Most common psych disorder in the US (usually 20-45year olds)
Symptoms manifested in several ways:
• Affective
• Behavioral
• cognitive
• Somatic
More common in women
2. Thinks to rule out with anxiety:
thyroid issues palpitations
drug
use
caffein
e
3. diagnostics for anxiety:
blood chemistry ekg
thyroid function
,4. Symptom criteria for diagnosis of GAD:
Excessive anxiety and worry (appre- hensive expectation), occurring
more days than not for at least 6 months, about a number of events or
activities (such as work or school performance)
Clinical Presentation of
GAD Excessive anxiety
Hyper
vigilant
Headaches
Restlessnes
s Shakiness
Hyperactive autonomic
symptoms Disrupts life
Symptoms for 6 months or more
5. Education for GAD: •
Avoid alcohol and stimulants
• Symptom recognition
• Symptom interpretation
6. Treatment for GAD:
, Non pharmacologic
• ***Cognitive behavior therapy (CBT)
Pharmacology
• Anti-anxiety agents (refer to text for list)
• Acute: alprazolam and diazepam short term
• Long term: SSRIs
• *caution in elderly
, 7. Panic disorder:
An anxiety disorder marked by unpredictable minutes-long episodes of
intense dread in which a person experiences terror and accompanying
chest pain, choking, or other frightening sensations.
Distinguish between disorder and attack
• Pattern of recurrent episodes
• Sudden onset
• Severe symptoms
Diagnosis: based on clinical symptoms
• Refer to text for symptom criteria
Treatment:
• SSRI/SNRI or TCA
• CBT**
8. PTSD (Post Traumatic Stress Disorder):
Types PTSD
• Acute: <3 months
• Chronic: >3 months
• Delayed: onset at least 6 months after trauma
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