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Nervous System: Unit IV > Anxiety Disorders > Flashcards

Flashcards in Anxiety Disorders Deck (19)
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1

Panic disorder: definition

  • Sudden overwhelming episodes of anxiety (som and psych), along with worry about the attack or future attacks.
  • First attack happens randomly.

2

Panic disorder: etiology, pathophysiology

  • Etiology
    • First drug use
    • unknown
  • Pathophysiology
    • not completely understood
    • amygdala conditioned fear responses

3

Agoraphobia: definition

  • Fear of the marketplace.
  •  Can evolve from panic disorder.

4

Social Phobia: definition

  • Situational
  • socialized
  • anticipatory
  • Performing in front of others, being the center of attention, eating in public, writing in public, using public restroom, using telephone

 

5

Social Phobia: etiology, pathophysiology

  • Etiology
    • Runs in families
  • Pathophys
    • Learned by being paired with traumatic events
    • Fear of rejection is antecedant to social phobia

6

Generalized anxiety disorder: definition

  • Excessive worry and more generalized somatic symptoms of anxiety
  • WAT- worry, anxiety, tension

7

Generalized anxiety disorder: etiology, pathophysiology

  • Etiology
    • Almost always comorbid with another psych disorder: largely depression
    • Inherited and environmental
  • Pathophys
    • Cognitive distortions in which pts perceive situations as dangerous when they are not

8

Obsessive Compulsive Disorder: definition

x

9

Obsessive Compulsive Disorder: etiology, pathophysiology

  • Etiology
    • Classic and operant conditioning
    • Seen after brain injury and disease
    • Biologic basis, maybe 5HT
  • Pathophys
    • Multiple brain regions affected
    • Relative imbalance of direct and indirect pathway, thalamic disinhibition

10

Panic disorder: diagnosis

  • occurance of panic attack
    • palpitations
    • sweating
    • SOB
    • shaking
    • chest pain or discomfort
    • nausea
    • dizziness
    • fear of losing control/going crazy/dying
    • depersonalization.
  • Note: somatic and psych complaints

11

Social Phobia: diagnosis

  • Fear
  • Anxiety upon exposure
  • Insight
  • Avoidance
  • Impairment
  • Specific to situations
  • Sx for duration of 6 months

12

Generalized anxiety disorder: diagnosis

  • Anxiety/worry over 6 month period for multiple events and situations
  • Uncontrollable worry
  • 3 of 6 sx:
    • restlessness
    • easily fatigued
    • trouble concentrating
    • irritability
    • muscle tension
    • disturbed sleep
  • Not in context of other disease
  • sx ==> impairment

13

Obsessive Compulsive Disorder: diagnosis

  • Obsessions, compulsions, or both
  • Insight
  • sx ==> impairment
  • Specific

14

Panic disorder: Non-pharm + Pharm tx

  • Non-Pharm:
    • CBT, Panic reduction therapy
  • Pharm:
    • Benzodiazepines
    • TCADs
    • MAO-i’s
    • SSRI
    • SNRI

15

Social Phobia: Non-pharm + Pharm tx

  • Non-Pharm:
    • CBT- particularly group therapy
  • Pharm:
    • Benzos
    • β blockers
    • MAOi’s
    • SSRIs

16

Generalized anxiety disorder: Non-pharm + Pharm tx

  • Non-Pharm:
    • CBT
    • relaxation techniques
  • Pharm:
    • Benzodiazepines
    • buspirone (not usually the best choice)
    • TCAs
    • MAOi’s
    • SNRIs
    • SSRIs
    • gabapentin
    • β blockers

17

Obsessive Compulsive Disorder: Non-pharm + Pharm tx

  • Non-Pharm:
    • Exposure response prevention
  • Pharm:
    • SSRI’s
    • Atypical antipsychotics
    • clomipramine

18

Common medical presentations of anxiety disorders 

  • Worry, fear
  • Cognitive distortions
  • Physiologic response to anxiety

19

Types of pt. presentations of anxiety

  • Psychologizer (15%) → a person who knows its anxiety causing symptoms
  • Initial Somatizer (34%) → a person who has been tense/fatigued and wonders if its anxiety
  • Facultative Somatizer (26%) → hasn’t thought of anxiety as reason, not closed off
  • Persistant Somatizer (25%) → denial of anxiety upon presentation of somatic complaints.