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44 Cards in this Set
- Front
- Back
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Generalized AD
Features |
similar to depression
anxiety stuck in on postion dec. concentration and inc irritability with trouble sleeping |
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Generalized AD
Criteria |
excessive anxiety most days not for 6 mo or longer
symptoms impair fxn At least 3: 1. restlessness/feeling keyed up 2. easily fatigued 3. mind going blank 4. irritability 5. muscular tenstion 6. difficultly falling/staying asleep (diff from depression where can fall, but not stay asleep) |
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Generalized AD
Epi/Onset |
lifetime 5%
50% start in 8-18 fluctuates |
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Social Phobia
Criteria |
fear of social or performance situations when exposed to unfamiliar people or possible scrutiny
all events of that nature produce fear person realizes excessive rxn at least 6 mo. if under 18 |
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Social Phobia
Subtypes, etc |
GAD
mid teens frequency lifelong |
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Specific Phobia
Criteria |
Most common mental disorder
fear provoked by a specific object/situation specific stimulus - all types of snakes person realizes fear is irrational if under 18, at least 6 mo. usually only seek treatment if interferes with life |
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Specific Phobia
Subtypes |
animals, env
blood-injection-injury - familial situational |
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Specific Phobias
Epi, Age, etc |
lifetime risk 11%
clinic: situational>blood>animals childhood or mid 20s most remit spon. |
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Panic Disorder
Features - need 4 for diag. |
most common psych disorder
palpitations sweating trembling SOB (drowning) Fear of losing control/going crazy/dying parethesias - tingling of fingers and lips |
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Panic Disorder
Agoraphobia |
fear of marketplace
open spaces where one cannot get help fear of having a panic attack in public space |
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Panic Disorder
Criteria |
recurrent panic attacks
attacks followed by one month of: 1. persistent concern about other attacks 2. worry about implications of attacks (MI) 3. change in behavior presence or absence of agoraphobia |
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Panic Disorder
Subtypes/Epi/Age Cause |
W/w/out agora
5% lifetime, most common psych seen in ED mean age 25, but at any age FEMALE dysregulation of cerebral blood flow and temporal lobe abnormalities |
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Panic Disorder
Prognosis |
chronic course
10-20% have significant symptoms Depression and elevated risk of suicide in 40-80% alcohol or sub abuse in 20-40% |
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OCD
Criteria |
obsessions and compulsions
repetitive behaviors to reduce stress rec. that behavior unreasonable rituals! |
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OCPT
OC personality traits |
stable personality train
perfectionism, can lead to problems |
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OCB
Hoarding |
Paradoxical b.c saves trash/newspaper
neat or messy |
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OCD
Age Cause |
6-15 for males
20-25 for females dysreg. of serotonin |
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Acute Stress Disorder
Criteria |
Traumatic Event - death/serious injury, felt intense fear, helplessness
3 of the following: 1. numbing/detachment 2. reduction of awareness of surroundings 3. derealization 4. depersonalization 5. dissociative amnesia traumatic event relived avoid of stimuli Occurs within 4 weeks of traumatic event, min. of 2 days, and max of 4 weeks |
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Post Traumatic Stress Disorder
Criteria re-experience traumatic event -1 of following |
recurrent recollections
distressing dreams sense reliving event symbols/reminders of event cause much distress |
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Post Traumatic Stress Disorder
Criteria persistent avoidance fo stimuli/numbing of general responsiveness with 3: |
avoid thoughts/convos about trauma
avoid people/places about trauma can't recall impt aspects of trauma diminished interest in activities feelings of detachment from family restricted emotion not expecting much from future |
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Post Traumatic Stress Disorder
Criteria Symptoms of inc arousal - 3 |
staying/falling asleep
anger outbursts difficulty conc hypervigilance exaggerated startle response |
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Post Traumatic Stress Disorder
Criteria |
duration for 1 month
sig. stress/impairment longer away from trauma, worse prognosis (if sent back to front lines then get used to it) |
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Post Traumatic Stress Disorder
Subtypes Age |
acute < 3 mo
chronice >3 mo usually within 3 mo of traumatic event, can be years |
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Anxiety due to General Med. Condition
Causes |
many
endocrine - thyroid, pheochromocytoma CV - CHF, arrhy |
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Anxiety to sub abuse
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anxiety/panic attacks/OCD
develop during 1 mo of use or withdrawal subtypes classify type of condition (GAD, OCD) |
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Anxiety Not Otherwise Specified (NOS)
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history incomplete
neurodermatitis - initial lesion, lots of scratching - migrating |
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Treatment of Anxiety Disorders
Propranolol |
performance anxiety
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Treatment of Anxiety Disorders
Benzodiazepines |
diazepam (Valium)
abuse potential |
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Treatment of Anxiety Disorders
Benzodiazepines Alprazolam (Xanex) |
short acting (crash so must take more, lead to abuse)
anxiety/panic disorder party drug! |
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Treatment of Anxiety Disorders
Benzodiazepines Clonazepam |
anticonvulsant, good for panic disorders
less abuse |
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Treatment of Anxiety Disorders
Azaperones |
Buspirone
5HT1a agonist GAD must be taken regularly - effect after a few weeks |
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Treatment of Anxiety Disorders
SSRI's |
sexual side E
higher doses to be effective 'activation' interpreted as worsening of symptoms, OK. |
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Treatment of Anxiety Disorders
SSRI's Drugs |
Fluoxetine - activation
Fluvoxamine Paroxetine Sertraline Citalopram |
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Treatment of Anxiety Disorders
SNRI's |
Venlafaxine
GAD |
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Treatment of Anxiety Disorders
TCAs |
Clomipramine - OCD
don't use with heart problems, suicidal ideation, acute glaucoma or prostate problems |
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non-pharm treatments of Anxiety
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cognitive behavioral therapy - short term targeted therapy
relaxation techniques - yoga lifestyle changes - caffine, sleep, exercise, alcohol |
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GAD
Treatments |
benzodiazepines, buspirone, SSRIs
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Social Phobia
Treatments |
SSRI, propranolol
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Specific Phobia
Treatments |
CBt, desensitization - mental imagery
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Panic Disorder
Treatments |
SSRI, clonazepam
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Propanolol
sdie E |
can caue GI exam or CHF
don's use in asthma can cause bradycardia |
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OCD
Treatments |
SSRI's, clomipramine (TCA)
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Acute Stress
Treatments |
Benzos briefly
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PTSD
Treatments |
CBT
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