Week 6

Question 1

what are the different anxiety disorders?

Answer 1

• generalized anxiety disorders (GAD)
• panic disorder (PD)
• obsessive compulsive disorder (OCD)
• various phobia-related disorders

Question 2

define fear

Answer 2

an emotional, physical, and behavioural response to an immediately recognizable external threat

Question 3

define phobia

Answer 3

an excessive fear response to a specific object or situation that is out of proportion to the actual danger and cause significant dysfunction due to avoidance behavior

Question 4

define anxiety

Answer 4

a distressing, unpleasant emotional state of nervousness and unease; causes are less clear and timing is less tied to a threat

Question 5

define stress-related disorder

Answer 5

a single, discrete event or multiple events, or ongoing problems that lead to mental distress that is more intense than what is typically expected or when the person’s ability to function is significantly impaired

Question 6

what is generalized anxiety disorder (GAD)

Answer 6

an anxiety disorder of excessive worry about everyday issues and situations

Question 7

what is the screening tool used for generalized anxiety disorder?

Answer 7

GAD-7

Question 8

state the scoring system for GAD-7

Answer 8

a score of 5-9 indicates mild anxiety
a score of 10-14 indicates moderate anxiety
a score of 15-21 indicates severe anxiety

Question 9

define panic attack

Answer 9

the sudden onset of a discrete, brief period of intense discomfort, anxiety, or fear that reaches a peak within minutes and is accompanied by somatic and/or cognitive symptoms

Question 10

define panic disorder

Answer 10

the occurrence of repeat panic attacks followed by at least 1 month of persistent concern about having another panic attack, worry about the possible implications or consequences of the attacks, or a significant behavioral change related to the attacks

Question 10

define agoraphobia

Answer 10

an anxiety disorder (phobia) with a fear of being in situations where escape might be difficult or that help wouldn’t be available if things go wrong

Question 10

what are the screening tools for panic disorder

Answer 10

PHQ-PD(1- or 5-items) or ANS

Question 10

what is adjustment disorder (AD)

Answer 10

difficulty adjusting after a stressful event at a level disproportionate to the severity or intensity of the stressor

Question 10

what is the screening test for adjustment disorder?

Answer 10

no validated assessment tools

Question 11

define dysphoria

Answer 11

a state of unease or generalized dissatisfaction with life

Question 11

define minor depressive episode

Answer 11

a mood syndrome with clinically significant distress and impaired function, but with fewer symptoms and tends to have shorter episodes

Question 11

define major depressive disorder

Answer 11

mood syndrome with clinically significant distress and impaired functioning, but with greater symptoms and tends to have greater psychosocial and physical impairment

Question 11

define dysthymia (persistent depressive disorder)

Answer 11

similar to minor/major depression, but symptoms persist for 2 or more years

Question 11

what are the screening tools for all the depressive disorder?

Answer 11

PHQ-9

Question 11

state the scoring system for PHQ-9

Answer 11

a total score of 5-9 shows mild major depression
a total score of 10-14 shows moderate major depression
a total score of 15-19 shows moderately-severe major depression
a total score of >20 shows severe major depression

Question 12

define clinical burn-out

Answer 12

a syndrome characterized by emotional exhaustion, depersonalization and reduced personal accomplishment, resulting from chronic workplace stress that has not been successfully managed

Question 13

what are the phases in the development of clinical burn-out

Answer 13

phase 1: lack of recovery: stressful events combined with limited recuperation
phase 2: changes in stress physiology: higher homeostatic stress values
phase 3: chronic stress symptoms: physical + mental symptoms, emotional + behavioural problems
phase 4: pseudopsychopathology: cognitive simplification by applying more rigid ways of problem solving
phase 5: clinical burnout: reduced motivation and passivity

Question 14

describe the scoring system of burnout measure

Answer 14

Add the responses to the 10 items and divide by 10.
up to 2.4 Indicates a very low level of burnout
2.5 - 3.4 Indicates danger signs of burnout
3.5 - 4.4 Indicates burnout
4.5 - 5.4 Indicates a very serious problem of burnout
5.5 Requires immediate professional help