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Neurotic disorders Flashcards

1
Q

ICD 11 classification for generalised anxiety disorder

A

General anxiety in multiple environments or about multiple aspects of everyday life
Anxiety accompanied by additional symptoms e.g. muscle tension, irritability, sleep disturbance
Symptoms present for several months more days than not
Not better accounted for by another condition
Result in significant distress or impairment of functioning

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2
Q

ICD requirement for number of months anxiety must have been present for to meet criteria for a diagnosis of generalised anxiety disorder

A

6 months

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3
Q

Physical symptoms of anxiety mentioned in ICD 10 - requirement for 4 to be present for diagnosis of GAD

A
  1. Autonomic arousal - palpitations, tachycardia, dry mouth, trembling
  2. Breathing difficulty, choking sensation, chest pain, abdominal pain/nausea
  3. Feeling dizzy, unsteady, faint, depersonalisation, derealisation
  4. Hot/cold flushes, numbness, tingling sensations
  5. Muscle tension, restlessness, lump in throat
  6. Exaggerated response to surprise, concentration difficulties, sleep difficulty
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4
Q

Types of panic attack recognised in DSM V

A

Expected

Unexpected

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5
Q

Length of time symptoms must be present to diagnose panic disorder in ICD 10

A

1 month

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6
Q

Number of panic attacks which must be present to label panic disorder as severe in ICD 10

A

4 attacks per week in a 4 week period

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7
Q

Cardinal features of a phobia

A

Fear is

  1. Out of proportion to the situation
  2. Cannot be explained or reasoned away
  3. Is beyond voluntary control
  4. Leads to avoidance
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8
Q

Difference clinically between phobic anxiety and other causes of anxiety

A

None

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9
Q

Important feature of phobias where the person becomes anxious when they feel they may encounter the object of the phobia

A

Anticipatory anxiety

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10
Q

Cognitive basis for the anxiety seen in agoraphobia

A

Lack of escape

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11
Q

Three themes that provoke anxiety in agoraphobia

A

Distance from home
Crowding
Confinement

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12
Q

Physical feature more common in social anxiety than other anxiety disorders

A

Blushing

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13
Q

Type of social anxiety seen in ICD 10 where anxiety manifests in certain situations

A

Discrete type

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14
Q

Type of social anxiety seen in ICD 10 where there is anxiety in any generic social situation

A

Diffuse

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15
Q

Five subtypes of phobia distinguished by DSM V

A 
Animals
Aspects of the natural environment
Blood/injection/injury
Situational
Other
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16
Q

Definition of an obsession in the context of OCD

A

A repetitive and persistent thought, image or impulse/urge which is unwanted, intrusive and often associated with anxiety

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17
Q

Definition of a compulsion in the context of OCD

A

A repetitive behaviour or ritual, including a repetitive mental act, that the individual feels required to perform in response to an obsession, according to rigid rules, or to achieve a sense of ‘completeness’

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18
Q

Most common compulsion in OCD

A

Checking behaviours

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19
Q

Time within which an acute stress reaction usually starts

A

1 hour

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20
Q

Time by which there is usually resolution in an acute stress reaction

A

8 hours if there was a single stressor event

48 hours if the stressor was ongoing

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21
Q

Length of time an acute stress disorder should last according to DSM

A

Should start when the stressor is present

Should last 2 days to 4 weeks

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22
Q

Time frame for adjustment disorder in ICD 11

A

Usually starts within 1 month of the stressor

Should resolve by 6 months after the stressor has ended

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23
Q

Principal symptoms of PTSD

A

Hyperarousal - anxiety, irritability, insomnia
Hypervigilance due to re-experiencing and enhanced startle response - intrusive thoughts, distressing dreams, difficulty remembering stressful events voluntarily
Avoidance - avoidance of reminders of the event, emotional numbness, feelings of detachment

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24
Q

Timeframe within which PTSD should start

A

6 months from the trauma

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25
Q

Type of trauma involving a single catastrophic event

A

Type 1 trauma

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26
Q

Type of trauma involving a chronic repetitive insult

A

Type 2 trauma

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27
Q

Loss of memory for important, recent events, which is partial, patchy and selective

A

Dissociative amnesia

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28
Q

Loss of personal identity and sudden travel away from home, but maintenance of self-care

A

Dissociative fugue

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29
Q

Dissociative state where there is narrowed consciousness and limited but repeated movements, with loss of personal identity but no replacement with another identity

A

Dissociative trance

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30
Q

Dissociative state where there is narrowed consciousness and limited but repeated movements, with loss of personal identity and there is replacement with another identity

A

Possession trance

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31
Q

Disorder where someone experiences symptoms affecting the nervous system e.g. blindness, paralysis etc., that cannot be explained solely by a physical injury or illness

A

Conversion disorder

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32
Q

Absence of psychological distress sometimes seen in conversion disorder

A

La belle indifference

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33
Q

Syndrome characterised by approximate answers to simple questions e.g. on being asked how many legs a cow has the answer is given as 5. Originally described as being seen is prisoners.

