Lecture 34-35_Anxiety D/o

Question 1

GAD –

Criteria (duration)

Answer 1

Excessive anxiety, worry x 6 months
Not worrying about anything specific

3 of the following: Irritable, restless, concentration, fatigue, sleep, muscle tension

Physical Symptoms – such as GI

Question 2

Course of GAD -

median age of dx?

Answer 2

Chronic + episodes; low remission

Dx - 30 yo (But generally anxious throughout life time)

Question 3

GAD – first and second line treatments

Answer 3

Treat: CBT, SSRis

Second line: buspirone, BZDs

can give benzo’s first along with SSRI as the SSRI takes a few weeks to kick in

Question 4

OCD

Criteria

Answer 4

obsessions/compulsions which interfere with function

Compulsions used to relieve obsessions

Per first aid: Egodystonic behavior

Question 5

OCD
med age of dx
associated comorbidities
Course

Answer 5

dx - 19.5 yo

Comorbid: MDD, tourettes, BP, anxiety

low remission

Question 6

OCD – tx

Answer 6

CBT, SSRI, TCA (clomipramine)

Question 7

OCD vs OCD personality D/o

Answer 7

ego syntonic;
No invasive thoughts, images, urges or repetiive actions;
Mal adaptive - patterns of excessive control and perfectionism

Question 8

Panic D/o

criteria

Answer 8

Recurrent Panic Attacks (10 minutes to peak; at least four symptoms)

Followed by 1 month of:
worry about additional attacks
consequences of the attack
maladaptive changes

Question 9

Symptoms of panic d/o

Answer 9

Paresthesias, palpitations 
Abdominal pain
Nausea 
Intense fear; Light headedness, 
C- CP, Choking, chils
S - shaking, sweating, SOB

Question 10

treatment of panic d/o

Answer 10

SSRIs
CBT
Veleafaxine
Benzos for acute

Question 11

Agoraphobia

- what is it?

Answer 11

exaggerated fear of open or enclosed places in which escape might be difficult or embarrassing in the event of a panic attack

Question 12

Agoraphobia criteria

duration

Answer 12

> 6 months fear or anxiety

2 or more fears of:
public transportation, open spaces, closed spaces, standing in line,

avoidance behaviors
situation provokes anxiety

Question 13

Agoraphobia tx

Answer 13

CBT, SSRIs, MAOIs