Generalized Anxiety Disorder Flashcards Preview

Jason's MD3 Psychiatry Rot > Generalized Anxiety Disorder > Flashcards

Flashcards in Generalized Anxiety Disorder Deck (32):
1

Symptoms of anxiety?

Anxious, tense
Chronic fatigue
Irritability
Noise intolerance
Sleep disturbance
Tense muscle
Impaired concentration and memory (can read?)
Startle response
Hyperventilation (hands, feet, mouth paraesthesia)

2

Symptoms of anxiety

Palpitations, sweating
Trembling
Esophageal spasm
Dyspnoea, choking
Dizziness
Detachment: depersonalizations, de realization (observers in reality)
Paraesthesia: hot/cold feelings
Panic sensations
Fear or dying or going crazy

3

DDx of anxiety

Depressive illness (use scale)
Thyrotoxicosis
Alcohol withdrawal
Excessive caffeine (coffee, cola
Hypoglycaemic

4

Rx of anxiety:

Antidepressants for chronic symptoms

5

Rx list for anxiety

Explain
CBT
Relaxation (hypnosis)
Benzos, short-term
Antidepressants
Buspirone 10mg TDS (rarely used/40% of ppl)
Atypical antipsychotics (quitiapine)
Formal psychotherapy for personal vulnerabilities

6

2 types of benzos

Short half life (more addictive)
Long halflife (prolonged cog and emo impairment)

7

Most powerful benzo is?

Alprazolam (Xanax) also most addictive

8

Emergency use of benzos

IM medazolam

9

Treatment of Insomnia

Time of regular WAKING determines their sleep-wake cycle.

Sleep hygiene -weighted blanket
Relaxation technique and sleep apps
Herbal medications: antihistamines? (Valerian, tryptophan)
Melatonin - doesn't work.

10

Med treatments for insomnia?

Temazepam : 30 min to start, lasts 4-6 hours

Oxazepam: 1 hour to come on, lasts 8 hours

11

Side effects of all hypnotics:

Addiction risk
Rebound insomnia
Nightmares
Amnesia

12

Zolpidem - modern hypnotics SFX?

Automatic actions + amnesia

13

Sedative antidepressants

Agomelatine
Mirtazipine
Meandering
Amityptyline

14

Sedative antipsychotics

Quetiapine
Pericyazine
Chlorpromazine

15

Phobia definition

Unreasonable fear leading to avoidance

16

Most prevalent phobias?

Illness
Storms
Snakes

17

Most treated phobias?

Agoraphobia
Specific phobias

18

Agoraphobia worse in?

Crowded places
Public transport

19

Who gets agoraphobia?

1. Young, usually fragile, unassertive personalities
2. Older: usu. depressive illness

20

Rx of agoraphobia

1. CBT
Desensitization
Relaxation/hypnosis
Flooding (in Vigo or in imagination)

2. SSRIs

3. Anxiolytics of very limited use (no benzos)

Prognosis: 60% cure, 40% chronic or relapsing

21

Specific phobias

Life
Heights
Insects
Snakes

22

Animal phobias who?

Mainly in women and children before puberty

23

OCD is driven by?

Anxiety

24

OCD is what 4 things

1. Recurrent or persistant thought
2. Thought, action (or image)
3. Occurring against the patients will
4. REvolting or ridiculous

25

What are common obsessions? Thoughts?

Sex, violence

26

What are common compulsions?

Checking
Cleaning
Counting
Touching

27

When is OCD worse?

Under stress
obsessional personality

28

DDx for OCD for first time in middle age is?

Depressive illness

29

Onset for OCD?

10-30years

30

Rx of OCD?

CBT
Exposure with response
Flooding or thought stopping
5HT antagonists (clomipramine, SSRI)

31

What neurotransmitter for OCD?

5HT - serotonin pathways

32

Definition of GAD?

Unjustified sense of fear directed towards the future
Self rating: 0-10 (rate chronic, and recent)