Anxiety Disorders Overview
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Questions and Answers

Which of the following is NOT a psychosocial stressor that can contribute to anxiety?

  • Genetic predisposition (correct)
  • Marital discord
  • Job and/or school-related stress
  • Medical illness
  • Which neurotransmitter is NOT directly implicated in the biological theories of anxiety disorder etiology?

  • Gamma-aminobutyric acid (GABA)
  • Serotonin
  • Dopamine (correct)
  • Norepinephrine
  • Which age group has the highest prevalence of anxiety disorders?

  • 6-11 years old
  • 65 years old and older
  • 20-45 years old (correct)
  • 1-5 years old
  • Which psychiatric disorder is NOT listed as a risk factor for anxiety?

    <p>Bipolar disorder (A)</p> Signup and view all the answers

    Which of the following is a possible organic cause of anxiety?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is a potential medication withdrawal symptom that can lead to anxiety?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of these is NOT considered a common assessment finding in children with anxiety?

    <p>Aversion to social situations (D)</p> Signup and view all the answers

    Which of the following is the most common reason given for school refusal in children with anxiety?

    <p>Separation anxiety (C)</p> Signup and view all the answers

    Which of the following somatic complaints are NOT commonly associated with anxiety disorders?

    <p>Shortness of breath (B)</p> Signup and view all the answers

    Which of the following conditions should be considered in the differential diagnosis of anxiety disorders?

    <p>All of the above (D)</p> Signup and view all the answers

    What kind of medical assessments are typically needed to rule out potential physical causes of anxiety symptoms?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is a potential medication side effect that can mimic the symptoms of anxiety disorder?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the term for the excessive and persistent worry that characterizes anxiety disorder?

    <p>Rumination (B)</p> Signup and view all the answers

    Which of the following is NOT a symptom commonly associated with anxiety disorders?

    <p>Hallucinations (A)</p> Signup and view all the answers

    Which of the following is a potential medical condition that could mimic anxiety symptoms?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following factors can increase the risk of developing an anxiety disorder?

    <p>All of the above (D)</p> Signup and view all the answers

    What is one of the primary criteria for diagnosing depression in adults?

    <p>The presence of anhedonia (A)</p> Signup and view all the answers

    How long must symptoms persist to be categorized as Persistent Depression Disorder?

    <p>At least two years (C)</p> Signup and view all the answers

    Which of the following is NOT a symptom included in the diagnostic criteria for depression in adults?

    <p>Positive self-esteem (D)</p> Signup and view all the answers

    What physiological factors are often implicated in the etiology of depression?

    <p>Impaired metabolism of neurotransmitters (C)</p> Signup and view all the answers

    Which symptom is associated with anhedonia in depression?

    <p>Loss of pleasure in previously enjoyable activities (D)</p> Signup and view all the answers

    What is the initial recommended dosage of the solution for weight loss?

    <p>10-20 mg PO daily (C)</p> Signup and view all the answers

    When can the dosage of the solution for weight loss be increased to 20 mg/day?

    <p>After one week if clinical response is insufficient (D)</p> Signup and view all the answers

    In which patients should the weight loss solution be used with caution?

    <p>Patients with renal dysfunction (D)</p> Signup and view all the answers

    What is the maximum daily dosage for the weight loss solution?

    <p>80 mg (B)</p> Signup and view all the answers

    What age group can begin treatment with the weight loss solution at 10 mg/day?

    <p>Children aged 12 years and older (A)</p> Signup and view all the answers

    Which of the following is a contraindication for the use of the medication Escitalopram?

    <p>Patients with uncontrolled narrow-angle glaucoma (C)</p> Signup and view all the answers

    What is the typical time frame for increasing the dosage of Escitalopram?

    <p>One week if no improvement (B)</p> Signup and view all the answers

    What should be considered when discontinuing treatment in older adults?

    <p>Discontinue gradually to avoid complications (B)</p> Signup and view all the answers

    What percentage of major depressive disorder cases is believed to be linked to genetic predisposition?

    <p>30-40% (B)</p> Signup and view all the answers

    Which neurotransmitter is primarily responsible for producing feelings of calmness?

    <p>GABA (C)</p> Signup and view all the answers

    What is the estimated prevalence of major depressive disorder in the U.S. population at some point in their lives?

    <p>5-20% (B)</p> Signup and view all the answers

    Which of the following factors is primarily linked to the environmental causes of depression?

    <p>Childhood adversity (B)</p> Signup and view all the answers

    Which of the following neurotransmitters is classified as excitatory?

    <p>NMDA (A)</p> Signup and view all the answers

    What percentage of adolescents aged 16-25 experience major depressive disorder?

    <p>5% (C)</p> Signup and view all the answers

    What role do norepinephrine and dopamine play in mood regulation?

    <p>Enhance productivity and pleasure (B)</p> Signup and view all the answers

    Which statement about the incidence of major depressive disorder in preadolescents is correct?

    <p>It affects 2% of preadolescents (A)</p> Signup and view all the answers

    Which of the following is a significant risk factor for experiencing domestic violence?

    <p>Being female (A)</p> Signup and view all the answers

    What emotional symptom might indicate a history of domestic violence?

