Anxiety Disorders (1 & 2)

Question 1

Define PTSD

Answer 1

Complex somatic, cognitive, affective and behavioral effects of psychological trauma

Question 2

How long must symptoms persist for a PTSD diagnosis?

Answer 2

> 1 month

Question 3

Goals of PTSD therapy

Answer 3

. Reduction in core symptoms
. Remission (70% reduction) in symptoms
. Improvement in disability, QoL, concomitant psychiatric conditions
. Preventing chronic PTSD if patient presents acutely after trauma

Question 4

True or false: Benzodiazepines are not recommended in PTSD

Answer 4

True

Question 5

Which class of antidepressants may be used in PTSD treatment?

Answer 5

SSRIs

Question 6

Which SSRI is preferred in the treatment of PTSD?

Answer 6

Fluoxetine

Question 7

True or false: Psychotherapy is critical over pharmacotherapy in the treatment of PTSD

Answer 7

True

Question 8

Define OCD

Answer 8

Uncontrollable, recurring thoughts (obsessions) that lead to behaviors (compulsions) which a person feels the urge to repeat

Question 9

OCD goals of therapy

Answer 9

. Reduction in frequency and severity of obsessive thoughts and time spent performing compulsions
. Generally hard to completely eliminate O/Cs, but marked improvement possible
. Many will have waxing and waning periods of improvement, with only 20% achieving remission

Question 10

Nonpharmacological and pharmacological treatment combination for OCD

Answer 10

CBT + SSRIs

Question 11

Which SSRI is preferred in the treatment of OCD?

Answer 11

Fluvoxamine

Question 12

What is the primary psychotherapeutic modality in OCD?

Answer 12

Cognitive-behavioral therapy (CBT)