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16 Cards in this Set

  • Front
  • Back
generalized anxiety disorder
- key features
- time frame
- symptoms
- unrealistic worry
- chronic - present at least 6 months
- persistent - present more days than not
- at least THREE of the following:
a. restlessness/feeling on edge
b. easily fatigued
c. difficulty concentrating/mind going blank
d. irritability
e. muscle tension
f. sleep disturbance
generalized anxiety disorder
- onset
- impairment is mild or severe?
- __% go on to develop panic disorder
- develop other disorders?
- onset often in 20s-30s
- impairment is usually Mild
- 25% get panic disorder!!
- many develop Major Depressive Disorder
Panic attack
2 key aspects
- symptoms
- suddenness
- atleast FOUR of the following to be a full panic attack:
a. sob/dyspnea
b. dizziness
c. tachycardia
d. trembling
e. sweating
f. feeling of choking
g. nausea
h. depersonalization/derealization
i. numbness
j. chills/hot flashes
k. chest pain
l. fear of dying
m. fear of going crazy or doing something uncontrolled
- atleast four symptoms present in the first 10 MINUTES!
panic attacks occur in which disorders?
- panic disorder - at least some of the attacks occur unexpectedly
- phobias, OCD, PTSD - attacks occur only upon EXPOSURE to STIMULI
panic disorder
- features of panic attacks
- time frame
- detrimental?
- attacks are recurrent and unexpected
- a MONTH or more worry about upcoming attacks
- have caused a SIGNIFICANT change in BEHAVIOR
panic disorder
- __% of initial attacks have ______________
- comorbidity
- prevalence
- 78% of initial attacks have NO CLEAR TRIGGER
- first avoids places where previous attacks have occurred, then fears any open space (AGORAPHOBIA) >> housebound
- eventually become significantly depressed (40-80%)
- alcohol/substance abuse (20-40%)
- ^rates in women
obsessive compulsive disorder
- essential features
- marked distress
- time consumption (>1hr/day)
- interference with routine, occupation, social fxning
ocd
- obsessions
- compulsions
- obsessions - UNWANTED mental thoughts, images, impulses, ideas...acknowledged by patient to originate in their own mind (NOT a delusion). can usually admit to the POSSIBILITY THAT IDEA IS UNTRUE
- compulsions - actions (mental or physical)
a. repetitive, intentional axns
b. neutralize marked discomfort or prevent a dreaded event
c. pt. REALIZES it's excessive
d. pt. desires to resist
e. compliance brings relief
f. behavior itself is NOT PLEASURABLE (in contrast to addictive behaviors)
ocd
- four major patterns of how obsessions/compulsions go together
1. obsessions of contamination >> compulsions of cleaning (most common!)
2. obsessions of doubt >> compulsions of checking
3. obsessions only
4. obsessional slowness - takes long time to do tasks because inordinate need for symmetry
ocd
- prevalence
- __% pts. get tx
- 2-3%
- only 44% get tx b/c they tend to HIDE the illness for usually 5-10 years
- if not treated, chronic unremitting course!
ocd
- comorbidity
- 50% dysthymia or major depressive disorder
- 46% phobias
- 24% alcohol abuse
- only 6% have obsessive-compulsive PERSONALITY disorder - completely different!
ocd
- role of biology?
even more than in other anxiety disorders, BIOLOGY plays a key role in OCD!!
the *most common* psychiatric disturbance?
phobias!
phobias
1. agoraphobia
- commonly a/w ______ disorder
- anxiety about places where escape may be difficult (outside, in a crowd, in line, a bridge, in a vehicle (especially DRIVING ALONE)
- ^ restriction of activities.. able to do things only with a companion
- commonly a/w PANIC DISORDER
phobias
2. social phobia
- "specific" vs. "general" social phobias
- fear of being judged, embarrassed
- specific social phobias - involved FEW specific situations ie unable to keep speaking in public, choking on food in public, tremor while writing in public
- general social phobia - affecting MULTIPLE situations - ie say something foolish, be unable to answer a question
phobias
3. specific phobias
- only a disorder of it is DISRUPTIVE
- person REALIZES it's excessive or unreasonable