Anxiety Disorders

Question 1

How do fear and anxiety differ?

Answer 1

Fear is natural response to a threat

Whereas…..

Anxiety is worrying about that threat

Question 2

_____ is the emotional and physiological response to an imminent threat

Answer 2

Fear

Question 3

________ is the anticipation or worry/preoccupation with a future threat

Answer 3

Anxiety

Question 4

Is increased vigilance more closely associated with a fear response or anxiety?

Answer 4

Anxiety

Question 5

Is the fight or flight response more closely associated with fear or anxiety?

Answer 5

Fear

Question 6

Which anxiety disorder is best described below……

Distress from separation anticipation
Persistent worrying about separation
Has an impact of daily function/activites

Answer 6

Separation

Question 7

How long do symptoms need to be present for CHILDREN to be diagnosed with separation anxiety?

Adults?

Answer 7

Children: 4 weeks

Adults: 6 months

Question 8

At what age is separation a normal stage of development?

Answer 8

Around 9 months

Question 9

What is the mainstay of separation anxiety management?

Answer 9

CBT

Question 10

What is specific phobia disorder?

Answer 10

Irrational and excessive phobia to objects, places, or situations

***Must last for at least 6 months

Question 11

Which of the following anxiety disorders is best described by the following……

Fear of embarrassment/humiliation
Fear of social situations (eating, using the bathroom)

Answer 11

Social Anxiety Disorder

Question 12

When do specific phobias tend to onset?

Answer 12

Childhood (<12 y.o.)

Question 13

Does social anxiety onset gradually or fairly suddenly?

Answer 13

Gradually

Question 14

How many patients with SAD eventually develop a substance abuse disorder?

Answer 14

1/8th

Question 15

How many patients with SAD will likely meet the criteria for another psychiatric condition?

Answer 15

50%

Question 16

What medications are first line for SAD treatment?

Answer 16

Fluoxetine
Paroxetine
Sertaline

Venlafaxine

Question 17

How long do panic attacks typically last?

Answer 17

5 - 10 minutes

Question 18

How is panic disorder classified?

Answer 18

Unexpected panic attacks with at least 1 month of worrying about having panic attacks

Question 19

T/F: Many patients do undergo extensive medical workups before other conditions are ruled out

Answer 19

True

Question 20

What is the mainstay of panic disorder management?

Answer 20

Medications (fluoxetine, paroxetine, sertraline, venlafaxine) in combination with therapy (Panic Control Therapy)

Question 21

Which anxiety disorder is described below…..

Excessive worrying about life and circumstances

Answer 21

Generalized Anxiety Disorder

Question 22

Is GAD more common in men or women?

Answer 22

Women (<30 y.o.)

Question 23

What management option works best for GAD?

Answer 23

Medications (paroxetine, escitalopram, venlafaxine, buspirone) in combination with therapy

Question 24

How is obsessive compulsive disorder described?

Answer 24

Plagued by intrusive thoughts
Compulsions to distract /relieve anxiety
Compulsions are repetitive, intentional, and time consuming

Question 25

When does OCD typically onset?

Answer 25

Late teens to early 20s

Question 26

What percent of patients with OCD will have a deteriorating course?

Answer 26

10%

Question 27

What commonly exacerbates OCD symptoms?

Answer 27

Stress

Question 28

What is the most effective treatment of OCD?

Answer 28

Medication (SSRIs) in combination with therapy

Question 29

What is relaxation training?

Answer 29

Control over both their body and their mental states. Many forms, one is progressive muscle relaxation and patients systematically proceed through each muscle group learning to tense and relax.

Question 30

What is exposure training?

Answer 30

Gradually placing the patient in situations or in contact with objects they would usually avoid. Can start with simple visualization, then approaching scenarios/places/things and gradually increase to full exposure. AKA systematic desensitization.

Question 31

What is Flooding?

Answer 31

Similar to exposure therapy but the patient is exposed by placing them in continuous contact with whatever their feared stimulus.

Question 32

What is behavioral modifications therapy?

Answer 32

Desirable behaviors are paired with positive reinforcements whereas undesirable behaviors are paired with negative reinforcers

Question 33

____________ therapy focuses on the patient's relationships as well as establishes present vs the past

Answer 33

Interpersonal therapy

Question 34

What disorder is dialectical behavioral therapy used for?

Answer 34

Borderline personality disorder

Question 35

What are the 4 specific target areas of dialectical behavioral therapy?

Answer 35

Mindfulness Interpersonal Effectiveness Distress Tolerance Emotional Regulation

Question 36

What form of therapy (behavioral or cognitive) is recommended for each of the following disorders....... ``` Social Phobia GAD Panic Disorder Separation Anxiety OCD ```

Answer 36

Social Phobia: Behavioral GAD: CBT Panic: CBT (Panic control therapy) Separation: CBT OCD; CBT (Exposure/Response Prevention)