PSYCH 3 Flashcards
GAD often in comb with what autonomic arousal symp chest and abdomen brain and mind general symp muscle symp non specific symp psych physical behav physical
major depression, panic, phobia, health anxiety, OCD
palpitations/pounding heart, increased HR, sweating, trembling, dry mouth,
difficulty breathing, choking sensation, chest discomfort, nausea
dizzy, derealisation/depersonlization, fear of losing control, fear of dying
hot flushes/cold chills, numb, tingling
tense, pain, restlessness, on edge, difficulty swallowing
exaggerated response to surprises, difficulty concentration, irritability, sleep problems
worry, panic, hyper vigilance, on edge, derealisation
increased HR, sweating, tremor, SOB, dizzy
checking, seeking reassurance
dry mouth, globus hysteriticus, chest discomfort, nausea, numbing, tingling
health anxiety
excessive or disproportionate preoccupation with having or acquiring a serious illness
associated with extensive health related behaviours - high level of alarm about personal health status
panic disorder disorder is what
symptoms
2 out of 3 develop what
surges of severe anxiety. peak within 10 mins and lasts 30-45 mins.
sudden, unpredictable, doubling anxiety, increase quickly
develop agoraphobia
diagnosis of panic disorder
treatment
not continually assoc with a specific situation or object and occur spontaneously
discrete episode of intense fear or discomfort starts abruptly reaches peak after few mins
4 anxiety symptoms and at least 1 from autonomic
CBT. 1 SSRI
if CI or no response in 2w - TCA: imipramine/clompramine
gabapentin. valproate
OCD is what in who common obsessions common rituals obsessions compulsions
recurrent obsessive images or and impulses and or recurrent physical or mental rituals.
F>M F24-25 and males 13-15
ideas, thoughts, impulses, images, intrusive and inappropriate, excessive and unreasonable. cause marked anxiety and distress
negative behaviour or mental casts, aim to decrease anxiety, not pleasurable in themselves, excessive and unreasonable, usually linked to obsessions
poor prognosis in OCD
treatment
poor prognosis, M, early onset, tics, multiple symptoms
psychotherapy - exposure and response prevention
ERP and habituation. CBT. SSRIs. clomipramine. risperidone. anipipramazole. lamotrigene
social phobia symptoms
blushing, fear of nom, urgency or fear of micturition or defactation
social phobia what is common
treatment
alcohol abuse is common
CBT. cognitive reconstructioning, social skills training, SNRIs - venlefaxine, phenalzine, maclebemide
BZDs - bramazepam, clonazepam
Gabapentin, pregablin
agoraphobia happens when
treatment
clouds, public places, travelling alone, travelling away from home
SSRI. CBT graded exposure. TCAs - clopramine, imipramine
venlafaxine, gabapentin, valproate
specific phobia in who
what is it
treatment
usually females
excessive and unreasonable fear (and restricted to) single people, objects or situations
SSRIs
