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Psych > Chapter 5 Pt 2 > Flashcards

Chapter 5 Pt 2 Flashcards

1
Q

what is agoraphobia

A

intense fear of being in public places where escape or obtaining help may be difficult
often develops with panic disorder
avoidance behaviors may become as extreme as complete confinement to the home

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2
Q

what is the criteria for agoraphobia

A

intense fear/anxiety about >2 situations due to concern of DIFFICULTY ESCAPING or OBTAINING HELP in the case of PANIC or other HUMILIATING symptoms:

  • outside of home alone
  • open spaces
  • enclosed places
  • public transport
  • crowds/lines

SYMPTOMS LAST 6 MONTHS

triggering situations cause fear/anxiety out of proportion to the potential danger posed, leading to endurance of intense anxiety, avoidance, or requiring a companion (includes people with IBS)

significant social or occupational dysfunction

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3
Q

what is the etiology of agoraphobia

A

strong genetic factor: heritability about 60%

onset frequently follow traumatic event

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4
Q

over 50% of patients experience what before developing agoraphobia

A

panic attack

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5
Q

what are the common domains of social anxiety disorder (social phobia)

A

speaking in public
eating in public
using public restrooms

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6
Q

what is treatment for agoraphobia

A

CBT and SSRI

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7
Q

what is a phobia

A

irrational fear that leads to endurance of anxiety and/or avoidance of the feared object or situation

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8
Q

what is a specific phobia

A

an intense fera of a specific object or situation

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9
Q

what is social anxiety disorder (social phobia)

A

fear of SCRUTINY by other or fear of acting in a HUMILIATING or EMBARRASSING way

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10
Q

what are some common specific phobias

A

animal- spiders, insects, dogs, snakes, mice
natural environment- heights, storms, water
situational- elevators, airplanes, enclosed spaces, buses
blood-injection injury- needles, injections, blood, invasive medical procedures, injury

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11
Q

what is the criteria for specific phobia

A

persistent, eccessive fear elicited by a specific situation or object which is out of proportion to any actual danger/threat
exposure to situation triggers an immediate fear response
SYMPTOMS LAST 6 MONTHS
situation or object avoided when possible or tolerated with intense anxiety

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12
Q

what frequently co-occurs with phobias

A

substance use and major depression

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13
Q

what are the most common psychiatric disorder in women and second most common in men (substance related is first)

A

PHOBIAS

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14
Q

what is mean age of onset for specific phobia and social anxiety

A

specific phobia: 10

social anxiety: 13

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15
Q

what is treatment of choice for specific phobia

A

CBT

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16
Q

what is treatment of choice for social anxiety

A

CBT

if needed: 1st line pharmacotherapy is SSRI

17
Q

what is selective mutism

A

rare condition characterized bt failure to speak in specific situation for AT LEAST 1 MONTH, despite the intact ability to comprehend and use language

usually starts in childhood

lots of social anxiety

18
Q

what is criteria for selective mutism

A

consistent failure to speak in a select social situations (i.e. school) despite speech ability in other scenarios
mutism is not due to a language difficulty or a communication disorder
cause significant impairment in academic, occupational, or social functioning
symptoms LAST > 1 MONTH (extending beyond first month of school)

19
Q

what is treatment for selective mutism

A

CBT and family therapy

SSRIs can be used for anxiety

20
Q

stranger anxiety begins when and peaks when

A

starts around 6 MONTHS

peaks around 9 MONTHS

21
Q

separation anxiety usually starts when and peaks when

A

emerges by 1 YEAR old

peaks by 18 MONTHS

22
Q

what is criteria for separation anxiety disorder

A

excessive and DEVELOPMENTALLY INAPPROPRIATE FEAR/ANXIETY regarding SEPARATION from ATTACHMENT FIGURES, with at least 3 of the following:

  • separation leads to extreme distress
  • excessive worry about loss of or harm to attachment figures
  • excessive worry about experiencing an event that leads to separation from attachment figures
  • reluctance to leave home, or attend school or work
  • reluctance to be alone
  • reluctance to sleep alone or away from home
  • complaints of physical symptoms when separated from a major attachment figure
  • nightmares of separation

LASTS MORE THAN 4 WEEKS in children/adolescents and 6 MONTHS for adults

23
Q

what is tx for separation anxiety

A

CBT and family therapy

Psych (35 decks)

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