Generalised anxiety, phobias, panics and OCD

Question 1

Physical symptoms of anxiety

Answer 1

Sweating, hot flushes, cold chills
Trembling or shaking
Muscle tension or aches and pains 
Numbness or tingling sensation 
Dizzy, unsteady, faint or lightheaded 
Dry mouth
Feeling of choking 
Sensation of lump in throat or difficulty swallowing 
Difficulty breathing 
Palpitations or pounding heart 
Chest pain/ discomfort 
Nausea or abdo distress

Question 2

Cognitive symptoms of anxiety

Answer 2

Fear of losing control 
Feeling on edge or tense
Difficulty concentrating 
Feeling distant 
Hypervigilance 
Racing thoughts 
Worry 
Health anxiety 
Like order and routine

Question 3

Behavioural symptoms of anxiety

Answer 3

Avoidance of certain situations 
Exaggerated response to being startled surprised 
Difficulty sleeping because of worry 
Excessive used of alcohol and drugs 
Restlessness and inability to relax 
Persistent irritability

Question 4

What are anxiety disorders?

Answer 4

Pathological

Significant distress and impairment of social/ occupational functions

Question 5

Name anxiety disorders

Answer 5

Generalised anxiety disorder (GAD)
Panic disorder
Agoraphobia 
Social phobia 
Specific phobia 
OCD

Question 6

What is generalised anxiety disorder?

Answer 6

Anxiety is generalised and persistent
Persistent nervousness, trembling, muscular tensions, wearing, light headed ness, palpitations, dizzy, epigrams trip discomfort

Question 7

How long does anxiety have to last for GAD?

Answer 7

Most days for 6 months

Question 8

Typical onset of GAD?

Answer 8

20-40 yrs old

Question 9

Is GAD more common in males or females?

Answer 9

Females, 2:1

Question 10

Treatment of GAD?

Answer 10

CBT
SSRIs/ SNRIs
Pregabalin
Benzodiazepines but only for SHORT TERM

Question 11

What is panic disorder?

Answer 11

Recurrent attacks of severe anxiety which aren’t restocked to any particular situation - unpredictable

Question 12

What are the dominant symptoms in anxiety disorder?

Answer 12

Sudden onset palpitations
Chest pain
Chocking sensation
Dizziness

Question 13

Onset of panic disorder?

Answer 13

Late adolescence to mid 30s

Question 14

Treatment of panic disorder?

Answer 14

CBT
SSRIs/SNRIs / tricyclics
Benzodiazepines for SHORT TERM only

Question 15

What is agoraphobia?

Answer 15

Cluster of phobias embracing fears of leaving home, entering shops, crowds, public places or travelling along

Question 16

What is a specific phobia?

Answer 16

Marked and persistent fear that is excessive or unreasonable - cued by specific object or situation

Question 17

Treatment of specific phobias?

Answer 17

Behavioural therapy - exposure
Add I’m CBT is if necessary
SSRIs/ SNRIs if required

Question 18

What is social phobia/ social anxiety disorder?

Answer 18

Persistent fear of social or performance situations where exposed to unfamiliar people or possible scrutiny by others
Fear of embarrassing or humiliating self

Question 19

Treatment of social phobia?

Answer 19

CBT
SSRIs/SNRIs
Benzodiazepines but SHORT TERM only

Question 20

What is OCD?

Answer 20

Recurrent obsessional thoughts &/or compulsive acts

Question 21

How long must symptoms last for OCD?

Answer 21

Most days for at least 2 weeks and source of distress and interference with activities

Question 22

Mean Onset of OCD

Answer 22

20

Question 23

Treatment of OCD?

Answer 23

CBT

SSRIs/ clomipramine