Chp 10 Stress & Misc Class Flashcards
Men and women have the same neural response to stress
T or F
False
Women are more vulnerable
3 stages of stress
Alarm
Response
Exhaustion
Epinephrine has this negative health affect
Cortisol this negative health effect
HTN
Endothelium to not function proper. Atherosclerosis
Chronic stress can reduce life by reducing this part of your genes
Telomeres
Disorders linked to Diathesis-Stress model (4)
Eating disorders, anxiety, depression, Schizophrenia
Serotonin synthesis is most active in which phase
Alarm
Interaction between nervous system and immune system during alarm phase of GAS.
What happens after initial stess & cytokines …..
Indigenous corticosteroids overtime…
Increased immune response
Decreased immune response
Is mild anxiety normal?
Is fear anxiety?
Yes mild anxiety is normal
No fear is reaction to a specific danger
ID Anxiety level
Restlessness, Irritability, Fidget, Shake/ Tap leg
Mild anxiety
ID Anxiety level
Perceptual field narrows, Grasp less information,
Sympathetic Responses: Muscle Tension, Heart pounds, increase pulse / RR, Butterfly in stomach,
Moderate anxiety
ID Anxiety level
Narrow perceptual field
Cannot see what is happening even when you point it out.
Look dazed
Trembling, Nausea, Dizzy, Hyperventilation
Severe Anxiety
ID Anxiety level
Poor reality testing
Hallucinations, Delusions
Erratic, impulsive, uncoordinated
Chest pain SOB
Depersonalization
Panic level anxiety
Panic attacks last ____ (How Long)
___ % of people have no trigger for panic attack
What is Brain Derived Neurotrophic Factor?
15 - 30 min
75%
BDNF is a Anxiolytic produced from the brain and increases with exercise
Sweating
Trembling
Unsteadyness
Depersonalization
Nausea
Tingling
SOB
Fear of dying, losing control, going crazy
Chest pain
Chills
Choking
Students fear the 3C’s
Maybe signs of anxiety
Worry
Anxiety
Tension
Concentration
Hyperarousal
Energy loss
Restlessness
Sleep Disturbances
Mnemonic for GAD
How long of Worry to be classified as GAD
Months
Difference between Obsession & Compulsion
Obsession = Thoughts
Compulsion = Rituals to lessen anxiety from thoughtz
Hair pullin
Kleptomania
Hoarding
Body Dysmorphic Disorder
Are all examples of
OCD
Most common form of psychiatric disorder in US
Anxiety disorder
19% of population
Women more than men
PANS (Pediatric Acute Onset Neuropsychiatric Syndrome)
OCD, Eating disorders, compulsive behavior
Can be treated how?
Anti inflammatory
Anti biotics
IV immunoglobulin
Use this to determine level of anxiety
Hamilton Rating Scale
SSRI first line treatment for anxiety in kids / teens. Zoloft & Paxil
This SNRI is also used ….
Cymbalta /duloxetine
Benzodiazepine with cause with drawl symptoms after daily use for how long?
3 - 4 months
CBT Cognitive behavioral Therapy
Reframing
Decastrophizing
Assertiveness training
Reframing: Turn negative message into a positive one
Decastrophizing: Whats the worst that could happen? Can I survive it?
Assertiveness training: Using “I” statements to communicate needs
Behavior therapy
Immediate prolonged exposure =
Flooding
What does ACE stand for?
Adverse
Childhood
Experience
Scoring of the Hamilton Rating Scale for Anxiety
<17
18 - 24
25 - 30
>30
<17 mild
18 - 24 mild to moderate
25 - 30 moderate to severe
>30 severe
Duloxetine (Cymbalta) SNRI
Most effective for…
GAD
Benzo use should be kept to ….
<7 days
Fluvoxamine & Sertraline SSRI
Clomipramine Tricyclic antidepressants
Are indicted best for
OCD
Best type of therapy for Anxiety
CBT
What number on the PHQ9 scale should a referral be given…
> 9
Depressed, Anxiety, Chronic pain
What is risk…
Suicide
Percentage of people with depression that also have anxiety….
60 - 90 %
Where is Serotonin Syndrome & NMS mostly seen
ER
