Mental Health: Anxiety disorders Flashcards

1
Q

Anxiety disorders will affect approximately XX people in the UK at some point during their adult lives.

A

1 in 5

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2
Q

2/3 of people with anxiety disorders will have a what?

A

coexisting psychiatric comorbidity

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3
Q

list 6 risk factors for anxiety disorders?

A

family history,
childhood adversity,
stressful life events,
personality traits,
female,
younger age

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4
Q

General symptoms of anxiety disorders can be split into what 4 categories?

A

physical
behaviour
emotional
cognitive

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5
Q

give 3 physical symptoms of general anxiety disorders?

A

sweaty palms, palpitations, nausea

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6
Q

give 3 behavioural symptoms of general anxiety disorders?

A

coping strategies such as avoidance, engage in risky behaviour and escaping anxiety

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7
Q

give 3 emotional symptoms of anxiety disorders?

A

Worry, apprehension, distress

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8
Q

give 1 cognitive symptoms of anxiety disorders?

A

what if thinking

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9
Q

name the 6 different branches of anxiety disorders?

A

GAD,
social anxiety disorder,
PTSD,
panic disorder,
OCD
BDD

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10
Q

which anxiety disorder:
Long term, feel anxious about wide range of issues, not just one specific trigger/ event e.g. normal: exams/ driving test.
Feel anxious most days, hard to pinpoint last time felt relaxed
Can cause psychological AND physical symptoms

A

GAD

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11
Q

which anxiety disorder:
long lasting, overwhelming fear of certain social situations. common, starts in teenage yrs

A

SAD/ social anxiety

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12
Q

which anxiety disorder is caused by very stressful/ frightening/ distressing life events
Symptoms more unique: relive traumatic event though nightmares and flashbacks.. -> feeling of isolation, irritability and guilt. has triggers

A

PTSD

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13
Q

which anxiety disorder –> sudden attacks of panic/ fear

A

panic disorder

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14
Q

which anxiety: px have obsession (unwanted/ unpleasant thought/ image/ urge repeatedly enters mind -> caused felling of anxiety/ unease), then compulsion

A

OCD

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15
Q

which anxiety disorder is most common in teenagers and involves lot of time worrying about face, body…

A

BDD/ body dysmorphia`

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16
Q

what scales used to assess generalised anxiety levels?

A

GAD2 and GAD7- first 2 qs

GAD2 score of 3 = anxiety likely, then use GAD7 score, extra questions, more specialised

17
Q

name one non pharmacological treatment to be used in conjuction with drugs?

A

CBT: main treatment, very effective. How what you think affects how you feel and act and that affects thoughts too.

18
Q

drug choice varies on diagnosis and severity of symptoms. What drugs/ drug classes can be used to increase GABA?

A

benzodiazepines or pregabalin

19
Q

benzodiazepines and pregabalin increase GABA. what is it and what does this action lead to?

A

GABA (inhibitory NT that blocks/ inhibits brain signals and decreases activity in nervous system) produces calming effect when GABA attaches to GABA receptor

20
Q

benzos give rapid relief of acute anxiety but what is one con associated with their use = not recommended long term?

A

SEs: addiction and sedation

21
Q

what does serotonin (inc levels) do?

A

NT that has influence on mood, emotion, sleep

22
Q

what drug classes may be used to increase serotonin?

A

SSRIs, SNRI, TCAs and buspirone

23
Q

what is the first line drug class for most anxiety disorders and why?

A

SSRIs as most fvaouable SE profile compared to tricyclics etc

24
Q

do SSRIs have a fast or delayed effect?

A

delayed

25
Q

what drug class may be appropriate to be given to patients who experience physical symptoms such as tachycardia, tremor or sweating due to their anxiety management?

A

beta blockers

26
Q

3 physical symptoms associated with panic attacks?

A

palpitations, perspiring and hyperventilating

27
Q

Escitalopram
Paroxetine
Venlafaxine

all indicated for which anxiety disorder?

A

GAD

28
Q

Escitalopram
Paroxetine
Sertraline
Venlafaxine

all indicated for which anxiety disorder?

A

social anxiety

29
Q

Paroxetine
Sertraline

all indicated for which anxiety disorder?

A

PTSD

30
Q

Citalopram
Escitalopram
Paroxetine
Sertraline
Venlafaxine

all indicated for which anxiety disorder?

A

panic disorder

31
Q

Escitalopram
Fluoxetine
Paroxetine
Sertraline

all indicated for which anxiety disorder?

A

OCD

32
Q

what best describes the following: repetitive or ritualized behaviour patterns that the individual feels driven to perform in order to prevent some negative outcome happening?

A

OCD

33
Q

true or false, fluoxetine is a licensed treatment option for panic disorder?

A

false