Anxiety & OCD Flashcards

1
Q

When is anxiety considered a disorder?

A

when fears and anxieties are excessive (impairs with cognitive and physical functioning)

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2
Q

what level of anxiety does someone have when it is a problem?

A

when someone has high anxiety, it impairs their physical and cognitive functioning

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3
Q

what are the three types of anxiety responses (with explanation of each)?

A

physiological arousal- flight or fight response
cognitive response- when the brain makes rationale decision if they should confront the threat or run away from it
coping strategies- help deal with threat (like tapping on foot)

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4
Q

Generalized anxiety disorder (GAD) must knows!! (think about characteristics, results clinically, and how patient feels with GAD)

A

characterized by chronic, unrealistic, and excessive anxiety and worry for AT LEAST 6 MONTHS
results in clinically significant distress or impairment
chronic worries
know it is unreasonable, but can’t help how they feel

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5
Q

is low level anxiety normal?

A

yes it is a normal response, appropriate duration and intensity for situation

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6
Q

panic attack

A

sudden, often associated with feelings of doom and intense physical discomfort

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7
Q

panic disorder

A

recurrent panic attacks that causes the person to change behavior to avoid having an attack

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8
Q

how many criteria must they meet to be considered having a true panic attack? how long does it usually last and peak?

A

at least 4 of the symptoms
unexpected, lasts 30 minutes and peaks at 10 minutes

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9
Q

what symptoms does a panic attack most commonly resemble?

A

panic attacks usually reflects symptoms of a heart attack (must rule out FIRST and cannot assume panic attack)

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10
Q

what is agoraphobia? how many examples do they need to be diagnosed?

A

fear of being in places which escape might be difficult, finds their home as being their safe place
need 2 or more for diagnosis

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11
Q

if agoraphobia does not get resolved what might happen with the person?

A

they may become home bound

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12
Q

phobia

A

persistent irrational fear cued by the presence or anticipation of a specific object or situation that DOES NOT pose a significant danger

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13
Q

specific phobias

A

fear of specific objects or situations that could conceivably cause harm, but the person’s reaction to them is excessive, unreasonable and inappropriate

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14
Q

how would we have someone positioned and why if they have blood-injection injury phobia?

A

sitting down as they can faint and fall and hit their head causing severe injury

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15
Q

what is the number one fear that people have?

A

public speaking is someone’s number one fear (related to social anxiety disorder)

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16
Q

obsessive compulsive disorders (OCD)

A

individual recongnizes that the behavior is excessive or unreasonable, but because of the feeling of relief form discomfort that it promotes, is compelled to continue the act. common compulsions include hand washing, ordering, counting, etc.

17
Q

what medication treats GAD, OCD, panic, and phobias (1st choice)?

A

paroxetine (paxil) which is an antidepressant, SSRI

18
Q

what are antihypertensive (beta blockers) used for in phobias only?

A

performance and test

19
Q

if giving buspirone (anxiolytic) what must we be aware of?

A

can be used to treat GAD, and panic, 10-14 day delayed onset of action (only with buspirone)

20
Q

what is the benzodiazepine (anxiolytics, the -am family) reversal agent?

A

flumazenil