Anxiety disorders Flashcards Preview

Undeleted > Anxiety disorders > Flashcards

Flashcards in Anxiety disorders Deck (25):
1

anx. epi

- 25% lifetime prevalence
- 2:1 F:M
- highly comorbid

2

4 contibutions to anxiety disorders

1. genes
2. temperment
3. partenting style
4. stress exposures

3

5 DSM anxieties + 2 to know for exam

1. specific phobia
2. social anxiety
3. panic
4. agoraphobia
5. GAD
+ OCD
+ PTSD

4

key features to all disorders (3)

1. causes clinically significant impairment or distress
2. not due to substance or medical problem
3. not better explained by other condition

5

main features of GAD (3)

- exc. anxiety and worry about A NUMBER of events
- over 6 months
- difficult to control worry

6

2 main feautes of panic

1. recurrent panic attacks
2. followed by either persistent concern or worry about panic, or avoidance of behaviors

7

features of agoraphobia (2)

1. fear of not being able to escape situations
2. persistent fear or avoidance of these situations

8

5 agoraphobic sits.

1. public transit
2. being in open spaces
3. being in enclosed spaces
4. standing in line or a crowd
5. being outside home alone

9

3 features of social anxiety

1. marked fear of social situation in which the indiv. is exposed to scrutiny by others
2. indiv. fears they will act in an embarrassing way
3. situation always evokes and they avoid

10

2 main features of specific phobia

1. marked fear about specific thing
2. avoids

11

2 keys to OCD

1. presence of obsession or compulsions or both
2. they are time consuming (>1hour per day)

12

5 key features to PTSD

1. exposure to trauma (can be indirect)
2. intrusive sx
3. avoidance
4. cog. alterations and mood changes
5. altered arousal and reactivity

13

2 main treatments for anxiety

1. CBT - waitlist
2. drugs

14

5 key parts to assessment

1. diagnosis
2. rule out medical conditions
3. co-morbidities
4. severity
5. patient's choice of treatment

15

main med for anx

SSRI

16

3 reasons for SSRI

1. good evidence
2. well tolerated
3. effective for many common comorbidities

17

4 less serious SEs of SSRI

1. GI distress
2. headaches
3. agitiation
4. insomnia/somnolence

18

3 more serious SE of SSRIs

1. sex
2. prolonged QT
3. suicide

19

key to SSRI timing

takes 4 weeks to kick in

20

what to do for inadequate repsonse

optimization

21

what to do for partial response

augmentation or combination

22

what to do when first line fails

switch

23

what to do once meds help

stay on for at least a year - then slow taper

24

what is role of benzos (2)

- can use with SSRI for short term
- use for sporadic attacks
- clonazepam

25

2 benzo cautions

1. addictive - watch in substance abusers
2. falls/cog. impariement

Decks in Undeleted Class (589):