Anxiety Flashcards by Sophie A

Best pharmacological treatment for BDD

Fluoxetine

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The most common comorbidity in OCD

MDD

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What kind of learning underlies agoraphobia?

Negative reinforcement

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Beta blockers in GAD

Not recommended (CANMAT)

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Lifetime prevalence of GAD

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GAD first line treatment strategy

CBT

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GAD- CBT with pharmacotherapy yes or no?

No according to CANMAT. CBT first, then pharmacotherapy if no response

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Co-morbidity rate in GAD

50-90%

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Anxiogenic substances

CCK
Sodium lactate
L-Dopa
Carbon dioxide
Modafinil
THC
LSD
Amphetamines
GABA antagonists
Caffeine

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Panic disorder is by definition panic which is unexpected T/F

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Age of onset in panic disorder

Young adulthood (not adolescence)

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Lifetime prevalence of panic disorder

Approx 5%

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What percentage of ppl w panic disorder experience nocturnal panic?

40-70%

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How many symptoms do you need for the DSM V diagnosis of a panic attack?

Four

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CBT has been favoured over pharmacotherapy in a meta-analysis for treatment of panic disorder T/F

T (CANMAT)

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Gabapentin is first line in panic disorder T/F

F it’s third line

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First line pharmacotherapies in panic disorder CANMAT 2014

Paroxetine
Paroxetine CR
Fluoxetine
Fluvoxamine
Venlafaxine XR
Sertraline
Escitalopram
Citalopram

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The therapy with the greatest evidence base in trichotillomania

Habit reversal

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First line therapies for social anxiety disorder

CBT + exposure therapy alone

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Which is the only specific scale for social anxiety disorder?

Liebowitz

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Is there an association between panic disorder and mitral valve prolapse?

No- CANMAT 14

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Anxiety disorders have a lower age of onset than mood disorders T/F

T (K&S)

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A drug with efficacy for trauma related nightmares & poor sleep in PTSD

Prazosin

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Antipsychotics may have a role in treatment of flashbacks in PTSD T/F

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Combat PTSD is harder to treat than civilian PTSD T/F

There is an evidence base for EMDR in panic disorder T/F

In functional imaging studies in PTSD what happens to a) the amygdala and b) Broca’s area after provocation of symptoms by a stimulus?

A) increased activation of the amygdala B) hypo perfusion of Broca’s

What does yohimbine do to ppl with PTSD and panic disorder but not controls?

Causes anxiety

Smaller hippocampi in PTSD T/F

MRI studies in panic disorder have implicated the temporal lobes T/F

T, partic the hippocampus

In PTSD psychological therapy is effective for comorbidity with depression T/F

F, it’s not as effective

Anterior capsulotomy is an option for treatment refractory OCD T/F

OCD in kids is associated with what?

Group A strep

Y-BOCS for diagnosis of OCD T/F

F progress of disease

Neuroimaging studies in OCD show hyperactivity in the anterior cingulate T/F

Hoarding & symmetry are associated with what kind of response to SSRIs

A poorer one than aggression/religion/sexual subtypes of OCD

Lifetime prevalence of MDD in OCD

67%

Family attitudes predict response to both psychological & pharmacological treatments for OCD T/F

Lifetime prevalence of OCD

2-3%

Anxiety disorders have a lower age of onset than mood disorders T/F

T K&S

Anxiety disorders have been consistently shown to be most prevalent in people with poor socioeconomic status and lower levels of education T/F

T (K&S)

Situational panic attacks are more associated with things like social phobia T/F

T because in panic disorder the panic attacks are unexpected

First line adjuncts in OCD (2)

Aripiprazole & risperidone

Lifetime prevalence OCD

1-2.3%

Acute stress reaction, what are the time parameters?

3 days to one month

Caffeine and nicotine can exacerbate symptoms in panic disorder T/F

Panic disorder is associated with suicide T/F

MRI studies in panic disorder have implicated the temporal lobes T/F

Panic and anxiety are associated with cerebral vasodilatation T/F

F constriction

Buspirone is effective in GAD T/F

Sjorgren's syndrome is associated with panic disorder T/F

F, it is associated with GAD though

Abrupt onset of OCD in kids suggests what?

PANDAS paediatric autoimmune neuropsychiatric disorder associated with streptococcus

What role do beta blockers play in the treatment of phobias?

They might be useful in performers eg stage fright

Social phobia can be associated with panic attacks T/F

Buspirone is less sedating than benzos T/F

Buspirone is useful in panic disorder T/F

F, GAD

What is imaginal exposure?

Pt closes their eyes and imagines a feared stimulus as vividly as possible

What is cynophobia?

Fear of dogs

There needs to be significant weight loss for a diagnosis of avoidant/restrictive food intake disorder T/F

PTSD is associated with lower cortisol levels T/F

First line Rx pharmacology for PTSD

SSRIs: fluoxetine, paroxetine & sertraline also venlafaxine

Which SSRIs are first line w RCT evidence in PTSD

Sertraline, paroxetine & fluoxetine

Prevalence of obsessions & compulsions in the gen pop

Obsessions 80% Compulsions 55%

Rate of comorbidities in OCD

“Comprbidities are the rule” about 90%

10% of OCD follows a progressive deteriorating course T/F

Compulsions for >1 hour/day are in the DSM V criteria for OCD T/F

OCD requires higher SSRI doses than ADTs T/F

First line meds for OCD

1. Paroxetine 2. Fluoxetine 3. Fluvoxamine 4. Sertraline 5. Escitalopram

Clomipramine has equal effectiveness to SSRIs but worse tolerability which is why it’s not first line for OCD T/F

T Chandarana

Clomipramine and fluvoxamine are a possible combo in treatment resistant OCD T/F

Group CBT = individual CBT for OCD T/F

T Chandarana

ECT is useful for treatment resistant OCD T/F

F Chandarana

Clozapine can make OCD worse T/F

How long do panic attacks last?

They peak within minutes according to DSM V

Illness anxiety disorder is not an anxiety disorder T/F

T it’s in somatoform disorders

How many situations do you need to be fearful of for a diagnosis of agoraphobia

Two

Scale for panic disorder

PDSS <7

Specific psychological therapy with demonstrated efficacy for blood injection injury type phobia according to CANMAT 2014

Applied muscle tension (exposure combined with muscle tension exercises)

Specific psychological therapy with demonstrated efficacy for spiders, flying and small animal type phobias according to CANMAT 2014

Computer based self help programs

Specific psychological therapy with demonstrated efficacy for spiders, flying and heights and claustrophobia type phobias according to CANMAT 2014

Virtual reality exposure

Pregabalin is first line for which two anxiety disorders only according to CANMAT 2014?

GAD & SAD

First line GAD CANMAT 2014 (8)

1. Venlafaxine XR 2. Sertraline 3. Escitalopram 4. Agomelatine 5. Duloxetine 6. Pregabalin 7. Paroxetine 8. Paroxetine XR (Very Stressed, Edgy And Depressed PPP)

Anxiety Flashcards

(82 cards)