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BMB Test 4 > B7-076 Anxiety Disorders > Flashcards

B7-076 Anxiety Disorders Flashcards

(76 cards)

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1
Q

differentiate PTSD and acute stress disorder

A

PTSD: duration greater than 1 month

acute stress disorder: duration less than one month

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2
Q

symptoms of PTSD

A

Hyperarousal
Avoidance of associated stimuli
Re-experiencing
Distress

PTSD is HARD

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3
Q

experiencing, witnessing, or discovering that a loved one has experienced a life threatening situation

A

PTSD

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4
Q

recurrent intrusive thoughts or sensations

A

obsessions

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5
Q

repetitive, often time-consuming actions that may relieve stress

A

compulsions

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6
Q

obsessions in OCD are recognized are […] by the individual

A

irrational

(separates it from OCPD, in which actions are rationalized)

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7
Q

recurrent panic attacks involving intense fear and discomfort without a clear trigger

A

panic disorder

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8
Q

attacks in panic disorder typically peak in […] minutes

A

10

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9
Q

how many symptoms are needed during an attack to diagnose panic disorder?

A

4 or more

(palpitations, derealization, paresthesias, abdominal distress, intense fear of dying/losing control, lightheadedness, chest pain, chills, sweating, etc)

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10
Q

differentiate panic disorder and PTSD

A

PTSD occurs due to a clear trigger

panic disorder does not have a clear trigger

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11
Q

panic disorder patients can develop […] due to fear of recurrent attacks

A

agoraphobia

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12
Q

diagnosis of panic disorder requires 1 or more month with 1 or more of the following symptoms [3]

A

persistent concern of additional attacks
worrying about consequences of attacks
behavioral change related to attacks

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13
Q

excessive worry about multiple events or activities

subjective difficulty redirecting worry

A

generalized anxiety disorder

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14
Q

GAD must have […] months duration

A

6 or more

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15
Q

associated features of GAD required for diagnosis

A

Concentration difficulty
Restlessness
Irritability
Muscle tension
Energy low (fatigue)
Sleep distrubances

CRIMES- must have 3 of 6

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16
Q

key question for making diagnosis of GAD

A

do you feel like you can stop worrying when you need to?

(patients with GAD have trouble redirecting worry)

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17
Q

cued or anticipated fear that is excessive and unreasonable and provokes immediate anxiety

A

specific phobias

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18
Q

severe, persistent (>6 months) fear/anxiety due to presence or anticipation of a specific object or situation

A

specific phobia

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19
Q

do people with specific phobias recognize the fear is excessive?

A

yes

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20
Q

irrational fear/avoidance of leaving comfort zones due to fear that help/escape is unavailable

A

agoraphobia

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21
Q

exaggerated fear of embarrassment in social situations recognized as excessive/unreasonable

A

social anxiety disorder

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22
Q

social anxiety disorder is a type of

A

specific phobia

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23
Q

anxiety is physiologically related to a known medical condition

A

anxiety disorder due to GMC

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24
Q

anxiety is physiologically related to effects/withdrawal of substance or medication

