Anxiety, Somatic & Personality Disorders

Question 1

What are the diagnostic criteria for GAD?

Answer 1

Persistent excessive anxiety for everyday stressors for at least SIX MONTHS; overlap w/ MDD (80% comorbidity)

Question 2

How are panic attacks in panic disorder different from panic attacks otherwise (w/o the disorder)?

Answer 2

Panic attacks in panic disorder are SPONTANEOUS

Question 3

What are the diagnostic criteria for panic disorders?

Answer 3

Recurrent, unexpected panic attacks; worry about additional panic attacks or behavior changes to avoid them; more common in women & onset in early 20s typically

Question 4

What is agoraphobia?

Answer 4

Fear or avoidance of being helpless in places where escape can be difficult or embarrassing

Question 5

What are the diagnostic criteria for OCD?

Answer 5

Chronic obsessions and compulsions that:

• cause significant distress,
• interfere with functioning or
• time consuming ( >1 day)
• Commonly co-morbid with anxiety disorders/MDD

Question 6

What is PANDAS?

Answer 6

Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection

Question 7

What are the diagnostic criteria for PTSD?

Answer 7

Severe trauma resulting in: re-experiencing the trauma, avoidance of reminders, negatives changes in thinking/mood, hyperarousal
*Symptoms last more than ONE MONTH (if < 1 month –> acute stress disorder)

Question 8

What are the diagnostic criteria for adjustment disorder?

Answer 8

Clinically significant symptoms in response to an identifiable stressor.
Once stressor is over, symptoms stop within SIX MONTHS

Question 9

Somatic symptom disorder involves which characteristics and for how long?

Answer 9

One or more somatic symptom w/:
- Persistent thoughts about seriousness of
- High anxiety about
- Excessive time/energy devoted to it
Last for >6 months

Question 10

What is conversion disorder?

Answer 10

Sudden loss of motor/sensory function often due to some stressor; la belle indifference: patient may be aware of but indifferent toward symptoms

Question 11

What are the factitious disorders?

Answer 11

Patient consciously creates physical/psychological symptoms to be in sick role (primary/internal gain)
Munchausen syndrome & munchausen syndrome by proxy

Question 12

What is illness anxiety disorder?

Answer 12

Preoccupation or anxiety about illness but no presence of any symptoms

Question 13

What is pseudocyesis?

Answer 13

False pregnancy - may have signs of pregnancy but not pregnant

Question 14

What is malingering?

Answer 14

Consciously stimulating an illness for secondary/external gain

Question 15

Which defense mechanisms are involved with paranoid PD?

Answer 15

Projection

Question 16

Which defense mechanisms are involved with schizoid PD?

Answer 16

Fantasy

Question 17

Which defense mechanisms are involved with antisocial PD?

Answer 17

Acting out

Question 18

Which defense mechanisms are involved with borderline PD?

Answer 18

Splitting and passive aggression

Question 19

Which defense mechanisms are involved with histrionic PD?

Answer 19

Dissociation - sudden change in personality

Question 20

Which defense mechanisms are involved with avoidant PD?

Answer 20

Avoidance

Question 21

Which defense mechanisms are involved with OCPD?

Answer 21

Undoing, isolation of affect, reaction formation