anxiety disorders are due to a combination of
bio, psych, and environmental factors
excessive worrying for 6+ months, difficulty controlling worry
Generalized Anxiety Disorder
screening for general anxiety disorder
GAD-7
Tx for Generalized anxiety disorder
CBT, SSRI
abrupt surge of intense fear, reaches peak within minutes +
sympathetic sx,, followed by 1 month of changed behavior or
fear of another attack
Panic Disorder
which anxiety disorder can mimic a stroke/MI due to
sympathetic symptoms?
Panic Disorder
Panic disorder PRN tx
propranolol
panic disorder treatment
CBT + SSRI
,fear of scrutiny by others, fear of negative actions, fear out of
proportion 6 months
Social anxiety disorder
MC type of social anxiety disorder
Performance
Performance anxiety disorder tx
propranolol PRN
social anxiety disorder tx
CBT first, + SSRI if debilitating
onset after traumatic event, fear about public situations (public
transportation, standing in line)
Agoraphobia
how do people with agoraphobia try to mitigate their feelings?
avoid situations, do them with companion
agoraphobia tx
CBT -- exposure therapy
actively avoid something, fear out of proportion, 6+ months
specific phobias
specific phobias tx
CBT with exposure therapy
most common psych disorder in women
specific phobias
, Trauma/Stress Related Disorders
Adjustment disorder, Prolonged grief disorder, acute stress
disorder, post traumatic stress disorder PTSD
emotional/behavioral sx within 3 months of stressor (out of
proportion to severity, significant impairment), DO NOT
represent normal bereavement
Adjustment disorder
Acute v chronic adjustment disorder
Acute: <6 months, chronic: > 6 mo
Adjustment disorder tx
supportive psychotherapy
death of close person 12 months ago, intense longing for person
and preoccupied thoughts every day for the last month
Prolonged grief disorder
tx for prolonged grief disorder
complicated grief therapy
hx of major trauma, shorter duration than OTSD, Trauma and sx
<1 month
Acute stress disorder
experiencing or rewitnessing traumatic events, recurrent dreams,
feeling detached and dissociated
PTSD
Tx for PTSD