Anxiety Disorders

Front 1

What is another way to think of anxiety?

Back 1

As level of arousal

Front 2

What happens to efficiency of performance as level of arousal (anxiety) rises?

Back 2

Efficiency rises to an optimal level

Front 3

What type of errors does one commit at less than optimal levels of arousal/anxiety?

Back 3

Errors of ommission

Front 4

What type of errors does one commit at higher than optimal levels of arousal/anxiety?

Back 4

Errors of commission

Front 5

What happens as levels of arousal rise higher above optimal level?

Back 5

Increasing emotional disturbance is experienced as anxiety until one is unable to cope.

Front 6

What are anxiety disorders?

Back 6

A group of conditions characterized by the presence of excessive anxiety, worry, fear, dread, or tension to the point that functioning is impaired.

Front 7

What is the mildest form of anxiety disorder?

Back 7

Generalized anxiety disorder

Front 8

What are some associated physical symptoms of generalized anxiety disorder?

Back 8

-Trembling
-Muscle tension
-Autonomic hypersensitivity
-Hyperarousal

Front 9

What is the essential feature according to DSM criteria for diagnosing generalized anxiety disorder?

Back 9

The symptoms must have lasted for at least 6 months.

Front 10

What is Agoraphobia?

Back 10

Fear of the marketplace

Front 11

What is the timeframe for a panic attack to develop?

Back 11

10 minutes

Front 12

What has to develop within 10 min in order to diagnose a panic attack?

Back 12

4 or more of the following sx:
-Cardiopulmonary symptoms
-Autonomic symptoms
-GI symptoms
-Neurological symptoms
-Psychiatric symptoms

Front 13

What are cardiopulm sx associated with panic attack?

Back 13

Chest pain/discomfort
SOB
palpitations

Front 14

What are autonomic symptoms associated with panic attack?

Back 14

Sweating, chills, or hot flashes

Front 15

What are GI symptoms associated with panic attack?

Back 15

Feeling of choking
Nausea

Front 16

What are some neurological symptoms associated with panic attacks?

Back 16

-Trembling/shaking
-Parasthesia
-Feeling dizzy

Front 17

What are the psychiatric symptoms associated with panic attacks?

Back 17

-Derealization
-Depersonalization
-Fear of losing control
-Fear of dying

Front 18

What are 2 common responses to panic attacks?

Back 18

Anticipatory anxiety and Avoidance of the situation in which the panic attacks are triggered.

Front 19

What is Panic disorder with agoraphobia?

Back 19

A condition of Recurrent, unexpected panic attacks, followed by a month/more of being concerned about more attacks, their implications, and changing behaviors relative to the attacks.

Front 20

What is Agoraphobia?

Back 20

Anxiety about being in places or situations where escape might be difficult or embarassing.

Front 21

What is a Specific phobia?

Back 21

Excessive fear that is cued by the presence or anticipation of a specific object or situation.

Front 22

How are most specific phobias manifested?

Back 22

By immediate anxiety responses and often panic attacks.

Front 23

Are people with specific phobias aware that their fear is unrealistic?

Back 23

Yes

Front 24

What is Social phobia?

Back 24

Fear of situations where one is exposed to possible scrutiny by others.

Front 25

What are obsessions?

Back 25

Recurrent thoughts, impulses or images that cause marked anxiety or distress

Front 26

What are compulsions?

Back 26

Ritualistic behaviors or mental acts that are performed in response to obsessions

Front 27

What are the features of Obsessive Compulsive Disorder?

Back 27

-Time consuming
-Significant clinical distress
-Interferes with a person's daily routine

Front 28

How is Acute Stress Disorder differentiated from PTSD?

Back 28

Acute: anxiety lasts for 2 days to 4 weeks
PTSD: anxiety lasts for a month or longer

Front 29

What is the estimated prevalence of anxiety disorders?

Back 29

12.6%

Front 30

What are the prevalences of:
-Social phobia
-Specific phobia
-Generalized anxiety disorder

Back 30

Social phobia = 13%
Specific phobia = 10%
Generalized anx disorder = 5%

Front 31

What is the lifetime prevalence of ANY anxiety diorder in the nation?

Back 31

25%

Front 32

What sex are anxiety disorders more commonly seen in?

Back 32

Females

Front 33

When is the usual onset of anxiety disorders seen?

Back 33

Late adolescence to early adulthood

Front 34

What brain region is involved in anxiety disorders?

Back 34

The HPA axis

Front 35

What are the waves of NT's involved in panic and anxiety?

Back 35

First wave: epinephrine
2nd wave: cortisol

Front 36

What is the first step to take in diagnosing an anxiety disorder?

Back 36

Determine if there is another General medical condition, Substance use, or Mental disorder

Front 37

What are 3 disorders to consider if the presenting symptom is PANIC ATTACKS?

Back 37

1. Panic disorder with agoraphobia
2. Panic disorder w/out agoraphobia
3. Panic attacks occuring within the context of another anxiety disorder

Front 38

What are 4 disorders to consider if the presenting symptom is FEAR, AVOIDANCE, OR ANXIOUS ANTICIPATION about one or more specific situations?

Back 38

-Social phobia
-Specific phobia
-Panic disorder w/ agoraphobia
-Agoraphobia w/out history of panic disorder

Front 39

What is a disorder to consider if the presenting symptom is FEAR OF SEPARATION?

Back 39

Separation Anxiety disorder

Front 40

What is a disorder to consider if the presenting symptom is RELATED TO RECURRENT AND PERSISTENT THOUGHTS OR RITUALISTIC BEHAVIORS OR RECURRENT MENTAL ACTS?

Back 40

obsessive compulsive disorder

Front 41

What are 2 disorders to consider if the presenting symptoms are related to REEXPERIENCING HIGHLY TRAUMATIC EVENTS?

Back 41

-PTSD
-Acute stress disorder

Front 42

What is a disorder to consider if the presenting symptom is anxiety and worry associated with A VARIETY OF EVENTS AND SITUATIONS and have persisted FOR AT LEAST 6 MONTHS??

Back 42

Generalized anxiety disorder

Front 43

What are 2 disorders to consider if the presenting symptoms are in response TO A SPECIFIC PSYCHOSOCIAL STRESSOR?

Back 43

-Adjustment disorder with anxiety
-Adjustment disorder with mixed Anxiety and Depressed mood

Front 44

What are 3 treatment types for anxiety disorders?

Back 44

-Anxiolytics
-Antidepressants
-Psychotherapy

Front 45

Are treatments effective for anxiety disorders?

Back 45

Yes - even moreso than angioplasty and atherectomy

Front 46

What are 4 anxiolytics?

Back 46

-Benzodiazepines
-Alprazolam
-Clonazepam
-Buspirone

Front 47

What are types of antidepressants?

Back 47

-Tricyclics
-SSRIs
-MAOIs

Front 48

What is NOT an antidepressant?

Back 48

Buproprion

Front 49

What does Buproprion or wellbutrin do to anxiety disorders?

Back 49

Makes them WORSE