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DSM-5 > Module 6 Anxiety Disorders > Flashcards

Module 6 Anxiety Disorders Flashcards

1
Q

Primary fear in panic disorder

A

Having another panic attack

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2
Q

How long does a typical panic attack last?

A

Minutes to hours (usually peaks at 10 minutes)

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3
Q

Diagnostic criteria for panic disorder

A

fear of losing control
fear of dying
derealization
numbness or tingling
dizziness
shortness of breath
palpitations or rapid heart rate

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4
Q

Agoraphobia duration criteria

A

6 months

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5
Q

Primary fear associated with Social Anxiety Disorder

A

Fear about what other people think/fear of judgement

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6
Q

Key determinants for differentiating between anxiety disorders

A

Avoidance behavior
motivation behind avoidance behavior

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7
Q

Treatment focus for specific phobias

A

Exposure-based systematic desensitization

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8
Q

Key symptoms of generalized anxiety disorder

A

restlessness
feeling on edge/keyed up
easily fatigued, difficulty concentrating
irritability
muscle tension
sleep difficulties

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9
Q

Primary fears associated with GAD

A

Day to day routine life events

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10
Q

Most common obsessions seen in OCD

A

Contamination fears
Excessive doubting
need for Order/symmetry
aggressive or sexual thoughts
religion
numbers/colors

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11
Q

How much time per day must be spent in unwanted obsessive thinking for dx of OCD

A

at least one hour

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12
Q

what is a mental compulsion?

A

internal cognitive rituals repeated over and over
purpose is to calm anxiety

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13
Q

Factors in differentiating between normal or obsessive thoughts in order to diagnose OCD

A

Frequency
Distress
Interference in normal activities

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14
Q

psychotherapy for OCD besides CBT

A

Exposure response prevention (ERP)
Repeated exposure to anxiety provoking stimuli without engaging in compulsive rituals

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15
Q

Appraisal in OCD

A

the meaning that an individual gives to an intrusive thought

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16
Q

4 common appraisals to challenge in OCD

A

Over-importance of thoughts
Over-estimation of danger
Inflated sense of responsibility
need for certainty and control

17
Q

which TCA is FDA-approved for OCD

A

clomipramine: 25 mg/day; anticholinergic side effects, weight gain, sedation, nervousness, dizziness, headache

18
Q

Fluvoxamine dosing

A

Immediate release: 50 mg/day, increase by 50 m/day within one week up to 300 mg/day
Controlled release: 100 mg/day, increase by 50 mg/week up to max of 300 mg/day

19
Q

Pt education for fluvoxamine

A

May take weeks to take effect, sedation is common, take at night. May get GI upset, sexual side effects, sweating, headache, dizziness

DSM-5 (5 decks)

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