anxiety (1)

Question 1

what is the most common mental health disorder?

Answer 1

anxiety

Question 2

what kinf of anxiety can be good?

Answer 2

mild anxiety

Question 3

what kind of anxiety is from tensions of day/day living, incresed alertness, wide perception

Answer 3

mild anxiety

Question 4

what kind if anxiety focuses on only immediate concerns, narrows perception, has SELECTIVE INATTENTION, and physical symptoms begin

Answer 4

moderate anxiety

Question 5

what kind of anxiety is where someone can only focus on one specific detail and nothing else, attentione xtremely limited, cannot think

Answer 5

severe anxiety

Question 6

which level of anxiety includes fight/flight/freeze
-person is unable to communicate/function, no learning comprehension

Answer 6

panic

Question 7

what is the INVOLUNTARY exclusion of a painful or conflictual thought, impulse, or memory from awareness. it is the primary ego defense, and other mechanisms tend to reinforce it

Answer 7

repression

Question 8

what is the CONSCIOUS and intentional exclusion of materials from the consciousness

Answer 8

suppression

Question 9

can suppression lead to repression?

Answer 9

yes

Question 10

when is anxiety pathologic? (3 things)

Answer 10

-interferes with life
-it is out of proportion to the situation
-it interferes with social, occupational, or other important areas of functioning

Question 11

which gender does anxiety occur more in?

Answer 11

women

Question 12

what are the common types of anxiety commonly seen in children

Answer 12

separation anxiety and OCD

Question 13

does anxiety cluster in afmilies?

Answer 13

yes

Question 14

which neurotransmitter plays a big role in anxiety (and is it high or low in anxiety)

Answer 14

GABA, low in anxiety

Question 15

whichparts of the brain play a part in anxiety

Answer 15

amygdala, limbic system, hippocampus

Question 16

which part of the brain is memory related to fear?

Answer 16

hippocampus

Question 17

which theorist says that anxiety comes from unconscious childhood conflicts that are repressed and an unsatisfactory parent/child relationship

Answer 17

freud (psychodynamic)

Question 18

which theorist says that anxiety comes from when early needs go unmet, and that anxiety exoerienced early in life is then a model for anxiety experienced later when unpleasant events occur

Answer 18

sullivan (interpersonal)

Question 19

which kind if risk factor consists of faulty, distorted, or counterproductive thinking and perceiving

Answer 19

cognitive

Question 20

which kind if risk factor is a learned response that can be unlearned
-a conditioned response to a tragic event
-anxiety is “contagious”

Answer 20

behavioral - learning

Question 21

risk factors for separation anxiety

Answer 21

-significant loss (death)
-change in environment
-physical/sexual assault
-genetic link

Question 22

why are panic attacks unpredictable

Answer 22

they do not occur immediately before/after exposure

Question 23

how many symptoms must be present to classify it as a panic attack

Answer 23

4

Question 24

name some examples of a panic attack

Answer 24

palpitations, sweating, tremors, SOB, choking sensation, CP, dizzy, paresthesias, chills/hot, derealization/depersonalization, fear of dying, fear of losing cointrol

Question 25

what disorder is classified by recurrent/unexpected episodes of panic attacks, followed by 1 month or more of fear/concern of another attack and changing behavior

Answer 25

panic disorder

Question 26

what are persistent, irrational fears caused by presence or anticipation of a specific object, activity, or situation

Answer 26

specific phobias

Question 27

what is fear of being in places or situations where escape might be difficult (or embarasssing) or help may nit be available. -they fear leaving home -common with panic attacks

Answer 27

agoraphobia

Question 28

what is severe fear/anxiety when exposed to social or performance situations - could be evaluated negatively by others

Answer 28

social anxiety disorder / social phobia

Question 29

what are the subtypes of phobias (5)

Answer 29

-animal type -natural environemnt type -blood injection type -situation type -other

Question 30

what disorder is chronic, unrealistic, excessive anxiety and worry - out of proportion

