Anxiety Disorders and Panic Attacks Quiz
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Questions and Answers

What characterizes Performance Only Social Anxiety Disorder?

  • Persistent concern about additional panic attacks
  • Generalized anxiety about multiple social situations
  • Fear of public speaking or performing in public only (correct)
  • Recurrent panic attacks in various situations
  • Which of the following is NOT a symptom of a panic attack?

  • Palpitations or accelerated heart rate
  • Nausea or abdominal distress
  • Persistent concern about future panic attacks (correct)
  • Derealization or depersonalization
  • What duration is specified for persistent concern after experiencing a panic attack?

  • At least 1 month (correct)
  • At least 3 days
  • More than 6 months
  • Less than 1 week
  • Which of the following is a potential behavior change following a panic attack?

    <p>Avoiding situations that might trigger a panic attack</p> Signup and view all the answers

    Which of these symptoms is associated with panic attacks?

    <p>Feelings of intense fear that peak within minutes</p> Signup and view all the answers

    Which of the following is an example of derealization?

    <p>Feeling detached from oneself</p> Signup and view all the answers

    What is a common trigger for individuals with Panic Disorder?

    <p>Situations where previous attacks have occurred</p> Signup and view all the answers

    How long does a panic attack typically last to reach its peak?

    <p>Within 5 minutes</p> Signup and view all the answers

    What is the primary aim of panic-focused psychodynamic therapy?

    <p>To explore underlying emotional conflicts contributing to panic attacks</p> Signup and view all the answers

    Which medication is typically prescribed for long-term anxiety management due to its lower risk of dependence?

    <p>Buspirone</p> Signup and view all the answers

    What distinguishes compulsions in obsessive-compulsive disorder?

    <p>They are repetitive behaviors driven by obsessions</p> Signup and view all the answers

    How does mindfulness-based cognitive therapy (MBCT) assist with anxiety?

    <p>By increasing awareness of present moments and reducing excessive worry</p> Signup and view all the answers

    Which lifestyle change is recommended for alleviating anxiety symptoms?

    <p>Regular exercise</p> Signup and view all the answers

    What type of techniques can help manage symptoms of anxiety?

    <p>Relaxation techniques like meditation</p> Signup and view all the answers

    Which of the following statements about obsessions is accurate?

    <p>Obsessions are recurring thoughts that cause significant distress</p> Signup and view all the answers

    Which medication class is generally not recommended for long-term use in treating panic attacks due to dependence risks?

    <p>Benzodiazepines</p> Signup and view all the answers

    What is the minimum duration for symptoms to be considered clinically significant for anxiety disorders?

    <p>6 months</p> Signup and view all the answers

    Which disorder is characterized by anxiety symptoms resulting from an underlying medical condition?

    <p>Anxiety Disorder Due to Another Medical Condition</p> Signup and view all the answers

    Which therapeutic approach is considered the first-line treatment for panic disorder?

    <p>Cognitive Behavioral Therapy</p> Signup and view all the answers

    What typically characterizes Substance/Medication-Induced Anxiety Disorder?

    <p>Anxiety symptoms caused by substance intoxication or withdrawal</p> Signup and view all the answers

    What common comorbidity is often seen in individuals with anxiety disorders?

    <p>Depression</p> Signup and view all the answers

    What feature helps differentiate between various anxiety disorders?

    <p>Specific objects or situations inducing fear</p> Signup and view all the answers

    What is a key component of Cognitive Behavioral Therapy for treating social anxiety?

    <p>Challenging negative thought patterns</p> Signup and view all the answers

    Which symptom is generally not a characteristic of anxiety disorders?

    <p>Intellectual disability</p> Signup and view all the answers

    What symptom typically occurs within the first 6 to 12 hours of alcohol withdrawal?

    <p>Hand tremor</p> Signup and view all the answers

    What severe condition may develop during the first 48 to 72 hours of alcohol withdrawal?

    <p>Delirium tremens</p> Signup and view all the answers

    Which of the following is a common treatment for managing alcohol withdrawal symptoms?

    <p>Benzodiazepines</p> Signup and view all the answers

    Which factors increase the risk of developing delirium tremens during alcohol withdrawal?

    <p>Older individuals and previous DTs</p> Signup and view all the answers

    What is the typical duration over which symptoms improve after stopping alcohol consumption?

    <p>4-7 days</p> Signup and view all the answers

    Which of the following is NOT a symptom of alcohol withdrawal?

    <p>Excessive drowsiness</p> Signup and view all the answers

    What is the minimum duration for symptoms to persist following a trauma for a diagnosis?

    <p>At least 3 days</p> Signup and view all the answers

    What defines adjustment disorders in relation to stressors?

