Neurotic disorders Flashcards
(83 cards)
ICD 11 classification for generalised anxiety disorder
General anxiety in multiple environments or about multiple aspects of everyday life
Anxiety accompanied by additional symptoms e.g. muscle tension, irritability, sleep disturbance
Symptoms present for several months more days than not
Not better accounted for by another condition
Result in significant distress or impairment of functioning
ICD requirement for number of months anxiety must have been present for to meet criteria for a diagnosis of generalised anxiety disorder
6 months
Physical symptoms of anxiety mentioned in ICD 10 - requirement for 4 to be present for diagnosis of GAD
- Autonomic arousal - palpitations, tachycardia, dry mouth, trembling
- Breathing difficulty, choking sensation, chest pain, abdominal pain/nausea
- Feeling dizzy, unsteady, faint, depersonalisation, derealisation
- Hot/cold flushes, numbness, tingling sensations
- Muscle tension, restlessness, lump in throat
- Exaggerated response to surprise, concentration difficulties, sleep difficulty
Types of panic attack recognised in DSM V
Expected
Unexpected
Length of time symptoms must be present to diagnose panic disorder in ICD 10
1 month
Number of panic attacks which must be present to label panic disorder as severe in ICD 10
4 attacks per week in a 4 week period
Cardinal features of a phobia
Fear is
- Out of proportion to the situation
- Cannot be explained or reasoned away
- Is beyond voluntary control
- Leads to avoidance
Difference clinically between phobic anxiety and other causes of anxiety
None
Important feature of phobias where the person becomes anxious when they feel they may encounter the object of the phobia
Anticipatory anxiety
Cognitive basis for the anxiety seen in agoraphobia
Lack of escape
Three themes that provoke anxiety in agoraphobia
Distance from home
Crowding
Confinement
Physical feature more common in social anxiety than other anxiety disorders
Blushing
Type of social anxiety seen in ICD 10 where anxiety manifests in certain situations
Discrete type
Type of social anxiety seen in ICD 10 where there is anxiety in any generic social situation
Diffuse
Five subtypes of phobia distinguished by DSM V
Animals Aspects of the natural environment Blood/injection/injury Situational Other
Definition of an obsession in the context of OCD
A repetitive and persistent thought, image or impulse/urge which is unwanted, intrusive and often associated with anxiety
Definition of a compulsion in the context of OCD
A repetitive behaviour or ritual, including a repetitive mental act, that the individual feels required to perform in response to an obsession, according to rigid rules, or to achieve a sense of ‘completeness’
Most common compulsion in OCD
Checking behaviours
Time within which an acute stress reaction usually starts
1 hour
Time by which there is usually resolution in an acute stress reaction
8 hours if there was a single stressor event
48 hours if the stressor was ongoing
Length of time an acute stress disorder should last according to DSM
Should start when the stressor is present
Should last 2 days to 4 weeks
Time frame for adjustment disorder in ICD 11
Usually starts within 1 month of the stressor
Should resolve by 6 months after the stressor has ended
Principal symptoms of PTSD
Hyperarousal - anxiety, irritability, insomnia
Hypervigilance due to re-experiencing and enhanced startle response - intrusive thoughts, distressing dreams, difficulty remembering stressful events voluntarily
Avoidance - avoidance of reminders of the event, emotional numbness, feelings of detachment
Timeframe within which PTSD should start
6 months from the trauma
