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Anxiety disorders Flashcards

(45 cards)

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1
Q

physical syx of anxiety disorders 5

A

sweating

chest pain

tremors

dizziness

irritabiltity

Nausea or diarrhoea

chills/hot flashes

chest pain

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2
Q

arrousal syx of anxiety disorders 3

A

sweating

dry mouth

difficulty swallowing

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3
Q

psychological syx of anxiety disorders

A

restlessess

sense of dread

feeling on edge

difficulty concentrating

easily distracted

fear of losing control/dying

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4
Q

define anxiety disorders

A

a preoccupation with or persistent avoidance of thoughts and situations that provoke fear or anxiety

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5
Q

incidence of anxiety disorders

A

at least 15 of adult population affected in UK at anytime

25/30% of GP consultations

more common than any other form of mental disorders

high comorbidity among different anxiety disorders
-high levels of comorbidity between anxiety and depression

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6
Q

social and demographic factors for anxiety disorders

A

3:2 ratio M:F

varies with income and educational attainment

can be triggered by life events either good or bad

major life event- trigger previously stable individual

minor life events- only in predisposed

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7
Q

aetiology of anxiety disorders 3

A

biological
-genetic

psycholgoical
-childhood factors
-vulernable personality

social
-lack of support

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8
Q

state some common anxiety disorders 6

A

specific phobias

generalised anxiety disorder

panic disorder

OCD

PTSD

somatoform and dissociative disorders

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9
Q

define specific phobias with regards to anxiety disorders

A

anxiety proboked by specific situations or objects which are perceived more dangerous then they actually are

have anticipatory anxiety and avoidance

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10
Q

when is tupical onset for specific phobias

A

usually in childhood

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11
Q

what are specific phobias commonly associated with anxiety disorders

A

panic attacks

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12
Q

how is the seriousness of specific phobias identtified

A

how easy the feared object is to avoid

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13
Q

main treatemnt for sepcific phobias

A

exposure therapy

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14
Q

what are the components of exposure therapy 4

A

1- phboic learning hisotry
-create new learning history

2-stimulus exposure> anxiety> relaxation> decreased anxiety

3-fear & avoidance hierarchy (FAH)

4- Subjective units of distress scale (SUDS)

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15
Q

define social phobia

A

shyness
-fear of performace failurue and fear of negative evaluation

common situations
-public speaking
-eating in public
-general social interactions

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16
Q

syx of social phobiaa

A

blushing

muscle twitching

anxity about scrutiny

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17
Q

when does social phobia typically begin

A

late adolesence early adulthood

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18
Q

what can be asssoicated with social phobias

A

can use alchol to boost ocnifence- so higher rates of alcohol misuse

-associated with avoidant personality traits

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19
Q

treatment for social phobias 3

Study These Flashcards
A

treatment of choice- CBT

can use SSRIs and MAOIs

short term:
-benzos
-propanolol

20
Q

what does generalised anxiety disorder encompasses 2

Study These Flashcards
A

free floating anxiety

often with:
-panic disorder

21
Q

clincal presentaiton of generalised anxiety disorder 4

Study These Flashcards
A

anixety free floating
-not restricted to any circumstances

-irrational worries

motor tension

autonomic overactivity

22
Q

drug managemnt of generalised anxiety disorder 6

Study These Flashcards
A

benzos

SSRIs

beta blockers

mirtazapine

venlafaxine

duloxetine

23
Q

nondrug management of generalised anxiety disorder 4

Study These Flashcards
A

relaxation training

exposure therpay

CBT

physical excersise

24
Q

clinical presentaion of panic disorder 3

Study These Flashcards
A

several severe attacks of autonomic anxiety within a month

fear of death/suffication

urgent desire to flee

25
drug managemnt of panic disorder 1
SSRIs benzos- not recommended
26
nondrug mangemnt of panic disorder 3
CBT anxiety mangement relaxation training
27
define agoraphobia
aniexty manifested by psychological and autonomic symptoms anexity restricted to at least 2 of: -crowds -public places -leaving home
28
who gets agoraphobia 2
significants more women early or middle 20s further peak mid 30s
29
how gets panic disorders 3
slightly more women bimodal peak-= late adolescene and mid 3-s comobird w other mental disorders
30
how does agoraphobia typicallty start 1
2/3 typically have a panic attack at start of illness
31
treatement for agrophobia 4
SSRIs anxiolytics CBT behaviour therapy
32
define PTSD
delayed and protracted repsonse to a stressful event/situation of an exceptionally threatening or catastrophic nature
33
when does PTSD typically begin
within 6 months of trauma
34
syx of PTSD 2
episodes of repeated reliving of trauma in intrusive memories (flashbacks) nightmares
35
define OCD
obsessions -recurrent intrusive thoughts, images, ruminations and impulses compulsions -ritualistic motor acts
36
what is needed for an OCD diagnosis 2
must be ego-syntonic -acknowledged as unreasonable or excessive -there are attempts to resist eexpereincs cause distress and/or interfere with activities of daily living
37
treatment for OCD 3
CBT + ERP (exposure response protection) SSRIs- high dose clomipramine *-often combined psychological and pharmacological approach
38
syx of PTSD 3
numbness and emotional detachment avoidance of aciritives or situations reminiscent of trauma autonomic hyperarousal and hypervigiliance
39
how can hyperarousal in PTSD manifest 4
persistent axiety irritability insomnia poor concentration
40
what can be associated with PTSD 3
aggressive behvaiours substance misuse deliberate self harm
41
treatment for PTSD 4
CBT EMDR- eye movement desensitisation and reprocessing high dose SSRI high dose TCA
42
define a somatoform disorder
mental disorder characterised by physical syx which cannot be explained by medical condition symptoms are NOT consciously fabricated
43
define dissociative disorders
breakdown in memory, awareness, identity and/or perceptions
44
treatment for somatoform and dissociative disorders 3
difficult to treat can resolve spontaneously over time or via psychotherapeutic input medication usually unhelpful
45
how are aneixty disorders differnt from normal experience
quantatively not qualitiveily differnt from normal experience

Psychiatry (21 decks)

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