    <p>They are proportional to the stressor and typically acute.</p> Signup and view all the answers

    What is the primary reason for medical supervision during alcohol withdrawal?

    <p>To assess the severity of withdrawal symptoms</p> Signup and view all the answers

    Which of the following symptoms is NOT associated with hypervigilance?

    <p>Depressed mood</p> Signup and view all the answers

    Which medication is commonly prescribed for anxiety during alcohol withdrawal?

    <p>Clorazepate</p> Signup and view all the answers

    What is a key feature of adjustment disorders?

    <p>Symptoms develop in response to an identifiable stressor.</p> Signup and view all the answers

    Which statement corrects the misconception about the influence of a stressor's context?

    <p>The context of the stressor can influence specific disorders.</p> Signup and view all the answers

    What distinguishes adjustment disorders from other disorders following trauma?

    <p>They have a clear link to a specific life event.</p> Signup and view all the answers

    In what timeframe must symptoms of adjustment disorders occur following a stressor?

    <p>Within 3 months</p> Signup and view all the answers

    What is the exclusion criterion for diagnosis related to substance use?

    <p>Disturbance should not be attributable to substance use.</p> Signup and view all the answers

    Which of the following best describes the diagnostic criteria for Speech Sound Disorder?

    <p>Difficulty in producing speech sounds that interferes with communication</p> Signup and view all the answers

    What symptom is NOT characteristic of Childhood Onset Fluency Disorder (Stutter)?

    <p>Difficulty in understanding implicit meanings</p> Signup and view all the answers

    Which statement about Social (Pragmatic) Communication Disorder is correct?

    <p>It involves deficits in understanding humor and sarcasm.</p> Signup and view all the answers

    What is one symptom of Childhood Onset Fluency Disorder?

    <p>Circumlocution, or substituting words to avoid problematic ones</p> Signup and view all the answers

    What condition must be ruled out when diagnosing Speech Sound Disorder?

    <p>Congenital or acquired conditions like cerebral palsy</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Social (Pragmatic) Communication Disorder?

    <p>Frequent sound prolongations of consonants</p> Signup and view all the answers

    At what stage do symptoms of Childhood Onset Fluency Disorder typically begin?

    <p>In the early developmental period</p> Signup and view all the answers

    What impact does Speech Sound Disorder have on an individual?

    <p>Interference with effective communication</p> Signup and view all the answers

    What characterizes the process of substance intoxication?

    <p>A reversible syndrome develops due to the recent ingestion of a substance.</p> Signup and view all the answers

    Which statement accurately describes withdrawal symptoms?

    <p>They can occur after reducing or stopping the use of a substance.</p> Signup and view all the answers

    Which of the following symptoms is NOT commonly associated with substance intoxication?

    <p>Psychotic disorders</p> Signup and view all the answers

    What aspect differentiates substance use disorders from substance-induced disorders?

    <p>Substance use disorders involve ongoing problems with substance use.</p> Signup and view all the answers

    Which of the following is excluded from the category of intoxication in substance-related disorders?

    <p>Tobacco</p> Signup and view all the answers

    What are common behavioral and psychological changes associated with substance intoxication?

    <p>Disturbances in cognition and mood</p> Signup and view all the answers

    Which types of substances are primarily linked to substance-induced mental disorders?

    <p>Illicit drugs and alcohol</p> Signup and view all the answers

    What distinguishes gambling disorder from other behavioral addictions listed?

    <p>Sufficient evidence supports gambling as a formal disorder.</p> Signup and view all the answers

    What must be specified to diagnose Performance Only Social Anxiety Disorder?

    <p>Fear limited to public speaking or performing</p> Signup and view all the answers

    Which of the following is a symptom that must occur during a panic attack?

    <p>A surge of intense fear or discomfort</p> Signup and view all the answers

    What is a common behavioral change following a panic attack?

    <p>Avoidance of locations where previous attacks occurred</p> Signup and view all the answers

    What duration indicates a significant maladaptive change in behavior after a panic attack?

    <p>At least one month</p> Signup and view all the answers

    Which symptom is NOT associated with a panic attack?

    <p>Persistent longing for social interaction</p> Signup and view all the answers

    What type of symptom occurs after experiencing a panic attack?

    <p>Persistent concern about future attacks</p> Signup and view all the answers

    Which of the following is a stated characteristic of panic attacks?

    <p>Occurring suddenly from a calm or anxious state</p> Signup and view all the answers

    What is the main fear for individuals experiencing Panic Disorder after an attack?

    <p>Fear of losing control or 'going crazy'</p> Signup and view all the answers

    What is a key characteristic of Disinhibited Social Engagement Disorder (DSED)?

    <p>Approaching strangers without hesitation</p> Signup and view all the answers

    Which of the following symptoms is NOT associated with Posttraumatic Stress Disorder (PTSD)?

