Exam 2, Part 1

Question 1

How often are men affected by anxiety

Answer 1

8%

Question 2

How often are women affected by anxiety

Answer 2

20%

15% lingers than 6 months

Question 3

What is the MC disorders besides substance abuse?

Answer 3

Anxiety disorders

Question 4

What is a panic attack?

Answer 4

A DISCRETE period of intense fear fullness. Going crazy, out of control, impending doom

Question 5

Is a panic attack a psychiatric disorder

Answer 5

Not really, however numerous and recurrent attack’s is a panic disorder

Question 6

What is anticipatory anxiety

Answer 6

Anxiety and worry between panic attacks and becomes the most disabling feature

Question 7

Panic disorder is MC associated with

Answer 7

Agoraphobia

Question 8

What is agoraphobia

Answer 8

Exposure or anticipated exposure to situations where they are unable to escape or become incapacitated

Question 9

A patient has agoraphobia if they have fear or anxiety of 2 of the following 5 things

Answer 9

Using public transportation

Being in an enclosed space (movie theater)

Being in an open space (parking lot)

Being outside of home alone

Standing in line or being in a crowd

• their anxiety is out of proportion to the actual danger involved

Question 10

What is the treatment for panic disorder or agoraphobia

Answer 10

Medications such as Benzodiazepines, SSRIs, SNRIs

Question 11

Treatment for panic disorder/agoraphobia that is behavioral

Answer 11

Relaxation training- help clients gain control over bodily reactions

Panic control therapy(PCT)- cognitive restructuring, exposure to situations triggering panic and breathing techniques

Question 12

What is the difference between a phobia and fear

Answer 12

Phobia- UNREASONABLE/IRRATIONAL degree of fear

Question 13

Systematic desensitization is

Answer 13

Gradually increasing exposure to feared stimulus using relaxation techniques

Question 14

Flooding is

Answer 14

Totally immersed in the sensation of anxiety by being exposed to the feared situation in its entirety

Question 15

Imaginal flooding is

Answer 15

Immersed through imagination in the feared situation

Question 16

Graduated exposure is

Answer 16

Initially confront situations that cause only minor anxiety and gradually progress toward those that cause greater anxiety

Question 17

Thought stopping is

Answer 17

Learn to stop anxiety-provoking thoughts

Question 18

What is social anxiety disorder

Answer 18

Clinically significant anxiety provoked by exposure to certain situations leading to avoidance behavior.

Fear of embarrassment, failure, or humiliation before others such as speaking, performing, eating….. etc.

Question 19

How common is social anxiety disorder

Answer 19

15. 5% in females
16. 1% in males

Only 2% of patients seek treatment

Question 20

What is the cognitive process of social anxiety disorder

Answer 20

OVERESTIMATE- their own symptoms

MISINTERPRET- responses of others

OVERESTIMATE- degree which people are paying attn.

OVEREMPHASIZE- perceived or actual failures

Question 21

What meds are used for social anxiety disorder

Answer 21

SSRIs, SNRIs, Beta blockers, benzodiazepines, MAOIs

Question 22

What is the psychological treatment for social anxiety disorder

Answer 22

Cognitive behavioral thereapy (CBT)- challenge accuracy of their perceptions

Motivation interviewing

Mindfulness/meditation

Question 23

Generalized anxiety disorder is

Answer 23

Anxiety that is not associated with anything in particular. Lasts at least 6 months and persistent and excessive anxiety that interferes with normal funcitoning

Question 24

GAD is when

Answer 24

Magnitude of worry is out of proportion to the severity of the situation. Difficult for the patient to control

Question 25

GAD treatments

Answer 25

SSRIs,SNRIs Systematic desensitization Education Cognitive therapy Relaxation techniques

Question 26

GAD treatment using chiropractic does what

Answer 26

Effects the frontalis EMG potentials, spinal ranges of motion and anxiety level. Adjustments decreased muscle tension and anxiety levels

Question 27

What drugs can precipitate serious anxiety symptoms

Answer 27

OTC cold preparations Caffeine Cocaine Amphetamines Marijuana Withdrawal from alcohol or other depressants

Question 28

What are differentials for anxiety disorders

Answer 28

Cardiovascular problems Myocardial Infaction Arrhythmias Pulmonary embolism Endocrine disorders (hyper/hypothyroidism) Neurological disorders (vestibular dysfunction)

Question 29

OCD is

Answer 29

Very time consuming and causes significant distress and impairment Recurrent thoughts, urges, ideas, or images Intrusive and unwanted urges

Question 30

OCD compulsions

Answer 30

Repetitive behavior or mental act performed according to rigid rules that person feels driven to carry out

Question 31

What are the MC behaviors of OCD patients

Answer 31

Washing, cleaning, counting, checking, etc.

Question 32

What are the 4 major dimensions of OCD

Answer 32

Obsessions associated with checking compulsions Need for symmetry and order Obsessions about cleanliness with washing compulsions Hoarding-related behaviors

Question 33

Who gets OCD

Answer 33

MC in young males MC in adult women Affects 1-3% of the population

Question 34

What is the medication for OCD

Answer 34

Clomipramine (tricyclic anti-depressant) or SSRIs Deep brain stimulation (in extreme cases)

Question 35

What are the psychological treatments for OCD

Answer 35

Exposure with ritual prevention Thought stopping Satiation therapy- confront obsessional thoughts for long they lose their meaning

Question 36

Body dysmorphic disorder (BDD)

Answer 36

Preoccupied with the idea that part of their body is ugly or defective They perform compulsive behaviors-grooming constantly or seeking reassurance from others about appearance

Question 37

BDD is frequently comorbid with

Answer 37

Major depressive disorder, social anxiety disorder, OCD, eating disorders

Question 38

Meds for BDD

Answer 38

SSRIs Congnitive behavioral therapy

Question 39

What is trichotillomania

Answer 39

Compulsive, persistent urge to pull out ones own hair They feel (unable to stop)

Question 40

Excoriation disorder is

Answer 40

Recurrent picking at ones skin Majority are females

Question 41

Psychological/ behavioral treatment for trichotillomania and excoriation disorder

Answer 41

Habit Reversal Training (HRT)- learn a new response to compete with habit Stimulus control- making changes to the environment

Question 42

Acute stress disorder is

Answer 42

Occurs after a traumatic event and lasts for up to 1 month

Question 43

Post traumatic stress disorder is

Answer 43

Experiencing several distressing symptoms for more than a month

Question 44

PTSD

Answer 44

Secondary depression, panic attacks and substance abuse Lifetime prevalence is 6.8% for general population 12-18% for combat veterans

Question 45

Theories of PTSD

Answer 45

Traumatic experiences lead to changes in the brain making it hypersensitive to possible danger in the future Alteration in the hippocampus ( consolidates memory)

Question 46

Treatment for PTSD

Answer 46

SSRIs Virtual reality therapy Eye movement desensitization reprocessing (E M D R)