Anxiety Disorders

Front 1

generalized anxiety disorder
- key features
- time frame
- symptoms

Back 1

- 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

Front 2

generalized anxiety disorder
- onset
- impairment is mild or severe?
- __% go on to develop panic disorder
- develop other disorders?

Back 2

- onset often in 20s-30s
- impairment is usually Mild
- 25% get panic disorder!!
- many develop Major Depressive Disorder

Front 3

Panic attack
2 key aspects
- symptoms
- suddenness

Back 3

- 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!

Front 4

panic attacks occur in which disorders?

Back 4

- panic disorder - at least some of the attacks occur unexpectedly
- phobias, OCD, PTSD - attacks occur only upon EXPOSURE to STIMULI

Front 5

panic disorder
- features of panic attacks
- time frame
- detrimental?

Back 5

- attacks are recurrent and unexpected
- a MONTH or more worry about upcoming attacks
- have caused a SIGNIFICANT change in BEHAVIOR

Front 6

panic disorder
- __% of initial attacks have ______________
- comorbidity
- prevalence

Back 6

- 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

Front 7

obsessive compulsive disorder
- essential features

Back 7

- marked distress
- time consumption (>1hr/day)
- interference with routine, occupation, social fxning

Front 8

ocd
- obsessions
- compulsions

Back 8

- 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)

Front 9

ocd
- four major patterns of how obsessions/compulsions go together

Back 9

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

Front 10

ocd
- prevalence
- __% pts. get tx

Back 10

- 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!

Front 11

ocd
- comorbidity

Back 11

- 50% dysthymia or major depressive disorder
- 46% phobias
- 24% alcohol abuse
- only 6% have obsessive-compulsive PERSONALITY disorder - completely different!

Front 12

ocd
- role of biology?

Back 12

even more than in other anxiety disorders, BIOLOGY plays a key role in OCD!!

Front 13

the *most common* psychiatric disturbance?

Back 13

phobias!

Front 14

phobias
1. agoraphobia
- commonly a/w ______ disorder

Back 14

- 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

Front 15

phobias
2. social phobia
- "specific" vs. "general" social phobias

Back 15

- 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

Front 16

phobias
3. specific phobias

Back 16

- only a disorder of it is DISRUPTIVE
- person REALIZES it's excessive or unreasonable