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What are mild anxiety characteristics?
restlessness, irritability, everyone experiences, GO FOR A WALK, PROGRESSION RELAXATION
What are moderate anxiety characteristics?
selective attention, can't think clearly, increased VS, problem solving is narrow
What are severe anxiety characteristics?
cannot problem solve, dizziness, insomnia, hyperventilation, DO NOT LEAVE PT ALONE
What are panic characteristics?
unable to process anything, lose touch of reality, screaming, pacing, hallucinations, exhaustion, DO NOT LEAVE PT ALONE
Acrophobia
heights
Agoraphobia
open spaces
Astrophobia
electrical storms
Claustrophobia
closed spaces
Glossophobia
talking
Hematophobia
blood
Hydrophobia
water
Monophobia
being alone
Mysophobia
germs or dirt
Nyctophobia
darkness
Pyrophobia
fires
Xenophobia
strangers
Zoophobia
animals
What are obsessions?
thoughts/images that persist and cannot be dismissed
What are compulsions?
ritualistic behavior
Main symptom of GAD?
excessive worrying
Name some cultural symptoms with Latin Americans/Northern Europeans and how they perceive panic attacks.
choking, numbness, tingling, fear of dying
What is Buspar used for?
Maintenance for anxiety, DO NOT give with hepatic/ renal fx, monitor liver/hepatic fx
Benzos: Lorazepam, Alprazolam, Diazepam, NI?
decreased motor function, DO NOT give to pt with alcohol use disorder (CNS depressant), short acting
What medications are taken for OCD?
SSRI
What are NI for OCD?
Allow time for their rituals. "I will help you get dressed./ I will give you 10 min. to get dressed.", identify their triggers
What comes first with PTSD?
safety
Common causes of PTSD are...
military, natural disasters, witness of traumatic event, diagnosis of terminal illness
What are some S/S of PTSD?
nightmares, reliving the event, insomnia, trust issues, irritability, increased alertness, fight or flight, chronic depression, suicidal idealizations
What medications are used for PTSD?
Setraline, Paroxetine, Venalafaxine, Fluoxetine
What are S/S of Depersonalization/Derealization disorder?
narrowed/blurred vision, high-pitched hearing
What is dissociative fugue?
forgetting own identity, (suddenly leaving and not knowing who they are), memory can return randomly
What are some causes of DID?
severe sexual/physical/psychological trauma in childhood
What are medications for DID?
no specific meds