Anxiety Disorders

Question 1

What is Generalized Anxiety Disorder?

Answer 1

Excessive and persistent worrying that is hard to control, causes significant distress or impairment and occurs on more days than not for AT LEAST 6 MO

Question 2

T/F GAD is moderately heritable?

Answer 2

TRUE

Question 3

Pathognomic feature of GAD?

Answer 3

excessive and persistent worrying

Question 4

What are the 6 symptoms seen in GAD?

Answer 4

Restlessness, feeling on edge
Easily fatigued
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbance

Question 5

How many symptoms must a adult have for GAD?

Answer 5

> 3

Question 6

How many symptoms must a child have for GAD?

Answer 6

> 1

Question 7

What screening tool is used for GAD?

Answer 7

The General Anxiety Disorder 7 (GAD-7)

Question 8

What is the treatment for GAD?

Answer 8

Cognitive behavioral therapy + SSRI

Question 9

What is the 1st line med for txt of GAD?

Answer 9

SSRI

Question 10

What is the 2nd line med for txt of GAD?

Answer 10

TCA

Question 11

If patients don’t respond to 1st or 2nd line med txt for GAD what is used?

Answer 11

Benzo’s

Question 12

T/F GAD is chronic?

Answer 12

TRUE

Question 13

What age does GAD disappear?

Answer 13

50 yr

Question 14

What is GAD replaced with after age 50y?

Answer 14

Undifferentiated Somatization disorder

Question 15

In patients with coronary disease there is an association between what?

Answer 15

anxiety and mortality

Question 16

Panic attack is seen in what age and sex?

Answer 16

all ages mostly female

Question 17

What is panic attack?

Answer 17

abrupt surge of intense fear, reaching a peak within minutes

Question 18

How many symptoms should develop abruptly in Panic attack?

Answer 18

> 4

Question 19

At least 1 of two things must be met for diagnosis of panic attack?

Answer 19

• worry about additional attacks

- maladaptive change in behavior

Question 20

What is the txt for panic attack/disorder?

Answer 20

CBT w/ meds

Question 21

What are 1st line meds used for panic attack?

Answer 21

SSRI

Question 22

What are 2nd line meds used for panic attack?

Answer 22

SNRI and TCA

Question 23

What TCA works best for panic attack?

Answer 23

Imipramine (Tofranil)

Question 24

What is FDA approved for panic attack txt?

Answer 24

Benzo’s

Question 25

What does not work for the txt of panic attack?

Answer 25

Bupropion

Question 26

What can reduce panic attack symptoms?

Answer 26

exercise

Question 27

When should panic attack be considered a diagnosis of exclusion?

Answer 27

in pts that meet criteria for life threatening illness

Question 28

What is Agoraphobia?

Answer 28

fear or anxiety about and/or avoidance of situations where help may not be available or where it may be difficult to leave the situation in the event of developing panic like symptoms

Question 29

What 5 things do Agoraphobia ppl fear?

Answer 29

``` using public transportation being in open spaces being in enclosed places standing in line or being in a crowd being outside of the home alone ```

Question 30

How many things must be met for DSM-5 criteria for agoraphobia?

Answer 30

>2

Question 31

What questionnaire is used for agoraphobia?

Answer 31

The Fear questionnaire

Question 32

What is the treatment for agoraphobia?

Answer 32

CBT w/ meds

Question 33

What is 1st line med for agoraphobia?

Answer 33

SSRI, SNRIs, TCA, Benzo

Question 34

What is the prognosis for agoraphobia?

Answer 34

most pt recover with txt

Question 35

What are the four types of phobias?

Answer 35

animal environmental blood injection/ injury type situational type

Question 36

Zoophobia?

Answer 36

animals

Question 37

Brontophobia

Answer 37

thunderstorms

Question 38

Acrophobia

Answer 38

heights

Question 39

Nosophobia

Answer 39

disease

Question 40

Thanatophobia

Answer 40

death

Question 41

The most common psychiatric disorder among women?

Answer 41

phobias

Question 42

What is the predominant age and sex for phobias?

Answer 42

15yr and female

Question 43

What symptoms seen with exposure to phobic stimuli?

Answer 43

sympathetic activation, pallor, dizziness, or paresthesias

Question 44

What is the txt for specific phobias?

Answer 44

treat major psychiatric disorders first

Question 45

What is not a 1st line txt for specific phobia?

Answer 45

medication

Question 46

Prognosis of specific phobias?

Answer 46

lifelong if untreated, excellent w/ treatment

Question 47

What is acute stress disorder?

Answer 47

acute stress reactions that may occur in the initial month after a person is exposed to a traumatic event

Question 48

What makes up the major prevalence of ASD?

Answer 48

witnessing a mass shooting

Question 49

What are the clinical manifestations of ASD?

Answer 49

presents w/ severe levels of re-experiencing and anxiety in response to reminders of the recent trauma

Question 50

What is the most effective txt for ASD?

Answer 50

CBT

Question 51

What drugs haven't been shown to be effective in ASD?

Answer 51

SSRI

Question 52

Helpful for acute anxiety, agitation, or sleep disturbance in the immediate period following the traumatic event?

Answer 52

Benzo

Question 53

What is post-traumatic stress disorder (PTSD)?

Answer 53

intrusive and avoidance symptoms, negative changes in thought or mood, and arousal/reactivity for at least 1 month following a traumatic event

Question 54

What is the treatment for PTSD?

Answer 54

early CBT, w/ virtual exposure, has been shown to speed recovery

Question 55

Prognosis for PTSD?

Answer 55

symptoms spontaneously remit after 3 mo

Question 56

Which med doesn't work for Agoraphobia?

Answer 56

Bupropion

Question 57

Which specific phobia has the highest level of familial tendency?

Answer 57

blood injection/ injury type

Question 58

What are two things that must be recognized in specific phobia?

Answer 58

fear is irrational or excessive or egodystonic

Question 59

In order to be diagnosed with ASD what criteria must be met?

Answer 59

directly experiencing the traumatic event or related to someone that did!