anxiety disorders

NT associated with anxiety

imbalance of glu/GABA

people screened for anxiety

all 8-18

specific phobia key diagnostic criteria

fear or anxiety about a specific object or situation

phobic object actively avoided

fear out or proportion

greater than 6 months

specific phobia treatment

1st - CBT with exposure

2nd - benzos

agoraphobia key diagnostic criteria

fear or anxiety about at least 2 of public transportation, open spaces, enclosed spaces, being in a crowd, or being away from home alone

fear is due to thoughts that escape might be difficult

actively avoid phobic situations

greater than 6 months

strongest genetic association disorder

agoraphobia (61%)

social anxiety disorder key diagnostic criteria

fear about social situations where individual may be scrutinized by others

fears they will be negatively evaluated

social situations are avoided

fear is out of proportion

greater than 6 months

social anxiety disorder children key feature

anxiety cannot just occur with adults, must also occur with peers

key physical feature of social anxiety disorder

blushing

social anxiety disorder treatment

CBT and SSRI/SNRI

maybe propranolol PRN

panic disorder key diagnostic criteria

recurrent unexpected panic attacks

at least one panic attack followed by at least one month with persistent worry of additional panic attacks and/or maladaptive behavior change

NT involved in panic attacks

too much NE

panic disorder treatment

CBT and SSRIs (benzo as bridge)

generalized anxiety disorder key diagnostic criteria

excessive worry for at least 6 months about multiple things

difficult to control worry

at least 3 of restlessness, fatigue, difficulty concentrating, irritability, muscle tension, sleep disturbance

generalized anxiety disorder typical treatment

usually SSRI/SNRIs

limited benzos

hydroxyzine

buspirone

common side effects of SSRIs

GI upset, sexual dysfunction, headache, insomnia

common side effects of SNRIs

GI upset, sexual dysfunction, headache, hypertension

generalized anxiety disorder other treatment

beta blockers

TCAs

mirtazapine

trazodone

pregabalin