Exam 2 Anxiety Disorders: Generalized, Panic, Phobias Flashcards Preview

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Flashcards in Exam 2 Anxiety Disorders: Generalized, Panic, Phobias Deck (14):
1

Generalized Anxiety Disorder criteria? (5)

Sxs? (6)

A. Worry/tension 6 mo
B. Difficulty controlling sxs
C. 3+ sxs
D. Not another disorder or GMC
C. Clinically significant distress


Sxs:
1) Restless
2) Easily fatigued
3) Poor concentration
4) Irritable
5) Muscle tension
6) Sleep disturbance

2

Generalized Anxiety Disorder tx:

w/o co-morb MDD?

w/ co-morb MDD?

Pregnant?

w/o co-morb MDD = SSRI/SNRI or CBT

w/ co-morb MDD = add antiolytic/anxiety (BuSpar, BAs), P hospitalization

Pregnant = CBT

3

Panic definition?

Acute, episodic attack of anxiety a/w overwhelm/dread/autonomic discharge

4

Agoraphobia definition?

Morbid fear of panic attack/embarrassment where can't escape

5

Phobia definition?

Fear compelling irrational methods of avoidance

6

Panic Disorder etiological factors? (3)

Sig 1° genetic risk
Temperament
Hx of unpredictable/uncontrollable stressors

7

Panic Attack definition?

Sxs? (13)

Period of intense fear w/ 4+ sxs develop/peak w/i 10 min:

1) Palp/↑HR
2) Sweat
3) Trembling
4) SOB
5) Choking
6) Chest pain
7) N/GI distress
8) Dizzy/Faint
9) Derealization/Depersonalization
10) Fear of losing control/going crazy
11) Fear of dying
12) Paresthesia
13) Chills/hot flash

8

Panic Disorder is? (2)

A. Recurrent panic attacks followed by 1+ mo of one or more of:
-Persistent concern of another attack
-Worry of attack consequences
-Significant behavioral change w/ attack

B. +/- Agoraphobia

9

Panic Disorder tx: Goals? (4)

1) ↓ intensity, freq, duration
2) ↓ avoidance behavior
3) ↓ reliance on safety cues
4) Improve fxn

10

Panic Disorder tx? (4)

CBT
SSRI
SNRI
BZs

11

Specific Phobia criteria? (5)

A. Marked/Persistent excessive fear of presence or anticipation of specific thing

B. Exposure provokes immediate anxiety

C. Excessive or unreasonable

D. Avoided/Endured w/ intense anxiety

E. Significant interference w/ fxning

F. <18yo lasts 6+ mo

12

Specific Phobia tx? (2)

CBT (short-term)
BZs (short-term)

13

Social Phobia criteria? (5)

A. Marked/persistent fear of humiliation/scrutiny

B. Exposure provokes immediate anxiety

C. Excessive or unreasonable

D. Avoided/Endured w/ intense anxiety

E. Significant interference w/ fxning

F. < 18yo lasts 6+ mo

14

Social Phobia tx:

w/o co-morb?

w/ co-morb depression?

w/ co-morb anxiety?

w/o co-morb = SSRI/SNRI, Short-term BZ or CBT

w/ co-morb depression = SSRI/SNRI + CBT

w/ co-morb anxiety = SSRI/SNRI + CBT