Lecture 34-35_Anxiety D/o Flashcards Preview

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Flashcards in Lecture 34-35_Anxiety D/o Deck (13):
1

GAD --
Criteria (duration)

Excessive anxiety, worry x 6 months
Not worrying about anything specific

3 of the following: Irritable, restless, concentration, fatigue, sleep, muscle tension

Physical Symptoms -- such as GI

2

Course of GAD -

median age of dx?

Chronic + episodes; low remission

Dx - 30 yo (But generally anxious throughout life time)

3

GAD -- first and second line treatments

Treat: CBT, SSRis

Second line: buspirone, BZDs

can give benzo's first along with SSRI as the SSRI takes a few weeks to kick in

4

OCD
Criteria

obsessions/compulsions which interfere with function

Compulsions used to relieve obsessions

Per first aid: Egodystonic behavior

5

OCD
med age of dx
associated comorbidities
Course

dx - 19.5 yo

Comorbid: MDD, tourettes, BP, anxiety

low remission

6

OCD -- tx

CBT, SSRI, TCA (clomipramine)

7

OCD vs OCD personality D/o

ego syntonic;
No invasive thoughts, images, urges or repetiive actions;
Mal adaptive - patterns of excessive control and perfectionism

8

Panic D/o
criteria

Recurrent Panic Attacks (10 minutes to peak; at least four symptoms)

Followed by 1 month of:
worry about additional attacks
consequences of the attack
maladaptive changes

9

Symptoms of panic d/o

Paresthesias, palpitations
Abdominal pain
Nausea
Intense fear; Light headedness,
C- CP, Choking, chils
S - shaking, sweating, SOB

10

treatment of panic d/o

SSRIs
CBT
Veleafaxine
Benzos for acute

11

Agoraphobia
- what is it?

exaggerated fear of open or enclosed places in which escape might be difficult or embarrassing in the event of a panic attack

12

Agoraphobia criteria

duration

> 6 months fear or anxiety

2 or more fears of:
public transportation, open spaces, closed spaces, standing in line,

avoidance behaviors
situation provokes anxiety

13

Agoraphobia tx

CBT, SSRIs, MAOIs