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Psyc Test 1 > Anxiety + Trauma-Related Disorders > Flashcards

Anxiety + Trauma-Related Disorders Flashcards

(47 cards)

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1
Q

Anxiety Disorder List

A
  • Generalized Anxiety Disorder
  • Panic Disorder
  • Agoraphobia
  • Simple Phobia
  • Social Phobia
  • PTSD
  • OCD (trochotillomania, hoarding, body dysmorphia
  • anxiety 2ndary to GMC/Substance
  • Separation anxiety
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2
Q
  • Readiness to take defensive action
  • Hardwired response to theat/acute stress (MOA NTs, in CNS/PNS)
  • conditioned learning

S/s?

A

Paroxysmal anxiety

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3
Q

Cognitive element

  • Anticipatory anxiety (fear of fear),
  • misinterpretation of body sensations
  • belief = avoidance is protective
A

Panic disorder

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4
Q

Cognitive Elements

  • negative social expectations
  • Distorted interpretations of others’ responses (fear of judgment)
  • belief that avoidance is protective
A

Social phobia

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5
Q

Cognitive elements

  • contents of memory
  • belief self unable to withstand
  • overestimation of risk
  • repition of traumatic experiences
A

PTSD

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6
Q

Physiological base anxiety

A

Stress = HPA cortisol NEG FEEDBACK SHUT DOWN

Fight or flight = locus ceruleus (NE), medial raphe (5-HT=Serotonin)

  • bladder inhibition = pee self
  • HR up
  • –>BODY MISINTERPRETS PHYSICAL S/S = self-feeds

Central NTs (gaba glutamate)

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7
Q

Stress response pathway

A

*Hypothalamus –> Anterior Pituitary –> Adrenal Cortex

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8
Q

Shallow breathing effect

A

Low CO2, trigger chemoreceptor response –> anxiety

TX: DEEP CONTROLLED BREATHING

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9
Q

Behavioral aspect

Agoraphobia

A

Panic disorder

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10
Q

Behavioral aspect

Avoiding social situations

A

Social phobia

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11
Q

Behavioral Aspect

  • Avoid internal cues (numbing/forgetting)
  • Avoid situations resembling trauma
  • Using Substance to avoid feelings
A

PTSD

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12
Q

Behavioral aspect

*avoiding trigger, regardless of intellectual reasoning ability

A

Simple phobia

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13
Q

Connected anxiety circle

A

*Threat
*anticipation/prediction
*Arousal
*Avoidance (rewarding)
*Risk factors (genetic, sensitizing experience)
THEN START AGAIN

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14
Q

Avoidance

what promotes?
Leads to?

A

Reward promotes

Leads to MORE DYSFUNCTION

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15
Q

Anxiety Tx

A
  • Benzo
  • ADD
  • other serotonin agents : Buspar
  • Anticonvulsant/Atypical Antipsycs
  • Cognitive Behavioral therapies (exposure, systematic desensitization, flooding)
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16
Q

Other causes of Anxiety

Meds

A
  • Amphetamines
  • Thyroid- Synthroid
  • Steroids - prednisone
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17
Q

Choosing Benzos for acute treatment

A
  • INTERMEDIATE T1/2 - LESS ABUSE
  • ANTICIPATORY WORRY for KNOWN TRIGGER EVENT - even just relief of thought of having dose nearby

*Clonazepam

PUTS OUT FIRE, DOESN’T TURN DOWN GENERATOR

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18
Q

Long term Pharm Tx - anxiety

A

*SSRI

TURN DOWN GENERATOR

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19
Q

Psychotherapeutic Tx - Anxiety disorder

Study These Flashcards
A

(Don’t know trigger)

  • Breathing exercises
  • Mindfullness (name sensations of item in hand)
  • Muscle release/tension exercises
20
Q

Behavioral Tx

Study These Flashcards
A

Work on not avoiding

21
Q

Social phobia

possible Tx

22
Q

Simple phobia

Tx

Study These Flashcards
A
  • Systematic desensitization
  • Deep breathing/Mindfulness

