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4C - Psychiatry > Phenomenology and Assessment of Anxiety Disorders > Flashcards

Phenomenology and Assessment of Anxiety Disorders Flashcards

1
Q

what is the equation for anxiety

A
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2
Q

what areas can anxiety impact

A

physical health
psychological and emotional
social and occupation
functional impairment

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3
Q

what is the difference between anxiety and anxiety disorder

A

duration
cause
severity of symptoms

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4
Q

how does anxiety present

A

TEMPORARY AND IN CONTEXT

A normal emotion
Sense of threat
Apprehension
Increased heart rate/breathing
Changes in digestive system
Increased sweating

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5
Q

how does an anxiety disorder present

A

PERVASIVE OUT OF CONTEXT

Over estimated sense of threat
Hypervigilance (false alarms)
Rumination
Fear of loss of control
Palpitations
Dizziness / Derealisation
Nausea
Bladder/Bowel urgency
Excessive sweating

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6
Q

give some exampes of anxiety disorders

A

phobias
OCD
PTSD
social anxiety
panic disorder
illness anxiety disorder
generalised anxiety disorder

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7
Q

what physiological features of an anxiety disorder

A

Dizziness
Increased resp rate
Heart rate increased/palpitations
Tremor/shaking
Gastro issues/nausea
Tension
Headache
Sleep disturbance / fatigue
Pins & needles

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8
Q

what are some cognitive features of an anxiety disorder

A

overestimation of threat
Intrusive thoughts
Hypervigilance
Thoughts seen as facts
Negative appraisals
Attentional difficulties/biases

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9
Q

what are some behavioural features of an anxiety disorder

A

avoidance
safety behaviours
reassurance

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10
Q

what is CBT

A

interplay of
cognition, feelings
(physical & emotional)
and behaviour in the
maintenance o

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11
Q

an anxiety disorder can come out of nowhere

A

False
need a predisposing factor

Traumatic events,
health/development, bullying/shaming,
adverse childhood experiences, loss, significant transitions / changes etc .

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12
Q

In CBT what will they focus on for cognition

A

Normalisation
Psychoeducation
Thought diaries
Cognitive restructuring
Attention training/mindfulness
Imagery work
Memory work

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13
Q

In CBT what will they focus on for behaviour

A

Graded exposure
Exposure and response prevention
Behavioural experiments
Relaxation
Problem solving

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14
Q

what must you remember for anxiety in communication skills

A

anxiety affects attention and retention
CHUNK and CHECK
use easy metaphors

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15
Q

what is OCD

A

Distressing, persistent, intrusive thoughts or impulses (obsessions) and/or urges (compulsions) aimed at
alleviating distress or avoiding a feared outcome”

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16
Q

what is a generalised Anxiety disorder

A

Excessive worry and tension about every day events and problems, on most days, for at least 6 months, to the
point where the person experiences distress or has marked difficulty in performing day-to-day tasks.

17
Q

what is social Anxiety disorder

A

Marked and excessive fear/anxiety that consistently occurs in one or more social situations (E.g. interactions
[conversations], being observed [eating/drinking], or performing in front of others [giving a lecture]). The
individual is concerned that they will act in a way that his negatively evaluated by others.

18
Q

what is a panic disorder

A

Recurrent and unexpected panic attacks with a month or more of persistent concern about additional attacks,
worry about the implications of the attack, or significant behaviour change due to the attacks.

19
Q

what is PTSD

A

Exposure to an extremely stressful or terrifying event — either being part of it or witnessing it. Symptoms
include intrusions, avoidance, negative alterations in mood/cognition and increased arousal.

20
Q

what is illness anxiety disorder

A

Illness anxiety disorder is preoccupation with and fear of having or acquiring a serious disorder. Diagnosis is
confirmed when fears and symptoms (if any) persist for ≥ 6 months despite reassurance after a thorough
medical evaluation.

21
Q

what general screening test can be done

A

GAD-7

22
Q

what is the screening test for OCD

A

Yale-Brown Obsessive Compulsive Scale

23
Q

what is the screening test for panic disorders

A

Panic Disorder Severity Scale (PDSS)

24
Q

what is the screening for social anxiety

A

Social Phobia Inventory (SPIN) – also has mini SPIN

25
Q

what physical disorders can cause anxiety

A

Hyperthyroidism,
phaeochromocytoma, hyperparathyroidism,
hypercalcemia, cardiac arrhythmias, respiratory conditions (e.g., COPD),
temporal lobe epilepsy

4C - Psychiatry (15 decks)

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