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20 Cards in this Set
- Front
- Back
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What is normal anxiety?
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Anxiety is a normal response to
stressful or fearful circumstances. Most people experience some degree of anxiety in reaction to stressful situations. This allows an individual to adapt to or manage the stressful/threatening situation. Anxiety symptoms generally are short-lived and do not necessarily impair function. |
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What is abnormal anxiety?
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Anxiety that becomes excessive, causes irrational thinking or behavior, and impairs a person’s functioning is
considered an anxiety disorder. |
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How common are anxiety disorders?
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Anxiety disorders are among the most frequent mental disorders encountered by clinicians.
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What happens if anxiety disorders are not treated?
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Untreated anxiety disorders may result in increased healthcare utilization, morbidity and mortality, and poorer quality of life.
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What is the DOC for anxiety?
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An antidepressant, usually an SSRI, is the drug of first choice for anxiety.
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What anxiety disorders can SSRI's be used to treat?
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SSRIs can be used to treat:
1. generalized anxiety disorder (GAD) 2. social anxiety disorder (SAD) 3. posttraumatic stress disorder (PTSD) 4. panic disorder (PD) 5. obsessive-compulsive disorder (OCD) |
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What are the benefits of SSRIs in GAD?
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Antidepressants reduce the psychic symptoms (worry and apprehension) of anxiety with a modest effect on autonomic or somatic symptoms (e.g., tremor, rapid heart rate, and/or sweating).
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What is the onset of SSRIs?
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2 to 4 weeks
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When are benzos used in GAD?
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Can be used for ACUTE TREATMENT, or as an adjunct, or to improve sleep.
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What is a second-line drug for GAD?
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Buspirone
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What are the benefits to Buspirone?
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Buspirone does not have abuse potential, no withdrawal, does not potentiate alcohol, or sedative/hypnotic effects.
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What are alternative agents for GAD?
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Hydroxyzine and pregabalin
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What are drugs of choice for PD?
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SSRIs are the DOC.
TCA or MAOI may be used if SSRI is not effective. |
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When are benzos used for PD?
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Benzos are used with antidepressants, especially early in treatment, or as monotherapy to acutely reduce panic symptoms.
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What are the AE of alprazolam when used for PD?
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May cause rebound anxiety b/t doses and withdrawal, including seizures.
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DOC for SAD?
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SSRI's
Onset is 8-12 weeks. |
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DOCs for OCD?
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Clomipramine
Fluoxetine Fluvoxamine Paroxetine Sertraline All FDA- approved for OCD. Efficacy same for clomipramine and SSRIs but SSRIs have a better AE profile. |
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What to add to regimen for a highly anxious OCD?
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Benzo or antipsychotic drug
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DOC for PTSD?
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SSRIs
Sertraline, paroxetine for ACUTE Sertraline for LT Second line-venlafaxine, TCA, MAOI |
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DOC for performance anxiety?
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Propanolol
other B-blockers |
