Panic Disorder, OCD, PTSD Flashcards
(52 cards)
panic disorder is recurrent, ______ panic attacks followed by => _____ of persistent concern or worry about additional attacks and consequences OR _________ related to attacks
unexpected
=>1mth
notable maladaptive behaviour changes
the DSM 5 dx of panic disorder includes
an abrupt surge of intense fear or discomfort with 4 or more sx + peak within minutes
panic disorder peaks within
minutes
goals in tx of panic disorder
Reduce frequency and severity of attacks, anticipatory anxiety, avoidance and impaired function
T or F: a single panic attack can be dx of panic disorder
F- not in isolation
T or F: comorbid health and mental health issues are common with panic disorder
T
describe the panic cycle
anxiety → panic attack → fear of another one → more anxiety → another attack
what is first line tx in panic disorder
CBT alone or with ADs
combo better for remission
T or F: CBT alone is enough for severe panic disorder
F- should add AD
which of the following is false about panic disorder
1. self help books help as much as face to face CBT
2. CBT + AD combo is better than CBT alone
3. antipsychotics may be added adjunct
4. should start with lower dosing + keep at lower dose
5. 3+4
3
those with ____ are very sensitive to physical experiences = can start with low dosing and stay at lower doses in general
panic disorder
what is second line tx for PD
TCAs, MAOi
most PD disorders decrease in _____ after tx initiation, continue up to ____
decrease in 6-12wks
continue up to 12mths
if anxiety is severe in PD, what should be used
BZs PRN to bridge gap until SSRIs kick in
how long should BZs be used in PD
first 8 wks, ST PRN
what is the least common anxiety disorder
OCD
mean age of onset for OCD is
20
list 2 RF for OCD
social isolation, hx physical abuse, negative emotionality (- emotions, poor self concept/ esteem)
describe obsessions
Recurrent, intrusive thoughts, images, or urges caused marked anxiety and stress
Ex- contamination, symmetry/ exactness, safety, sexual impulse, aggressive impulses, somatic, religious
describe compulsions
Repetitive behaviors or mental acts performed in an attempt to reduce anxiety from obsessions
DSM dx of OCD includes
obsessions that cause marked anxiety/ stress AND/OR compulsions aimed at preventing/ reducing anxiety related to obsessions/ preventing situation
time consuming (>1hr/d) + causes clinically sig distress/ functional impairment
what is the scale used to rate OCD sx
yale brown obsessive compulsive scale (Y-BOCS)
which of the following is true about the Y-BOCS
1. it is administered by the clinician but initially done by the pt
2. is diagnostic
3. picks out which sx should be targeted for tx
4. all of the above
5. 1, 3
5
tx of OCD usually includes
CBT and or meds