Not much pharm - Benzo for specific trigger events

23
Q

OCD

Tx

Study These Flashcards
A

SSRI
(High-dose)

*CBT = Exposure/response Therapy (do thing they try to avoid, stop compulsive behavior)

24
Q
  • Disordered Sleep
  • Muscle pain
  • Worry
  • (others!)

Min 3 needed to Dx:

Study These Flashcards
A

Generalized Anxiety Disorder

25
Generalized Anxiety Disorder Tx
Rx: SSRI *CBT = Cognitive distortions (about Diabetic)
26
*Fear of body symptom/sensation *Panic *Agoraphobia Before 30 y/o
Panic Disorder
27
*Fear of scrutiny/humilation *Panic, blushing, tremor *social isolation Before 25
Social phobia
28
Anxiety in childhood?
Less common
29
*fear of natural environment, blood, idiosyncratic *Panic *Avoidance of stimulus Before 12 y/o
Simple Phobia
30
*Memory of trauma, related strong unpleasant emotion *Panic, Tonic, Persistent tension *Dissociation / Amnesia All Ages
ASD/PTSD
31
* Fear over money, health, safety, failure * Tonic, persistent tension, H/A, insomnia * General constriction of life
*GAD
32
* Obsession - contamination, fear of offending/sex/violence * Panic, intense distress if cannot nullify * compulsive behavior
OCD
33
``` 3+ *Distress w/ separation from attachment *Worry about losing attachment *fear of being alone *repeated nightmares about separation *refusal to sleep away from attachment *Physical symptoms w/ separation Kids = 4 weeks+ Adults = 6 months + ```
Separation Anxiety Disorder
34
* Palpitations * Sweating * Shaking * SOB * Choking * chest pain * discomfort * Nausea/ GI pain * chills * Derealization/dying fear + 1 month worrying about attacks AND/OR +behavior mod (avoidance)
Panic disorder
35
Depression w/ anxiety Classification
If anxiety = clinical issue, | Becomes GAD comorbidity
36
*Exposure to actual death threat/serious injury *intrusion s/s involving event (worries, nightmares, flashbacks, triggers) *Avoidance *negative s/s + pessimistic interpretation *Hypervigilance, arousal *not due to substance 1+ months
PTSD * w/ dissociative s/s? (Depersonalization/derealization * w/ delayed expression? (6 months after event dx
37
*developmentally inappropriate excessive fear of separation w/ physical s/s *4+ weeks in child 6+ months in adult
Separation anxiety
38
* Women>more * Isolated, irrational fear * >6 months * onset age 12, resolve in adulthood
Specific phobia
39
* humiliation or embarassment in social settings * >6 months * women>men
Social anxiety disorder
40
* Fear/avoidance of places or situations that are difficult to escape in the event of panic attack * >6 months * Women>men * occurs as consequences of panic d/o
Agorophobia
41
* attack = abrupt surge of intense fear/ discomfort w/ 4 of 12 symptoms * disorder = 1 attack followed by maladaptive change in behavior w/ persistent worry * >1 month * possible ER = chest pain * onset = mid 20s
Panic d/o
42
* excessive worry about life circumstances * 3 of 6 s/s * intermittent >6 months * Women>men * Blacks> * <30 y/o * FH
Generalized Anxiety Disorder
43
* >1 month * Reexperiencing trauma in dreams * avoidance of associated stimuli * Negative mood * outbursts * subtype : dissociative + delayed expression (>6 months after trauma) * post-rape, post-combat
PTSD
44
* precursor to PTSD | * >3 days to <1 month
Acute stress d/o
45
* develop clinically significant emotional or behavioral sx in response to non-life threatening stressor (divorce, etc) * <3 months onset, 6 month termination * Women, unmarried, young
Adjustment d/o
46
Agoraphobia Tx
SSRI + exposure therapy
47
Adjustment D/o Tx
* therapy | * Rx for symptoms (insomnia, anxiety)

Psyc Test 1 (7 decks)

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