GAD
Define GAD (Not the meaning of the letters)
Feeling of discomfort, apprehension, or dread related to anticipation of danger
Symptoms you will see with panic disorder
Define systemic desensitization
Gradual exposure to anxious-provoking stimuli
What type of alcoholics commonly have PTSD?
Type A
(Type A alcoholism developed during adulthood and generally was characterized by binge drinking)
Does Acute stress disorder have to happen to you personally?
Yes and is set off by triggers
Are people with somatic symptom disorder at risk for suicide?
Yes, with the anxiety and depression that accompanies it
What type of chemical impairment will you see in the body with GAD?
GABA, serotonin and norepinephrine
Are panic attacks long or short lasting?
Short
What do people with Schizoid personality disorder do?
Avoid interactions in all areas of life
What is something people with OCD do?
RITUALS!!! (compulsions)
If they are interrupted during them then they will stop and completely start over, this is intended to reduce anxiety, give sense of feeling in control over life and increased self concept associated with OCD
How long after the incident can Acute Stress Disorder occur?
Up to 1 month post incident
What happens if you treat the anxiety of someone who has somatic disorder?
Whats the FIRST line of TX for GAD?
Define panic disorder
Feeling of terror or impending doom
What is anxiety disorder?
It is a disorder caused by another medical condition and substance/medication-induced anxiety disorder
If you have PTSD what is dysregulated in the body?
GABA, dopamine and norepinephrine
What is another name for Illness anxiety disorder?
Hypochondriac
is Somatic syndrom disorder constant?
No, fluctuates with periods of remission and exacerbation
What is the effectiveness of Buspirone and how long doe it take to work?
60-80% and 10-14 days to alleviate symptoms
What is flooding?
Exposing pt to high levels of what is causing panic
What is social Phobia and another word for it?
Avoid interactions in social settings
(Agroraphobia- fear of leaving environments that they know and consider safe for fear of having an anxiety or panic attack)
What is PTSD?
Stress that has happened in the past, set off by triggers
Define Illness anxiety disorder
Unrealistic or inaccurate interpretation of physical symptoms or sensation, leading to preoccupation and fear of having a serious disease
What is a patient with somatic syndrome disorder preoccupied with?
Perceived physical symptoms rather than underlying psychosocial issues
How long do you have to be worried more days than not to be diagnosed with GAD? & Who is it more common in?
6 months & Women
Nursing care for panic disorder
empathize with client and provide encouragement that panic attacks only last a short period of time
What is imploding?
Exposing client to extremely frightening stimuli for prolonged periods of time
Does PTSD have to be a personal experience?
No to does not have to happen to you personally
TX for Acute Stress Disorder?
Hypnosis
What age will somatic syndrome disorder appear in?
Begin before age 30
What is GAD characterized by?
Chronic, unrealistic and excessive anxiety and worry
What is a major maladaptive response to panic disorder?
Feeling like there is no control over life situations
Medications for Phobias?
Antianxiety, antidepressants, beta blockers
HINTTTT: Specific phobias ARE NOT treated with meds unless accompanied by panic attacks
What is immersive therapy? (PTSD)
Taking the person to where the event happened
What is something common for someone with Illness anxiety disorder to do?
Frequent hospital visors, drug seeking, constant worry, hypervigiliance
Characteristics of somatic disorder?
heightened emotion, seductivness and strong dependency needs
Symptoms you will see with GAD
Muscle tension, restlessness, feeling on edge, fatigue, insomnia, irritability
Medication used for Panic disorder
Alprazolam, lorazepam, clonazepam
Define Phobia
persistent, intense felt and irrational fear of a specific object, activity or situation that results in avoiding the stimuli
resulting in intense anxiety and/or panic attacks
What is intellectualization? (OCD)
An attempt to avoid expressing emotions associated with a stressful situation by using the intellectual process of logic, reasoning and analysis
Will someone with Acute Stress Disorder be able to recall all details?
No-may not feel real to them
Define Somatic Symptom disorder
Syndrome of multiple somatic symptoms that cannot be explained medically and are associated with physchosocial distress and frequent visits to healthcare professionals to seek assistance
Medications used to treat GAD
Benzos, SSRI's(proxetine, fluoxetine, sertraline), SNRI's(venlafaxine), noradrenergic agents(propanerolol, clonidine), barbiturates, buspirone
Non pharmaceutical Tx for panic?
CBT, sit and stay, flooding, systemic desensitization, yoga, reflection, decrease stimuli, o2 if necessary
What medical conditions AND substances cause anxiety disorder?
MEDICAL CONDITIONS: MI, CHF, mitral valve prolapse, endocrine conditions (hypoglycemia, hypo/hyper thyroidism), respiratory conditions
SUBSTANCES: Alcohol, amphetamines, cocain, hallucinogens, sedatives, hypnotics, anxiolytics, caffeine, cannabis
Medications for OCD?
antidepressants: SSRI's prozac, Zoloft and Luvox
What other disorders are commonly found with Illness anxiety disorder?
Depression and OCD
What are some things a person with somatic disorder will have or do?
Drug abuse and dependency, op for surgeries that aren't necessary, seek anti anxiety medication