Anxiety Disorders Lecture Powerpoint

Question 1

__% of the population is affected with anxiety at any given time, is it more common in males or females?

Answer 1

15%, females

Question 2

Risk factors for anxiety disorders (4)

Answer 2

• Family history
• Poor support system
• Chronic health conditions or pain
• Difficult childhood with or without trauma

Question 3

Anxiety disorders pathophysiology

Answer 3

-Not fully understood, underlying health issue (hyperthyroidism), sometimes due to medication, dysregulation of neuronal activity within the CNS, sees amygdala becoming overactivated

Question 4

Panic attack specifiers

Answer 4

Can be added to any psychological disorder except for panic disorder, but most commonly added to generalized anxiety disorder

Question 5

All anxiety disorders characteristics (4)

Answer 5

• Marked by excessive worry or fear
• more physical symptoms (chest tightness, sweating, shaking, etc)
• cannot be better explained by another condition
• interferes with some domain of life

Question 6

Generalized anxiety disorder definition

Answer 6

Excessive anxiety and worry (apprehensive expectation) occurring more days than not for at least 6 months about a number of events or activities such as work or school performance, difficulty controlling the worry, anxiety and worry associated with other physical symptoms, focus of anxiety and worry not confined to features of another psychiatric disorder

Question 7

Generalized Anxiety Disorder clinical presentation (5)

Answer 7

• worry
• feeling on edge
• SOB
• sweating
• enuresis

Question 8

Generalized Anxiety Disorder Diagnostic testing (4)

Answer 8

• CBC
• Thyroid function panel
• EKG
• Toxicology screen

Question 9

Panic attack definition

Answer 9

Abrupt surge of intense fear or discomfort that reaches a peak within minutes during which time many other symptoms occur such as palpitations, sweating, chest pain, etc that occurs as part of another underlying condition (such as generalized anxiety disorder with panic attacks)

Question 10

Panic disorder definition

Answer 10

Recurrent unexpected panic attacks with persistent concern or worry about additional panic attacks and their consequences and significant maladaptive behavioral changes related to attacks

Question 11

Specific phobia definition

Answer 11

Marked fear or anxiety about specific object or situation providing immediate fear or anxiety out of proportion of actual danger posed by specific object or situation, causing fear, anxiety, or avoidance resulting in clinically significant distress or impairment in social, occupational, or other important areas of functioning not better explained by another disorder

Question 12

Social anxiety disorder definition

Answer 12

Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others OF THE SAME age group. Must be completely unrelated to another medical condition present

Question 13

Separation anxiety definition

Answer 13

Developmentally inappropriate and excessive fear or anxiety concerning separation from those whom the individual is attached, sees recurrent excessive stress when anticipating or experiencing separation from home or from major attachment figures

Question 14

Selective Mutism definition

Answer 14

Consistent failure to speak in specific social situations in which there is an expectation for speaking despite speaking in other situations, over 1 month and interfering with educational or occupational achievement or with social communication

Question 15

1st line treatment for anxiety disorders and 4 alternatives

Answer 15

SSRI’s

• SNRI’s
• Antihistamines
• Antihypertensives (propranolol)
• Benzodiazepines (don’t use more than 4 months, highly addictive)

Question 16

Important to ask patients on SSRI and SNRIs about…

Answer 16

….sexual dysfunction (being proactive and asking helps patients suffering in silence!)