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Flashcards in anxiety disorders Deck (40):
1

what can pathological anxiety involve

generalised anxiety disorder, phobia, panic disorder

2

what is anxiety comorbid with

depression, substance misuse, another anxiety disorder

3

prevalence

6% of the population- generalised is 2-4%

4

what type of people does anxiety more affect

women, young adults, middle aged

5

aetiology

genetics, biological, childhood- abuse, separations, excessive conformity; stress- financial problems, chronic disease

6

what is the biological link

low levels GABA, heightened amygdala activation

7

what is the chance of someone having anxiety disorder if first degree relative has it

x4

8

what is panic disorder

recurrent episodic severe panic attacks- unpredictable and not restricted to one type of situation

9

diagnosis panic disorder

at least 3 panic attacks in 3 week period

10

symptoms panic disorder

palpitations, sweating, breathless, feeling of choking, chest pain, nausea, dizzy, derealisation, depersonalisation. typically last a few mins

11

what is first line treatment panic disorder

SSRIs, CBT

12

what are not recommended in panic disorder

benzos as these can make worse

13

what is generalised anxiety disorder

generalised, persistent, excessive anxiety or worry bout a number of events the patient finds difficult to control

14

diagnostic GAD

at least 3 weeks (ICD10), or >6m (DSM)

15

what is anxiety associated with in GAD

subjective apprehension, increased vigilance, restless and on edge, sleeping difficulties, autonomic hyperactivity

16

ddx GAD

withdrawal from drugs, excessive caffeine consumption, depression, psychosis, organic- thyrotoxicosis, hypoglycaemia, phaechromocytoma,

17

first line treatment GAD

SSRI s and CBT

18

what is agarophobia

fear of places and situations and avoidance

19

management agarophobia

CBT, graded exposure. SSRIs if not working

20

what is social phobia

persistent fear of social situations in which exposed to unfamiliar people or scrutiny

21

management social phobia

CBT, self help, graded exposure, social skills training

22

specific phobia management

graded exposure therapy and response prevention.

23

what can obsessions be

thoughts, images, impulses, ruminations, doubt.

24

difference between obsessions and compulsions

obsessions- thoughts. compulsions- repetitive behaviour

25

prevalence OCD

2-3% population M=F.

26

diagnosis OCD

obsesisons and compulsions for 1+ hours a day and for >2weeks and distressing/interfere with activities

27

treatment OCD

CBT- exposure and response prevention, SSRIs or clopiramine

28

when is OCD typically onset

adolescence

29

aetiology OCD

genetics (OCD or tourettes in family), parental overprotection, may occur after strep infection in children

30

neurochem change in OCD

decr serotonin. abnormalities in cortico striatal thalamic circuit (mediates social behaviour)

31

OCD course

may follow an episodic or chronic course

32

poorer prognosis in OCD

with prominent compulsions, comorbid tic disorders, persistent life stresses, premorbid anankastic personality

33

what is body dysmorphic disorder

obsessional preoccupation with imagined or mild physical defects- mirror gazing, comparing features with others, reassurance seeking

34

what is PTSD

severe psychological disturbance following a traumatic event

35

when do symptoms PTSD arise

arise within 6 months of traumatic event, or present for at least 1 month.

36

ICD10 and DSM diagnosis of PTSD

>2 of: difficulty falling/staying asleep, irritability or anger outbursts, difficulty concentrating, hypervigilance, exaggerated startle response

37

risk of diagnosing PTSD after traumatic event

8-13% men, 20-30% women

38

treatments PTSD

trauma focused CBT, eye movement desensitisation and reprocessing therapy (EMDR), drugs for symptoms

39

features PTSD

persistent intrusive thinking, avoidance, numbing/detachment from others, increased arousal

40

prognosis PTSD

50% recover within a year, 30% chronic course. outcome depends on- good social support, response by others, no further traumatic events, premorbid personality