Anxiety disorders Flashcards Preview

Year 4 - Mental Health > Anxiety disorders > Flashcards

Flashcards in Anxiety disorders Deck (5)
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1
Q

What are the core features of OCD?

A

Present on most days for at least 2 weeks:

  1. obsessions: repetitive + distressing ideas/images/impulses that are acknowledged as originating in subject’s mind and as excessive or unreasonable AND/OR
  2. compulsions: stereotyped behaviour that is not inherently enjoyable but is repeated to prevent some objectively unlikely event. Unsuccessfully resisted.

These cause distress/anxiety (worse if compulsive acts are resisted) + interfere with social or individual functioning, usually by wasting time.

2
Q

What are the Mx options for OCD?

A
  1. low or high intensity psychological therapy e.g. CBT + exposure and response prevention
  2. SSRI or clomipramine
  3. +/- intensive inpatient therapy or supportive care if severe chronic dysfunction
  4. +/- DBS
3
Q

A 23yo woman diagnosed with moderate OCD is started on paroxetine. How long for it to take effect? How long should she continue?

A
  1. Delay in onset of up to 12 weeks.

2. Continue for at least 12 months following remission.

4
Q

A 33yo woman presents with fatigue + difficulty concentrating. She also mentions she feels constantly on edge and is often worries about various things (no specific trigger), at which point she feels palpitations, chest pain + difficulty breathing. This has been going on for 6/12 and has been gradually getting worse, affecting her most days now.

What is the likely diagnosis? Suggest an assessment tool you could you.

A

Generalised anxiety disorder

GAD-7

5
Q

What are the Mx options for GAD?

A

Stepped-care:

  1. watchful waiting: education + monitoring
  2. guided-self help or low intensity psychological support
  3. anxiety Mx Txinc. relaxation training
  4. CBT over 4/12
  5. SSRI e.g. SERTRALINE, SNRIs
  6. secondary care, crisis intervention, inpatient Mx