Understanding Anxiety Response

Play an AI-generated podcast conversation about this lesson

Which of the following is NOT a primary neural pathway involved in anxiety?

GABA

5-HT (serotonin)

NE (norepinephrine)

Dopamine (correct)

Which medications can be used for generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and panic disorder?

Benzodiazepines

Tricyclic antidepressants

SSRIs and SNRIs (correct)

Typical antipsychotics

How long does it typically take for SSRIs and SNRIs to provide their full therapeutic effect for anxiety disorders?

8-10 weeks

6-8 weeks

4-6 weeks (correct)

2-4 weeks

Which of the following statements about anxiety symptoms and depressive symptoms is true?

Anxiety symptoms often resolve earlier than depressive symptoms. Signup and view all the answers

What is recommended when starting pharmacological treatment for anxiety disorders?

Starting low and going slow to avoid excessive serotonin adverse effects Signup and view all the answers

How does the required medication dose for anxiety symptoms compare to the dose for depressive symptoms?

The dose for anxiety symptoms is typically higher than for depressive symptoms. Signup and view all the answers

What is the recommended duration for optimal dosing of medication to evaluate a patient's response to acute treatment of depression?

4 to 8 weeks Signup and view all the answers

What is the minimum time period for which treatment should be modified if remission has not been obtained?

14 weeks Signup and view all the answers

What should be considered if there is a mild or moderate response to treatment?

Increasing the dose or using augmenting agents Signup and view all the answers

When should an individual be referred to a psychiatric provider?

All of the above Signup and view all the answers

What is the recommended duration for continuing medication and psychotherapy after the patient shows relief and response from the original symptoms?

4 to 9 months Signup and view all the answers

When is maintenance therapy typically necessary for patients with depression?

For patients with a history of three or more major depressive episodes or another medical/psychiatric disorder Signup and view all the answers

What is the recommended approach when discontinuing antidepressant medication?

Tapering the medication over several weeks Signup and view all the answers

What is the highest risk period for relapse after discontinuing antidepressant medication?

The first 2 months Signup and view all the answers

What is the primary care nurse practitioner's role in educating patients about depression treatment?

Both a and b Signup and view all the answers

What is the primary goal when modifying a treatment plan for a patient with depression?

All of the above Signup and view all the answers

What is the primary neurotransmitter associated with the fear and anxiety circuitry of the brain targeted by medications to treat PTSD?

5-HT Signup and view all the answers

Which medication has NOT been approved by the FDA for the treatment of children with OCD?

Buspirone Signup and view all the answers

What is a common comorbidity in individuals with PTSD that requires caution in their treatment?

Substance disorders Signup and view all the answers

When should a patient's status be monitored post-initiation of treatment according to the text?

Every 1-2 weeks Signup and view all the answers

Which type of therapy has been found effective for treating PTSD?

Eye movement desensitization therapy Signup and view all the answers

What is the effect of buspirone compared to propranolol based on the text?

Buspirone requires about 2 weeks to reach the full therapeutic level. Signup and view all the answers

What is the primary reason for assessing for suicidal ideation throughout the course of treatment with antidepressants?

To prevent the patient from following through with a suicidal plan Signup and view all the answers

According to the U.S. Surgeon General's report, what increases the likelihood of a good outcome for individuals at risk of suicide at primary care and emergency department levels?

Continuous care and improved aftercare Signup and view all the answers

When should an individual be referred to a psychiatric provider based on the provided guidelines?

When showing potential signs of suicidal intent Signup and view all the answers

Why are weekly dispensing of antidepressants early in treatment recommended instead of monthly quantities?

To prevent patients from hoarding medications Signup and view all the answers

What is the significance of educating healthcare providers on recognizing warning signs of suicide risk?

To facilitate better prevention and intervention strategies Signup and view all the answers

How often should the assessment, evaluation, and triage system in Table 30-1 be implemented during treatment with antidepressants?

Every 1 to 2 weeks Signup and view all the answers

In what circumstances should immediate referral and possible hospitalization be considered according to FDA guidelines?

In case of persistent suicidal thoughts Signup and view all the answers