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31 Cards in this Set
- Front
- Back
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a normal reaction to a real external threat
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Fear
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reaction to an unknown, unrecongnized, or inadequate to account for sx
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Anxiety
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40yo F, palps, SOB, chronic indegestion, "high strung"
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Generalized anxiety disorder
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22yo F w sudden onset tachy, sweating, dyspnea. Normal exam. 2 episodes in last week
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Panic disorder
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25yo F has not left home in 6 mos. Becomes "nervous" when she goes anywhere. Normal sleep, appetite, energy
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Agoraphobia
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32 yo F, afraid of dogs. Refuses to leave house to go to work
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Specific phobia
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29yo M forced to take a client to restaurant. Afraid of making a mess while eating, so he just orders water.
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Social Phobia (social anxiety disorder)
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25yo F must count tiles on ceiling at least 5 times before going to bed.
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OCD
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35yo F, raped 5 years ago. Reports vivid memories of rape w intense anxiety.
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PTSD
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General characteristics of anxiety reaction
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shiness, sweating, mydriasis, subjective tachy (palps), GI sx, inc urinary freq., hyperventiallation
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NE goes through what nucleus
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Locus Ceruleus
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NE mediates what?
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Arousal (and pain)
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what NT changes are associated with anxiety?
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dec serotonin
dec GABA inc NE |
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T/F: Anxiety is associated with a loss of reality and audio/visual hallucinations
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False
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Characteristic of Generalized Anxiety Disorder
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Persistent symptoms over time.
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Organic causes of anxiety symptoms
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excess caffeine
substance abuse/withdrawal hyperthyroid Vit. B12 def. hypo/hyper glycemia anemia pheochromocytoma arrythmia COPD |
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How can a panic attack be induced clinically
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IV Sodium lactate or inhaled CO2
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OCD differential
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tourette's, temporal lobe epilipsy
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Panic disorder and agoraphobia tx
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Emergency: fast acting BZ
Long term: SSRI Psych: systemic desensitization and cognitive behavioral therapy |
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Specific phobia tx
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no pharm
cognitive behav. systemic desensitization |
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Do people with panic disorders have visual hallucinations?
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No
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Social phobia tx
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SSRI, MAOI, Beta-antagonist
assertiveness training group therapy |
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OCD tx
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SSRI, Comipramine
behavior therapy supportive psychotherapy |
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Generalized anxiety disorder tx
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buspirone
venlafaxine cognitive behav. therapy |
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23yo student becomes "uptight" when he must use a public restroom. What drug can be given?
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venlafaxine (Effexor) (dx = social phobia)
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T/F: panic disorder occurs equally in males and females
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True
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What are the sx of OCD?
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checking, repeating, counting, rumination (worry), cleaning, and possible AGGRESSION
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T/F: panic disorder occurs equally in males and females
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True
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What are the sx of OCD?
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checking, repeating, counting, rumination (worry), cleaning, and possible AGGRESSION
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Low levels of what hormone are often found in patients with PTSD?
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Cortisol
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Acute tx for panic attack?
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Benzodiazapines
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