NGR6605 PSYCH EXAM 3 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
Question:
Generalized Anxiety Disorder (GAD):
Presentation:
Answer:
- Excessive worry, feelings of apprehension, panic or dread regarding general life
events accompanied by physiologic arousal
- Symptoms persist for at least 6 months, occurring most days
- Person reports little control of symptoms
- Impairs social, occupational, & interpersonal areas Presentation:
- Excessive worry, irritability,
- Insomnia, Panic Physical symptoms:
- Palpitations
- Muscle tension
- Restlessness
- Fatigue
- Sweating
- Difficulty concentrating
- Nausea
- Diarrhea
- Urinary Frequency
- Chest pain
,Question:
Generalized Anxiety Disorder (GAD):
Diagnosis and Treatment -
Answer:
Diagnosis:
- R/O physical cause (hyperthyroidism, stimulant abuse, caffeine, drug/alcohol
withdrawal/abuse, cardiac arrhythmias)
- At least 3 of the following:
- Restlessness
- Hypervigilance
- Easy fatigability
- Irritability
- Sleep disturbance
- Muscle tension
- Difficulty concentrating Treatment:
- Mild Cases tx in primary care
- More significant cases refer to psychiatry
- Medications:
- Benzodiazepines ’ Short term (2-4 weeks)
- SSRI ’ 1st line
- SNRI
- Buspirone (Buspar): 7.5 mg po BID (up to total 30 daily)
- TCAs
- Clonidine
- Therapy:
- Cognitive-behavioral
- Psychotherapy Alternative Tx:
- Herbs
- St. John's Wort, Kava, Phenibut,
- Educate about the risks
- Meditation; include aromatherapy
- Rose, orange oil, sage, lavender, rosemary -Yoga, massage
http://www.yogajournal.com/article/practicesection/free-from-worry/
- Exercise DAILY
- Diet
- Whole food, high in greens
- Eliminate ETOH, caffeine
- Reduce/eliminate sugar
- Try trial of no gluten
, Question:
Panic Disorder:
Answer:
- Characterized by recurrent, unexpected panic attacks
- Panic Attack= period of extreme anxiety usually peaking within 10 minutes and rarely
lasts more than 1 hour
- May have a trigger
- Physical symptoms of impending doom Presentation:
- Can present at any age, although most commonly starts in 20's
- Affects female: males 3:1
- Intense fear with physical symptoms
- Often think they are having a heart attack
- Panic = SEVERE ANXIETY!!! Symptoms:
- Intense fear plus 4 or more of the following:
- Palpitations, tachycardia
- Sweating
- Trembling/shaking
- SOB
- Sensation of choking
- Nausea/abdominal distress
- Dizziness/faintness
- Depersonalization
- Fear of losing control
- Fear of dying
- Paresthesia
- Chills/hot flushes Treatment:
- Medications:
- Benzodiazepines
- Short term and helpful acutely ’ Use ONLY for 4 weeks
- SSRIs
- Paroxetine (Paxil) 20mg daily works well Or sertraline (Zoloft) 50 po daily
- Treat 9-12 months
- Psychotherapy
- Stress reduction techniques Alternative Tx:
- Herbs
- St. John's Wort, Kava root,
- Adrenal Support Herbs- Ashwagandha,
- Eleuthero, Rhodiola, -adaptogens
- Vitamins to support nervous system
- B-complex, Vitamin C, Magnesium, Calcium,
- Calm
- Diet
- Eliminate ETOH, caffeine, sugar, reduce simple carbs
- Exercise
- Aerobic daily, yoga
- Relaxation techniques
- Meditation, Tai chi, breathing exercises
AND CORRECT ANSWERS
Question:
Generalized Anxiety Disorder (GAD):
Presentation:
Answer:
- Excessive worry, feelings of apprehension, panic or dread regarding general life
events accompanied by physiologic arousal
- Symptoms persist for at least 6 months, occurring most days
- Person reports little control of symptoms
- Impairs social, occupational, & interpersonal areas Presentation:
- Excessive worry, irritability,
- Insomnia, Panic Physical symptoms:
- Palpitations
- Muscle tension
- Restlessness
- Fatigue
- Sweating
- Difficulty concentrating
- Nausea
- Diarrhea
- Urinary Frequency
- Chest pain
,Question:
Generalized Anxiety Disorder (GAD):
Diagnosis and Treatment -
Answer:
Diagnosis:
- R/O physical cause (hyperthyroidism, stimulant abuse, caffeine, drug/alcohol
withdrawal/abuse, cardiac arrhythmias)
- At least 3 of the following:
- Restlessness
- Hypervigilance
- Easy fatigability
- Irritability
- Sleep disturbance
- Muscle tension
- Difficulty concentrating Treatment:
- Mild Cases tx in primary care
- More significant cases refer to psychiatry
- Medications:
- Benzodiazepines ’ Short term (2-4 weeks)
- SSRI ’ 1st line
- SNRI
- Buspirone (Buspar): 7.5 mg po BID (up to total 30 daily)
- TCAs
- Clonidine
- Therapy:
- Cognitive-behavioral
- Psychotherapy Alternative Tx:
- Herbs
- St. John's Wort, Kava, Phenibut,
- Educate about the risks
- Meditation; include aromatherapy
- Rose, orange oil, sage, lavender, rosemary -Yoga, massage
http://www.yogajournal.com/article/practicesection/free-from-worry/
- Exercise DAILY
- Diet
- Whole food, high in greens
- Eliminate ETOH, caffeine
- Reduce/eliminate sugar
- Try trial of no gluten
, Question:
Panic Disorder:
Answer:
- Characterized by recurrent, unexpected panic attacks
- Panic Attack= period of extreme anxiety usually peaking within 10 minutes and rarely
lasts more than 1 hour
- May have a trigger
- Physical symptoms of impending doom Presentation:
- Can present at any age, although most commonly starts in 20's
- Affects female: males 3:1
- Intense fear with physical symptoms
- Often think they are having a heart attack
- Panic = SEVERE ANXIETY!!! Symptoms:
- Intense fear plus 4 or more of the following:
- Palpitations, tachycardia
- Sweating
- Trembling/shaking
- SOB
- Sensation of choking
- Nausea/abdominal distress
- Dizziness/faintness
- Depersonalization
- Fear of losing control
- Fear of dying
- Paresthesia
- Chills/hot flushes Treatment:
- Medications:
- Benzodiazepines
- Short term and helpful acutely ’ Use ONLY for 4 weeks
- SSRIs
- Paroxetine (Paxil) 20mg daily works well Or sertraline (Zoloft) 50 po daily
- Treat 9-12 months
- Psychotherapy
- Stress reduction techniques Alternative Tx:
- Herbs
- St. John's Wort, Kava root,
- Adrenal Support Herbs- Ashwagandha,
- Eleuthero, Rhodiola, -adaptogens
- Vitamins to support nervous system
- B-complex, Vitamin C, Magnesium, Calcium,
- Calm
- Diet
- Eliminate ETOH, caffeine, sugar, reduce simple carbs
- Exercise
- Aerobic daily, yoga
- Relaxation techniques
- Meditation, Tai chi, breathing exercises
