Mental health_ Anxiety Disorders Flashcards
What is the lifetime prevalence of anxiety disorders?
- 30% in women
- 19% in men
A patient who describes himself as a “chronic worrier” and has had persistent, hard to control anxiety for more than 6 months, along with insomnia and fatigue most likely has diagnosis?
- Generalised anxiety disorder (GAD)
What is the treatment for GAD?
- Buspirone (or other azaspirones)
- SSRI or Serotonin-noradranaline reuptake inhibitor (SNRI)e..g Venlafaxine, duloxetine
All in combination with psychotherapy.
Benzodiazepines are acceptable for acute anxiety, but are not suitable for long-term management.
Recurrent episodes of palpitations, GI distress, dyspnea, and feelings of impending doom that last 5-10 mins are typical of what disorder?
- Panic disorder
What conditions should be ruled out before treatment of suspected panic attacks?
- anagina
- MI
- side effects of sympathomimetic drugs
- thyrotoxicosis
- carcinoid syndrome
- phaechromocytoma
- PE
Is panic disorder more common in men or women?
Twice as common in women than men
what drugs are considered first-line treatment to prevent panic attacks from recurring?
- SSRIs
- Benzodiazepines can be added to treat disabling symptoms
If a patient with panic disorder also relays to you that she has stopped going to the grocery store, prefer to shop online as opposed to at the mall, and no longer likes riding in elvators, what is the diagnosis?
Panic disorders with agoraphobia
what type of non-pharmacologic therapy is often recommended as an adjunct for the treatment of phobias?
Cognitive behavioural therapy
Strong, exaggeraed, and irrational fears of things such as animals, heights, or air travel, are known as what type of phobias?
specific phobias (how appropriate is that!)
What is the non-pharmacologic treatment for phobias?
- systematic desensitization and supportive psychotherapy
Irrational fears that can be embarrasing, such as public speaking, making small talk at parties, or using public toilets, are known as what type of phobias?
Social phobias (social anxiety disorder)
What is the only medicaiton approved for the treatment of social phobias?
- Paroxetine (SSRI)
A young female is distressed because she has had persistent thoughts that she has left the stove on and gets up multiple times at night to check if it is locked. She knows this is “crazy” and is so sleep-deprived that she has been falling asleep. What disorder do you suspect?
Obsessive-compulsive disorder (OCD)
What is the difference between OCD and obsessive-compulsive personality disorder(OCPD)?
People with OCD have obsessions and compulsions that cause distress and prompt them to seek medical help. The actions of people with OCPD may cause relationship conflicts bu do not cause a personal sense of distress. OCD symptoms fluctuate, OCPD is chronic.
