anxiety pt 1

Question 1

pathological anxiety

Answer 1

overwhelmed to the point that fxning is impaired :(

Question 1

anxiety

Answer 1

normal emotion that keeps us alert, produces flight or fight to an unknown threat and helps us achieve goals

Question 2

traditional psychoanalytical theory:

who came up with it?

Answer 2

-sigmeud freud

-conflict btw the ID and ego where aggressive and impulsive drives may be experienced as unacceptable resulting repression–> anxiety

Question 3

learning theory

who created it:

Answer 3

Jean Piaget

-developmental milestones that represent interaction between maturing brain and environmental influences.

children learn according to the capacity if the brain to manage incoming stimuli and nature of the stimuli

!!!appropriate environmental responses facilitate normal learning process!!!

Question 4

more learning theory where it affects kids

Answer 4

aberrant rxns produce problems in development…

ex. mom screams at spider so now kids screams at spiders

Question 5

cognitive theory

Answer 5

abnormal emotional states such as anxiety and depression are result of distorted beliefs about self, world, future

-incorrect beliefs that interpret events in a dangerous or threatening matter (autonomic bad thought process]

Question 6

neuro behavioral inhibition system

Answer 6

evaluate stimuli that is consistent with PUNISHMENT, NON REWARD, NOVELTY and fear that produces behavioral inhibition increase arousal and attention.

Question 7

neuro behavioral inhibition system produces what responses

Answer 7

-GABA/ benz/ chloride receptor, chloride channel complex (emotions, memories)

-nonadrenergic nucleus locus coeruleus and brainstem nuceli ( fight or flight)

-serotonin and the raphe nuceli

Question 8

where is the neural behavioral inhibition is mainly located in the

Answer 8

locus ceruleus

INC. NT/NE activity
dec serotonin

Question 9

most common psychiatric illness:

Answer 9

anxiety

Question 10

most common in :

Answer 10

women, young ppl, chronically ill

Question 11

anxiety ABCs

Answer 11

alarm: my chest feels tight
belief : im having a heart attack
coping : call 911

Question 12

what helps anxiety

Answer 12

-PCI:
-empathy: NURS in which we suck at but nurses do great

Question 13

psychotherapy

Answer 13

WE DONT DO THIS:
-clinical psychologists
-social workers

-cognitive behavioral therapy:
-avoidant behavior causes impairments

• new coping strategies that lead to dec sx,

Question 14

GAD DSM-5 criteria

Answer 14

A. excessive anxiety and worry 6 months

B. finds it difficult to control the worry

C. 3 or more of the sx…
-restlessness
-being easily fatigued
-difficulty concentrated
-irritability
-muscle tension
-sleep disturbance

D. significant distress in social occupational

Question 15

GAD-7 has to be greater

Answer 15

> 10

Question 16

comorbidity with depression

Answer 16

PHQ-9 and GAD-7

Question 17

anxiety 1st line tx:

Answer 17

SSRI/SNRI:
-duloxetine
-escitalopram
-paroxetine
-venlafaxine

-gad

Question 18

if you use SSRI/SNRI for anxiety, you must

Answer 18

-use half starting dose for depression if COMORBID- use the regular depression dose

Question 19

off label anxiety medications

Answer 19

-citalopram
-fluoxetine
-sertraline

Question 20

anxiety 2nd line tx:

Answer 20

benzodiazepines:
alprazolam
clonazepam
lorazepam

WEAN QUICKLY AND REFER TO PSYCH

Question 21

risks of benzodiazepin

Answer 21

-oversedation
-memory impairment
-long term dependence
-risk of abuse

Question 22

other pharm tx:

Answer 22

-buspirone:
+ low abuse pot
= delayed rx

-gabapentine, pregablin
+ block sx
= NOT block psychological sx