Anxiety

Question 1

For GAD, what is important to rule out before proceeding with psychological therapies?

Answer 1

The symptoms suffered are not caused by misuse of other medications.

Question 2

What are the criteria for making a diagnosis of GAD? (3)

Answer 2

1) Long-lasting (most days for >6mths)
2) Not controllable
3) Significant distress/impairment of normal function

Question 3

Are the recurrent attacks of anxiety seen in panic disorder predictable?

Answer 3

No

Question 4

What is agoraphobia?

Answer 4

Anxiety induced by surroundings (e.g. public transport, shops)

Question 5

What specific behavioural therapy can be used for a specific phobia?

Answer 5

Graded exposure

Question 6

State the 3 medications which can play a role in the management of anxiety disorders

Answer 6

• SSRIs
• SNRIs
• BZDs; but only in the short term

Question 7

In terms of peak incidence of OCD, who is affected at a younger age between males and females?

Answer 7

Males (13-15)

Question 8

State 5 obsessional thoughts which can be endured by individuals with OCD

Answer 8

• Contamination from dirt, germs, etc.
• Fear of harm; to themselves or others.
• Sexual thoughts
• Urge to hoard useless items
• Acts of violence

Question 9

Do patients with OCD have insight?

Answer 9

Yes; recognise the abnormality of their condition.

Question 10

What is the most characteristic symptoms of PTSD?

Answer 10

Intrusion symptoms (i.e. involuntary re-experiencing of aspects of the TE)