Anxiety and OCD Flashcards
(17 cards)
What is the hallmark feature of Generalized Anxiety Disorder?
Excessive worry about everyday issues that is disproportionate to any inherent risk.
How long must symptoms be present for a diagnosis of GAD?
At least 6 months.
Name three common symptoms of GAD.
Restlessness, poor concentration, sleep disturbance (others: fatigue, irritability, muscle tension).
What assessment tools are used for GAD severity?
GAD-2 or GAD-7 questionnaires.
What are the key elements of Step 1 management for GAD?
Diagnosis communication, education, monitoring mild symptoms, managing comorbidities.
Name one low-intensity psychological intervention in Step 2.
Individual guided self-help (others: non-facilitated self-help, psychoeducational groups).
What is included in Step 3 treatment options?
High-intensity CBT or applied relaxation; drug treatment with SSRIs.
What is the first-line drug treatment for GAD?
Selective serotonin reuptake inhibitors (SSRIs), such as sertraline.
Which medications can be considered if SSRIs are not tolerated?
SNRIs (e.g., venlafaxine), or pregabalin.
Should benzodiazepines be prescribed for GAD in primary care?
No, except as a short-term measure in crises.
What should be considered when treating a pregnant woman with GAD?
Prefer psychological therapy; weigh risks/benefits of medications; seek specialist advice.
What defines Step 4 in the management of GAD?
Referral for specialist assessment in complex, treatment-resistant cases.
What are the core symptoms of OCD?
Recurrent obsessional thoughts and/or compulsive acts
What is the main psychological treatment for OCD?
CBT with exposure and response prevention.
What medications are used to treat OCD?
SSRIs or clomipramine.
Name two SSRIs licensed for OCD.
Sertraline and fluoxetine (others: escitalopram, fluvoxamine, paroxetine).
What other disorders are treated with SSRIs?
Panic disorder, OCD, PTSD, social anxiety disorder.
