Social Anxiety Disorder

Medication

100

Name 2 SSRIs?

Sertraline, Fluoxetine, Citalopram, Paroxetine 

200

Name a barrier to medication adherence?

Fear of unpleasant side effects, prior addiction, or access issues (cost, doctor accessibility)

300

Which medication used in SAD can cause chest pain and/or palpitations?

Buspirone 

Mental State Examination

100

Name 3 realms of the MSE where changes would be found?

- General Appearance and behaviour, Speech, Thought content, Cognition, Insight, Mood

200

Name 2 behaviours which you may see during an acute episode of SAD?

psychomotor agitation, shaking/sweating, complains of nausea, increased resp rate 

300

Would you expect speech to be increased or decreased in rate, tone, volume during an acute presentation

BOTH

Communication strategies

100

Are open ended or close ended questions best for communicating with those who are in an acute episode of social anxiety disorder?

Open ended questions

200

What are 2 additional pieces of information which should be mentioned in addition to SBAR at handover? 

Mental health history, medication adherence, triggers, past interactions with health services

300

Name 2 deescalation strategies used in SAD? 

Build a rapport, breathing exercises, muscle relaxation, solution focused brief therapy, offer alternative communication strategies (sensory items, visual aids)