A

substance induced anxiety disorder

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25
anxiety is present but does not meet criteria for other anxiety disorders
anxiety disorder NOS
26
anxiety disorders are often co-morbid with
mood disorders (depression)
27
what types of anxiety disorders are more prevalent [3]
phobias social anxiety PTSD
28
what types of anxiety disorders are least prevalent [2]
panic disorder OCD
29
two or more depressive symptoms lasting two or more years
persistent depressive disorder (dysthmia)
30
onset of anxiety disorders typically onset in
late adolescence/early adulthood
31
anxiety disorders with some evidence of genetic components [4]
panic disorder OCD GAD phobias
32
anxiety disorders can be more prevalent in persons with [...] type personality disorders
cluster C
33
"anxious, avoidant, fearful" cluster
cluster C
34
diseases falling under cluster C [3]
OCPD dependent personality disorder avoidant personality disorder
35
differentiate social anxiety disorder and avoidant personality disorder
social anxiety disorder: anxiety in response to certain fears like public speaking or performing avoidant personality disorder: more chronic, lifelong avoidance and anxiety in any setting
36
differentiate dependent personality disorder and avoidant personality disorder
dependent personality disorder: people pleasing tendencies avoidant personality disorder: totally avoidant of people
37
patients with [...] will typically be cognizant of symptoms and problems on assessment [4]
OCD phobias panic disorder GAD
38
patients with [...] may be avoidant or reluctant to discuss their symptoms on assessment
PTSD
39
preoccupation with order, perfectionism, and control behaviors are consistent with one's own beliefs
obsessive compulsive **personality** disorder (in contrast to OCD, in which patients recognize symptoms are irrational)
40
excessive need for support, submissive, low self confidence
dependent personality disorder
41
hypersensitive to rejection and criticism, socially inhibited, timid, feelings of inadequacy
avoidant personality disorder
42
anxiety disorders are ego [...]
dystonic (aware of problem)
43
personality disorders are ego [...]
syntonic (not aware of problem)
44
make screening questions [...] to make patients more comfortable sharing symptoms
conversational
45
goal of testing is to determine if a person meets criteria for a psychiatric diagnosis
psychodiagnostic testing
46
criterion referenced testing
psychodiagnostic testing
47
testing with a restricted response range with yes/no response to each symptom
objective testing
48
testing with open response range, like asking the patient to interpret finding (analyzes themes)
projective testing
49
treatment for anxiety disorders with [...] can also treat co-morbid depressive features
SSRIs
50
patients with anxiety disorders often have [...] insight and can engage in coping strategies
good
51
used in acute depression rapid response can help with comorbid anxiety
electroconvulsive therapy
52
rapid-acting method to treat refractory depression induces tonic-clonic seizure under anesthesia and neuromuscular blockade
electroconvulsive therapy
53
systematic exposure/dose of related but incrementally threatening triggers/situations
graded exposure therapy
54
direct exposure to an intense/threatening stimulus without option of avoidance to produce desensitization
flooding exposure therapy
55
systematic desensitization via discussion, imagery, and planned exposure
slow and systematic
56
systematic desensitization via conditioning resulting in "extinction"
counter conditioning (anxiety typically peaks before extinction- just be aware because patient may want to d/c treatment)
57
psychological approach that works especially well in children or patients with diminished cognitive capacity
token economy (exposure earns tokens, maladaptive behaviors loose tokens)
58
characterized by chronic worry and physical complaints
GAD
59
panic attacks provoked by social situations
social anxiety disorder
60
panic attacks come unreliably in multiple situations
panic disorder
61
chronic disorder associated with trauma, intrusive recollections of trauma, avoidance, and physiological arousal
PTSD
62
perceptions of [...] by others are typical of social anxiety disorder
scrutiny
63
fear of places where escape may be difficult, often due to fear of having additional panic attacks
agoraphobia (panic disorder with agoraphobia)
64
chronic worry and anxiety with somatic complaints problems controlling/redirecting the worry
GAD
65
occurs in social situation with others which can be provoked by fears of scrutiny of others
social anxiety disorder
66
characterized by intrusive obsessions, followed by behavioral compulsions that reduce subjective anxiety
obsessive-compulsive disorder
67
exposure technique in which a patient is exposed directly to their feared stimulus without options to avoid
flooding
68
[...] and [...] involve gradual systematic exposure to a feared stimulus over time to reduce anxiety symptoms
graded exposure systematic desensitization
69
[...] medications have potential for dependency/abuse
anxiolytics
70
first line treatment in anxiety disorders
antidepressants
71
trauma and associated symptoms occurring less than one month
acute distress disorder
72
trauma and associated symptoms occurring greater than one month
PTSD
73
patients with [...] may be avoidant or reluctant to discuss their history and symptoms
PTSD
74
responsible for cortisol release
adrenal gland
75
what brain structure initiates the events of the HPA axis
amygdala
76
describe the sequence of the HPA axis
amygdala --> hypothalamus --> pituitary --> adrenal gland

BMB Test 4 (14 decks)

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