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Y3 Pyschiatry > Anxiety > Flashcards

Anxiety Flashcards

1
Q

anxiety disorders are a malfunction in the ____ and ____ of stress

A

anxiety disorders are a malfunction in the context and extent of stress

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2
Q

give examples of dissociative symtpoms

A

derealisation, depersonalisation

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3
Q

what is derealisation

A

feeling like you’re disconnected from world around you

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4
Q

what is depersonalisation?

A

feeling distant from self “I’m not really here”, “my body doesn’t belong to me”

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5
Q

what conditions are derealisation and depersonalisation associated with?

A

SZ, PTSD, BPD, bipolar, anxiety disorders

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6
Q

what is meta-worry

A

worry about worrying

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7
Q

in a PTx over 40 years presenting with anxiety type symptoms, suspect _____ or ____ as more likely

A

depression or thyroid disorder

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8
Q

what age and gender are generalised anxiety disorder more common in?

A

20-40yr F>M

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9
Q

generalised anxiety disorder is irrational and present in specific situations. T or F

A

false

generalised anxiety disorder is irrational and present in any circumstance

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10
Q

how long must anxiety be present for a diagnosis of generalised anxiety disorder?

A

most days for 6 months

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11
Q

what distinguishes generalised anxiety disorder from everyday anxiety?

A

impairs function

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12
Q

what is the 1st line Mx of generalised anxiety disorder?

A

self help

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13
Q

what is the 2nd line Mx or 1st line if longstanding of generalised anxiety disorder?

A

options:
CBT
SSRI (escitalopram, paroxetine)
2wk benzo

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14
Q

in the management of generalised anxiety disorder, if a SSRI is unsuccessful, what drug class should be tried next?

A

SNRI

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15
Q

in what age range does panic disorder occur

A

15-40

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16
Q

what trigger panic attacks in panic disorder?

A

unpredictable

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17
Q

during a panic attack, metabolism in what area of the brain is increased

A

temporal

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18
Q

are panic attacks due to depression?

A

no

19
Q

during a panic attack, patients often feel like they “are going to _____”

A

“i am going to die”

20
Q

what is the 1st line management of mild panic disorder

A

self help

21
Q

what is the 1st line management of longstanding panic disorder / the 2nd line management of mild panic disorder?

A

CBT or SSRI

22
Q

what drug class should be avoided in panic disorder?

A

benzos

23
Q

what is the 3rd line mx of panic disorder, after trying SSRIs

A

6mth tricyclic clomipramine

24
Q

what is agoraphobia

A

anxiety about leaving the house or being in a crowded / public place

25
Q

what age range is agoraphobia most commonly seen in

A

20-30s

26
Q

what conditions are associated with agoraphobia

A

depression
manic disorder
alcoholism

27
Q

what age range is social phobia seen in

A

10s-20s

28
Q

give examples of situations that would cause anxiety/avoidance in a PTx with social phobia

A

eating in public

public speaking

29
Q

what is the 1st line management of social phobia

A

CBT

30
Q

what is the 1st pharmalogical management choice for social phobia? (also 2nd line mx)

A

SSRI escitalopram / sertraline

31
Q

in the mx of social phobia, if a ptx has tried a SSRI with no response, what is the next option

A

diff SSRI or SNRI venlafaxine

32
Q

anxiety due to flying, heights, animal, insect, injections or seeing blood are examples of ______. these are distinguished from ‘normal’ fears since they cause _______.

A

specific phobia

impaired functioning

33
Q

what is the management of a specific phobia

A

behavioural therapy +- CBT +- SSRI

34
Q

what gender is OCD more common in

A

equal

35
Q

what age range is OCD more common in

A

13-25yr

36
Q

what distinguishes OCD from an anankastic personality

A

the obsession is unpleasant

37
Q

do patient’s have insight in OCD

A

yes, recognised as pointless

38
Q

how long must S+S be present for a Dx of OCD

A

most days >2wk

39
Q

in OCD; checking, cleaning, repeating acts, mental compulsions, ordering, hoarding and counting are all examples of ______

A

compulsions

40
Q

in OCD; contamination, fear of harm (locking doors, harm to baby/partner), symmetry, body image, religion, sexual and hoarding are all examples of _______

A

obsessions

41
Q

what is the 1st line Mx of OCD

A

CBT / ERP

42
Q

what is the 2nd line Mx of OCD

A

more CBT or SSRI

43
Q

in OCD, if Mx with a SSRI is unsuccessful, what is the next step

A

increase SSRI dose

44
Q

after using SSRIs in the Mx of OCD with no response, what drug class should be used next?

A

tricyclics (clomipramine)

Y3 Pyschiatry (15 decks)

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