W15_01 anxiety disorders 1

Question 1

when does anxiety become a disorder?

Answer 1

when it impairs function

Question 2

etimology of anxiety?

Answer 2

genetics;
temperament;
parenting style;
exposure to stressful life events

Question 3

what are the anxiety disorders we need to know for the exam?

Answer 3

specific phobia;
social anxiety disorder;
panic disorder;
agoraphobia;
GAD

Question 4

what are the obsessive-compulsive and related disorders we need to know for the exam?

Answer 4

obsessive-compulsive disorder

Question 5

what are the trauma and stressor related disorders we need to know for the exam?

Answer 5

PTSD

Question 6

what’s the purpose of box breathing?

Answer 6

control resp rate to prevent hyperventilation

Question 7

define agorophobia

Answer 7

fear of being unable to escape;
large open spaces are scary because it’s hard to get out

Question 8

briefly outline a treament algorithm

Answer 8

diagnosis;
rule out medical conditions;
co-morbidities;
severity;
patient’s choice

Question 9

what’s the waitlist for OHIP-covered CBT in psychiatry?

Answer 9

6-12 months

Question 10

citalopram, escitalopram, fluvoxamine, fluoxetine, sertraline, paroxetine are examples of what class of drugs?

Answer 10

SSRIs

Question 11

what are some common SSRI side effects?

Answer 11

GI (transient);
headaches;
agitation;
insomnia or somnolence;
decreased libido;
QT prolongation;
suicidal ideation in younger patients

Question 12

note: it’s good to stay on the medication for at least 1 year after resolution of symptoms

Answer 12

there might be rebound symptoms, especially on stopping cold turkey

Question 13

note: benzos can be helpful as PRN med for anxiety panic attacks

Answer 13

ok; if they use them often, then maybe give them something longer-lasting

Question 14

how is clonazepam used for panic attacks/anxiety?

Answer 14

it’s a long-acting benzo, so good for acute suppression of symptoms throughout the day