    <p>Chronic fatigue (C)</p> Signup and view all the answers

    What type of injury pattern is indicative of a struggle between a victim and an assailant?

    <p>Subconjunctival hemorrhage (A)</p> Signup and view all the answers

    Which psychosocial indicator is associated with intimate partner violence?

    <p>Sleep deprivation (C)</p> Signup and view all the answers

    Which condition should be included in the differential diagnoses when treating possible domestic violence injuries?

    <p>Chronic fatigue (A)</p> Signup and view all the answers

    When should routine screening for domestic violence occur during pregnancy?

    <p>At least once per trimester and at postnatal visits (A)</p> Signup and view all the answers

    What is a crucial step when providing nonpharmacologic management to a victim of domestic violence?

    <p>Maintaining a supportive and nonjudgmental attitude (D)</p> Signup and view all the answers

    Why should professionals use qualified language interpreters in domestic violence situations?

    <p>To ensure patient’s confidentiality (B)</p> Signup and view all the answers

    Which of the following is a recommended prevention strategy for intimate partner violence?

    <p>Promoting respectful relationships in families (C)</p> Signup and view all the answers

    What factor significantly increases the likelihood of neglect in children?

    <p>Single-parent families (B)</p> Signup and view all the answers

    Which injury description may suggest abuse rather than an accident?

    <p>Multiple injuries in various sites and stages of healing (D)</p> Signup and view all the answers

    What should be prioritized when developing a safety plan for a victim of domestic violence?

    <p>Safety of the victim and their children (B)</p> Signup and view all the answers

    Which of the following findings may indicate a history of family violence in an individual?

    <p>Fear or unwillingness to disclose causes of injuries (C)</p> Signup and view all the answers

    Flashcards

    Behavioral theory of anxiety

    Anxiety is a conditioned response to specific environmental stimuli.

    Genetic risk factor

    Having a first-degree relative increases the likelihood of anxiety eightfold.

    Biologic theories of anxiety

    Poor regulation of norepinephrine, serotonin, and GABA relates to anxiety disorders.

    HPA axis

    The hypothalamic pituitary adrenal axis is highly implicated in anxiety disorders.

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    Lifetime prevalence of anxiety

    7.7% of the U.S. population experiences anxiety disorders in their lifetime.

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    Separation anxiety in children

    Excessive anxiety about separation, common in children ages 3-4.

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    Common risk factors

    Organic causes, psychosocial stressors, and psychiatric disorders can contribute to anxiety.

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    Age of anxiety onset

    The average age of onset for anxiety disorders is 11 years.

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    Escitalopram Dosage

    Initial dosage of Escitalopram is 10 mg PO daily, may increase up to 20 mg based on clinical response after weeks.

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    Dosage Adjustment

    If initially on 10 mg/day, may increase to 20 mg after 1 week if clinically insufficient response.

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    Maximum Dosage

    The maximum dosage of Escitalopram is 80 mg daily, but should be achieved gradually.

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    Children's Dosing

    Children above 12 years may start with 10 mg/day PO; may increase based on response.

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    Renal Function Consideration

    Dosage adjustments may be required for patients with renal dysfunction.

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    Avoiding in Glaucoma

    Escitalopram should be avoided in patients with uncontrolled narrow-angle glaucoma.

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    Administration Frequency

    Escitalopram can be administered as a single dose or BID (twice daily).

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    Increasing Doses Over Weeks

    After starting treatment, dosages may be increased gradually over several weeks based on efficacy and tolerability.

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    Diagnostic Criteria for Depression

    Involves anhedonia or depression plus 4 symptoms for 2 weeks.

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    Symptoms of Depression

    Includes depressed mood, loss of interest, and changes in sleep or appetite.

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    Persistent Depression Disorder

    Chronic depressed mood lasting at least 2 years with other symptoms.

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    Anhedonia

    Loss of pleasure or interest in previously enjoyable activities.

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    Neurotransmitters in Depression

    Impairment in norepinephrine, serotonin, or dopamine synthesis/metabolism.

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    Generalized Anxiety Disorder (GAD)

    Characterized by excessive anxiety and worry about multiple events or activities.

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    Physical symptoms of anxiety

    Includes fatigue, headaches, palpitations, and gastrointestinal issues.

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    Sleep issues in anxiety

    Insomnia and easily fatigued are common complaints among adults with anxiety.

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    Somatic complaints

    Physical symptoms that arise from psychological anxiety, like dizziness and nausea.

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    Differential diagnoses for anxiety

    Conditions to rule out include depression, OCD, and PTSD.

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    Psychosocial stressors

    Life stressors and past traumas that increase anxiety risk.

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    Medical conditions associated with anxiety

    Conditions like hyperthyroidism and arrhythmias can mimic anxiety symptoms.

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    Role of medications in anxiety

    Substance use and medication effects must be considered when assessing anxiety.

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    GABA

    Gamma-aminobutyric acid, a neurotransmitter that promotes calmness.

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    NMDA

    N-methyl-D-aspartate, an excitatory neurotransmitter in the brain.

