First Aid Psychiatry: anxiety, OCD, trauma, stressor

Question 1

most common form of psychopathology

Answer 1

anxiety

Question 2

which gender is anxiety seen more in

Answer 2

females

Question 3

late onset anxiety symptoms without prior or family psychiatric history should increase suspicion of?

Answer 3

anxiety caused by another medical condition

Question 4

treatment for milder presentations of anxiety

Answer 4

psychotherapy

Question 5

treatment for moderate to severe anxiety

Answer 5

combination treatment with pharmacotherapy

Question 6

first line pharmacotherapy for anxiety

Answer 6

SSRI and SNRI

Question 7

what is used to panic attacks and performance anxiety

Answer 7

beta blockers

Question 8

psychotherapy for anxiety

Answer 8

CBT and psychodynamic psychotherapy

Question 9

what is a risk factor for panic attacks

Answer 9

smoking

Question 10

A women with no medical history who repeatedly visits the ER with episodes of palpitations, diaphoresis, and shortness of breath. Because of these cardiopulmonary symptoms she fears that she is dying. Her medical workup is negative

Answer 10

Panic disorder

Question 11

panic disorder patients should be carefully screened for what

Answer 11

suicide risk

Question 12

pharmocotherapy for panic attacks

Answer 12

first line:SSRI

- use TCA if SSRI not effective

Question 13

agoraphobia is associated with what other disorder

Answer 13

panic disorder

Question 14

how long do symptoms last for specific and social phobia

Answer 14

6 months

Question 15

social anxiety disorder

Answer 15

fear of social scrutiny and negative evaluation

Question 16

what can co-occur with phobias

Answer 16

substance use and depressive disorders

Question 17

how common is phobia in men and women

Answer 17

most common in women

second most common in men

Question 18

best treatment for phobia

Answer 18

CBT

Question 19

selective mutisim

Answer 19

failure to speak in specific situations for at least 1 month

Question 20

treatment for selective mutism

Answer 20

CBT, SSRI

Question 21

when does stranger anxiety occur

Answer 21

6months to 9months

Question 22

when does separation anxiety occur

Answer 22

1 year to 18 months

Question 23

treatment for separation anxiety

Answer 23

CBT, SSRI

Question 24

Treatment for OCD

Answer 24

combination of psychopharmacology and CBT

Question 25

Body dysmorphic is also seen with

Answer 25

high rates of child abuse and neglect

- first degree relatives with OCD

Question 26

Hoarding is seen in what population

Answer 26

older population

Question 27

txt for hoarding

Answer 27

CBT,

- only use SSRI if OCD is present

Question 28

comorid disorders with hoarding

Answer 28

MDD
anxiety disorder
OCD

Question 29

Trichotillomanis comorbid with

Answer 29

OCD
MDD
excoriation

Question 30

what is excoriation

Answer 30

skin-picking

Question 31

treatment for Tichotillomanis

Answer 31

CBT
SSRI
second generation antipsychotic
lithium

Question 32

treatment for excoriation

Answer 32

• CBT

- SSRI

Question 33

first line therapy for PTSD

Answer 33

SSRI, SNRI

Question 34

other therapy options for PTSD

Answer 34

Prazosin: alpha 1 receptor antagonist

- targets nightmares

Question 35

what treatment should be avoided in PTSD

Answer 35

Benzodiazepines

Question 36

Adjustment disorder

Answer 36

behavioral or emotional symptoms develop after a stressful life event

Question 37

when should adjustment disorder resolve?

Answer 37

6 months after stressor

Question 38

when does adjustment disorder begin

Answer 38

symptoms within 3 months

Question 39

difference between PTSD and adjustment disorder

Answer 39

adjustment: stressful event is not life-threatening