Anxiety Disorders

Question 1

Responses to stress are ______ to our ______ as they allow us to maintain the internal
equilibrium necessary for optimal function

Answer 1

indispensable; survival

Question 2

Why is anxiety a healthy response?

Answer 2

1. survival
2. restructure thoughts and learn to control anxiety

there is a peak performance between low and high stress

Question 3

Anxiety disorders are ______ ________
than any other form of mental disorders

Answer 3

more common

Question 4

______ comorbidity among different anxiety disorders.
________ comorbidity between anxiety & depression

Answer 4

High; highest

Question 5

Which autonomic system is for fight or flight responses?

Answer 5

sympathetic nervous system

Question 6

Which hormones are secreted in the HPA axis?

Answer 6

adrenaline; cortisol

Question 7

Which hormone is behind stress?

Answer 7

cortisol

Question 8

What is a panic attack?
How many Sx are needed for Dx?
From which states can it occur?

Answer 8

an abrupt surge of intense fear or discomfort
4 or more Sx
Any state: calm - anxious

Question 9

Is it comorbid with other MHD?

Answer 9

Yes

Question 10

Panic attacks with ____ Sx severity are associated with _____ rates of _____ & _____ Tx response.

Answer 10

greater; higher; suicidality; worse

Question 11

What are the 13 Sx?

Answer 11

1. Palpitations, pounding heart, or accelerated heart rate.
2. Sweating.
3. Trembling or shaking.
4. Sensations of shortness of breath or smothering.
5. Feelings of choking.
6. Chest pain or discomfort.
7. Nausea or abdominal distress.
8. Feeling dizzy, unsteady, light-headed, or faint.
9. Chills or heat sensations.
10. Paresthesias (numbness or tingling sensations).
11. Derealization (feelings of unreality) or depersonalization (being detached
    from oneself).
12. Fear of losing control or “going crazy.”
13. Fear of dying.

Question 12

What is the Panic model?

Answer 12

Trigger - Perceived threat - Anxiety - Sx - Misinterpretation- back to anxiety

Question 13

How you ______ (_______) affects how ___ the panic is and how ____
it lasts.

Answer 13

think; cognitions; bad; long

Question 14

Important aspects of panic

Answer 14

No matter how bad it feels, panic attacks cannot actually harm you or make you go
mad.
Cannot last for long periods of time, pass after a while.
Avoiding situations in which panic attacks occur, worsens Sx over time and
life becomes more restricted.
Remind yourself that you are not going to die, go
mad or lose control. Try to let the panic attack wash over you, without fighting it - just
wait for it to subside by itself.

Question 15

Panic Disorder is _______ and _______ panic attacks. Followed by at least ____ ______ of persistent concern of having another attack.

Answer 15

recurrent; unexpected; one month

Question 16

In Panic disorder patients exhibit….

Answer 16

1. fear of having attacks
2. significant behavioral change related to attacks

Question 17

Agoraphobia is anxious apprehension about being in places or situations that one cannot ____ because 1), 2)

Answer 17

escape

1. might be difficult or embarrassing
2. if they have a panic attack they might not get help

Question 18

What are 5 examples of agoraphobia?

Answer 18

being in a crowd
going outside
standing in line
open spaces
enclosed spaces

Question 19

T/F panic attacks are highly prevalent with agoraphobia?

Answer 19

True

Question 20

T/F Agoraphobia is co-morbid with Panic disorder.

Answer 20

True

Question 21

What is social anxiety disorder?

Answer 21

MARKED fear or anxiety about one or more social situations when one could be evaluated by others

Question 22

Which emotions are they fearing if they show their anxiety?

Answer 22

humiliation or embarrassment
could be rejected or offend others

Question 23

Social situations almost always provoke ____ or _____. Social situations are _____ or endured with intense _____ or ______.

Answer 23

fear and anxiety
avoided; fear or anxiety

Question 24

T/F The fear or anxiety is not out of proportion to the actual threat posed by the social situation and to the sociocultural context.

Answer 24

False

Question 25

How long does fear, anxiety or persistent avoidance last?

Answer 25

6 or more months

Question 26

Gender presents similarly in anxiety disorders.

Answer 26

False; more prevalent in Females

Question 27

What is intolerance of uncertainty?
What are the Sx?

Answer 27

More likely to interpret ambiguous information as threatening
Exacerbate physical arousal & facilitate self-cycles of fear

Question 28

In which disorders if IU implicated?

Answer 28

OCD
Hoarding
Panic Disorder
Generalized anxiety disorder
Social anxiety