Behavioral Medicine Anxiety Disorders

Front 1

When is anxiety abnormal?

Back 1

Autonomy, inappropriate intensity, duration is longer than expected, behavior

Front 2

Physical manifestations of Anxiety?

Back 2

Increased sympathetics, tacchycardia, tachypnia, diaphoresis, diarrhia, light-headedness

Front 3

Affective manifestations of anxiety?

Back 3

Edginess, irritability, terror, feeling that going to die or lose control

Front 4

Behavior manifestations of anxiety?

Back 4

Avoidence, compusions

Front 5

cognition manifestations of anxiety?

Back 5

Worry, apprehension, obsession

Front 6

Neurophysiologic etiology for anxiety?

Back 6

Locus ceruleus, GABA, limbic system

Front 7

Serotonergic etiology for anxiety?

Back 7

Behavior formations

Front 8

Development etiology for anxiety?

Back 8

Threat to ego

Front 9

Epidemiology for Anxiety?

Back 9

Primary relatives have increased incidence, risk factor for suicide, associated with alcohol abuse, life problems, premature CV mortality

Front 10

Probably not anxiety disorder if?

Back 10

Symptoms after 35, no family Hx, no childhood HX, no significant life events

Front 11

Differential for Anxiety?

Back 11

COPD, Endocrine(Hyperadrenalism, hyperthyroid, hyperparathyroid), drug related, caffein, cocaine, sypathomimetics, theophylline, steroids, thyroid, withdrawal, hypoxia, metabolic and neurologic disorders

Front 12

Anxiety is present in other disorders?

Back 12

Delusional disorder, schizophrenia, major depression, adjustment disorder

Front 13

Prevalence Panic disorder?

Back 13

1.5-3.5% lifetime prevalence

Front 14

Age of onset for Panic disorder?

Back 14

Late teens to 20's

Front 15

Gender and Panic disorder?

Back 15

F>M, men self-medicate more

Front 16

Panic disorder can lead to?

Back 16

Chronic stress and depression

Front 17

Criteria for panic disorder?

Back 17

recurrent unexpected attacks, atleast on attack folled by one month of worrying, may have agoraphobia

Front 18

Panic attack contains?

Back 18

At least four symptoms: Cardiac, pulmonary, GI, Neurologic, autonomic, psychological

Front 19

Prevalence of Generalized Anxiety Disorder?

Back 19

5%

Front 20

Age of onset of Generalized Anxiety Disorder

Back 20

Childhood or adolescence

Front 21

Gender and Generalized Anxiety Disorder

Back 21

F>M

Front 22

criteria for Generalized Anxiety Disorder?

Back 22

Excessive anxiety and worry for >6 months, 3 of:Restlessness, easily fatugued, difficulty concentrating, irritability, sleep disturbance
Not axis one, cause ignificant distress

Front 23

Prevalence of specific phobia?

Back 23

10%

Front 24

Subtypes of Specific Phobias?

Back 24

Animal, nature, blood, injection, injury, situational....

Front 25

Criteria for specific phobia?

Back 25

Persistant unreasonable fear, exposure provokes anxiety response, phobia is avoided, causes impairment

Front 26

Prevalence of social Phobia?

Back 26

3-13%

Front 27

Gender of social phobia?

Back 27

F>M

Front 28

Criteria for social phobia?

Back 28

Fear of scruitiny and embarrasment, exposure causes anxiety, fear recognized as excessive, interferes with life

Front 29

Prevalence of PTSD?

Back 29

8%, any age

Front 30

Complications of PTSD?

Back 30

Social withdrawig, depression, suicide, alcohol and drug abuse

Front 31

Common trigger for PTSD?

Back 31

Child abuse

Front 32

Criteria for PTSD?

Back 32

Traumatic event, event is re-experienced, avoidence of stimulus associated with trauma

Front 33

Subtypes of PTSD?

Back 33

acute is 3-6 months
Chronic is >6 months
Delayed onset is >6 months after trauma

Front 34

Prevalence of OCD?

Back 34

2-3%

Front 35

Age of onset for OCD?

Back 35

mid 20's, rare after 35

Front 36

OCD patient presents when?

Back 36

decreased functin, depression, anxiety

Front 37

Criteria for Obsession?

Back 37

Recurrent, persistant, intrusive thoughts, impulses or images that cause anxiety, patient recognizes that thoughts are their own

Front 38

Criteria for Compulsion?

Back 38

Repetitive behavior in response to obsession, aimed at preventing some dreaded event, causes marked impairment

Front 39

Biological Manegement of Anxiety disorders?

Back 39

Antidepressants, benzos, Beta-blockers, buspirone

Front 40

Psychological Manegement of Anxiety disorders?

Back 40

CBT, desensitization

Front 41

Sociological Manegement of Anxiety disorders?

Back 41

Behavioral changes and lifestyle changes