Behavioral Science - Anxiety Disorders I & II - Thomas L. Schwartz Flashcards
(66 cards)
What are some physical symptoms of anxiety?
Sympathetic NS: diaphoresis, mydriasis, tachycardia,
tremor
GI/GU symptoms (diarrhea, ↑ urinary freq.)
Hyperventilation → dizziness and syncope, parasthesia
Numbness and tingling in the extremities and around the mouth.
What are psychological manifestations of anxiety?
Restlessness, Irritability, Trouble concentrating, worry
diagnostic criteria for anxiety disorders
Symptoms must
1. Be persistent (generally ≥6 months)*.
2. Interfere with normal functioning
(work, job, marriage, etc.)
3. Cause significant distress.What are some emergency room presentations that are physical or psychological manifestations of anxiety?
Acute MI, Pulmonary Embolism (PE), Chronic obstructive pulmonary disease(COPD) exacerbation, asthma exacerbation
T/F schizophrenia is associated with anxiety
True
What are some organic causes of anxiety?
Caffeine, substance abuse (cocaine, amphetamines), withdrawal (alcohol, benzodiazepines, opiates), hyperthyroidism, arrythmia, Vit B12 deficiency, hypoglycemia, and pheochromocytoma
T/F children with persistent symptoms of anxiety for less than 6 months may still be diagnosed with anxiety
True
Name the anxiety disorder associated with:
Fear of excessive humiliation;
Fear of public speaking;
Fear of using public toilets
Social phobia
Name the anxiety disorder associated with: Reliving trauma Mental stupor Irritability Nightmares
PTSD
Name the anxiety disorder associated with: Fear of using public toilets; Obsession Thoughts of sex Thoughts of murder Hallucinations
OCD
Name the anxiety disorder associated with: Fear of snakes; or Fear of blood; or Fear of elevators; or Fear of plane flying
Simple phobia
Name the anxiety disorder associated with: Fear of dying; Panic attacks; Fear of going; Shortness of breath; Chest pain
Panic disorder
Name the anxiety disorder associated with: Anxiety Inner tension Depression Increased aggression
Mixed anxiety and depression
Are durations of symptoms for children longer or shorter when diagnosing anxiety?
Shorter
What are the neurobiological factors associated with anxiety?
Low serotonin (5HT)
Low GABA activity
High NE
High glutamate
Psychosocial factors that contribute to anxiety include:
- Traumatic events or extreme stresors
- Maladaptive coping skills (personality traits)
- Learned behavior?
Is there a gender bias associated with anxiety disorders?
Yes, women>men
A 35 yo female comes to your office asking for help. She claims that she and her husband have been arguing a lot more lately. She says he can’t take her constant worrying. She worries about his job and whether he is making enough money, if the mail will be delivered on time, and about how well she is raising her kids in such a cruel world. She says she has worried about things for as long as she can remember. She doesn’t like that she doesn’t sleep well at night. What is the most likely diagnosis?
Generalized Anxiety Disorder
The criteria for GAD are excessive worrying (multifocal worrying) for at least 6 months, that is difficult to control, is not due to another illness or cause, causes significant impairment, and is associated with 3 or more what other symptoms?
Restlessness Easily fatigued Difficulty concentrating Irritability Muscle tension Sleep disturbances
What is a common way to self-medicate anxiety?
Alcohol
T/F: 50% of GAD patients have had anxiety symptoms prior to adulthood.
True
What is the prognosis for GAD if no treatment is undertaken?
It generally gets worse over time
What is the most proven therapy for GAD?
CBT
also Psychodynamic, but CBT has the most evidence to support its use
esCitalopram, Paroxetine are frontline therapies for what disorder?
SSRIs
Frontline therapy for GAD
