Anxiety Disorders Flashcards Preview

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Flashcards in Anxiety Disorders Deck (23)
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1
Q

Normal Anxiety

A

Warning from a vague source

  • Emotional response
  • Promotes person to take necessary steps to prevent threat
2
Q

Pathological Anxiety

A

Out of proportion

- Interferes with function

3
Q

How does pathological anxiety differ from normal? (5)

A
  • Intensity
  • Duration
  • Trigger
  • Emotional response
  • Coping
4
Q

Panic Attack (5)

A

Abrupt surge of intense fear that reaches peak within minutes

  • Irrational response
  • Unpredictable
  • Feeling of impending doom (fear)
  • Physical discomfort
5
Q

Phobia

A

Marked intense fear by a specific source

6
Q

GAD

A

Unrealistic and excessive CHRONIC free-floating WORRY and anxiety that occurs most days for at least 6 months

7
Q

Symptoms of GAD (6)

A
  • Irritability
  • Muscle tension
  • Restless
  • Fatigue
  • Difficulty concentrating
  • Sleep disturbance
8
Q

Autonomic symptoms of anxiety disorders (8)

A
  • H/A, palpitations, perspiration, restless
  • Nausea, stomach upset
  • Insomnia
  • Tight chest
9
Q

Behavioral symptoms of anxiety disorders (2)

A
  • Vigilance

- Cautious / avoidant

10
Q

Cognitive symptoms

A

changes in cognition

11
Q

Nursing Interventions for anxiety

A
  • Stay with the client during attack
  • Calm, directive, but non-threatening approach
  • Reassurance of safety and security
  • Lower stimuli
  • Simple words with brief messages
  • Speak calm and clear
  • Medications
  • Explore the etiology
  • Teach signs and symptoms of increased anxiety and coping mechanism
12
Q

Panic disorder treatment

A

CBT

  • any SSRI works
  • FDA approved: Paroxetine (Paxil)
  • Use benzodiazepine until the SSRI is effective, then taper the Benzo slowly over 4-10 weeks
13
Q

How long should you take to taper the Benzo?

A

4-10 weeks

14
Q

GAD treatment

A
  • SSRI (Paxil, Lexapro) are FIRST CHOICE
  • CBT
  • Supportive
  • Insight oriented
  • Benzos
15
Q

First choice of drugs for GAD

A

SSRI

16
Q

OCD treatment

A
  • Family
  • Behavioral - flooding, densensitization, thought stopping, aversive conditioning
  • SSRI
  • Group
17
Q

Behavior therapy for specific phobia

A

Exposure therapy - systematic desensitivation, flooding

18
Q

Social Phobia treatment

A
  • SSRI
  • Benzodiazepines
  • SNRI
  • Buspar
  • Betablockers and ativan for performance
19
Q

Treatment for performance anxiety r/t social phobia

A

Betablockers, Ativan

20
Q

Signs and Symptoms of PTSD (FADADS)

A
  • Fear based re-experiencing
  • Anhedonia
  • Dysphoric mood
  • Arousal, hyperarousal
  • Dissociation
  • Startled, reactive behavior
21
Q

Duration of disturbance in PTSD

A

At least 1 month

22
Q

Psychotherapy for PTSD

A

CBT, EMDR, Prolonged Exposure Therapy

23
Q

FDA approved for PTSD

A

Paroxetine (Plaxil)