Anxiety Disorders, obsessive compulsive and related disorders

the emotional response to a real, or perceived, imminent threat

fear

short-lived; fight or flight response remits when the threat is no longer present

fear

the anticipation of a future threat

anxiety

same physiological response as fear/danger

associated with cautious or avoidant behaviors

vicious cycle of over-estimation of the actual danger

anxiety

conditions that cause excessive and persistent feelings of fear, worry, and dread that can interfere with daily life

anxiety disorders

sweating, heart palpitations, shortness of breath, aches and pains

physical

avoidant behaviors, irritability, sleep disruption

behavioral

poor concentration, memory disruption 

cognitive symptoms

very specific condition

obsessions and compulsions

beliefs being in the presence of a particular object

phobias

t/f: panic attacks are a mental disorder

FALSE!

an abrupt episode of intense fear or intense discomfort that reaches a peak within minutes

panic attack

__/13 possible symptoms must occur to have a panic attack

4

What are some examples of panic attack symptoms

palpations

sweating

trembling or shaking

chest pain or discomfort

nausea or abdominal stress

no known precursor - worse prognosis, includes nocturnal 

unexpected panic 

situationally bound- the attack is bound to happen when I am in that situation

expected panic

The attack has happened in that situation before but not every time

expected situationally predisposed

generalized fear of being in places where escape may be difficult or embarrassing…just in case they may have panic like symptoms

agoraphobia

excessive anxiety and worry occuring more days than for at least 6 months, about a number of events

generalized anxiety disorder

benzodiazepines

xanax, klonopin, valium, librium, ativan

these medications have mant side effects, including dependence

benzodiazepines

fewer side effects but less effective after use of benzos

buspar

SSRIs and SNRIs are used to “prevent” anxiety and must be taken daily

antidepressents 

are taken as needed to stop an acute attack

antihistamines and beta blockers, such as propranolol

exercise and inclusion of purposeful activity

lifestyle modification

developmentally inappropriate fear that harm will come to attachment figures that lasts a minimum of 4 weeks

seperation anxiety

when normal speech is intact

failure to use speech outside of immediate family

selective mutism 

participating in ritualistic behaviors

compulsion

effort to reduce intrusive thoughts, impulses, or urges

obsessions

participation in behaviors consumes more than 1 hour per day or interferes with the efficiency of the daily routine

obsessive-compulsive disorders

recurrent pulling resulting in hair loss

trichotillomania

recurrent skin picking resulting in lesions

excoriation

pre-occupation with a defect in appearance

body dysmorphic disorder

what are the main functional impairments with BBD

school dropout

avoidance of social activity

psychiatric hospitalization

excess money spent on surgeries and treatement

persistent difficulty discarding or parting with possessions, regardless of their actual value

hoarding (compulsive) disorder