    <p>Excessive emotional connection with caregivers</p> Signup and view all the answers

    What duration must symptoms be present for a disorder to be classified as persistent?

    <p>More than 12 months</p> Signup and view all the answers

    Intrusive memories, a symptom of PTSD, can manifest in which of the following ways?

    <p>Dissociative flashbacks to the trauma</p> Signup and view all the answers

    Which of the following scenarios would NOT classify as exposure to a traumatic event according to PTSD criteria?

    <p>Learning about a traumatic event from media</p> Signup and view all the answers

    Which symptom indicates the high severity level of a disorder?

    <p>All symptoms present at high levels</p> Signup and view all the answers

    Children with DSED often exhibit which of the following behaviors?

    <p>Over-familiarity with strangers</p> Signup and view all the answers

    How does DSED differ from Reactive Attachment Disorder (RAD)?

    <p>DSED is marked by a lack of appropriate inhibition in interactions</p> Signup and view all the answers

    What is indicated by a markedly increased need for alcohol to achieve the desired effect?

    <p>Tolerance</p> Signup and view all the answers

    What defines alcohol withdrawal in relation to heavy use?

    <p>Cessation or reduction in alcohol use</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with alcohol intoxication?

    <p>Hyperactivity</p> Signup and view all the answers

    What does 'early remission' from alcohol use disorder indicate?

    <p>No criteria met for at least 3 months but less than 12 months</p> Signup and view all the answers

    Which factor is considered when diagnosing individuals in a controlled environment for alcohol use disorder?

    <p>Limited access to alcohol</p> Signup and view all the answers

    What might a person experiencing alcohol withdrawal demonstrate?

    <p>Characteristic withdrawal syndrome</p> Signup and view all the answers

    What characterizes alcohol intoxication's impact on behavior?

    <p>Diminished control over impulses</p> Signup and view all the answers

    Which of the following represents a symptom of alcohol withdrawal?

    <p>Severe hallucinations</p> Signup and view all the answers

    What is a recommended approach when stopping antidepressants?

    <p>Gradual dose reduction under medical supervision.</p> Signup and view all the answers

    Which therapeutic approach is recognized as effective for managing depression through behavioral change?

    <p>Interpersonal Therapy (IPT)</p> Signup and view all the answers

    Which group is particularly at risk for increased suicidal thoughts when prescribed antidepressants?

    <p>Children and teenagers under 25</p> Signup and view all the answers

    What can genetic tests provide regarding antidepressant medication?

    <p>They can predict individual response to medication.</p> Signup and view all the answers

    What is a major distinction between fear and anxiety?

    <p>Anxiety is a response to perceived future threats.</p> Signup and view all the answers

    What is one of the primary objectives of psychotherapy for depression?

    <p>To identify and replace negative thoughts and behaviors.</p> Signup and view all the answers

    Which type of medication may be added to enhance the effects of antidepressants?

    <p>Mood stabilizers</p> Signup and view all the answers

    Which of the following is a key aspect to monitor during the first weeks of antidepressant treatment?

    <p>Suicidal thoughts and mood changes.</p> Signup and view all the answers

    Which medication is not typically classified as an anti-seizure medication?

    <p>Naltrexone</p> Signup and view all the answers

    What is a common effect of beta-blockers in treating anxiety?

    <p>Reduce anxiety symptoms</p> Signup and view all the answers

    Which factor is least likely to influence the detox timeline from alcohol?

    <p>Height of the individual</p> Signup and view all the answers

    What is a symptom of alcohol-induced mood disorder?

    <p>Depression</p> Signup and view all the answers

    Which statement regarding detoxification is accurate?

    <p>Competent professionals can manage detox symptoms effectively.</p> Signup and view all the answers

    Which condition is directly caused by alcohol consumption?

    <p>Alcohol-Induced Anxiety Disorder</p> Signup and view all the answers

    Which of the following disorders includes symptoms that improve with cessation of alcohol consumption?

    <p>Alcohol-Induced Mood Disorder</p> Signup and view all the answers

    What is one significant challenge faced during detoxification?

    <p>Detox can be both mentally and physically challenging.</p> Signup and view all the answers

    Study Notes

    Psychiatric Disorders

    • Neurodevelopmental Disorders often begin before school age, causing impairments in personal, social, academic, or occupational functioning. Deficits range from specific learning or executive functioning impairments to broader issues with social skills or intelligence. Co-occurring conditions are common, such as autism, intellectual disability, ADHD, and learning disorders. Symptoms include deficits (e.g., social communication issues) and excesses (e.g., repetitive behaviors and restrictive interests).

