Psy 11 - Anxiety And Somatoform Disorders

Question 1

What are the treatments of panic disorder?

Answer 1

Cognitive behavioral therapy. SSRIs. TCAs. Benzodiazepines (acute attacks). Beta-blockers.

Question 2

What is Social anxiety disorder? What is the treatment for it?

Answer 2

Exaggerated fear of embarrassment in social situations. Use SSRIs or beta-blockers.

Question 3

What is agoraphobia?

Answer 3

Fear of open spaces or public situations.

Question 4

What is the difference between obsession vs compulsion?

Answer 4

Obsession: Intrusive thought that can’t be controlled. Compulsion: Performance of a task to relieve the obsession.

Question 5

What is the treatment for obsessive compulsive disorder?

Answer 5

SSRIs. Clomipramine.

Question 6

What is Post-traumatic Stress Disorder?

Answer 6

Persistent re-experiencing of a previous traumatic event. Disturbance must last longer than a month; if less it is acute stress disorder or normal mourning.

Question 7

What is Generalized anxiety disorder?

Answer 7

Uncontrollable anxiety and worry for at least 6 months.

Question 8

What is Adjustment disorder?

Answer 8

Identifiable psychosocial stressor. Last less than six months after stressor is gone.

Question 9

What is the treatment for Generalized anxiety disorder?

Answer 9

Benzodiazepines. SSRIs. SNRIs. Buspirone.

Question 10

What is the mechanism of Buspirone and when is it used for?

Answer 10

Stimulates serotonin receptors. Only approved to be used for generalized anxiety disorder.

Question 11

What is Munchausen syndrome?

Answer 11

Chronic factitious disorder with predominantly physical signs/symptoms.

Question 12

What is Munchausen by proxy?

Answer 12

Factitious disorder imposed on another.

Question 13

What is Somatic Symptom Disorder?

Answer 13

One symptom that causes distress; excessive anxiety and worry. Lasts for at least 6 months.

Question 14

What is Illness anxiety disorder?

Answer 14

Called hypochondriasis in DSM IV, it is someone having anxiety that they have an illness when nothing is wrong.

Question 15

What is Conversion disorder?

Answer 15

Motor or sensory symptoms: paralysis, blindness, mutism, pseudoseizures. Patient is aware but indifferent.

Question 16

What is Body Dysmorphic Disorder?

Answer 16

Patient is very concerned about body image, more so than just vanity. They might have excessive grooming or repeatedly looking at the mirror.

Question 17

A patient whom you wish to obtain an MRI says that he can’t due to his claustrophobia. What can you do To help him?

Answer 17

Give him a benzodiazepine.

Question 18

A young woman that is anxious about receiving her first Pap smear is told to relax and to imagine going through the steps of the exam. What does this process exemplify?

Answer 18

Systematic desensitization.

Question 19

What somatoform disorder is present when There is unexplained pain?

Answer 19

Somatic symptoms disorder with predominant pain.

Question 20

What somatoform disorder is present when patient with normal anatomy is convinced a part of their anatomy is abnormal?

Answer 20

Body dysmorphic disorder.

Question 21

What somatoform disorder is present when unexplained loss of sensory or motor function (test and PE are negative)?

Answer 21

Conversion disorder.

Question 22

What somatoform disorder is present when unwavering belief by the patient that she has a specific disease (despite medical reassurance)?

Answer 22

Illness anxiety disorder (used to be called hypochondriasis).

Question 23

What somatoform disorder is present when unexplained complaint despite normal workup?

Answer 23

Somatic symptom disorder (somatization).

Question 24

What is Panic disorder?

Answer 24

Lots of panic attacks. Anxiety. Palpitations. Chest pains. Abdominal distress. Fear of dying. Feeling of impending doom. Then you worry about future panic attacks.