Maryville 661 Exam 1 Questions With
Correct Answers.
Panic disorder criteria A - answer✔✔Recurrent unexpected panic attacks: abrupt surge of intense
fear or intense discomfort that reaches a peak within minutes and during which time 4 or more of
the following occur (see criteria A individual symptoms
panic disorder criteria A individual symptoms - answer✔✔a. palpitations, pounding heart or
elevated HR
b. sweating
c. trembling or shaking
d. sensation of SOB or smothering
e. feelings of choking
f. chest pain or discomfort
g. nausea or abdominal distress
h. dizzy, unsteady, light-headed or faint
i. chills or heat sensation
j. paresthesia (numbness or tingling)
k. derealization (feelings of unreality) or depersonalization (being detached from one's self)
l. Fear of losing control or going crazy
m. fear of dying
Panic disorder cultural considerations - answer✔✔Culture specific sx: tinnitus, neck soreness,
headache, uncontrollable screaming or crying. shouldn't count as one of the four sx
Panic disoder: Criteria B - answer✔✔At least one of the attacks has been followed by 1 mo or
more of
a. persistent concern or worry about another panic attack or consequences like losing control
b. significant maladaptive change in behavior as a results of attack: avoidance of perceived
stimulus
EXAM STUDY MATERIALS July 26, 2024 9:30 AM
,Secondary Criteria for all anxiety type disorders - answer✔✔a. Not attributable to physiological
effects of a substance (drugs of abuse or med) or medical condition (hyperthyroid,
cardiopulmonary)
b. Not better explained by another mental health condition
separation anxiety disorder--theory - answer✔✔Bowlby's theory of __________: child's sense of
distress during separation is perceived and experienced as anxiety and is prototype of anxiety.
with children--highly comorbid with GAD and social anxiety disorder. 30% have all three and
60% having one will have one of the others.
separation anxiety disorder Criteria A - answer✔✔Developmentally inappropriate or excessive
fear or anxiety concerning separation for those to whom the individual is attached, must have 3
of the following (see individual sx of criteria A)
separation anxiety disorder Criteria A individual sx - answer✔✔1. recurrent excessive distress
when anticipation or experiencing separation from home or major attachment figures.
2. persistent excessive worry about losing, harm to them, injury, disasters or death to major
attachment figures
3. persistent excessive worry about an untoward event to person that will separate them from
major attachment figure (MAF): get lost, kidnapped, accident become ill
4. Persistent reluctance nor refusal to go out, away from home, to school, work, elsewhere: fear
of separation.
5. persistent excessive fear or reluctance to be alone or without MAF at home or in other settings
6. persistent excessive reluctance to sleep away from home
7. Repeated nightmares about separation
8. repeated physical symptoms when separated from MAF: headaches, stomachaches, N/V
separation anxiety disorder Criteria B - answer✔✔The fear, anxiety, or avoidance is persistent
lasting at least 4 weeks in children and 6 mo in adults
separation anxiety disorder Criteria C - answer✔✔Causes clinically significant distress or
impairment in social academic, occupational, or other important area of functioning
separation anxiety disorder Criteria D - answer✔✔Not better explained by other mental disorder:
austism, delusions, hallucinations, agoraphobia, GAD, having an illness anxiety disorder.
Generalized anxiety disorder-definition - answer✔✔characterized by a pattern of frequent,
persistent worry and anxiety that is out of proportion to the impact of the event or circumstance
that is the focus of the worry. Distinction emphasized by the use of the word "excessive" in the
criteria and by the specification that the symptoms cause significant impairment or distress.
EXAM STUDY MATERIALS July 26, 2024 9:30 AM
, Generalized anxiety disorder Criteria A - answer✔✔Excessive anxiety and worry (apprehensive
expectation) more days than not for 6 mo about a number of events or activities (ie work/school
performance)
Generalized anxiety disorder Criteria B - answer✔✔Person finds it difficult to control the worry
Generalized anxiety disorder Criteria C --def - answer✔✔SX are associated with 3 or more of
the following (only 1 sx required in children); see individual sx for criteria C
Generalized anxiety disorder Criteria C individual sx - answer✔✔1. restlessness, feeling keyed
up or on edge
2. being easily fatigued
3. difficulty concentrating, mind goes blank
4. irritability
5. muscles tension
6. sleep disturbance: falling asleep, staying asleep; or restless, unsatisfying sleep
Generalized anxiety disorder Criteria D - answer✔✔anxiety, worry or phys symptoms cause
clinically significant distress or impairment: social, occupational, or other areas of function
Generalized anxiety disorder Criteria E and F - answer✔✔_________________Not attributable
to substance (drug or med). not better explained by medical disorder: not better explained by
other mental disorder panic attacks, soc anxiety d/o, triggers for PTSD, serious illness anxiety
Social anxiety - answer✔✔Anxiety disorder with the youngest median age of onset
GAD - answer✔✔Anxiety disorder with the oldest median age of onset.
Social anxiety disorder pathophys - answer✔✔Neurochemicals: release more norepinephrine and
epinephrine-centrally and peripherally. Beta-adrenergic receptor antagonists: propranolol for
performance phobia;
Soc anxiety disorder genetics - answer✔✔1st degree relatives of people with ______________
are 3 times more likely to have ______________ disorder than non 1st degree relatives
Social anxiety disorder Criteria A - answer✔✔Marked fear or anxiety about one more or more
social situations where individ will be exposed to possible scrutiny: being observed, having to
interact, performing; in children it must be with peers not adults
Social anxiety disorder Criteria B - answer✔✔Fears that they will act in a way or show anxiety
sx that will be negatively evaluated: humiliating, embarrassing, lead to rejection, or offend others
EXAM STUDY MATERIALS July 26, 2024 9:30 AM