    Intellectual Disability

    • Intellectual and adaptive functioning deficits are present during the developmental period. Diagnostic criteria include deficits in intellectual functions, adaptive deficits, and onset during the developmental period. Specifiers based on severity include mild, moderate, severe, and profound.

    Communication Disorders

    • These involve deficits in language, speech, and communication that require assessment of cultural and language context. Categories include language disorder, speech sound disorder, childhood-onset fluency disorder, social communication disorder, and unspecified communication disorders. These disorders display difficulties in acquiring and using language, like reduced vocabulary, limited sentence structures, and impaired discourse.

    Attention Deficit/Hyperactivity Disorder (ADHD)

    • Symptoms include inattention and hyperactivity. Inattention symptoms involve carelessness, difficulty sustaining attention, not listening, failure to follow instructions, difficulty organizing tasks, avoiding tasks requiring sustained mental effort, losing things, and easily getting distracted. Hyperactivity symptoms include fidgeting, leaving seat, running, climbing, inability to play quietly, always "on the go," talking excessively, interrupting, and difficulty waiting their turn. Symptoms need to be present before age 12 in at least 2 settings to interfere with functioning.

    Tourette's Disorder

    • Characterized by both motor and vocal tics that have been present for at least a year since the first tic appeared.

    Schizophrenia Spectrum and Other Psychotic Disorders

    • These disorders include schizophrenia, other psychotic disorders, and schizotypal personality disorders. Characteristic abnormalities include delusions (fixed false beliefs), hallucinations (perception-like experiences without external stimuli), disorganized thinking (inferred from speech, jumping from topic to topic), negative symptoms (e.g., reduced emotional expression) and disorganized behavior. These conditions are often seen after trauma.

    Delusional Disorder

    • The presence of one or more delusions with a duration of at least one month. Hallucinations are not prominent, and functioning is not significantly impaired, except as related to delusion.

    Brief Psychotic Disorder

    • Presence of one or more psychotic symptoms for at least one day but less than one month. Symptoms are not better explained by another mental disorder, or medical condition, and a full return to premorbid functioning is expected.

    Schizophreniform Disorder

    • Two or more symptoms of schizophrenia lasting at least 1 month but less than 6 months. A return to premorbid functioning is expected.

    Schizophrenia

    • At least 2 or more symptoms present during a 1-month period and lasting at least for 6 months. Symptoms include delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, and negative symptoms. Impairment in functioning is also significant.

    Bipolar I Disorder

    • Characterized by at least one manic episode. Manic episodes include distinct periods of elevated, expansive, or irritable mood and increased activity or energy. Symptoms last for at least 1 week (or for at least four consecutive days if hypomanic).

    Bipolar II Disorder

    • Individuals have experienced at least one hypomanic episode and one major depressive episode, but never a manic episode.

    Cyclothymic Disorder

    • Characterized by numerous periods of hypomanic symptoms (do not meet criteria for hypomanic episode, or depressive symptoms (do not meet criterion for a major depressive episode) lasting at least 2 years (1 year for youth).

    Major Depressive Disorder

    • The presence of 5 or more symptoms for at least two weeks, and a change from previous functioning. Key symptoms include depressed mood, loss of interest, significant weight change, sleep disturbances, psychomotor agitation or retardation, fatigue/loss of energy, feelings of worthlessness, recurrent thoughts of death or SI.

    Substance/Medication-Induced Psychotic Disorder

    • Psychosis is caused by substance use or intoxication/withdrawal.

    Substance-Induced Mood Disorder

    • Mood disturbances are a result of substance consumption
    • These relate to problems with the use of substances. Specific categories are substance use disorders and substance-induced disorders (intoxication, withdrawal, and mental disorders).

    Neurocognitive Disorders

    • Cognitive impairment, often due to a brain injury or disease. Delirium is characterized by a disturbance in attention and awareness, with onset over a short period. Additional cognitive disturbances may include memory, disorientation, language, visuospatial, and perceptual issues.

    Personality Disorders

    • Enduring patterns of inner experience and behavior that deviate markedly from cultural expectations. These patterns are inflexible and stable, persist from adolescence or early adulthood. They cause distress or impairment in various areas of life. These are grouped into Clusters (A, B & C).

    Dissociative Disorders

    • Disruptions in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior. Examples include depersonalization/derealization disorder, dissociative amnesia, and dissociative identity disorder

    Feeding and Eating Disorders

    • Disorders related to eating or eating-related behaviors, including pica, rumination disorder, avoidant/restrictive food intake disorder (ARFID), anorexia nervosa, bulimia nervosa, and binge-eating disorder. These disorders frequently result in significant impairment in physical and psychosocial functioning.

    Adjustment Disorders

    • Problems developing in response to a specific stress or life change. These involve emotional and or behavioral responses that are proportional to the change.

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