Clinical Perspective of Anxiety Disorders Flashcards
What are the treatment options for body dysmorphic disorder?
SSRIs (maximal doses) & CBT
How long must symptoms persist for diagnosis of PTSD?
1 month
What is the criteria for a panic attack (note, panic attack is not the same as panic disorder)?
At least 4+ symptoms that peak in severity within 10 minutes of onset
What is the recommended treatment for social anxiety disorder?
CBT & SSRIs
This disorder is an early form of PTSD with symptoms lasting from 3 days to 1 month.
Acute stress disorder
This drug is used off-label for the treatment of nightmares associated with PTSD.
Prazosin (alpha agnoist)
What SSRI is approved only for the treatment of OCD in the US?
Fluvoxamine
What medication is used to treat refractory OCD?
Clomipramine
This disorder is characterized by difficulty in discarding or parting with possessions, regardless of actual value or accumulation.
Hoarding Disorder
This disorder is characterized by an excessive preoccupation with an imagined physical defect.
Body dysmorphic disorder
True/False. If symptoms of Adjustment Disorder persist beyond 6 months, a new psychiatric diagnosis is made.
True - symptoms cannot persist beyond 6 months per DSM-V diagnostic criteria
This anxiety disorder is characterized by a fear of being judged by others which impairs normal functioning.
Social Anxiety Disorder
True/False. Debriefing is recommended for the treatment of PTSD.
False. Debriefing has been shown to be more harmful to the patient.
What is the duration of obsessions or compulsions required for an OCD diagnosis?
At least one hour per day
What neurotransmitter is dysfunctional in anxiety disorders?
Serotonin
What is the best treatment for specific phobia disorder?
Exposure therapy - systematic desensitization or flooding
What is the difference between an obsession and a compulsion?
An obsession is a though, a compulsion is a behavior
A 10yo girl refuses to speak or participate in class. When at home, the child has no issues and actively engages with others. You find out from a teacher that the girl was bullied by a peer in the classroom. What is a potential diagnosis?
Selective Mutism - usually triggered by trauma and characterized by a refusal to speak when in a specific environment
In this anxiety disorder, symptoms generally resolve with the removal of the stressor.
Adjustment Disorder
This anxiety is common in school-aged children and involves fear for a caregiver when not together.
Separation Anxiety Disorder
Anxiety disorders are generally more common in (males/females).
Females, with the exception of OCD and body dysmorphic disorder
What is the duration of symptoms in acute stress disorder?
3 days to 1 month
Adjustment disorder is a diagnosis of exclusion. What are the criteria for diagnosis?
Symptoms must begin within 3 months of the stressor and resolve within 6 months
How long must symptoms persist for a diagnosis of Generalized Anxiety Disorder?
6 months
True/False. A panic attack lasting longer than 15 minutes is generally associated with a medical (not a psychiatric) cause.
True