Anxiety Disorders, PTSD, DIssociative Disorders-Kohlenberg

Question 1

Each anxiety disorder has diff symptoms but all symptoms cluster around what two things?

Answer 1

excessive, irrational fear and dread

Question 2

(blank) is the emotional response to a real or perceived threat

Answer 2

fear

Question 3

(blank) is the anticipation of future threat

Answer 3

anxiety

Question 4

What are examples of specific disorders of anxiety disorders?

Answer 4

Specific Phobia
Social Anxiety Disorder (Social Phobia)
Panic Disorder
Agoraphobia
Generalized Anxiety Disorder

Question 5

What are examples of specific disorders of obsessive compulsive and related disorders?

Answer 5

Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder

Question 6

What are examples of trauma and sterssor related disorders?

Answer 6

Adjustment Disorders
Acute Stress Disorder
Posttraumatic Stress Disorder

Question 7

What is this:
Marked fear about a specific object or situation (flying, heights, animals, injections, blood).
Lasting over 6 months
Prevalence:  12 month, US, 7-9%
Etiology:  After a trauma, sometimes

Answer 7

Specific phobia

Question 8

How do you treat specific phobia?

Answer 8

-exposure therapy (to the feared stimulation, systematic desensitization)

Question 9

What is this:
Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Such as talking, meeting unfamiliar people, being observed, performing.
The social situations are avoided
12 month prevalence, 7%

Treatment?

Answer 9

Social Anxiety disorder (3rd largest mental health problem in the world today)

Exposure

Question 10

What is this:
Recurrent, unexpected panic attacks.  Intense fear, reaches a peak within minutes, can experience 4 or more of the following:
Palpitations, accelerated heart rate
Sweating
Trembling, shaking
Chest pain
Nausea
Chills
Paresthesias
Derealization
Fear of losing control or going crazy
Fear of dying
Dizzy

Answer 10

Panic disorder

Question 11

What happens after you’ve had a panic attack?

Answer 11

you worry for a month about additional panic attacks and avoid panic inducing situations

Question 12

what age do you get panic attacks and how do you treat it?

Answer 12

20-24 y/o

exposure, relaxation skills, introceptive exposure

Question 13

What is this:
Marked fear or anxiety about two or more of the following:
Using public transportation
Being in open spaces
Being in enclosed spaces
Standing in line or being in a crowd
Being outside of the home alone
And the individual avoids these situations

Answer 13

Agoraphobia

Question 14

What is this and what is the tx:
Fear of crowded spaces or enclosed public spaces
Prevalence: 12 month, 1.7 of adolescents and adults
Often preceded by panic attacks.
Chronic. Complete remittance is rare.

Answer 14

agoraphobia

exposire

Question 15

What is this:
Excessive anxiety and worry (apprehensive expectation) about a number of events or activities, occurring more days than not for at least six months.
Difficulty controlling worry
At least 3 specific anxiety symptoms (restlessness, fatigued, difficulty concentrating..)
Not consistent with other anxiety disorder
Anxiety interferes with person’s life
Anxiety is not due to a substance
Causing clinically significant distress

Prevalence: about 3% for adults.
Most people with GAD report feeling anxious much of their lives.
AVOIDANCE is key

Answer 15

GAD (general anxiety disorder)

Question 16

What is this:
recurrent and persistent thoughts, urges or images, they are intrusive and unwanted, and cause marked distress.
The individual tries to ignore or suppress them, or to neutralize them by another thought or action.

Answer 16

obsessions

Question 17

What is this:
Repetitive behaviors or mental acts, that the person feels driven to perform in response to an obsession
This is to prevent or reduce anxiety

Answer 17

compulsions

Question 18

Is it easier to treat compulsions or obsessions?

Answer 18

compulsions

Question 19

How do you treat obsessions?

Answer 19

Exposure: make them say the thought they are obsessing about over and over again until they stop obsessing

Question 20

What is the suicide risk of OCD?

Answer 20

thoughts in 50%, attempts in 25%

Question 21

What is this:
Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.
Repetitive behaviors (mirror checking, excessive grooming, skin picking…)
Preoccupation causes distress
Prevalence: 2.4%

Answer 21

Body dysmorphic disorder

Question 22

What is this:
Persistent difficulty discarding or parting with possessions, regardless of their actual value.
This is due to a perceived need to save items and to distress associated with discarding them.
Clinically significant distress

Answer 22

hoarding disorder

Question 23

What disorder is this:
Prevalence: 2-6%
More common in older adults
Comorbidity: 75% have a comorbid mood or anxiety disorder (MDD, social phobia, and GAD, OCD)

How do you treat this?

Answer 23

hoarding disorder

exposure