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Psychiatry > Neuroses > Flashcards

Neuroses Flashcards

1
Q

Name the main anxiety disorders?

A 
Generalised anxiety disorder
Panic disorder
OCD
Phobias
PTSD
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2
Q

Give a definition of GAD?

A

A long term condition where a person feels anxious about a wide range of situations and issues.

Causes physical and physiological symptoms

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3
Q

Who is affected by GAD?

A

Women more than men

More common ages 35-59

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4
Q

Aetiology of GAD?

A

Genetic predisposition

Psychological vulnerability: attachment issues, overprotective parenting etc.

Stress

Events: bereavement, divorce etc.

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5
Q

Psychological symptoms of GAD?

A 
Restlessness
Sense of dread
Feeling on edge all the time
Difficulty concentrating
Irritability
Depersonalisation
Derealisation
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6
Q

Physical symptoms of GAD?

A 
Dizziness
Fatigue
Palpitations
Muscle ache/tension
Tremor
Dry mouth
Excessive sweating
SOB
Nausea
Headache
Insomnia
Motor tension: fidgety, unable to relax
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7
Q

What is panic disorder?

A

A person experiences regular recurrent panic attacks which are not restricted to particular situations.

Between attacks they don’t experience much anxiety

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8
Q

Psychological symptoms of panic disorder?

A 
Overwhelming anxiety
Sense of dread
Fear of dying
Depersonalisation
Derealisation
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9
Q

Physical symptoms of panic disorder?

A 
Palpitations
Sweating
Tremor
Hot flushes
Choking sensation
Chest pain
Churning stomach
Need to urinate
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10
Q

Briefly describe the psychodynamic theory?

A

Our behaviours and feelings are powerfully affected by unconscious motives

And they are affected by childhood experiences

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11
Q

In the psychodynamic theory there are 3 parts to personality, what are they?

A

Id: animal instinct
Super-ego: morality
Ego: rational judgement

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12
Q

Briefly describe the cognitive behavioural theory?

A

The mind’s cognition is important in determining behaviour.

Dysfunctional thoughts lead to extreme emotions

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13
Q

Define obsessions and compulsions.

A

Obsession: unwelcome thoughts, images, doubts that repeatedly come into your mind

Compulsions: repetitive activities that you feel you have to do

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14
Q

What is a phobia.

A

An intense fear of something, even though it doesn’t pose a threat to you

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15
Q

What is hexakosioihexekontahexaphobia?

A

Fear of the number 666!

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16
Q

What is PTSD?

A

Post-traumatic stress disorder

Strong feelings of anxiety after experiencing or witnessing something traumatic .

17
Q

What are the symptoms of PTSD?

A

Flashbacks
Nightmares
Intrusive thoughts and images
Intense distress at reminders of the event

Physical anxiety symptoms
Aggression
Hypervigilance
Self-destructive, reckless behaviour
Unable to trust anyone
Feeling unsafe
Guilt, shame, anger
18
Q

Treatment of a patient presenting with anxiety symptoms?

A

Stepped care

  1. Patient education
  2. Low intensity psychological intervention, self-help, individual + group therapy
  3. Either high intensity psychological intervention (CBT, counselling) or a drug
  4. Complex drug and/or psychological treatment. Input from MDT, crisis team
19
Q

Which drugs are used to treat anxiety?

A

Beta blockers
Antidepressants
Benzodiazepines
Pregabalin

20
Q

Give the diagnostic criteria for OCD?

A

On most days for 2 weeks, causing interference with normal life:

Thoughts and impulses recognised as own

The thought of carrying out act must not be pleasurable (aside from relief from anxiety once done it)

Thoughts, images, impulses must be repetitive

Trying to resist at least one impulse (as others they may just do without resisting now)

21
Q

Management of OCD?

A

CBT with exposure and response prevention

  • break down problems
  • face fear, let the thoughts occur

SSRIs

22
Q

What are some common obsessions in OCD?

A 
Washing hands
Checking
Counting
Praying
Repeating words silently
23
Q

Management of panic disorder?

A

SSRI: sertraline
Beta blockers

CBT

24
Q

Management of GAD?

A

SSRI

CBT

25
Q

Endocrine/metabolic causes of anxiety?

A 
Hyperthyroid
Cushing's
Hyperprolactinaemia
Hypercalcaemia
Phaeochromocytoma
Hypoglycaemia

Psychiatry (17 decks)

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