Quiz 2 Flashcards Preview

Psych > Quiz 2 > Flashcards

Flashcards in Quiz 2 Deck (58)
Loading flashcards...
1

What is the DSM-5 criteria for GAD?

Occurring more days than not for 6+ months
Finds it difficult to control the worry
Has 3+ of the following: arousal, fatigued, concentrating, irritability, muscle tension, insomnia
Causes clinically significant distress

2

What is the DSM-5 criteria for panic disorder?

4+ sx w/abrupt onset and reaches a peak within 10 minutes
Palpitations, pounding heart, or accelerated HR
Sweating
Trembling/shaking
Sensations of SOB or smothering
Feeling of choking
Chest pain/discomfort
Nausea/abdominal distress
Feeling dizzy, unsteady, lightheaded, or faint
De-realization or depersonalization
Fear of losing control or going crazy
Fear of dying
Paresthesias
Chills or hot flushes

3

What is the DSM-5 criteria for PTSD?

The individual experienced events
Persistently re-experienced in 1+ ways
Persistent avoidance
Alteration in cognition and mood
Arousal and reactivity
Duration > 1 month
Clinically significant distress/impairment

4

What events may a PTSD patient experience?

Directly experiences
Witnessing
Learning
Repeated/extreme exposure

5

What are ways PTSD patients may re-experience events?

Memories
Dreams
Flashbacks
Psychological distress
Reactivity

6

What are events PTSD patients may experience persistent avoidance?

Memories
External reminders

7

When might PTSD patients experience alterations in cognition and mood?

Inability to remember
Exaggerated beliefs
Distorted cognitions
Negative emotional state
Diminished interest
Detachment
Persistent inability to experience positive emotions

8

When might PTSD patients experience arousal and reactivity?

Irritability/outbursts of anger
Recklessness/self-destructive behavior
Hypervigilance
Exaggerated startle response
Difficulty concentrating
Difficulty falling or staying asleep

9

What is the duration for PTSD diagnosis?

1+ month

10

What is the first line treatment of GAD?

Most SSRIs and SNRIs
Sx may worsen initially with SSRI tx

11

What are first line treatments for Panic Disorders?

SSRIs
SNRIs

12

What are the first line treatments of OCD?

CBT
SSRIs

13

What are the first line treatments for PTSD?

SSRIs

14

What is the treatment of GAD in non-response?

Try a different 1st line agent

15

What is the treatment of OCD in partial response?

Titrate to max SRI dose before adding to changing to another SRI

16

What is the role of SSRIs in treatment of anxiety?

First line because they treat related/core symptoms

17

What is the length of maintenance tx for SSRIs in the treatment of anxiety?

6+ months

18

What is the onset of SSRIs?

4-8 weeks

19

How long until a response is seen in SSRIs?

~12 weeks

20

What is the DOT of GAD and Panic Disoder?

General rule: therapy should be continued for at least 12 months after remission/response for most patients

21

What is the DOT for PTSD?

12+ months

22

What is the DOT for OCD?

Successful medication treatment should be continued for 1-2 years before considering a gradual taper

23

What is the general rule for MTM in PTSD?

Start low, go slow
Titrate over weeks to months

24

What is the step-wise approach to adjusting therapy in PTSD?

SRI first
Then augment with: AAP, benzo, gaba, mirtaz, buspar, or b-blocker

25

What is the benzo place in therapy for GAD?

2nd line therapy

26

How long are benzos used in GAD?

4 weeks or less

27

Why are short-term adjunctive benzos used for GAD?

Short course, low dose, until SSRI has time to work

28

Why are benzos used short term in GAD?

SEs (dependence, WD, abuse)

29

What is benzo's place in therapy for panic disorder?

2nd line (if not SUD/mood disorder) or
Adjunctive

30

How are benzo's used as adjunctive therapy in panic disorder?

Short term (< 8 weeks including taper) can lead to a more rapid response to SSRIs