Anxiety, Weiss

Question 1

Anxiety

Answer 1

excessive worry
has phsyical Sx
avoidant behavior
sense of dread
heightened apprehension

Question 2

most common class of mental disorders in general population

Answer 2

anxiety disorders

Question 3

causes of anxiety

Answer 3

psychological
psychoanalytic
behavioral
biological

Question 4

pyschoanalytical theory of anxiety

Answer 4

signal to ego that unacceptable drive is pressing for conscious representation

Question 5

behavioral therapy of anxiety

Answer 5

conditioned response to specific environmental stimuli

Question 6

biological theory of anxiety

Answer 6

NT: NE serotonin, GABA

Question 7

sub types of anxiety disorders

Answer 7

panic, agorophobia, generalized, specific phobias, social, separation, etc…

Question 8

panic disorder

Answer 8

recurrent panic attacks followed by at least 1 mo of persistent concern, worry of implications, significant change in behavior related to attacks

Question 9

what is a panic attack

Answer 9

discrete period of intense fear or discomfort assoc with multiple physical manifestations developing abrubtly and reaching peak in 10 min

Question 10

Sx panic attack

Answer 10

palpitations
sweathing
tremor
SOB
chest pain and discomfort
nausea, dizziness
fear of losing control
fear of dying

Question 11

agoraphobiea

Answer 11

anxiety about being in places or situations from which escape is difficult or embarrassing if have panic attack there

Question 12

demographics panic disorder

Answer 12

1:2 M:F
2% population
onset early adulthood

Question 13

risk of panic disorder

Answer 13

higher rate of suicide

Question 14

what medical disorders present like panic disorder

Answer 14

CV disease
pulm disease
neuro disease
endo disease
drug intoxication
drug withdrawal

Question 15

mental disorders that present like panic

Answer 15

malingering
hypochondriasis
phobias
PTSD

Question 16

pharmacotherapy for panic disorder

Answer 16

TCA
SSRI!!
benzos– until on SSRI (used short term)

Question 17

CBT for panic disorder

Answer 17

cognitive behavioral therapy
address patients false beliefs about attacks
gain sense of control

Question 18

what is phobia

Answer 18

irrational fear resulting in conscious avoidance of feared object, activity or situation

Question 19

increased risk for what with phobias

Answer 19

depression and substance abuse

Question 20

common phobias

Answer 20

animals, insect, injury or procedures, heights, darkness

Question 21

social phobia

Answer 21

fear of humiliation or embarrassment in either general or specific social situations
public speaking, urinating in public restrooms, stage fright

Question 22

social phobia

Answer 22

fear of humiliation or embarrassment in either general or specific social situations
public speaking, urinating in public restrooms, stage fright

Question 23

patients with performance phobias release more what

Answer 23

NE than Epi

Question 24

genetics in social phbia

Answer 24

first degree relatives 3x more likely to be affected

Question 25

Tx specific phobias

Answer 25

exposure therapy insight oriented psychotherapy pharmacotherapy

Question 26

Tx social phobias

Answer 26

psychotherapy | pharmacotherapy (beta blockers, SSRIs, benzos or buspirone

Question 27

demogrpahic OCD

Answer 27

male= female 4th most common psych disorder mean onset 20 y.o

Question 28

etiology OCD

Answer 28

biological factors: NT dystregulation, genetics pyschological factors learned theroty

Question 29

what is learned theory in OCD

Answer 29

person discovers that certain action reduces anxiety | personality traits

Question 30

brain imaging in OCD

Answer 30

increased frontal lobe, basal ganglia and cingulum activity Tx reverses this dec size caudates b/l

Question 31

obsession

Answer 31

recurrent and intrusive thought, feeling, idea or sensation

Question 32

compulsion

Answer 32

a conscious, standardized, recurrent thought or behavior, such as coutning, checking or avoiding

Question 33

obsession and compulsion affects on anxiety

Answer 33

obsession inc | compulsion dec

Question 34

most common pattern compulsion

Answer 34

obsession of contamination, compulsion washing and avoidign

Question 35

2nd pattern compulsion

Answer 35

doubt then checking

Question 36

pharmacotherapy Tx of OCD

Answer 36

clomipramine SSRI lithium benzos

Question 37

psychotherapy for OCD

Answer 37

behavioral and family

Question 38

PTSD

Answer 38

emotional stress in life threatening magnitude reexperience trauma in dreams and waking thoughts avoid reminders numb responsiveness persisten hyperarousal

Question 39

epidemiology PTSD

Answer 39

combat related in men | women from assualt

Question 40

predisposing vulnerability to PTSD

Answer 40

presence of chilhood trauma, personality disorders, poor social support, genetic vulnerability to psych illness, recent stressful life change, recent excessive alcohol use

Question 41

good prognostic factors for PTSD

Answer 41

rapid onset Sx, short duration, good premorbid functioning, strong support, absence other disorders

Question 42

pharmacotherapy for PTSD

Answer 42

``` SSRI mood stabilizer hypnotic anxiolytics antipsychotics ```

Question 43

pyschotherapy for PTSD

Answer 43

supportive cognitive gorup family

Question 44

generalized anxiety disorder

Answer 44

excessive and pervasive worry accompanied by variety of somatic Sc that cause significant impairment in social or occupational funcitoning or marked distress

Question 45

demographics generalized anxiety disorder

Answer 45

co exists with another psych disorder W:M 3:2 first seek Tx in 20s

Question 46

clinical features of generalized anxiety disorder

Answer 46

``` anxiety, motor tension, autonomic hyperactivity shakiness, restlessness SOB, sweating, palpitations, GI easy startle, irritability chronic condition ```

Question 47

pharmacotherapy for generalized anxiety disorder

Answer 47

``` benzo busprione mood stabilizer antipsychotic SSRI ```

Question 48

psychotherapy for generalized anxiety disorder

Answer 48

cognitive behavioral insight oriented supportive