9.2 Anxiety in Paeds&Adolescents Flashcards
1
Q
main Rx for anxiety disorders?
A
CBT
2
Q
when does fear become a problem?
A
- fear out of proportion
- interferes with normal functioning
- avoidance of situation
3
Q
anxiety disorders common?
A
yes 5-20%
4
Q
girls vs. boys for anxiety?
A
girls = boys before puberty
then more girls after puberty
5
Q
anxiety disorder usually singular?
A
high comorbidity:
- depression
- ADHD
- learning disorders
6
Q
somatization of anxiety?
A
diffuse chronoic abdo pain
difficulty sleeping
concentration
7
Q
how often panic attacks to be significant?
A
> 5times a month
8
Q
common features in anxiety disorders?
A
- avoidance
- catastrophising/fortune-telling, all or nothing thining
- intolerance of uncertainty
- need for control
- safety behaviours/rituals
9
Q
causes and correlates of anxiety disorders
A
- parent with anxiety/depression
- 7x more likely
- temperamental behavioural inhibition
10
Q
stepped care for anxiety?
A
- recognition & ax
- initial interventions: edu, lifestlye, support
- specialist: CBT, meds, etc.
11
Q
the three pillars of CBT?
A
cognitions,
behaviours
feelings
12
Q
when is pharmaco indicated?
A
severe anxiety
CBT unavailable
cognitive impairment
adjunct to CBT
13
Q
which SSRI is most activating for anxiety?
A
fluoxetine
14
Q
which SSRIs are mainly used for OCD?
A
sertraline
fluvoxamine (sedating)
