1: Anxiety - generalised anxiety, panics and phobias Flashcards Preview

Psychiatry Week 2 2018/19 > 1: Anxiety - generalised anxiety, panics and phobias > Flashcards

Flashcards in 1: Anxiety - generalised anxiety, panics and phobias Deck (52)
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1

What are some physical symptoms of anxiety?

Sweating; hot flushes; cold chills

Tremor

Sesnory disturbance e.g pararesthesia

Feeling faint

Dry mouth

2

What are some cognitive symptoms of anxiety?

Fear of losing control

Feeling on edge

Difficulty concentrating

Hypervigilance

Meta-worry (worrying about worry)

Preference for order and routine

3

What is derealisation?

A feeling that you're not real

4

What is hypervigilance?

Paying extreme attention to internal (e.g your heartbeat) or external (other people) factors

5

What type of lifestyle do people with an anxiety disorder prefer?

Ordered

Routine

6

What are some behavioural symptoms of anxiety?

Avoidance of certain situations

Exaggerated startle

Insomnia due to worrying

Excessive use of substances

Restlessness; inability to relax

7

Which structure initially determines if a sensory stimulus requires a stress response?

Amygdala

8

Which hormone regulates the stress response?

Which gland releases it?

Cortisol

Adrenal gland

9

When is anxiety pathological?

Extreme symptoms

Context: anxiety is disproportionate to situation

Impairment of daily activities

10

Which type of anxiety disorder has ever-present, non-specific symptoms?

What are some of these symptoms?

Generalised anxiety disorder

Sweating, tremor, feeling faint

11

What are the symptoms of generalised anxiety disorder?

Nervousness

Tremor

Aches and pains

Sweating

Dizziness

12

Generalised anxiety disorder presents as ___ worrying over no particular situation.

persistent

13

What is an endocrine disease which causes anxiety?

Hyperthyroidism

14

What are the criteria for diagnosing generalised anxiety disorder?

Long-lasting (most days for > 6 months)

Uncontrollable anxiety

Significant distress / impairment of function

15

What percentage of the population will have generalised anxiety disorder?

10%

16

Generalised anxiety disorder is more common in (men / women).

women

17

Generalised anxiety disorder often presents with medically ___ symptoms.

medically unexplained symptoms

18

90% of patients with GAD have other ___ disorders.

psychiatric

19

How is GAD managed in the long term?

Cognitive behavioural therapy

SSRIs / SNRIs

Pregabalin

20

Which class of drug can be used to control anxiety in the short term management of GAD?

Benzodiazepines

21

What is panic?

Acute presentation of severe anxiety

22

What is a panic disorder?

Recurrent, unpredictable episodes of panic

23

Panic disorder is (predictable / unpredictable).

unpredictable

24

What are some symptoms of panic disorder?

Palpitations

Chest pain

Derealisation

Dizziness

25

What is agoraphobia?

Fear of going outside or similar - social situations, crowds etc.

26

GAD and panic disorder can be caused by drugs or medical conditions like hyperthyroidism - true or false?

False

Unrelated to physiological effects of drugs / diseases

27

Panic disorder can only be diagnosed when symptoms aren't explained by an underlying disorder.

What is an example of an underlying psychiatric disorder which may present as panic?

Depression

Bipolar disorder

28

What is the typical course of GAD and panic disorder?

Chronic, fluctuating

29

What are

a) psychological

b) pharmacological methods of managing panic disorder?

a) CBT

b) SSRIs / SNRIs/ TCAs or benzodiazepines for acute episodes

30

What is a phobia?

Irrational fear of something; avoidance behaviour and anxiety