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20 Cards in this Set

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  • Back
61. Social phobia?
a. Fear of humiliation or embarrassment in either general or specific social situations (e.g., public speaking, “stage fright”, urinating in public restrooms).
b. In social phobia, the patient is of the responses excessive and unreasonable.
c. Differentiate from avoidant personality disorder
62. Specific phobias?
a. Most common phobia: fear, or avoidance of objects or situations other than those involved in Agoraphobia or social phobia.
b. Commonly involves animals (e.g., carnivores, spiders), natural environmentsand (e.g. storms), injury (e.g., injections, blood), and situations (e.g., height, darkness)
63. Treatment for specific phobias?
a. Exposure therapy: involves increasing exposure to stimulus in order to reduce the situation and decrease anxiety.
b. Benzodiazepines and beta blockers are helpful when given prior to exposure.
64. A 19-year-old ballet dancer presents because of extreme anxiety on stage. She reports that she fell 3 months ago at a national ballet competition and since then, suffers from extreme anxiety, trembling, diaphoresis, and breathlessness when she has to go on stage. She denies any problems with ballet practice has no other medical problems. Which of the following is the most likely diagnosis?
a. Acute stress disorder
b. adjustment disorder with anxious mood
c. panic disorder
d. social phobia
1. answer: C- panic disorder presents with a clear precipitating event, which subsequently results in anxiety in similar circumstances.
2. Panic disorder is differentiated from social phobia, which has no clear precipitating cause
65. Obsessive-Compulsive Disorder (OCD)?
a. Recurrent obsessions or compulsions.
b. . The case must also describe that the individual recognizes that the behavior is unreasonable and excessive ( i.e. there is insight).
c. Obsessions are anxiety provoking
d. thoughts are intrusive and are commonly related to contamination, doubt, guilt, aggression, and sex.
e. Compulsions are peculiar behaviors that reduce the anxiety and are most commonly habitual handwashing, organizing, checking, accounting, and praying.
f. Patients with threat syndrome also have OCD.
g. Depression and substance abuse are common in OCD
66. treatment of OCD?
a. Behavioral psychotherapy and pharmacotherapy (SSRIs and clomipramine)
67. how can you differentiate obsessive symptoms in psychotic disorders from OCD?
a. By looking for a lack of insight and loss of contact with reality.
68. Acute stress disorder and posttraumatic stress disorder (PTSD)?
a. These disorders involve severe anxiety symptoms that follow a life-threatening event.
69. Diagnosis of acute stress disorder.
a. ASD is diagnosed when symptoms last less than one month and occur within one month of stressor.
70. Diagnosis of PTSD?
a. Symptoms last longer than one month.
71. What are the three key symptom groups with acute stress disorder and PTSD?
1. Reexperiencing of the dramatic event: dreams, flashbacks or intrusive recollections.
2. Avoidance of stimuli associated with the trauma, or numbing of general responsiveness.
3. Increased arousal: anxiety, sleep disturbances, hypervigilance, emotional ability, or impulsiveness.
Treatment of ASD and PTSD?
a. Give benzodiazepines acutely for anxiety symptoms
b. SSRIs and other antidepressants can be helpful for long-term therapy.
73. A school bus is involved in a major collision. Two children killed and seven others are injured. What is the most important therapy to prevent PTSD?

a. Diazepam
b. fluoxetine
c. group counseling
d. haloperidol
e. individual psychotherapy
1. answer: C- group counseling is the most effective therapy to prevent PTSD following a traumatic event.
74. Generalized anxiety disorder (GAD)?
a. Excessive, poorly controlled anxiety that occurs daily for more than six months.
b. No single event or focus is related to the anxiety.
c. It often coexist with major depression, specific phobia, social phobia, and panic disorder.
75. Treatment of generalized anxiety disorder (GAD)?
a. Supportive psychotherapy, including relaxation training and biofeedback.
b. Medications include:
1. SSRIs
2. venlafaxine
3. buspirone
4. benzodiazepines
76. how can you distinguish generalized anxiety disorder from panic attack or social phobia?
a. By what is causing the anxiety.
b. The question describes persistent worry of a panic attack or social encounter, then GAD is not the answer.
c. In GAD, multiple life circumstances, not just one, are causing anxiety.
77. What anxiolytic is prescribed for adjustment disorder with anxious mood and what is the benefit?
a. Benzodiazepines brief psychotherapy.
b. Benefit: rapid onset to therapy.
78. What anxiolytic is prescribed for panic disorder and what is the benefit?
a. SSRIs
b. alprazolam
c. clonazepam
d. benefit: decrease frequency and intensity of panic attacks
79. What anxiolytic is prescribed for generalized anxiety disorder and what is the benefit?
a. Venlafaxine
b. other SSRIs
c. buspirone
d. benefit: decrease overall anxiety
80. What anxiolytic is prescribed for OCD and what is the benefit?
a. SSRIs and clomipramine
b. benefit: decrease obsessional thinking