Exam 2 Anxiety Disorders: Generalized, Panic, Phobias

Question 1

Generalized Anxiety Disorder criteria? (5)

Sxs? (6)

Answer 1

A.  Worry/tension 6 mo
B.  Difficulty controlling sxs
C.  3+ sxs
D.  Not another disorder or GMC
C.  Clinically significant distress

Sxs:

1) Restless
2) Easily fatigued
3) Poor concentration
4) Irritable
5) Muscle tension
6) Sleep disturbance

Question 2

Generalized Anxiety Disorder tx:

w/o co-morb MDD?

w/ co-morb MDD?

Pregnant?

Answer 2

w/o co-morb MDD = SSRI/SNRI or CBT

w/ co-morb MDD = add antiolytic/anxiety (BuSpar, BAs), P hospitalization

Pregnant = CBT

Question 3

Panic definition?

Answer 3

Acute, episodic attack of anxiety a/w overwhelm/dread/autonomic discharge

Question 4

Agoraphobia definition?

Answer 4

Morbid fear of panic attack/embarrassment where can’t escape

Question 5

Phobia definition?

Answer 5

Fear compelling irrational methods of avoidance

Question 6

Panic Disorder etiological factors? (3)

Answer 6

Sig 1° genetic risk
Temperament
Hx of unpredictable/uncontrollable stressors

Question 7

Panic Attack definition?

Sxs? (13)

Answer 7

Period of intense fear w/ 4+ sxs develop/peak w/i 10 min:

1) Palp/↑HR
2) Sweat
3) Trembling
4) SOB
5) Choking
6) Chest pain
7) N/GI distress
8) Dizzy/Faint
9) Derealization/Depersonalization
10) Fear of losing control/going crazy
11) Fear of dying
12) Paresthesia
13) Chills/hot flash

Question 8

Panic Disorder is? (2)

Answer 8

A. Recurrent panic attacks followed by 1+ mo of one or more of:

• Persistent concern of another attack
• Worry of attack consequences
• Significant behavioral change w/ attack

B. +/- Agoraphobia

Question 9

Panic Disorder tx: Goals? (4)

Answer 9

1) ↓ intensity, freq, duration
2) ↓ avoidance behavior
3) ↓ reliance on safety cues
4) Improve fxn

Question 10

Panic Disorder tx? (4)

Answer 10

CBT
SSRI
SNRI
BZs

Question 11

Specific Phobia criteria? (5)

Answer 11

A. Marked/Persistent excessive fear of presence or anticipation of specific thing

B. Exposure provokes immediate anxiety

C. Excessive or unreasonable

D. Avoided/Endured w/ intense anxiety

E. Significant interference w/ fxning

F. <18yo lasts 6+ mo

Question 12

Specific Phobia tx? (2)

Answer 12

CBT (short-term)

BZs (short-term)

Question 13

Social Phobia criteria? (5)

Answer 13

A. Marked/persistent fear of humiliation/scrutiny

B. Exposure provokes immediate anxiety

C. Excessive or unreasonable

D. Avoided/Endured w/ intense anxiety

E. Significant interference w/ fxning

F. < 18yo lasts 6+ mo

Question 14

Social Phobia tx:

w/o co-morb?

w/ co-morb depression?

w/ co-morb anxiety?

Answer 14

w/o co-morb = SSRI/SNRI, Short-term BZ or CBT

w/ co-morb depression = SSRI/SNRI + CBT

w/ co-morb anxiety = SSRI/SNRI + CBT