A

Ganser syndrome

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34
Q

Characteristics suggestive of pseudoseizures rather then epileptic seizures

A

Avoidance behaviour to avoid serious injury
Eyes closing and resisting being opened
Dystonic posturing
Emotional or situational trigger
Lack of tongue biting
Movements - pelvic thrusting and side to side head movements
Longer seizures of duration 2-3 minutes
High seizure frequency but lack of injury
Lack of response or paradoxical increase in seizures with treatment

35
Q

Eponymous names used to describe somatisation disorder

A

Briquet syndrome

St. Louis hysteria

36
Q

Characteristics of somatisation disorder

A

At least 2 years of multiple and variable physical symptoms with no adequate physical explanation
Refusal to accept the reassurance of multiple doctors about a lack of physical cause
Impairment of social functioning

37
Q

Characteristics of hypochondriacal disorder

A

Persistent belief that someone has at least one physical illness despite lack of evidence from investigations
Refusal to accept the advice and reassurance of several doctors

38
Q

Recurrent symptoms of autonomic arousal occurring with subjective symptoms related to a specific organ despite no structural or functional deficit. Occurs with refusal to be reassured about the lack of a physical illness.

A

Somatoform autonomic syndrome

39
Q

ICD 10 diagnosis which has been removed from ICD 11. Neurotic disorder with symptoms of increased fatigue or of bodily weakness after minimal effort. Accompanied by at least 2 of - muscular aches and pains, dizziness, tension headaches, sleep disturbance, inability to relax, irritability, dyspepsia.

A

Neurasthenia

40
Q

The perception that someone’s feelings and/or experiences are detached, distant or not their own

A

Depersonalisation

41
Q

The perception that someone’s surroundings seem unreal, distant, colourless or lifeless

A

Derealisation

42
Q

Disorder where there is falsifying, feigning or deliberately inducing of medical symptoms or injuries in order to seek treatment but for no other external benefit

A

Factitious disorder

43
Q

Group of people factitious disorder is commonly seen in

A

Healthcare professionals

44
Q

The feigning, intentional production, or exaggerating of physical or psychological symptoms for external gain e.g. financial gain, to avoid court etc.

A

Malingering

45
Q

Qualifier that can be used in the OCD and related disorders category in ICD 11

A

Poor to absent insight

46
Q

Core features of neurasthenia

A

Duration >6 months
Easy fatiguability after minimal effort
Muscular aches and pains
Unrefreshing sleep

47
Q

Type of amnesia which fugue state falls into

A

Global psychogenic amnesia

48
Q

The inability to stand or walk in a normal manner, can be due to an organic illness or conversion disorder

A

Astasia-abasia

49
Q

Symptoms in PTSD associated with a worse prognosis

A

Dissociative symptoms e.g. sense of numbness, derealisation, dissociative amnesia

50
Q

Unique feature seen in psychogenic amnesia but not organic amnesia

A

Loss of personal identity

51
Q

Term used in the early 20th century to suggest that overwhelming stress could cause mental illess

A

War neurosis

52
Q

Code in ICD 10 for culture bound illnesses

A

Other specified neurotic disorders

53
Q

Category of somatoform disorders globus hystericus falls into in ICD

A

Other somatoform disorders

54
Q

Most common area perceived to be affected in body dysmorphic syndrome

A

Skin

55
Q

Most common psychiatric diagnosis among those presenting to A&E following self harm

A

Adjustment disorder

56
Q

Phenomena of the partner of a pregnant woman experiencing pregnancy related symptoms

A

Couvade syndrome

57
Q

Category of syndrome couvade syndrome falls into

A

Conversion disorder

58
Q

Lifetime prevalence of specific phobia in women

A

13%

59
Q

Lifetime prevalence of specific phobia in men

A

4%

60
Q

Physical condition associated with agoraphobia

A

Mitral valve prolapse

61
Q

Sex more commonly affected by agoraphobia

A

Female

62
Q

Ratio of females:males who suffer from OCD

A

1.5:1

63
Q

Mean age of onset of OCD

A

20

64
Q

Sex who have worse outcomes from OCD

A

Male

65
Q

Prevalence of OCD in adults

A

1%

66
Q

Phobia of fire

A

Pyrophobia

67
Q

Phobia of being alone

A

Monophobia

68
Q

Phobia of lightening

A

Astraphobia

69
Q

Phobia of blood

A

Haematophobia

70
Q

Phobia of animals or a specific type of animal

A

Zoophobia

71
Q

Phobia of strangers

A

Xenophobia

72
Q

Phobia of pain

A

Algophobia

73
Q

Phobia of disease

A

Pathophobia

74
Q

Phobia of vomiting

A

Emetophobia

75
Q

Phobia of spiders

A

Arachnophobia

76
Q

Phobia of heights

A

Acrophobia

77
Q

Anxiety disorder associated with anticipation

A

OCD

78
Q

Prevalence of social phobia

A

7.4%

79
Q

Lifetime prevalence of anxiety disorders

A

10%

80
Q

Class of disorders atasia-abasia is described under in ICD 10

A

Dissociative motor disorder

81
Q

Type of image produced voluntarily in OCD in order to negate the feared effects of the obsessive images seen

A

Compulsive image

82
Q

Type of image produced in OCD that appear with no wilful control

A

Obsessive image

83
Q

Type of obsession where obsessional slowness is seen

A

Obsession of symmetry

Assessment (22 decks)

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