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20 Cards in this Set
- Front
- Back
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What are 4 physical symptoms of anxiety disorder?
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Tachycardia
sweating trembling palpations |
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What are some psychological symptoms of AD?
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Worry
avoidance poor concentration feeling "pressure" or "on edge" |
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How is GAD diagnosed?
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Excessive anxiety occurring more days than not for 6mo. or incapacitating symptoms
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What treatment could one give for GAD?
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Benzos
Psychotherapy anticonvulsants |
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How does one make a formal diagnosis of panic disorder?
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4 attacks wtihin 4 weeks or more than one attack and persistent fear of having another one.
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What drugs are given for phobic disorder? (performance anxiety and social anxiety)
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Performance: beta blockers
Social: MAOIs or SSRI |
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How is OCD treated?
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Behavioural therapy
SSRI Clomipramine |
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What is Acute Stress Disorder and how is it treated?
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Behavioural disturbances that develop within the first month after trauma.
s/s: Dissociation, GAD, hyperarousal, avoidance, flashbacks, dreams, recurrent thoughts RX: Benzos |
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What is the 3 symptom cluster associated with PTSD?
What rx are used in treatment? |
Reexperiencing
avoidance increased arousal persisting beyond 3 months RX: SSRIs |
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What are the rx used to treat anxiety and related disorders?
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Benzos
Buspirone SSRIs TCAs Other: B-blocker and antihistamines, anticonvulsants |
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Where do BZDs act?
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at GABA/BZD receptor
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What a/e are associated with BZD use?
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Sedation,
hangover feeling, decreased RR, weight gain, risk for falls, tolerance |
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What is the MOA of BUspirone?
A/e? |
Partial agonist at 5HT1 receptor
a/e: May worsen symptoms, naursea, dizziness, fatigue |
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What a/e can be expected with SSRIs?
Contraindications? Changing doses? |
Nausea
headache agitation insomnia sexual dysfunction wt gain Contraindicated with MAOIs Beware of discontinuation syndrome |
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What kind of a/e are associated with TCAs when treating anxiety disorders?
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Anticholinergic
no see no pee no spit no shit |
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What caution must be used when taking MAOIs? Why?
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No food with tyramine and no SSRIs.
HYPERTENSIVE CRISIS |
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What are the SNRIs that are used to treat anxiety?
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Remeron,
wellbutrin effexor |
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What rx options are available for treating insomnia (3)?
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BZDs
Antidepressants Antihistamines |
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What kind of antidepressants would be used to treat insomnia?
Why don't people like these? |
Tricyclics
Desyrel Remeron Next day sedation, anticholinergic, hypotension, cardiotoxicity, seizures, hypothermia |
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how does rozerem work?
a/e? |
It binds to melatonin receptors and induces sleep. not a controlled substance
A/E: No hangover effect, dizziness, fatigue, |
