms

A
  • restlessness
  • fatigue
  • irritability
  • muscle tension
  • difficulty concentrating
  • sleep disturbances
26
Q

GAD Drug Treatment

A
  • Benzodiazepines

- Antidepressants

27
Q

GAD

A

CBT

  • Exposure to excessive worry
  • Coping strategies
  • Confront anxieties, causes
  • Provoking images
28
Q

Specific Phobia

A

-Extreme fear in the presence of a phobic stimulus

29
Q

SP Symptoms

A
  • most people arrange their life around the phobia
  • causes an immediate fear (to be in the presence of the stimulus)
  • out of proportion to a “normal reaction”
  • Actively avoided
  • Causes clinical distress
30
Q

SP Specifiers

A
  1. Animal type (dogs)
  2. Situational (elevator, airplane)
  3. Natural Environment (hurricane, heights)
  4. Blood-Injection-Injury
  5. Other (clowns)
31
Q

SP Gender

A

Much more prevalent in females

32
Q

SP Course

A

Chronic

-Few people seek treatment

33
Q

SP Cause

A
  1. Vicarious (saw someone experience something)
  2. Stress/Trigger (Got a false alarm when the stimulus was present, turned into a phobia)
  3. Trauma/true alarm
34
Q

SP treatment

A

CBT

  • Systematic Desensitization
  • Exposure Therapy
35
Q

Social Anxiety Disorder (SAD)

A

Marked fear or anxiety about one or more social situations in which the person is exposed possible public scrutiny

36
Q

SAD Symptoms

A
  • Fear of humiliation
  • Social situations provoke fear
  • Fear is out of proportion
  • Social situations are often avoided
37
Q

SAD Duration

A

6 months or more

38
Q

SAD Specifier

A

Performance only specifier

-Linked to public speaking or performing

39
Q

SAD Prevalence

A

MOST COMMON disorder in the US

40
Q

SAD age of onset

A

15 years

41
Q

SAD Drug treatment

A

Antidepressants

  • SSRI: PAXIL
  • MAO
  • Tricyclic
42
Q

SAD treatment

A

CBT

  • Rehearsal
  • Role-play
  • Group therapy
43
Q

Panic Disorder (PD)

A

The experience of severe/unexpected panic attacks

-Some develop agorophobia

44
Q

PD Symptoms

A
  • Persistent worry about additional attacks

- Use of behaviours to avoid attacks (avoidance of exercise, unfamiliar places)

45
Q

PD Drug treatment

A
  • Benzo
  • Paxil
  • Prozac
46
Q

PD treatment

A

CBT

  • Anxiety coping
  • Relaxation/breathing exercises
  • Panic control (fake a panic attack-learn to control)
47
Q

Agoraphobia (A)

A
  • Marked intense fear of developing a panic attack when:
    1. On public transport
    2. Open spaces (parking lot)
    3. Enclosed spaces (cinema)
    4. Crowds, Lines
    5. Outside/home alone
48
Q

A duration

A

6 months

49
Q

A Symptoms

A

Situations cause out of proportion fear

  • active avoidance
  • dependance on drugs/alcohol is common
50
Q

A Treatment

A

-Same as PD