Anxiety (13 & 14) Flashcards Preview

MSII: Behavioral Science > Anxiety (13 & 14) > Flashcards

Flashcards in Anxiety (13 & 14) Deck (47)
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1

Name some physical manifestations of anxiety?

Sympathetic NS (diaphoresis, mydriasis, tachycardia, tremor)

GI/GU symptoms (diarrhea, increase urine frequency)

Hyperventilation (dizziness, syncope, parasthesia)

Numbness and tingling

2

Name the main classes of anxiety disorders?

Generalized anxiety disorder

Panic disorder (w/ or w/o agoraphobia)

Phobia/ Social Anxiety Disorder

OCD

Acute stress disorder

PTSD

3

When diagnosing anxiety...symptoms must:

1- Be persistent (generally >6mo)

2- Interfere with normal functioning

3- Cause significant distress

4

What are the neurobiological changes/ factors associated with anxiety?

Decreased serotonin and GABA

Increased NE and Glutamate

5

What are some psychosocial factors associated with anxiety?

Traumatic events/ extreme stressors

Maladaptive coping skills/ personality traits

Learned?

6

What is the gender bias of anxiety?

Women > Men

7

What is the DSM-V criteria for Generalized Anxiety Disorder (GAD)?

Excessive anxiety/worry, occurring more days than not for 6 months about at least one event

It is difficult to control the worry.

At least 3 additional symptoms

Causes significant impairment

8

What are the additional symptoms of GAD?

Restlessness, easy fatigue, difficulty concentrating, irritability muscle tension, sleep disturbance

9

Prognosis of GAD?

Gets worse without treatment

10

What are the main treatments for GAD?

1- CBT

2- Antidepressants (SSRI, SNRI)

3- Buspirone (5HT1 angonist)

4- Benzo

11

What is the DSM-V criteria for panic attacks?

An abrupt, surge of intense fear of discomfort, peaks within minutes, that is unexpected

Must have 4 or more of the following symptoms:

Palpitations, pounding/racing heart, sweating, shaking, SOB, choking feeling, Nausea, dizziness, chills/heat, parasthesias, derealization, fear of losing control/ death

12

What is the DSM-V criteria for Panic Disorder?

1- recurrent unexpected panic attacks

2- 1 or more attacks followed by 1 (more more) month of at least one of the following--> concern about additional panic attacks/ consequences OR significant maladaptive change in behavior related to attacks

13

What are the DSM-V criteria for Agoraphobia?

1- Fear/ anxiety about 2 or more: using public transit, being in open spaces being in enclosed spaces, standing in line or a crowd, being outside home

2- fear of not being able to escape

3- Situation almost always produces anxiety

4- avoids situations

5- Fear/ anxiety out of proportion to acutal danger

6- >6 mo

7- causes signifcant impairment

14

Prognosis with panic disorder?

Chronic and recurring

Increased risk of depression and suicide

15

Treatment for panic disorder?

1- CBT

2- systematic desensitization

3- Fast acting benzo (emergency)

4- SSRI/ SNRI (1st line for long term)

16

DSM-V criteria for phobia diagnosis?

1- >6mo

2- Causes significant impairment

3- marked fear for a specific object/ situation

4- object/ situation ALWAYS produces the fear

5- actively avoids the situation/ object

6- Fear is out of proportion

17

What are the criteria for social anxiety disorder diagnosis?

1- >6mo

2- causes significant impairment

3- marked fear when exposed to social situation w/ possible scrutiny with others

4- fear of acting in ways that will be negatively scrutinized

5- social situation provokes fear

6- Fear out of proportion

18

What is performance only social anxiety disorder?

Fear is restricted to public speaking or performing and does not generalize to other social aspects of life

19

Treatment for specific phobias?

1- Flooding

2- Systematic desnsitization

3- CBT

4- Benzos?

20

What is the treatment for social phobia?

1- CBT

2- Assertiveness training/ Group therapy

3- SSRI/ SNRI

4- MAOI

21

Treatments for performance anxiety?

Beta Blockers (propronolol)

22

What are the criteria for OCD diagnosis?

Criteria A: The presence of Obsessions and Compulsions

Criteria B: The obsession and compulsions must be either time consuming or cause significant distress

23

What is an obsession?

Recurrent/ persistent thoughts urges and/ or images

They are intrusive and unwanted

24

What is a compulsion?

Repetitive behavior or activity that the patient performs in response to an obsession or as a set of rules that must be strictly adhered to

25

T/F: A compulsion typically undoes or reduces anxiety

True

26

Is OCD more common in women or men?

Same in each

27

What is the prognosis of OCD?

Long and variable course

1/3 are cured, and a large amount have moderate improvement while 20-40% remain ill or worsen

28

What illness is usually seen with OCD?

Tourette's Syndrome

29

What type of psychotherapy is used to treat OCD?

CBT

ERP (Exposure and Response Prevention)

ACT (Acceptance and Commitment Therapy)

30

What Rx are used to treat OCD?

1st Line: SSRI

2nd Line: Clomipramine (a TCA)

3rd Line: antipsychotics, other antidepressants