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    Serotonin

    A neurotransmitter that induces calmness and a relaxed state.

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    Norepinephrine

    A neurotransmitter that boosts productivity, concentration, and pleasure.

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    Depression incidence in adults

    Major depressive disorder affects 16 million adults annually in the U.S.

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    Genetic predisposition to depression

    30-40% of depression cases are influenced by genetic factors.

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    Environmental factors in depression

    60-70% of depression cases are linked to environmental stressors.

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    Childhood trauma impact

    Adverse childhood events can increase depression risk significantly.

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    Risk Factor: Being Female

    Women are statistically at higher risk for intimate partner violence.

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    History of Violence

    Past exposure to violence can increase risk of future victimization.

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    Low Education Level

    Limited education may correlate with increased IPV risks.

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    Substance Abuse

    Abuse of drugs or alcohol by either victim or perpetrator can escalate violence.

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    Isolation

    Isolation from family or friends increases vulnerability to IPV.

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    Signs of Neglect

    Poor hygiene, nutritional deficits, or lack of medical care indicate potential abuse.

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    Pattern Injuries

    Specific marks or designs on skin indicating intentional harm.

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    Psychosocial Indicators

    Depression, anxiety, and PTSD signal the psychological impact of IPV.

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    Consultation in Private

    Confidential discussions are crucial for safe reporting of IPV.

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    Mandatory Reporting

    Certain professionals are required by law to report suspected abuse.

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    Safety Plan

    A strategy to ensure victim's safety, including essentials for escape.

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    Empowerment Counseling

    Support that enables victims to make informed decisions about their safety.

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    Public Awareness

    Raising society's understanding of IPV aids prevention and support.

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    Prevention Strategies

    Interventions aimed at reducing risk factors and fostering healthy relationships.

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    Chronic Fatigue

    Extended tiredness that could signal unrecognized IPV.

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    Study Notes

    Anxiety Disorders

    • Anxiety is a psychic and physical experience of dread, apprehension, or panic, potentially chronic or acute, often stemming from emotional or physiologic stimuli
    • Common types include separation anxiety disorder (excessive anxiety separating from attachment figures), selective mutism (consistent failure to speak), specific phobia (extreme fear of a specific object or situation), social anxiety disorder/social phobia (extreme fear of social situations), panic disorder/panic attacks (recurring, unanticipated attacks of intense fear), and agoraphobia (intense fear of places or situations where escape might be difficult)
    • Generalized anxiety disorder (GAD) involves excessive anxiety occurring more days than not concerning a wide range of events or activities
    • Substance/medication-induced anxiety disorder arises as a result of substance use or medication
    • Anxiety can be caused by another medical condition

    Etiology of Anxiety

    • Behavioral theory postulates anxiety as a conditioned response to environmental stimuli
    • Genetic components play a role, with first-degree relatives increasing the likelihood of anxiety, often eight-fold.
    • Environmental factors contribute to anxiety development

    Incidence and Risk Factors

    • Anxiety is a prevalent psychiatric disorder
    • Prevalence in U.S. population is 7.7%
    • Incidence is higher in women
    • Most common in 20–45-year-olds
    • Average age of onset is 11 years
    • Separation anxiety is the most common reason given for school refusal (mean age 9 years)
    • Organic causes can include endocrinopathies, respiratory disorders, anemia, and medication/substance use or withdrawal
    • Family history and psychosocial stressors (marital discord, medical illness, job/school-related stress, financial problems) increase risk

    Differential Diagnoses

    • Obsessive-compulsive disorder
    • Oppositional defiant disorder
    • Personality disorders
    • Depression
    • Bipolar disorder
    • Attention deficit disorder
    • Cognitive disorders (such as delirium)
    • Substance intoxication or withdrawal
    • Posttraumatic stress disorder
    • Medical conditions (e.g., arrhythmias, thyroid disorders, electrolyte imbalances)
    • Certain medications or withdrawal states

    Diagnostic Studies

    • Ruling out medical causes for symptoms
    • Considering substance use and effects of medications or withdrawal
    • Assessing symptoms via DSM-5 criteria
    • Utilizing screening tools
    • Analyzing patient history and experiences (family/social, and medical)

    Non-pharmacological Management

    • Psychotherapy, particularly CBT (cognitive behavioral therapy)
    • Education, treatment plan explanation, and prognosis
    • Patient support and empathic listening
    • Relaxation techniques for stress reduction

    Pharmacologic Management

    • Antidepressants (first-line treatment)
    • Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)
    • Benzodiazepines (for short-term management)
    • Other medications (e.g., Buspirone),
    • Dosage adjustments and monitoring essential
    • Anxiety in children, often characterized by excessive worry and anxiety about separation, past behavior or future events, and performance concerns
    • Anxiety in adults exhibits as persistent worry about various events or activities, accompanied by complaints such as apprehension, restlessness, and sleeplessness

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    Anxiety Module 2 PDF

    Description

    This quiz covers various types of anxiety disorders, their symptoms, and underlying causes. Explore the characteristics of conditions like separation anxiety, social phobia, and generalized anxiety disorder. Test your understanding of anxiety and its etiology.

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