Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
22 Cards in this Set
- Front
- Back
|
What is agoraphobia?
|
fear/avoidance of places/situations
NO HISTORY OF PANIC DISORDER |
|
|
* What are the symptoms of a panic attack?
|
4 or more of the following:
palpitations, pounding heart sweating trembling or shaking sensations of SOB or smothering feeling of choking CP nausea dizziness derealization or depersonalization feeling of losing control/going crazy fear of dying paresthesias chills |
|
|
What is OCD?
|
Obsessions or Compulsions
Obsessions: recurrent, persistnet thoughts or impulses, experiences as intrusive and in appropriate, cause distress Compulsions: repetitive behaviors or mental acts that are done in response to an Obsession |
|
|
What is PTSD?
|
witnessed or experienced a traumatic event -> (1 or more) intrusive and recurrent recollections, recurrent nightmares, flashbacks
+ avoidance of the stimuli and numbing of the general responsiveness |
|
|
What is Acute Stress Disorder?
|
like PTSD, but less than 1 month
|
|
|
What is GAD?
|
excessive anxiety and worry occuring more days than not for at least 6 months: difficult to control
|
|
|
What is Social Phobia?
|
marked and persistent fear of one or more social or performance situations. the fear is of possible humiliation or embarrassment; fear is recognized as excessive or unreasonable.
|
|
|
What are the most common type of psychiatric disorders?
|
Anxiety disorders
|
|
|
What is the most common anxiety disorder?
|
panic disorder
|
|
|
What substances play a role in the "suffocation response" sometimes cited as a cause of panic attacks?
|
lactic acid and carbon dioxide
|
|
|
** what are the Syndromes of anxiety? what are the disorders? what is the difference?
|
syndromes ("the building blocks of disorders"): panic attacks and agoraphobia
disorders: everything else * a Disorder must meet the global criteria = functional impairment |
|
|
Is there a difference between a panic attack and panic disorder?
|
YES!
|
|
|
What are other conditions that should be considered in the differential diagnosis of anxiety disorders?
|
endocrine disorders
cardiopulmonary disorders neurologic disorders substance-induced disorders |
|
|
What type of drug are SSRIs? what is a common one?
what is a common benzodiazepine? |
Antidepressants --> Prozac
* do not work acutely Xanax (anti-anxiety) * can be used intermittently unlike anti-depressants |
|
|
what is meant by somatic treatment?
|
drugs, as opposed to CBT --> based on learning theory; unlearn the fear
|
|
|
is OCD an anxiety disorder? does the pt recognize at some point that the obsessions or compulsions are excessive or unreasonable?
|
yes
yes |
|
|
* what circuit has shown hyperactivity in OCD?
|
frontal-subcortical thalamic circuits
orbitofrontal and anterior cingulate --> basal ganglia --> globus pallidus --> thalamus --> orbitofrontal and ant. cingulate |
|
|
what is the basal ganglia?
limbic? |
The main components of the basal ganglia are the striatum (also called neostriatum) composed of caudate and putamen, globus pallidus or pallidum composed of globus pallidus externa (GPe) or globus pallidus interna (GPi), substantia nigra composed of both substantia nigra pars compacta (SNc) & substantia nigra pars reticulata (SNr), and the subthalamic nucleus (STN): variety of functions, including voluntary motor control, procedural learning relating to routine behaviors or "habits", eye movements, and cognitive,[1] emotional functions.
brain structures including the hippocampus, amygdala, anterior thalamic nuclei, septum, limbic cortex and fornix, which seemingly support a variety of functions including emotion, behavior, long term memory, and olfaction |
|
|
What disorder does Tourette's overlap with?
|
OCD
|
|
|
* What are the only approved meds for OCD?
|
SSRIs
|
|
|
what is the optimal treatment for OCD? last resort?
|
SRI meds + CBT
neurosurgery: gamma knife of DBS |
|
|
What are the demographics of OCD?
|
highly familial
slightly more common in females (later in life), earlier onset in males |
