Anxiety and adjustment disorders Flashcards Preview

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Flashcards in Anxiety and adjustment disorders Deck (30):
1

What are the criteria for panic disorder?

recurrent panic attacks and a panic attack followed by at least 1 month of worrying about the next one

2

A 16 year old patient presents with mania and appears to be pregnant. What therapy should be offered?

Atypical antipsychotics

3

How does bipolar diagnosis in kids differ than adults?

Adolescent mania more often accompanied by psychotic features, more commonly confused with ODD or ADHD
Need to meet all DSM criteria including 1 week criterion

4

What is the major classification for panic disorder?

With or without agoraphobia

5

What is the believed underlying etiology of panic disorder?

Elevated norepinephrine, low serotonin and GABA

6

What is the best treatment option for panic disorder?

SSRIs (paroxetine, sertraline), benzos in the short term

7

What are the criteria for specific phobias?

Excessive fear, exposure causes immediate anxiety, patient recognizes excessive fear, situation is avoided, duration at least 6 months

8

What is one effective treatment for performance anxiety?

Beta blockers, paroxetine

9

What is the DSM criteria for obsession and compulsions?

Obsessions - recurrent intrusive thoughts and impulses, ego syntonic
Compulsions - repetitive behaviors that person does in response to a compulsion

10

Describe the epidemiology of OCD

More common in those with first degree relative with Tourette's, onset in early adulthood

11

What is the believed etiology of OCD?

Neurochemical, genetic, psychosocial (triggered by life event)

12

What is the treatment for OCD?

SSRIs, TCAs, behavioral therapy (exposure and response prevention); last escort cases - ECT

13

What is the prognosis of OCD?

Lots of substance abuse, depression - only 30% show improvement

14

What are the diagnostic criteria for PTSD?

Traumatic event, hyperarousal, reexperiencing traumatic event, persistent avoidance for more than a month

15

What is the recommended treatment for PTSD?

SSRIs, TCAs, MAOIs, cognitive behavioral therapy

16

What is the DSM criteria for GAD?

Persistent hyperarousal about daily events for at least 6 months

17

What is the epidemiology of GAD?

Very common (45%), onset usually before age 20, occurs more commonly in women

18

What is the most effective treatment for GAD?

Antidepressants, psychotherapy, buspirone

19

How can somatizatiom disorder be distinguished from malingering and conversion disorder?

Conversion and somat. is not volitional- conversion disorder occurs much more rapidly

20

How do you distinguish a delusion from an obsessive thought?

Patient is aware that thought is silly

21

What is the usual course of OCD?

Typically relapsing or progressive

22

A patient presents hearing voices and having large gaps in autobiographical memory. This is..

Dissociative personality disorder

23

What is the utility of buspirone in anti-anxiety?

Not good for acute anxiety

24

Child onset OCD is associated with...

Streptococcal infections

25

What are the two types of somatization disorders?

Primary gain - unconscious against some internal conflict
Secondary - stand to gain something externally

26

What is derealization?

Occurs during anxiety - sense that what's around you isn't real

27

What areas of the brain show increased activity on OCD?

Caudate, frontal lobe

28

What is the neurological correlate of panic disorder?

decreased volume of amygdala

29

What is the neurological correlate of PTSD?

decreased hippocampus size

30

What is the neurological correlate of obsessive compulsive disorder?

abnormalities in the orbitofrontal cortex