What are some physical symptoms of anxiety?
Sweating; hot flushes; cold chills
Sesnory disturbance e.g pararesthesia
What are some cognitive symptoms of anxiety?
Fear of losing control
Feeling on edge
Meta-worry (worrying about worry)
Preference for order and routine
What is derealisation?
A feeling that you're not real
What is hypervigilance?
Paying extreme attention to internal (e.g your heartbeat) or external (other people) factors
What type of lifestyle do people with an anxiety disorder prefer?
What are some behavioural symptoms of anxiety?
Avoidance of certain situations
Insomnia due to worrying
Excessive use of substances
Restlessness; inability to relax
Which structure initially determines if a sensory stimulus requires a stress response?
Which hormone regulates the stress response?
Which gland releases it?
When is anxiety pathological?
Context: anxiety is disproportionate to situation
Impairment of daily activities
Which type of anxiety disorder has ever-present, non-specific symptoms?
What are some of these symptoms?
Generalised anxiety disorder
Sweating, tremor, feeling faint
What are the symptoms of generalised anxiety disorder?
Aches and pains
Generalised anxiety disorder presents as ___ worrying over no particular situation.
What is an endocrine disease which causes anxiety?
What are the criteria for diagnosing generalised anxiety disorder?
Long-lasting (most days for > 6 months)
Significant distress / impairment of function
What percentage of the population will have generalised anxiety disorder?
Generalised anxiety disorder is more common in (men / women).
Generalised anxiety disorder often presents with medically ___ symptoms.
medically unexplained symptoms
90% of patients with GAD have other ___ disorders.
How is GAD managed in the long term?
Cognitive behavioural therapy
SSRIs / SNRIs
Which class of drug can be used to control anxiety in the short term management of GAD?
What is panic?
Acute presentation of severe anxiety
What is a panic disorder?
Recurrent, unpredictable episodes of panic
Panic disorder is (predictable / unpredictable).
What are some symptoms of panic disorder?
What is agoraphobia?
Fear of going outside or similar - social situations, crowds etc.
GAD and panic disorder can be caused by drugs or medical conditions like hyperthyroidism - true or false?
Unrelated to physiological effects of drugs / diseases
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?
What is the typical course of GAD and panic disorder?
b) pharmacological methods of managing panic disorder?
b) SSRIs / SNRIs/ TCAs or benzodiazepines for acute episodes
What is a phobia?
Irrational fear of something; avoidance behaviour and anxiety