GAD

Question 1

anxiety consists of

Answer 1

thoughts and feeling about the threat and physical signs/ symptoms

Question 2

GAD

Answer 2

excessive free floating anxiety and worry about everyday events and problems occuring most of the time

Question 3

panic disorder

Answer 3

severe short lived expisodes of anxiety that occur unpredicatbly

Question 4

phobias

Answer 4

anxiety occurs in response to a specific trigger - eg fear of flying

Question 5

ICD 10 criterai for GAD

Answer 5

• six month history of generalised anxiety plus four of
• autonomic arousal (palps, tachycardia)
• physical symptoms (diff breathing, chest pain, nausea, numbness / tingling)
• symptoms of tension (muscle tension, aches, restlessness, feeling on edge)
• psychological symptoms (DPDR, fear of losing control/ going crazy)
• should not be explainable by any other mental/ physical disorder

Question 6

aetiolog of anxiety disorders

Answer 6

• hertiability
• biological factors - noradrnelaine, serotonic and GABA
• social and psychological - stressful life events, maladaptive thinking patterns

Question 7

examination and investigation for anxiety

Answer 7

neuro and enocrine exam

• tachycardia and heat ntolerance may suggest thyrotoxicosis
• always consider substance misues and alc withdrawal

Question 8

management of mild to moederte anxiety

Answer 8

• CBT - self help can be offered in mild cases

Question 9

management of moderate anxiety

Answer 9

SSRIs - higher doses required than in depression - anxiety and agitation may increase in first 2 weeks
other options - SNRIs, TCAs and MAOIs
And CBT

Question 10

management of sevre cases

Answer 10

combined pharma and psychological therapy

Question 11

Managemnet of GAD

Answer 11

• applied relaxatio - breathing exercises and progressive muscle relaxation
• venlafaxine - SNRI - alternative to SSRIs

Question 12

GAD prognosis

Answer 12

chornic andfluctuation, worse at times of stress, can cause signif distress and functional impairment