Phobic Anxiety Disorder Flashcards
What are the core symptoms of anxiety?
- Autonomic arousal
- Muscle tension
- Hyperventilation
- Sleep disturbance
Autonomic arousal includes GI, respiratory, cardiovascular, genitourinary, and CNS symptoms.
Define Phobic Anxiety Disorders.
Conditions that exhibit core symptoms of anxiety in specific circumstances, leading to phobic avoidance or anticipatory anxiety.
List the three clinically important Phobic Anxiety Disorders.
- Specific Phobias
- Social Phobia
- Agoraphobia
Specific Phobias relate to specific stimuli, Social Phobia involves fear in social situations, and Agoraphobia involves fear in public places.
What is a persistent fear in Phobic Anxiety Disorders?
Persistent fear of one or more social or performance situations where the person fears embarrassment or humiliation.
What is exposure anxiety?
Exposure to the feared situation almost invariably provokes anxiety, potentially resulting in a panic attack.
True or False: Individuals with Phobic Anxiety Disorders recognize their fear as reasonable.
False
What is avoidance/endurance in Phobic Anxiety Disorders?
The feared situations are avoided or endured with intense anxiety and distress.
How does functional impairment manifest in Phobic Anxiety Disorders?
Avoidance, anxious anticipation, or distress interferes significantly with normal routine, occupational functioning, or social activities.
What is the persistence criterion for Phobic Anxiety Disorders?
The fear, anxiety, or avoidance is persistent, typically lasting 6 or more months.
What does ‘not-substance related’ mean in the context of Phobic Anxiety Disorders?
The fear or avoidance is not due to direct physiological effects of a substance or a medical condition.
What are useful screening questions for Social Anxiety Disorder?
- Do you find yourself avoiding social situations or activities?
- Are you fearful or embarrassed in social situations?
What is the first-line treatment for Social Anxiety Disorder?
CBT addressing groundless fear of criticism.
List some cognitive distortions targeted in CBT for Social Anxiety Disorder.
- Negative views of self
- Safety barriers
- Unrealistically high standards
- Excessive self monitoring
What is the second-line treatment for Social Anxiety Disorder?
SSRIs such as sertraline or escitalopram for 6 months.
