Anxiety

Question 1

anxiety disorders are a malfunction in the ____ and ____ of stress

Answer 1

anxiety disorders are a malfunction in the context and extent of stress

Question 2

give examples of dissociative symtpoms

Answer 2

derealisation, depersonalisation

Question 3

what is derealisation

Answer 3

feeling like you’re disconnected from world around you

Question 4

what is depersonalisation?

Answer 4

feeling distant from self “I’m not really here”, “my body doesn’t belong to me”

Question 5

what conditions are derealisation and depersonalisation associated with?

Answer 5

SZ, PTSD, BPD, bipolar, anxiety disorders

Question 6

what is meta-worry

Answer 6

worry about worrying

Question 7

in a PTx over 40 years presenting with anxiety type symptoms, suspect _____ or ____ as more likely

Answer 7

depression or thyroid disorder

Question 8

what age and gender are generalised anxiety disorder more common in?

Answer 8

20-40yr F>M

Question 9

generalised anxiety disorder is irrational and present in specific situations. T or F

Answer 9

false

generalised anxiety disorder is irrational and present in any circumstance

Question 10

how long must anxiety be present for a diagnosis of generalised anxiety disorder?

Answer 10

most days for 6 months

Question 11

what distinguishes generalised anxiety disorder from everyday anxiety?

Answer 11

impairs function

Question 12

what is the 1st line Mx of generalised anxiety disorder?

Answer 12

self help

Question 13

what is the 2nd line Mx or 1st line if longstanding of generalised anxiety disorder?

Answer 13

options:
CBT
SSRI (escitalopram, paroxetine)
2wk benzo

Question 14

in the management of generalised anxiety disorder, if a SSRI is unsuccessful, what drug class should be tried next?

Answer 14

SNRI

Question 15

in what age range does panic disorder occur

Answer 15

15-40

Question 16

what trigger panic attacks in panic disorder?

Answer 16

unpredictable

Question 17

during a panic attack, metabolism in what area of the brain is increased

Answer 17

temporal

Question 18

are panic attacks due to depression?

Answer 18

no

Question 19

during a panic attack, patients often feel like they “are going to _____”

Answer 19

“i am going to die”

Question 20

what is the 1st line management of mild panic disorder

Answer 20

self help

Question 21

what is the 1st line management of longstanding panic disorder / the 2nd line management of mild panic disorder?

Answer 21

CBT or SSRI

Question 22

what drug class should be avoided in panic disorder?

Answer 22

benzos

Question 23

what is the 3rd line mx of panic disorder, after trying SSRIs

Answer 23

6mth tricyclic clomipramine

Question 24

what is agoraphobia

Answer 24

anxiety about leaving the house or being in a crowded / public place

Question 25

what age range is agoraphobia most commonly seen in

Answer 25

20-30s

Question 26

what conditions are associated with agoraphobia

Answer 26

depression manic disorder alcoholism

Question 27

what age range is social phobia seen in

Answer 27

10s-20s

Question 28

give examples of situations that would cause anxiety/avoidance in a PTx with social phobia

Answer 28

eating in public | public speaking

Question 29

what is the 1st line management of social phobia

Answer 29

CBT

Question 30

what is the 1st pharmalogical management choice for social phobia? (also 2nd line mx)

Answer 30

SSRI escitalopram / sertraline

Question 31

in the mx of social phobia, if a ptx has tried a SSRI with no response, what is the next option

Answer 31

diff SSRI or SNRI venlafaxine

Question 32

anxiety due to flying, heights, animal, insect, injections or seeing blood are examples of ______. these are distinguished from 'normal' fears since they cause _______.

Answer 32

specific phobia | impaired functioning

Question 33

what is the management of a specific phobia

Answer 33

behavioural therapy +- CBT +- SSRI

Question 34

what gender is OCD more common in

Answer 34

equal

Question 35

what age range is OCD more common in

Answer 35

13-25yr

Question 36

what distinguishes OCD from an anankastic personality

Answer 36

the obsession is unpleasant

Question 37

do patient's have insight in OCD

Answer 37

yes, recognised as pointless

Question 38

how long must S+S be present for a Dx of OCD

Answer 38

most days >2wk

Question 39

in OCD; checking, cleaning, repeating acts, mental compulsions, ordering, hoarding and counting are all examples of ______

Answer 39

compulsions

Question 40

in OCD; contamination, fear of harm (locking doors, harm to baby/partner), symmetry, body image, religion, sexual and hoarding are all examples of _______

Answer 40

obsessions

Question 41

what is the 1st line Mx of OCD

Answer 41

CBT / ERP

Question 42

what is the 2nd line Mx of OCD

Answer 42

more CBT or SSRI

Question 43

in OCD, if Mx with a SSRI is unsuccessful, what is the next step

Answer 43

increase SSRI dose

Question 44

after using SSRIs in the Mx of OCD with no response, what drug class should be used next?

Answer 44

tricyclics (clomipramine)