GAD Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

for GAD, symptoms have to be impacting life and present most days for how long ?

A

6 months

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

what is the treatment of GAD

A

CBT
SSRI/SNRI
PREGABLIN

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

can benzos be given?

A

in the short term only

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

what is agoraphobia?

A

avoiding places or situations where you might feel panicked, trapped, embarrassed or hopeless

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

does panic disorder have to occur with agoraphobia?

A

no, can be separate

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

what can panic disorder be the direct result of ?

A

the physiological effects of a drug or general medical condition e.g. hyperthyroid, caffeine intoxication

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

Can generalised anxiety disorder be caused by substance misuse or another medical condition ?

A

no

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

typical onset of panic disorder?

A

adolescence and 30s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

@ 10 year follow up - rule of 1/3ds?

A

with panic disorder, at 10 year follow up - 1/3 will be better, 1/3 the same and 1/3 worse

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

why can panic attacks be triggered by re breathing air/

A

increased CO2

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

panic atacks can be triggered in susceptible individuals by infusions of?

A

lactate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

treatment of panic disorders?

A

Cognitive Behavioural Therapy

SSRIs / SNRIs / Tricyclics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The three types of phobia

A

agoraphobia
social phobia
specific phobia

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

when do phobias present?

A

usually early onset in life

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

A fairly well-defined cluster of phobias embracing fears of leaving home, entering shops, crowds and public places, or travelling alone in trains, buses or planes. Avoidance of the phobic situation is often prominent, and some people with agoraphobia experience little anxiety because they are able to avoid their phobic situations

A

agoraphobia

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

agoraphobia is usually 2y to another disorder such as ?

A

panic disorder or depression

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

someone who goes shopping to 24 hour store at night when quiet?

A

agoraphobia

18
Q

a marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation

A

specific phobia

19
Q

phobia of spiders would be which type of phobia ?

A

specific

20
Q

treatment of phobia ?

A

behavioural therapy -Graded exposure / systematic desensitisation
Add in CBT if necessary

SSRIs / SNRIs if required

21
Q

the individual fears that he or she will act in a way (or show anxiety symptoms) that will be embarrassing and humiliating?

A

social phobia/ social anxiety disorder

22
Q

a persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others

A

social phobia

23
Q

tx of social phobia?

A

Cognitive Behavioural Therapy
SSRIs / SNRIs

Benzodiazepines (short term only)

24
Q

what is OCD?

A

Recurrent obsessional thoughts and/or compulsive acts

25
Q

what kind of obsessional thoughts?

A

Ideas, images or impulses entering the mind in a stereotyped way

26
Q

Compulsive Acts examples?

A

Repeated rituals or stereotyped behaviours

Not enjoyable

27
Q

Obsessional symptoms or compulsive acts must be present most days for at least?

A

2 weeks, and be a source of distress

28
Q

treatment of OCD?

A

cognitive behaviour therapy and SSRI

29
Q

what do benzos enhace the effect of

A

GABA

30
Q

There is a benzodiazepine binding receptor on which receptor ?

A

GABA A receptor (a for anxiety)

31
Q

what other substances act on the GABA - A receptor?

A

alcohol and barbiturates

32
Q

agonists at the BZD site produce what effect? and antagonists produce what effect?

A

agoinsts produce relaxation and anti convulsant effects

antagonists cause anxiety and are pro-convulsant

33
Q

Benzodiazepines - are they well tolerated?

A

yes

34
Q

Problems with BZD if used over 2 weeks?

A
sedation and psychomotor impairment 
withdrawal problems 
dependancy and abuse 
alcohol interaction
can worsen co morbid depression
35
Q

treatment of anxiety conditions is generally ?

A

CBT or behavioural therapy and/or SSRIs.

36
Q

important differentials for anxiety (medical)

A

hyperthyroid, cardiac disease and medication induced

37
Q

medications that cause anxiety?

A

caffeine, salbutamol, theophylline, corticosteroids, antidepressants

38
Q

first line SSRI?

A

sertraline (certainty)

39
Q

what do you need to warn young patients about when starting them on sertraline?

A

increased risk of suicidal thinking and self harm

40
Q

acts as an emotional filter for the brain for assessing whether sensory material via the thalamus requires a stress or fear response

A

amygdala