Psychiatry: Anxiety Disorders Flashcards
(36 cards)
What is a Panic Attack
Sudden onset of intense fear
-doesn’t always have a trigger
How long does a Panic attack last
Brief: minutes to an hour
What are common Physical Symptoms of a Panic Attack
Palpitations, racing heart
Sweating
Trembling or shaking
Chest pain/discomfort
What is Derealization
Items look foggy/unreal
feel like in a foreign place despite being home
What is Depersonalization
Out of body experience
detached, looking at self from above
What is needed to diagnose Panic disorder
Recurrent unexpected panic attack
-followed by 1 month of more of concern/worry and change in behavior to avoid attacks
Risk Factors for Panic Disorder
Women
Genetics
1st degree relative
Hx of physical/sexual abuse
Life stress
What are the treatment options for Panic Disorder
CBT
SSRI
Benzodiazepines
What is a specific phobia
Fear of a specific thing leading to avoidance behavior
Persists >6 months
How long does a Phobia need to persist to be diagnosed
> 6 months
Treatment options for Specific Phobias
Benzodiazepines
Beta-blockers
SSRI
What do you use Benzodiazepines for in Specific Phobias
Infrequent exposure
What do you use Beta-Blockers for in Specific Phobias
Blunt the physical symptoms
What do you use SSRI for in Specific Phobias
Frequent Exposures
What behavioral therapy strategies are used for specific phobias
Systematic Desensitization
Exposure Therapy
What is Systematic Desensitization
Imaging exposure to feared stimulus followed by relaxation
What is Exposure therapy
Confront feared stimulus in a safe/controller manner
Fear is reduced over time
-extinction learning
What is Generalized Anxiety Disorder
Chronic, persistent worry
-many different things
More days that not for at least 6 months
What timeline is needed to diagnose Generalized Anxiety Disorder (GAD)
at least 6 months, more days than not
What Symptoms do you need to diagnose GAD
3 or more
-Restlessness
-fatigue
-Difficulty concentrating
-Irritability
-Muscle Tension
-Sleep Disturbance
Treatment options for GAD
CBT + SSRI
What are Obsessions
Recurrent, persistent thoughts, urges or images that are unwanted, intrusive and cause distress
What are Compulsions
Repetitive behaviors or mental acts done to relieve obsessions
Is Obsessive-Compulsive Disorder (OCD) Egosyntonic or Egodystonic
Egodystonic: behaviors conflict with the goals of the ego
