Quiz 2 Flashcards
Symptoms of a panic attack last for:
20-30 minutes
Approximately _____% of the population are subject to panic attacks, but at least ___% have had one.
2-5%; 30%
_____% of people who have panic disorders suffer from __________.
60%; depression
People who have panic attacks ____________________ from their friends.
Shut themselves off
Symptoms of a panic attack
Rapid heart rate Dizziness from hyperventilating Cannot catch breath Blurred vision Increased sweating
Treatment for panic disorders
CBT
Medications
What does CBT aim to achieve?
The gradual return, for short periods of time, to whatever caused their problem.
What medications are used for treatment of panic disorders?
Tricyclics
Benzodiazepines (addictive.)
What are obsessions?
Unwanted thoughts or worries that run through a person’s mind repeatedly.
What are compulsions?
Repetitive, purposeful behaviors.
(Cleaning, checking, repeating.)
Often take the form of rituals which patients are compelled to perform.
What are rituals?
Learned behaviors that reduce anxiety.
Can be time consuming if someone spends more than 1 hour a day performing them.
Two parts of the brain involved in OCD.
Orbital Frontal Cortex
Basal Ganglia
What neurotransmitter does not function properly in those with OCD?
Serotonin
_____________ Americans suffer from OCD
4 million
Average age of onset for OCD for men:
17 years old.
Depression occurs in ?/3 of OCD patients
2/3
Average age of onset of OCD for women:
21 years
?/3 of all cases of OCD occur before the age of 15
1/3
Individuals raised in ________ with _________ practices may be more susceptible to developing compulsive behaviors.
Religions;ritualistic
Trichotilomania
Uncontrollable urge to pull out ones hair
People who have OCD feel like they have ________________ situation
No control over their
Children with OCD may feel _____ much of the time.
ill
Drugs commonly used to treat OCD:
Clomipranine
Prozac
Both drugs affect the neurotransmitter serotonin
Side effects of Clomipranine:
- dry mouth
- nausea
- increased sweating
- increased resting heart rate
- drowsiness or stimulation
- urinary retention
- orthostatic hypotension (feel lightheaded when you wake up.)
Side effects of Prozac:
- nervousness
- insomnia
- dizziness
- rashes
- fatigue
- nausea
The common cold of the emotions/ a time when the body slows down
Depression
Types of depression
Major depression
Dysthymia
Manic-depressive disorder (bi-polar disorder)
Two causes of depression
Endogenous- comes from within the body
Exogenous- comes from outside the body
Two important neurotransmitters that are correlated with depression:
Serotonin
Norepinephrine (Adrenaline)
How is depression diagnosed?
Person must have four or more symptoms of depression everyday for two weeks.
Symptoms of depression
- sadness or empty mood
- feeling guilty, helpless or worthless
- problems concentrating, remembering, or making decisions
- changes in eating habits or weight changes
- feeling hopeless
- lack of energy, feeling tired or “slowed down”
- problems with sleep (insomnia, staying asleep, oversleeping)
- easily angered or irritable
- wanting to be alone or spending a lot of time alone
- loss of interest in hobbies/activities that were previously enjoyed, including sex.
Most common symptom of depression:
Fatigue
Treatments for depressive illness
- antidepressants
- psychotherapy
- combo of both
- ECT (may make you lose short term memory)
When do antidepressants take effect? When is the peak effect?
2-3 weeks; 6-8 weeks
Medications used to treat depression
MAOI’s
Tricyclics
Lithium
SSRI’s
Example of an MAOI:
Side effects?
Facts?
- oldest group of meds for depression
- Nardil - ex
- increased BP with sudafed, red wine or aged cheese.
Tricyclics
Example:
Side effects?
Facts?
- most important group of drugs to treat depression
- Elavil - ex
- side effects: dry mouth, constipation, difficulty urinating, and blurred vision
Lithium
Used for?
To treat manic depression (bipolar disorder)
SSRI
Examples:
Facts?
Side effects?
- newest medication for depressive disorders
- examples: Prozac, Paxil and Zoloft
- side effects: insomnia loss of appetite
How to deal with dry mouth:
- lots of water
- sugarless gum
- brush teeth
How to deal with constipation
- bran cereals
- fruits and vegetables
- prunes
How to deal with bladder problems?
- empty bladder frequently
- call dr if you are in pain
How to deal with sexual problems?
Discuss with dr
How to deal with blurred vision?
- it will pass, don’t get new glasses
How to deal with dizziness?
Arise from bed slowly
How to deal with drowsiness?
- passes quickly
- do not operate heavy machinery.
How to deal with headaches?
- passes quickly
- otc meds
How to deal with nausea?
- passes quickly
- bland diet helps