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HBHD > Q3 Anxiety Disorders > Flashcards

Q3 Anxiety Disorders Flashcards

1
Q

what is the most prevalent psychiatric disorder

A
  • anxiety disorders
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2
Q

what is a diffuse, unpleasant, vague sense of apprehension

A
  • anxiety
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3
Q

what are autonomic symptoms of anxiety

A
  • headache
  • perspiration
  • heart palpitations
  • chest tightness
  • stomach discomfort
  • restlessness
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4
Q

anxiety presentation depends on ___________

A
  • perception of stress
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5
Q

anxiety is _____ at low levels and _______ at high levels

A
  • adaptive at low levels

- disabling at high levels

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6
Q

features of pathologic anxiety

A
  • autonomy - no/minimal trigger
  • intensity
  • duration
  • behavior
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7
Q

medical conditions that mimic anxiety disorders

A
  • endocrine
  • hypoxia
  • metabolic
  • neuro
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8
Q

drug intoxications that mimic anxiety

A
  • caffeine
  • cocaine
  • stimulants
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9
Q

drug withdrawal that mimics anxiety disorder

A
  • alcohol
  • Benzos
  • narcotics
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10
Q

neurotransmitters in anxiety

A
  • high NE

- low GABA and serotonin

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11
Q

what is the first line treatment for anxiety disorders

A
  • CBT (exposure)
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12
Q

treatment for acute anxiety

A
  • benzodiazepines
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13
Q

what is recurrent excessive distress that may occur when anticipating or experiencing separation from home or from major attachment figures

what symptoms come along

treatment

A
  • separation anxiety disorder
  • school refusal
  • headaches/stomach aches
  • sleep disturbances
  • exposure
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14
Q

separation anxiety is normal in what age group

A
  • 1-3
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15
Q

what are sudden discrete episodes of intense anxiety

A
  • panic attacks
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16
Q

panic attacks peak within ______

A
  • 10 minutes
17
Q

PANICC attack symptoms

A
  • pulmonary
  • autonomic arousal
  • neurological
  • GI
  • cardiac
  • cognitive
18
Q

what is a syndrome characterized by recurrent panic attacks (at least 4 in one month)

what distinguishes this

A
  • panic disorder

- does not have a trigger

19
Q

panic disorder attacks are followed for at least one month with

A
  • concern about another attack
  • worry about implications of the attack
  • behavior changes because of the attack
20
Q

which gender is more affected by panic disorder

  • ratio
A
  • females

- 2/1

21
Q

onset of panic disorder

A
  • late teens- third decade of life
22
Q

important comorbidity of panic disorder

A
  • major depression
23
Q

what condition is anxiety or avoidance of places or situations from which escape might be difficult or help may be unavailable

A
  • agoraphobia
24
Q

which situations do people with agoraphobia fear (two or more of the following)

A
  • using public transportation
  • being in open spaces
  • being in enclosed spaces
  • standing in line or being in a crowd
  • being outside the home alone
25
Q

GAD occurs more days than not for _____

is there a trigger?

A
  • 6 months
  • difficult to control the worry
  • no specific trigger
26
Q

which gender is more impacted by GAD

ratio

A
  • females

2/1

27
Q

treatment of Generalized Anxiety Disorder

A
  • CBT
  • SSRIs/SNRIs
  • Benzos
  • Buspirone
28
Q

MOA of Buspirone

when do we use it

A
  • partial agonist for 5HT1A receptors

- treating anxiety in those with substance abuse issues

29
Q

what is a marked and persistent fear that is excessive and unreasonable of a specific object or situation

A
  • specific phobia
30
Q

5 phobia subtypes

A
  • animals
  • natural environment
  • blood
  • situational
  • other
31
Q

lifetime prevalence of specific phobia

A
  • 12.5%
32
Q

what is a marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others

A
  • social anxiety disorder
33
Q

social anxiety disorder more common in which gender

A
  • females

- but males more in clinical samples

34
Q

comorbidities of social anxiety disorder

A
  • depression

- substance abuse

35
Q

treatments for social anxiety disorder long term

A
  • CBT

- antidepressants (SSRIs, SNRIs, MAOIs)

36
Q

treatment for infrequent events of social anxiety disorder

A
  • benzos

- low dose beta blocker (propranolol) for autonomic symptoms

HBHD (23 decks)

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