Anxiety Disorders, OCD, and Trauma Flashcards
Are panic attacks a DSM-5 diagnosis in and of itself?
No
Who are more likely to experience panic attacks?
Younger females
What are short term treatments for a panic attack?
Limited options, reassurance and positive self-talk
What are some long-term treatments for panic attack?
CBT and relaxation techniques
In an individual with panic disorder what can precipitate a panic attack?
Inhaling CO2 or infusion with sodium bicarb - at high risk or sensitivity to acidotic states
How does the DSM characterize panic disorder?
Recurrent unexpected, unprovoked panic attacks (4 or more)
What are the treatments for panic disorder?
SSRI’s or SNRI’s
Benzodiazapines short term
CBT
How long should you continue a patient with panic disorder on antidepressant therapy after the resolution of symptoms?
1-2 years due to the high risk of relapse
Why should you use caution in prescribing an SSRI in adolescent/children?
Increased risk of suicide ideation
What is the most common anxiety disorder?
Phobias
When is the typical onset of phobias?
Early adolescents, usually before age 12
What is Agoraphobia?
Fear of public places/places outside the home
Fear around perceived inability to exit
What is tyrpanophobia?
Fear of needles
Is it common for a patient with social anxiety disorder to self-medicate with ETOH when in public?
Yes
What situations are included under the DSM-5 situations for diagnosing agoraphobia?
Using public transportation
Bein in open spaces
Being in enclosed spaces
Standing in line or crowd
Being outside the home alone
