Anxiety Disorders

panic attack

This is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes

four or more

How many symptoms must be present to dx a panic attack?

palpitations

sweating

trembling/shaking

SOB/smothering

feeling of choking

CP/discomfort

Nausea/abdominal distress

feeling dizzy/light-headed

chills/heat sensations

paresthesias

derealization/depersonalization

fear of losing control or “going crazy”

fear of dying

Panic attack symptoms?

palpitations

abdominal distress

Numbness/nausea

intense fear of death

choking, chills, chest pain

sweating, shaking

SOB

What does PANICSS stand for?

no, it is an episode that occurs within another diagnosis

Is a panic attack a distinct disorder?

specifier

Panic attacks should be noted as a ______

recurrent unexpected panic attacks

Define panic disorder?

one, 1

persistent concern or worry about the additional panic attacks or consequences

significant maladaptive change in behavior related to the attacks

For panic disorder.. at least _____ of the attacks has been followed bye ____ month or one or both of the following …..

no

For panic disorder can the disturbance be attributable to the physiological effects of a substance or another medical condition?

no

For a panic disorder can the disturbance be explained by another mental disorder?

marked fear or anxiety about 2 or more of the following five situations

Agoraphobia defintiion?

using public transportation

being in open spaces

being in enclosed places

standing in line or being in a crowd

being outside of the home alone

What are the 5 situations that could diagnose agoraphobia?

2

How many fears/anxieties about situations need to be present to dx agoraphobia?

escape might be difficult or help might not be available

For agoraphobia the individual fears or avoids these situations why?

fear/anxiety

The agoraphobic situations almost always provoke ____/_____

actively avoided, companion, fear/anxiety

The agoraphobic situations are _____ _____, require the presence of a _______ or are endured with intense _____/_____

out of proportion

The fear/anxiety is ____ ___ _______ to the actual danger posed by the situation or sociocultural context

6 months or more

How long does the fear/anxiety or avoidance last to make the dx of agoraphobia?

distress/impairment

For agoraphobia the fear/anxiety or avoidance causes clinically significant _____ or ______ in social, occupational or other important areas of functioning

immediate

The phobic object or situation for a specific phobia almost always provokes ______ fear or anxiety

marked fear or anxiety about a specific object or situation

Define specific phobia

fear/anxiety

The phobic object/situation is actively avoided or endured with intense ____/____

out of proportion

The phobic object/situation is ____ ___ ________ to the actual danger posed or sociocultural context

6 months or more

For specific phobia how long does the fear/anxiety or avoidance need to persist to make a diagnosis?

distress or impairment

The specific phobia causes clinically significant ____ or ______ in social, occupational or other important areas of function

one or more in which individual is exposed to possible scrutiny by others

How many social situations must there be a marked fear or anxiety to dx social anxiety dx?

social interactions

being observed

performing in front of others

Examples of situations in which an individual is exposed to possible scrutiny by others (social anxiety dx)?

fear/anxiety

With social anxiety disorder the social situations are avoided/endured with intense ____/____

out of proportion

Fear/anxiety is _____ ___ ________ to actual threat posed and by sociocultural context

6 months or more

How long does a social anxiety dx typically last?

distress/impairment

Social anxiety dx clinically causes significant _____/_____ in functioning

excessive anxiety and worry occurring more days than not for 6 months about a number of activities

Define generalized anxiety disorder?

more days than not for 6 months

How long should the sx of GAD occur to make a dx?

3 or more

How many sx must be present to dx GAD?

restlessness or feeling keyed up or on edge

being easily fatigued

difficulty concentrating or mind going blank

irritabiliy

muscle tension

sleep disturbance

What are the symptoms of GAD?

distress/impairment

GAD causes clinically significant _____/_____ in functioning