Anxiety & OCD PPT Pt. 2

what’s the client/fam education for these disorders?

•Nature of the illness (anxiety, symptoms, etc.)

•Management of the illness

•1. Medication management

•2. Stress management

•Support services – hotlines, when to get help

•How family can support the client (some same ways that nurse does)

what do we look for in the evaluation of anxiety disorders (what do we look for in improvement)?

•Can the client…

•recognize signs and symptoms of escalating anxiety, and interrupt before it reaches panic level?

•demonstrate activities that can be used to maintain anxiety at a manageable level?

•discuss the phobic object or situation without becoming anxious?

•function in the presence of the phobic object or situation without experiencing panic anxiety?

then other specific things

what do we look for in the evaluation of OCD?

refrain from performing rituals when anxiety level rises and demonstrate substitute behaviors to maintain anxiety at a manageable level

what do we look for in the evaluation of trichotillomania?

•trichotillomania refrain from hair-pulling and substitute a more adaptive behavior when urges to pull hair occur?

what do we look for in the evaluation of body dysmorphic disorder?

verbalize a realistic perception and satisfactory acceptance of personal appearance?

what are the treatment modalities for anxiety and anxiety disorders?

•Individual therapy (talk therapy)

•Cognitive therapy (thought distortions)

•Behavior therapy (systematic desensitization, flooding, habit reversal)

•Psychopharmacology (anxiolytics, benzodiazepines, SSRIs, SNRIs, mood stabilizers)

what are the common meds given for managing anxiety?

•Antihistamine:

•Hydroxyzine (Vistaril)

•Benzodiazepines:

•Clonazepam (Klonopin)

•Diazepam (Valium)

•Lorazepam (Ativan)

•Azaspirodecanedione:

•Buspirone (BuSpar)

what should you educate your pt when using benzodiazepines for anxiety?

• potential for dependence and abuse. 

• Typically for short term use or PRN.  

• Sedating. 

• Dry mouth. 

• Orthostatic hypotension. 

• Can have Paradoxical effect. 

what should you teach your pt about when taking buspirone for anxiety?

has a 10-14 day delay in symptom reduction but less likely to be misused. 

what meds are given for panic/GAD/phobias?

• Anxiolytics

•  Antidepressants

•  Antihypertensive agents

what meds are given for phobic disorders?

• Anxiolytics

• Antidepressants

• Antihypertensive agents

what meds are given for OCD and body dysmorphic disorder?

• Antidepressants

• Antianxiety

what meds are given for hair-pulling disorder?

SSRIs:

• Chlorpromazine(Thorazine/antipsychotic)

• Amitriptyline (Elavil/antidepressant)

• Lithium carbonate (mood stabilizer)

• Olanzapine (Zyprexa/antipsychotic)

what’s gabapentin used for

used as off label for pts w substance abuse