Meds that induce anxiety symptoms - ANS ✓anticholinergics
Sympathomimetics
Withdrawal syndromes that mimic anxiety sx - ANS ✓SSRI discontinuation
syndrome
Most common anxiety disorder <12 - ANS ✓separation anxiety disorder
Important to consider "normal development"
Separation anxiety duration - ANS ✓4 weeks in children
6 months in adults
Selective mutism essential feature - ANS ✓will not initiate speech or
reciprocate with others in social situations
Speak w/ immediate family members at home
Most common <5 YO
Duration 1 month
Separation anxiety essential feature - ANS ✓excessive fear/anxiety focused on
separation from home or attachment figures
Nightmares
Kidnapping,monsters, school avoidance,
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Specific phobia essential feature - ANS ✓immediate reaction linked to "phobic
stimulus" can occur in presence in or anticipation of
Coding for specific phobia based on phobic stimulus. Give codes - ANS ✓1.
Animal
2. Natural environment (heights, storms, water etc)
3. Blood injection injury
4. Situational (airplanes, elevators, small spaces)
5. Other
____% of people will have more than one phobia - ANS ✓75%
What to look for in children with specific phobia (difficult to assess) - ANS
✓rule out normal fear I.e. Afraid of dark
-may "freeze, cry, tantrum" bc they don't understand avoidance of phobic
stimulus
Social anxiety disorder 2 types - ANS ✓1. Performance only
2. Regular in all situations
Social anxiety essential feature - ANS ✓fear/anxiety in social situations of
being negatively scrutinized including fear of one's own responses I.e. Excessive
blushing
Self medication before event is common I.e. ETOH before event
Panic disorder essential feature - ANS ✓recurrent, unexpected panic attacks
and either fear of future attacks or modifying behavior to try and avoid future
attacks (panic attacks alone is not criteria for panic attacks, must fear future or
modify behavior to avoid" I.e. Can't go to grocery store b/c what if I have a panic
attack
First panic attack features - ANS ✓people often remembers
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Typically occurs in situation of high stress
Associated with more medical visits than any other anxiety d/o
Will come to ER having "hear attack" if they don't know what's happening
Panic attack sx - ANS ✓1. Heart attack sx in chest
2. Fear of dying, dizzy, detached from self
3. Trembling/shaking/chills/hot flashes
4. Choking
5. Numbness/tingling in fingers/toes
6. Nausea/abdominal distress
Panic attack duraiton - ANS ✓typically 30 mins
Can last up to an hr but rare
Peak within mins (0-10)
Agoraphobia essential features marked by ___ of 5 of the following
situations: - ANS ✓2 of 5:
1. Public transportation
2. Open spaces
3. Closed spaces
4. Being in a crowd/standing in line
5. Being outside of home alone
Frequent comorbidity of agoraphobia - ANS ✓panic d/o
Used to be coded with panic d/o but now always coded separately
Most common agoraphobic stimulus in
Children
Adults - ANS ✓1. Being outside the home (think of being lost)
NU664 EXAM
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