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Psych > Mood and Anxiety Disorders > Flashcards

Mood and Anxiety Disorders Flashcards

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1
Q

At what age does panic disorder commonly present?

A

early teens thru 40s

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2
Q

Social phobia or social anxiety disorder presents at what age?

A

bimodal: 5 yo or early adolescence

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3
Q

onset of phobias of animals

A

5 yo

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4
Q

onset of phobia of blood

A

9 yo

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5
Q

onset of phobia of situations

A

2-7 yo and early 20s

**may remit with experience

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6
Q

Onset of OCD

A

male: 6-15 yo
female: 20-29
* *onset is GRADUAL

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7
Q

onset of GAD

A

mid teens to mid 20s

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8
Q

refers to fear, often with blushing, of anticipated humiliation or rejection by others in social situations.
Desires social interactions/relationships but the dread of embarrassment leads to avoidance

A

social phobia

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9
Q

when do simple phobias need to be treated?

A

when they interfere with important activities

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10
Q

What is agoraphobia

A

marked, persistent fear or anxiety about 2 or MORE of the following situations:

  • using public transportation
  • being in open spaces (parking lots, bridges, marketplaces)
  • being in shops, theaters, cinemas
  • standing in line or being in a crowd
  • being outside of the home alone
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11
Q

Are panic attacks assc with agotaphobia

A

yes (but you do not have to have them to be diagnosed with agoraphobia)

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12
Q

treatment for social phobia

A

rehearsal, improved competence, beta blockers (to reduce distress for public speaking)

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13
Q

treatment for simple phobia

A

short acting benzos (short term tx = flying, claustrophobia in MRI); repeated gradual exposure

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14
Q

treatment for agoraphobia

A

gradual exposure + SSRIs

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15
Q

somatic symptoms are often the chief complaint with this disorder

A

GAD

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16
Q

characterized by intrusive arousal (obsessive thoughts and unjustified guilt) and avoidance symptoms

A

OCD

17
Q

do people with OCD realize thatt thoughts are irrational

A

yes

18
Q

What substances/medication can induce anxiety disorder?

A

cocaine, methamphetamines, ADHD meds, Caffeine, alcohol withdrawals, OTC decongestions and cough syrup

19
Q

Medical conditions that can cause anxiety disorder

A 
pheochromocytoma 
hyperthyroid 
hypoglycemia
metabolic problems
Neuro problems
20
Q

Symptoms needed to diagnose major depressive episode

A 
SIG E CAPS
Need FIVE of them 
Sleep
loss of Interest
Guilt
decreased Energy
Concentration difficulty 
Appetite disturbance 
Psychomotor retardation/agitation
Suicidal thoughts
21
Q

how to diagnose Persistent Depressive Disorder

A

SIG E CAPS for 2 or more YEARS; never without symptoms; causing clinically significant distress or impairment

22
Q

diagnosis is PMDD

A

1 week before onset of menses, marked affective:
-lability, irritability, anger, interpersonal conflicts, feeling on edge, anxiety, depression, over-eating, food cravings, sleep problems, feeling overwhelmed and out of controk

1 YEAR HISTORY AND DOCUMENTED PROSPECTIVELY FOR AT LEAST 2 CYCLES

23
Q

dythymia and hypomania; milder form of bipolar

A

cyclothymic disorder

24
Q

time line to diagnose cyclothymic disorder

A

last at least 2 years

25
Q

patient loses contact with reality; severely impaired judgment

A

bipolar 1

26
Q

diagnositic criteria for bipolar 1

A

mania for at least ONE WEEK with or without an episode of depression or hypomania

27
Q

characterize pt with bipolar II disorder

A

manic phase rarely are as disruptive as bipolar I but they have more significant/recurring depression
**function returns to nml between episodes

28
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

depressed people cannot access happy memories and mania makes sad memory inaccessible

A

hippocampus

29
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

compromised attention/concentration

A

thalamus

30
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

helplessness, indecisiveness, distorted sense of time

A

dorsolateral prefrontal cortex

31
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

overestimation of risk and reduced reward in depression
underestimation of risk in mania

A

orbitofrontal cortex

32
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

abnormal motivation (apathy in depression) 
dysregulation of arousal
A

anterior cingulate gyrus

33
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

anxiety, irritability, vigilance, hypersensitive to neg enviro cues

A

amygdala

34
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

lack of pleasure

A

nucleus accumbens

35
Q

which brain structure is involved in the following sign/symptom of a mood disorder:

insomnia/hyperinsomnia
lack of sexual interest
hyperphagia or anorexia

A

HPA axis

Psych (10 decks)

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