Anxiety Disorders

Front 1

Types of anxiety disorders

Back 1

Panic Disorder (with or w-out agoraphobia)
Specific phobia
Social phobia
GAD d/o
OCD d/o
Acute Stress d/o
PTSD
Anxiety due to medical condition
Substance-induced anxiety d/o
Somatoform d/o
? Eating d/o’s
? Hypochondriasis
? Body dysmorphic d/o

Front 2

Anxiety

Back 2

Heightened arousal accompanied by apprehension, fear, obsessions or the like.

Front 3

Normal fears

Back 3

= appropriate emotional reactions to real, external threats

Front 4

Anxiety d/o

Back 4

occur without obvious external threat, or the response is excessive, and cause impairment.

Front 5

% of pop that will have anxiety disorder

Back 5

15% - most common psychiatric d/o

Front 6

% of people w/ anxiety disorder that have comorbit depressive d/o

Back 6

40%

Front 7

Panic d/o Criteria

Back 7

Recurrent, unexpected panic attacks

At least 1 attack is followed by 1 month of 1 or more;
-Persistent concerns about having additional attacks
-Worry over consequences of the attack
-A change in behavior related to attack

With or without Agoraphobia

Attacks not due to med condition

Not better accounted for by other psych condition

Front 8

Panic attack s/s

Back 8

not a diagnosis = symptom complex

= discrete period of
intense fear or discomfort
develops abruptly, peaks within 10 min. With the following 4 or more s/s:
Palpitation
Sweating
Sensation of SOB, smothering
Choking
CP
Dizzy
Fear of dying
Derealization
Fear of going crazy or losing control
Numbness chills or hot flashes

Front 9

A panic attack is considered an anxiety d/o T/F

Back 9

F--symptom complex

Front 10

Which of the following are not considered panic symptoms?
Palp
Agoraphobia
Sweating
Fear of dying
All of the above are panic symptoms

Back 10

agoraphobia

Front 11

Agora(phobia)

Back 11

Anxiety about being in places or situation from which escape might be difficult (or embarrassing) or in which help may not be available in the event of a panic attack.
These situations are avoided or endured w marked distress (triggers)
This phobic avoidance is not due to another MI
Phobic avoidance is promoted by anticipatory anx.

Front 12

Panic
what percent of pop.?
m/f ratio?
mean age of onset?

Back 12

1-3%
1:2
20

Front 13

Specific phobia

Back 13

Marked, persistent, excessive, unreasonable fear cued by specific object or situation

Front 14

Specific Phobia criteria

Back 14

Exposure to stimulus = immediate anxiety response
Person recognizes fear is excessive / unreasonable
Object / situation is avoided or endured
Behavior interferes w functioning
> 6 months
Not due to another MI

Front 15

Social Phobia criteria

Back 15

Marked, persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others
Exposure to feared situation provokes anxiety
Person recognizes fear excessive or unreasonable
Situation is avoided
Impairment in func
> 6 months
Not due to med condition or substance

Front 16

what is the most common psych disorder

Back 16

specific phobia

Front 17

percent of people with social phobia

Back 17

~3%

Front 18

onset of phobia d/o?
duration?
cause

Back 18

early childhood
chronic
may be traumatic experience

Front 19

Specific phobia

Back 19

intense, irrational fear or aversion to a particular object or situation

Front 20

Social phobia

Back 20

extreme anxiety response in situations in which the affected person may be observed by others, fear they will act in embarrassing or humiliating way

Front 21

GAD criteria

Back 21

Excessive anxiety and worry more days than not > 6 months

Person finds it difficult to control the worry

Assc w >3;
-Restlessness, easily fatigued, poor conc, irritability, mm tension, sleep disturbance

Front 22

GAD
onset
gender
course
co-morbidity

Back 22

early adult
female more than male
chronic - pt's often resist treatment
often depression

Front 23

Pt do not recognize themselves as having a psychiatric disorder even in the face of disability
T/F

Back 23

T

Front 24

PTSD

Back 24

Exposed to traumatic event
Traumatic event is persistently re-experienced
Persistent avoidance
Persistent symptoms of inc arousal
Duration > 1 month
Significant impairment in functioning

Front 25

Acute Stress d/o

Back 25

like PTSD but less than a month (>days<4 wks)

Front 26

OCD

Back 26

Either obsessions or compulsions
Defined by
- Recurrent and persistent thoughts, impulses or images experienced as intrusive and inappropriate and cause marked anxiety or distress

Front 27

Compulsions

Back 27

Repetitive behaviors(hand washing, ordering, checking) or mental acts ( praying, counting, repeating wok silently) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly in order to avoid a dreaded consequence

The obs or comp cause marked distress, are time consuming (takes > 1 hour/day) or significantly interfere w the person’s normal routine, occupation or usual social activities

Front 28

OCD w poor insight

Back 28

pt does not recognize that the ob or comp are excessive or unreasonable)

Front 29

OCPD

Back 29

Pervasive pattern of preoccupation w orderliness, perfectionism and mental / interpersonal control at the expense of flexibility, openness and efficiency, beginning by early adulthood and present in a variety of contexts, indicated by 4 or more of;
Preoccupation w details, rules, lists, order organization or schedules to the extent that the major point of the activity is lost.
Shows perfectionism that interferes w task completion (unable to complete project because own overly strict standards are not met)
Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships
Is overly conscientious, scrupulous and inflexible about matters of morality, ethics or values
Unable to discard worn out or worthless objects even w no sentimental value
Reluctant to delegate tasks/work unless they submit to exactly his/her way of doing things
Adopts a miserly spending style, money is to be horded for future catastrophes
Shows rigidity and stubbornness

Front 30

Obsessions

Back 30

Unwanted aversive cognitive experiences usually assoc w feelings of dread
Recognized (at some point) that they are inapp in relation to reality
Pt will attempt to ignore or suppress them

Front 31

Compulsions;

Back 31

Overt behaviors or covert mental acts, performed to reduce in intensity of the aversive obcesssions

Front 32

percent of pop. w/ OCD
males vs. females
% onset before 25

Back 32

2-3%
2:1
66%

Front 33

etiology of OCD

Back 33

disfunction of basal ganglia