Anxiety Disorders

Question 1

What is neurosis?

Answer 1

Collective term for functional illnesses that are not psychotic

Question 2

What is anxiety?

Answer 2

State consisting of psychological and physical symptoms brought about by a sense of apprehension at a perceived threat

Question 3

What are the anxiety disorders?

Answer 3

Generalised anxiety disorder
Social anxiety 
Panic disorder
Obsessive compulsive disorder
Post traumatic stress disorder
Specific phobias

Question 4

What are the psychological symptoms of anxiety?

Answer 4

Feeling of fear
Dizziness
Restlessness
Poor concentration 
Irritability 
Insomnia

Question 5

What are the physical symptoms of anxiety?

Answer 5

Palpitations
Chest discomfort
Dry mouth 
Nausea
Hyperventilation 
Tremor 
Stomach upset
Sweating

Question 6

What are panic attacks?

Answer 6

Acute onset of physical symptoms

Question 7

What is a phobia?

Answer 7

Marked fear of a specific object or situation

Question 8

What are the types of phobia?

Answer 8

Agoraphobia
Social phobia
Specific phobia

Question 9

What is agoraphobia?

Answer 9

Fear of spaces

Question 10

What is social phobia?

Answer 10

Fear of social situations

Question 11

What are the features of OCD?

Answer 11

Obsessions = unwanted recurring distressing intrusive thoughts
Feeling of anxiety if not completed
Compulsions = neutralising behaviours

Question 12

What are the types of compulsions?

Answer 12

Overt

Covert

Question 13

What are overt compulsions?

Answer 13

Washing
Checking
Ordering

Question 14

What are covert compulsions?

Answer 14

Praying
Counting
Repeating words

Question 15

What is PTSD?

Answer 15

Stress disorder caused by exposure to an event or situation

Question 16

What are the features of PTSD?

Answer 16

Re-experiencing
Avoidance
Hyperarousal

Question 17

What is generalised anxiety?

Answer 17

Present most of the time and not associated with specific objects/situations

Question 18

What is episodic anxiety?

Answer 18

Has an abrupt onset and occurs in discrete episodes

Question 19

What is GAD?

Answer 19

A syndrome of ongoing, uncontrollable, widespread worry that the patient recognizes as excessive and inappropriate.

Symptoms must be present on most days for at least 6 months

Question 20

How are anxiety disorders managed biologically?

Answer 20

SSRIs

Short term - benzo

Question 21

How are anxiety disorders managed psychologically?

Answer 21

Psychoeducation groups

CBT

Question 22

How are anxiety disorders managed socially?

Answer 22

Self-help methods
Support groups
Encourage exercise

Question 23

What are the ICD-10 criteria for GAD?

Answer 23

At least 6 months

At least 4 symptoms with one of autonomic arousal

Question 24

What ther conditions should you screen for with suspected GAD?

Answer 24

Depression

Substance misuse

Question 25

What is the first line drug for GAD?

Answer 25

SSRI

Question 26

What are the different types of specific phobias?

Answer 26

Animals - arachno (spiders - entomo (insects) - cyno (dogs) - ornitho (birds) Nature - astra (thunder) - lilapso (storms) - aqua (water) Blood/injection Situation - claustro (small spaces) - acro (heights) - nycto (darkness)

Question 27

What are the ICD-10 criteria for agoraphobia?

Answer 27

Marked fear/avoidance of at least 2 of - crowds - public spaces - travelling alone - travelling away from home Symptoms of anxiety in the feared situation Significant emotional distress Symptoms restricted to feared situation

Question 28

What are the ICD-10 criteria for social phobia?

Answer 28

Marked fear of being the focus of attention At least 2 symptoms of anxiety + 1 of - blushing - fear of vomiting - urgency/fear of micturition/defecation Significant emotial distress Recongised as excessive or unreasonable SYmptoms restricted to feared situation

Question 29

What are the ICD-10 criteria for specific phobias?

Answer 29

Marked fear of specific object or situation Symptoms of anxiety in feared situation significant emotional distress Symptoms restricted to feared situation

Question 30

What are the ICD-10 criteria for a panic disorder?

Answer 30

Recurrent panic attacks not associated with specific situation/object ALL of - discrete episoe of intense fear/discomfort - starts abruptly - reaches peak within few minutes - at least one symptom of autonomic arousal - other symptoms

Question 31

What are the ICD-10 criteria for PTSD?

Answer 31

Exposure to stressful event Persistent remembering Avoidance of similar situations Inability to recall parts of event OR persistent increased psychological sensitvitiy Occur within 6 months of event

Question 32

What is abnormal bereavement?

Answer 32

Delayed onset, more intense and prolonged >6months

Question 33

Wha is an acute stress reaction?

Answer 33

An abnormal reaction to suddent stressful events Symptoms last less than 48hrs

Question 34

What is an adjustment disorder?

Answer 34

Significant distress accompanied by an impairment in social functioneing when adapting to new circumstances Symptoms present for less than 6 months

Question 35

What are the ICD-10 criteria for OCD?

Answer 35

Obsessions and/or compulsions present on most days for at least 2 weeks Obsessions/compulsions share a number of features Cause distress