True or False
Anxiety is a normal reaction to stress.
What is true? Anxiety is a normal reaction to stress however not all people who experience stress have an anxiety disorder. Anxiety disorders causes extreme stress or interferes with your daily life, hindering a person’s ability to function.
Occasional anxiety is a normal part of life. Many people worry about things such as health, money, or family problems. But anxiety disorders involve more than temporary worry or fear. For people with an anxiety disorder, the anxiety does not go away and can get worse over time.
At least _ or more symptoms present nearly every day
What is 5? 5 or more symptoms of SIGECAPS + depressed mood With at least one being depressed mood or anhedonia.
The I in SIGECAPS
What is interest loss?
This class of antidepressants can be used to treat depression and chronic pain.
What are TCAs (Tricyclic Antidepressants)?
What anxiety disorder is it when someone is a part of, or witnesses one or more traumatic events. Which can cause harm to their mental health, including symptoms such as nightmares and flashbacks.
What is post-traumatic stress disorder (PTSD); Symptoms begin 4 weeks after a traumatic event. Some examples of traumatic events are war, assault and other crimes, accidents and natural disasters. In addition to other symptoms, a person suffering from post-traumatic stress disorder can relive these events long after they’re over, through nightmares and flashbacks. When symptoms occur less than 4 weeks after a traumatic event the diagnosis is acute stress disorder.
To meet criteria for a major depressive disorder, a patient must have symptoms for 6 months.
What is false?
To meet criteria for a major depressive disorder, a patient must have symptoms for 2 weeks.
At least one symptom is either depressed mood or_
What is anhedonia (loss of interest or pleasure)?
The E in SIGECAPS
What is energy loss?
SSRIs and SNRIs with short half-lives (i.e. paroxetine, venlafaxine) may cause withdrawal symptoms with a single missed dose. This phenomenon is called
What is discontinuation syndrome?
Discontinuation syndrome typically occurs when a short acting SSRI/SNRI is abruptly discontinued, a dose is missed, or tapered too quickly.
Are phobias considered a type of anxiety disorder?
What is yes? Phobia is when a person experiences extreme or unreasonable terror when confronted with a certain object, situation or activity. This terror can lead to a strong need to avoid that object or situation. The objects of phobias are diverse and can include fear of dogs, flying, enclosed spaces, water, and blood. Which is referred to as a specific phobia disorder.
SSRIs are the preferred first line pharmacotherapy treatment for depression and anxiety.
What is true?
Symptoms present nearly every day for _
What is 2 weeks?
The P in SIGECAPS
What is Psychomotor activity (retardation or agitation)?
This class of drug can increase anxiety symptoms for the first few weeks of treatment
What are SSRIs?
Persistent and excessive worry of various things that interferes with daily activities nearly every day for 6 months
What is Generalized Anxiety Disorder?
If a patient has a QTC < 450ms, taking a TCA is contraindicated
What is false? TCAs are contraindicated when a patient has QTC >450ms
Depression can not be attributable to another _ .
What is medical condition? Remember patients cannot have a pure psychiatric diagnosis until other medical problems are ruled out
The G in SIGECAPS
What is guilt or worthlessness?
This class of drug should be limited or avoided in the management of anxiety for patients with severe bronchitis, severe restrictive lung disease, sleep apnea due to the risk of respiratory depression
What are benzodiazepines?
The fear of being in situations where escape may be difficult or embarrassing, or help might not be available in the event of panic symptoms.
What is agoraphobia?
To minimize the risk of discontinuation syndrome, it is recommended to gradually taper the dose of the medication rather than stopping abruptly.
What is true?
Symptoms cause significant _
The S in SIGECAPS
What is sleep trouble (hypersomnia or insomnia) or what is suicidal ideation (recurrent thoughts of dying)?
A dopamine and norepinephrine reuptake inhibitor known to lower seizure threshold. It should be avoided in patients with comorbid conditions that increase seizure risks, such as seizure disorders, eating disorders, or heavy alcohol use
What is bupropion?
What anxiety disorder is it when a person has panic attacks and is afraid of having more panic attacks. A panic attack is a sudden, unexpected rush of intense anxiety symptoms that can last anywhere from a few seconds to several minutes.
What is Panic disorder, but not everyone who has panic attacks has panic disorder.