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12 Cards in this Set

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Anxiety disorders

Psychological and physical symptoms brought about by a sense of apprehension towards a perceived threat which can be external or internal.

Yerkes-Dodson curve

a medium level of anxiety grants an optimal level of performance

a medium level of anxiety grants an optimal level of performance

Epidemiology

18.6 % prevalence


F:M = 2:1


Early adulthood or middle age

Symptoms of anxiety

Fear / sense of impending doom


Dizziness and faintness


Restlessness


Poor concentration


Irritability


Insomnia and night terrors


Depersonalization


Derealisation


Globus hystericus (lump in the throat)


Hyperventilation


Palpitations


Dry mouth


Nausea


Urinary frequency


Tremor


Hot flushes or cold chills

Phobia

Phobia: excessive fear for a specific object or situation. It is a focused anticipation anxiety towards a feared object, activity or situation. Anticipation leads to avoidance.

Phobic anxiety disorders

Agoraphobia: fear of places that are difficult or embarrassing to escape from.


Social phobia: fear of being judged by others and of being embarrassed or humiliated.


Specific phobia: fear of a specific object or situation.

Panic attack

An abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, with at leas 4 among palpitations, sweating, trembling or shaking, sensations of shortness of breath, feelings of choking, chest pain or discomfort, nausea, feeling dizzy or unsteady, chills or heat sensations, paresthesias, derealization.

Panic disorder

Recurrent panic attacks (20-30 min) accompanied by persistent worry or behavioral change.


Treat with CBT, SSRIs, TCAs or BDZs

Generalised anxiety disorder

Long-standing free-floating anxiety that may fluctuate but that is neither situational (phobic anxiety disorders) nor episodic (panic disorder).


There is apprehension about a number of events far out of proportion to the actual likelihood or impact of the feared events for more days than not for at least 6 months.


Generalised anxiety disorder may respond to counselling, CBT, SSRIs, sedative antidepressants, BDZs.

Acute stress reaction

Acute response to a highly threatening or catastrophic experience. It subsides in a matter of hours or days.

Post-traumatic stress disorder

A protracted and sometimes delayed response to a highly threatening or catastrophic experience, e.g. war or sexual assault

Adjustment disorder

Mild depression / anxiety following a response to a significant life change / life event (e.g. changing job). Depressive symptoms or anxiety not severe enough to meet a diagnosis of depressive or anxiety disorder, but that nevertheless lead to an impairment in social functioning.