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29 Cards in this Set
- Front
- Back
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What is autonomy anxiety?
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no or minimal environmental trigger
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What is intensity anxiety?
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exceeds pt's capacity to bear the discomfort
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what is duration anxiety?
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sx are persistent
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what is behavior anxiety?
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anxiety impairs coping and results in disabling behaviors
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What is the major source of adrenergic innervation?
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locus coeruleus
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What are some common med conditions assoc w/ anxiety d/o?
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endocrine
drug intox drug w/d metabolic hypoxia neuro |
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Name the 7 major anxiety d/o?
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panic d/o
generalized anxiety d/o PTSD social phobia specific phobia OCD substance induced anxiety d/o |
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Describe panic attacks
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discrete, sudden onset anxiety peaking in 10 minutes w/ sx (cardio, pulm, GI, etc.)
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How is panic d/o dx'ed?
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at least 4 panic attacks in one month
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What is agoraphobia?
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fear of places or situations from which escape might be difficult, embarrassing, etc.
These pts may be homebound "fear of the market" |
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how do you treat panic d/o?
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CBT
benzos + SSRI |
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Describe GAD
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worry or anxiety that is out of proportion to the situational factors (hand-wringing worry all the time)
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What are some sx of GAD?
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muscle tension
restlessness insominia difficulty concentrating easy fatigue irritability persistent anxiety |
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What are some tx for GAD?
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CBT
antidepressants, benzos, buspirone |
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Describe PTSD
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pts w/ PTSD have experienced a trauma and develop disabling sx in response to the event
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What is the defn of trauma in PTSD?
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the pt experienced, witnessed or learned of an event that involved actual or threatened death, serious injury or threat of harm to self or others
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What are the two major causes of PTSD?
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War and rape
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What are the cluster of sx of PTSD?
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re-experiencing sx
avoidance sx emotional numbing hyperarousal sx |
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What is the first line Rx for PTSD?
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SSRIs
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What is social phobia?
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fear of being exposed to public scrutiny
fear of behaving in a way which will be humiliating or embarassing |
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What are some Rx for social phobia?
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Antidepressants, SSRI's and MAOI's
high potency benzos low dose beta blockers are helpful for public speaking (occasionally) psychotherapy |
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What is the best Rx for specific phobias?
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flooding exposure based thereapy
benzos and beta blockers are useful acutely |
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What are obsessions?
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recurrent, intrusive, unwanted thoughts
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What are compulsions?
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behaviors or rituals aimed at reducing distress or preventing a dreaded event
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T or F: Pts w/ OCD do not like having their dz
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TRUE
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At what age do ppl develop OCD?
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mid-twenties (< 5% after age 35)
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What are the best Rx for OCD?
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SSRI
Clomipramine (serotonergic tricyclic) Psychotherapy |
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What is obsessive compulsive personality disorder (OCPD)?
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a pervasive pattern of preoccupation w/ orderliness, perfectionism and control that begins by early adulthood
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How long must sx persist to be called OCD?
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> 1 month; < 1 month is acute stress d/o
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