GUARANTEE A+ 2025
Disrupts life
Symptoms for 6 months or more
Education for GAD •Avoid alcohol and stimulants
•Symptom recognition
•Symptom interpretation
Treatment for GAD Non pharmacologic
•***Cognitive behavior therapy (CBT)
Pharmacology
•Anti-anxiety agents (refer to text for list)
•Acute: alprazolam and diazepam short term
•Long term: SSRIs
•*caution in elderly
Panic disorder An anxiety disorder marked by unpredictable minutes-long episodes of intense
dread in which a person experiences terror and accompanying chest pain, choking, or other
frightening sensations.
Distinguish between disorder and attack
•Pattern of recurrent episodes
•Sudden onset
•Severe symptoms
Diagnosis: based on clinical symptoms
•Refer to text for symptom criteria
,Anxiety disorder Most common psych disorder in the US (usually 20-45year olds)
Symptoms manifested in several ways:
•Affective
•Behavioral
•cognitive
•Somatic
More common in women
Thinks to rule out with anxiety thyroid issues
palpitations
drug use
caffeine
diagnostics for anxiety blood chemistry
ekg
thyroid function
Symptom criteria for diagnosis of GAD Excessive anxiety and worry (apprehensive
expectation), occurring more days than not for at least 6 months, about a number of events or
activities (such as work or school performance)
Clinical Presentation of GAD
Excessive anxiety
Hyper vigilant
Headaches
Restlessness
Shakiness
Hyperactive autonomic symptoms
Treatment:
, •SSRI/SNRI or TCA
•CBT**
PTSD (Post Traumatic Stress Disorder) Types PTSD
•Acute: <3 months
•Chronic: >3 months
•Delayed: onset at least 6 months after trauma
Clinical
•Symptoms are apparent for greater than one month
Symptoms:
intrusive, avoidant behaviors, hyper arousal.
education and treatment for PTSD Pharmacology
-SSRI
-Paroxetine and sertraline
-? prazosin
Non-pharmacological
•CBT and prolonged exposure (PE)
•Critical incident debriefing (CID)
•Stress inoculation therapy (SIT)
•Image rehearsal therapy (IRT)
•Psychodynamic Therapy
•Family, group, and peer
Major depressive disorder Characteristics
•Severe negative change
in mood, thinking, and