DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
Anxiety diagnosis criteria Ans✓✓✓-Excessive anxiety & worry about
events or activities most days for 6
months
-Difficult to control worrying
-Associated with 3 or more (1 in
children):
-Easily fatigued, restlessness or
feeling "keyed up" or "on edge,"
muscle tension, difficulty
concentrating or mind goes blank, irritability, sleep disturbance
anxiety 1st line treatment: SSRI and SNRI Ans✓✓✓SSRI and SNRI
(1st)
escitalopram (Lexapro) FDA
duloxetine (Cymbalta)
venlafaxine (Effexor XR)
paroxetine (Paxil, Pexeva) FDA
Lexapro 10mg to start (FDA+)
anxiety 1st line treatment: others Ans✓✓✓Anxiolytic:
o Buspirone (Buspar) 15mg
,(FDA+)
• AED: gabapentin, gabitril
• Benzo: Xanax XR (FDA)+),
clonazepam
Panic diagnosis criteria: symptoms Ans✓✓✓Recurrent, unexpected
panic
attacks (abrupt surge of intense
fear or intense discomfort, reaches peak
within minutes)
• 4 or more symptoms:
o Palpitations, pounding heart or
accelerated heart rate
o Sweating, trembling or shaking
o Sensation of SOB or smothering;
feeling of choking; chest pain or
discomfort
o Paresthesia (numbness or
tingling)
o Nausea or abdominal distress
o Feeling dizzy, unsteady,
lightheaded or faint
o Chills or heat sensations
, o Derealization or depersonalization
o Fear of losing control or "going
crazy"
o Fear of dying
Panic diagnosis criteria: # of attacks followed by? Ans✓✓✓At least 1 of
the panic attacks
followed by 1 month or more of:
o Persistent concern about
having additional attacks
o Worry about the implications of
the attack or its consequences
o Behavior to avoid future
attacks
• NOT caused by substance abuse,
medication or general medical
condition, such as hypothyroidism
Panic: 1st line treatment Ans✓✓✓Therapy-panic focused CBT 12
weeks + SSRIs
• SSRI/SNRI (increase
dose over several weeks until no
panic attacks; treat for at least 1 year)