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NR547 Week 2 Complete Review Guide 2025 | Pass First Try | Verified Test Bank | 100% guaranteed pass

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NR547 Week 2 Complete Review Guide 2025 | Pass
First Try | Verified Test Bank | 100% guaranteed
pass
most common mental illness in the United States - Anxiety disorders

-Anxiety impacts approximately 18% of the adult population and 25% of children ages 13-17
each year

Obsessive-compulsive disorder (OCD) - characterized by persistent, uncontrollable
thoughts or actions that occur over an hour or more per day

-one of the top 20 illness-related disabilities worldwide

first line medication treatment: Generalized anxiety disorder - -SSRIs

-SNRIs

-Buspirone

-Drug Therapy at least 12 months

first line medication treatment: Panic disorder - -Paroxetine

-Sertraline

-Fluoxetine

-Drug therapy 6-9 months

first line medication treatment: Obsessive compulsive disorder - -Fluoxetine

-Fluvoxamine

-Sertraline

-Paroxetine

-Clomipramine (TCA)

-Drug therapy for at least 1 year

first line medication treatment: Social anxiety disorder - -Sertraline

-Paroxetine

,-Drug therapy takes 4 weeks to see effects

first line medication treatment: Post-traumatic stress disorder - -Paroxetine

-Sertraline

Anxiety is often comorbid with _________________ as well as medical conditions such as
____________, ___________, and ___________ - major depression, COPD, asthma,
diabetes

Generalized anxiety disorder (anxiety) - neurological condition

-characterized by persistent, uncontrollable worrying that causes emotional distress

-show symptoms on most days, for a period of at least six months

-common symptoms of anxiety include restlessness, irritability, muscle tension, fatigue, and
sleep disturbances

-GAD is twice as common in women as in men

Patients with anxiety disorders often show increased activity in the ______________ and
_______________ - amygdala and prefrontal cortex

Positron emission tomography (PET) scans have shown reduced ___________________ in
patients with anxiety - serotonin binding

Risk factors for developing anxiety: - -genetic predisposition (family history of anxiety)

-being female

-recent life stressors

-chronic physical illness

-lack of support during childhood

Anxiety Disorders - Generalized Anxiety Disorder (GAD)

Social Anxiety Disorder

Panic

Phobias

Agoraphobia

Adjustment Disorder with Anxiety

, GAD often presents with physical symptoms, including: - restlessness or edginess

fatigue

difficulty concentrating

irritability

muscle tension

sleep disturbance

Functional neuroimaging studies of GAD show: - increased activation of the amygdala
and reduced activation in the prefrontal cortex, indicating heightened activation of the fear
response with diminished capacity for reasoning

Harold is a 32-year-old who presents to the clinic with complaints of fatigue, difficulty
concentrating, and difficulty falling asleep at night. He states he worries about finances, his
performance at work, and his relationship, and his worries have been "almost constant" for 8
months. He denies substance use and recently had a normal physical exam. He feels that his
relationship is suffering due to his constant worry.

Based on the DSM-5-TR, does Harold meet diagnostic criteria for generalized anxiety disorder? -
Yes



Rationale: Harold meets the following diagnostic criteria for generalized anxiety disorder: He
has three symptoms associated with worry, including fatigue, difficulty concentrating, and sleep
difficulties. He has experienced anxiety more days than not for over 6 months, and his worries
are impacting his relationship.

Social Anxiety Disorder - AKA social phobia

-condition in which typical, everyday social interactions cause significant anxiety, self-
consciousness, fear of embarrassment, or a feeling of being judged negatively by others

-may worry about the presence of physical symptoms that others may notice such as trembling
or blushing

-derealization, or a feeling of "spacing out," may occur

-Causes likely include a combination of genetic and environmental factors

-past year: 7% of adults and 9% of adolescents
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