Answer 30

generalized anxiety disorder

Question 31

duration of generalized anxiety disorder

Answer 31

occurs more days than not, lasts for 6 months or longer

Question 32

what are unwanted, recurrent, intrusive, and oersistent ideas, thoughts, impulses

Answer 32

obsessions

Question 33

what are unwanted repetitive ritualistic behavior patterns or mental acts that are performed repeatedly

Answer 33

compulsions

Question 34

how long do obsessions/compulsions last ina day

Answer 34

more than an hour daily

Question 35

what are commo obsessions in ocd

Answer 35

contamination, harm to self/others, symmetry urges

Question 36

what are common compulsions in ocd

Answer 36

washing/cleaning, repeating, checking, touching, counting, ordering/arranging

Question 37

what is PANDAS?

Answer 37

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections

Question 38

what is recurrent pulling of one's hair that results in hair loss

Answer 38

trichotillomania

Question 39

what is the secret swallowing of pulled hair

Answer 39

trichophagia

Question 40

what are masses of digested hair

Answer 40

rapunzel syndrome

Question 41

what is a skin picking disorder

Answer 41

excoriation disorder/dermatillomania

Question 42

is pain felt in dermatillomania?

Answer 42

no

Question 43

persistent difficulty discarding/parting with possessions regardless of actual value

Answer 43

hoarding disorder

Question 44

treatment for hoarding

Answer 44

therapy and SSRIS

Question 45

what is an exaggerated belief that body is deformed or defective in some specific way

Answer 45

body dysmorphic disorder

Question 46

what is at high risk with body dysmorphic disorder

Answer 46

suicide

Question 47

what is a common anxiety rating scale

Answer 47

hamilon anxiety rating scale (HAM-A)

Question 48

describe what HAM-A scores mean

Answer 48

<17 = mild 18-24 = mild-mod 25-30 = mod-severe

Question 49

what is when one transferes emotions to another

Answer 49

displacement

Question 50

what is making up for a past act

Answer 50

undoing

Question 51

example is fear of flying which therapist intervention for anxiety involves showing pictures, teaching coping, watching videos, going to an airport, playing games slowly exposes client to fear

Answer 51

systematic desensitization

Question 52

which intervention for phobias involves not leaving the session until the phobia is gone

Answer 52

flodding

Question 53

what are the 2 therapy treatments for OCD

Answer 53

-exposure and response prevention and CBT

Question 54

which therapy for OCD is when feared objects, activities, or situations are ranked according to difficulty

Answer 54

exposure and response prevention

Question 55

what new treatment for OCD can successfully treat symptoms by disrupting the abnormal patterns of barin activity

Answer 55

deep brain stimulation

Question 56

which therapy for trichotillomania is awareness training, recognizes urges, thoughts, or sensations that precede bahavior

Answer 56

habit reversal therapy

Question 57

which drugs are 1st line for antianxiety treatment

Answer 57

antidepressants (SSRI and SNRI)

Question 58

which drugs help with the somatic manifestations of anxiety

Answer 58

noradrenergic agents (beta blockers and alpha 2 receptor agonists) propranolol, clonidine

Question 59

what do anxiolyticsinhibit fir a calming effect

Answer 59

GABA

Question 60

contraindication os anxiolytics (xanax)

Answer 60

no other CNS depressants no pregnancy caution in elderly, hepatic, and renal do not use in those with hx of abuse

Question 61

side effects of benzodiazepines for anxiety

Answer 61

drowsiness, confusion, ataxia, "hangover effect", dry mouth, nausea

Question 62

what is important to remember about continuation/discontinuation of benzos for anxiety

Answer 62

need to wean off!

Question 63

example benzo used for anxiety

Answer 63

xanax

Question 64

which antianxiety does not depress CNS and has no abuse potential

Answer 64

nonbenzodiazepine - buspirone

Question 65

which anti anxiety meds are used for short term sleep aid for only a few days or weeks

Answer 65

sedative-hypnotic agents

Question 66

do sedative-hypnotic meds cause withdraw symptoms