Anxiety Flashcards

(32 cards)

1
Q

which part of the brain assess the normal stress response

A

amygdala

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2
Q

which part of the brain is overactivated in anxiety

A

amygdala

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3
Q

over what age do people present with anxiety

A

> 18yo

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4
Q

presentation of anxiety (10)

A
sweating 
trembling 
tingling - from hyperventilation 
dizziness 
palpitations 
chest pain 
hypervigilant
worrier - worries about everything 
lump in throat sensation = decreased appetite = weight loss
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5
Q

what are the types of anxiety (4)

A

generalized anxiety disorder (GAD)
panic disorder
phobias
OCD

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6
Q

triggers of generalized anxiety disorder

A

no specific triggers

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7
Q

diagnosis of generalised anxiety disorder

A

every other day for 6 months
not controllable
causing loss of function

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8
Q

triggers of panic attacks

A

no specific triggers

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9
Q

presentation of panic attacks

A
spikes of immense anxiety for <10 mins 
generally okay (other wise not anxious), but severe when they occur
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10
Q

phobia definition

A

irrational fear with a specific trigger

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11
Q

agoraphobia trigger

A

leaving home (‘housebound wife’)
public places
travelling alone
being in large groups of people

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12
Q

how do people with agoraphobia deal with it

A

don’t leave house

internet shopping

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13
Q

social phobia/social anxiety disorder definition

A

fear of social/performance situations bc of embarrassment

fear of being under scrutiny

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14
Q

is social phobia associated with being in large groups

A

no

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15
Q

when does social phobia usually present

A

childhood (most others are early adulthood)

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16
Q

what is significant about simple/specific phobias

A

there is a specific trigger

17
Q

odonotophobia

A

fear of dentist

18
Q

arachnophobia

A

fear of spiders

19
Q

coulrophobia

A

fear of clowns

20
Q

when does specific/simple phobia present

A

childhood (most others are early adulthood)

21
Q

how does treatment of specific/simple phobias differ to other phobias/anxiety

A

graded exposure

22
Q

in OCD is there though insertions (passivity phenomena)

A

no - thoughts are their own

23
Q

do people with OCD find their rituals enjoyable

24
Q

are the repeated rituals in OCD purposeful

A

no usually pointless things they are doing

25
diagnosis of OCD
compulsive acts and obsessive thoughts occurs most days for 2 weeks causes them distress/not enjoyable interferes with normal functioning
26
treatment for OCD (3)
SSRIs eg fluoxetine tricyclic eg clomipramine CBT SSRIs + CBT + ERP
27
first line general treatment for anxiety disorders
psychoeducation
28
second line general treatment for anxiety disorder
CBT behavioral therapy SSRI eg fluoxetine benzodiazepines eg lorazepam
29
if you prescribe benzodiazepines, how long can you keep them on it for
2-4 weeks (short term only)
30
treatment for tremor/palpitations/sweating in anxiety disorders
beta blockers eg propranolol
31
how does benzodiazepines work what do they cause (4)
enhance GABAa = inhibits post synaptic potential = less APs = calming effects reduce anxiety reduce aggression hypnosis/sedation muscle relaxation
32
what happens if you use benzos for >4 weeks
dependency