Anxiety and OCD Flashcards
(32 cards)
what 3 anxiety disorders frequently occur together in children
separation anxiety disorder
GAD
social anxiety disorder
normal time frame for separation anxiety
peaks around 9 months and disappears by 2.5 years
what is the key feature of the fear/anxiety in separation anxiety disorder
it is developmentally inappropriate
what are typical fears in general anxiety disorder in children related to
incompetence
what are the 6 possible additional manifestations of GAD and how many are required for dx
At least 1:
-restlessness
-easily fatigued
-mind going blank/difficulty concentrating
-irritability
-muscle tension
-sleep disturbance
what are defining factors of the anxiety experienced by children in social anxiety disorder
-the fear is of scrutiny/humiliation
-must be in presence of peers as well as adults
how many manifestation must be present for diagnosis of separation anxiety disorder and for how long
at least 3 for at least 4 weeks
7 possible manifestations of separation anxiety disorder
-fear of losing/harm to attachment figure
-fear untoward event will lead to separation
-reluctance/refusal to go places without attachment figure
-fear of being alone
-refusal to sleep w/o attachment figure near
-repeated nightmares about separation
-excessive distress when separation is anticipated
what are some typical expressions of anxiety in children and adolescents
-sleep disturbance/nightmares
-frequent somatic complaints
what is required for dx of pediatric GAD
1 recurrent physiologic sx (restlessness, poor concentration, irritability, muscle tension, etc.)
what are some anxiety remission predictors
-younger age when tx initiated
-lower anxiety severity
-no comorbidities
-social anxiety not primary dx
therapy interventions for anxiety
CBT
family education
family therapy
what type of CBT is considered first line treatment for anxiety in children
exposure based CBT
most common class of meds used for anxiety in children
SSRIs
most frequently used SSRIs for anxiety in children
fluvoxamine
fluoxetine
sertraline
paroxetine
parental risk factors for pediatric anxiety
overprotection
insecure parent-child attachment
parental anxiety
frequent precursors to separation anxiety
death of a loved one
illness
change in environment
move
main difference of insight between children and adults with OCD
children more likely to find their obsessions and compulsions reasonable
2 most common types of obsessions in children
-contamination
-harm
Frequent associated features of OCD in children
avoidance
indecision
doubt
slow task completion
frequent OCD comorbidities in children
anxiety
ADHD
tic disorders
main treatments for OCD in children
CBT and SSRIs
what is the basis of CBT in the treatment of pediatric OCD
developmentally appropriate exposure coupled with response prevention will lead to decreased anxiety over time
order of treatments in childhood OCD
trial of CBT prior to medication therapy
