Term
| How do you diagnose panick attack? |
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Definition
| discrete period of intense fear or discomfort in which four or more of the following develop abruptly and reach a peak within 10 minutes 1)palpitations 2) sweating 3) trembling 4) SOB 5) chocking 6)CP 7) nausea/abdominal distress 8) dizzy 9) derealization or depersonalization 10) fear of losing control/going crazy 11) fear of dying 12) paresthesias 13) chills or hot flashes |
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Term
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Definition
recurrent unexpected panic attacks where at least one of the attacks has been followed by one month of 1 or more of the following: persistent concern about having additional attacks, worry about implications of the attack, significant change in behavior related to the attacks.
Can be with or without agoraphobia |
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Term
| What is the lifetime prevalence rate of panic disorder versus panic attacks? |
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Definition
d/o= 1.5-5%
panic attacks= 3-5.6% |
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Term
| What is the mean age of presentation of panic attacks? |
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Definition
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Term
| What are the NTs associated with panic d/o? |
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Definition
| NE and serotonin in the brainstem to create autonomic symptoms, in the amygdala and the limbic system to generate anticipatory anxiety, and in the pre-frontal cortex (generates phobic avoidance) |
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Term
| T/F Heavy metal poisoning can present like panic disorder. |
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Definition
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Term
| What is the prognosis of panic d/o? |
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Definition
30-40% become symptom free
50% with mild symptoms and little impairment of function
10-20% with significant impairment |
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Term
| What percent of people with panic disorder are also depressed? |
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Definition
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Term
| What percent of people with panic disorder also have substance abuse problems? |
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Definition
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Term
| What are the treatment options for panic disorder? |
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Definition
| SSRIs, benzodiazepines, and cognitive behavioral therapy (also can use TCAs, MAOIs, and other agents such as anticonvulsants, atypical neuroleptics and buspirone |
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Term
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Definition
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Term
| How long do you have to worry to have GAD? |
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Definition
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Term
| Anxiety and worry of GAD can be associated with what other symptoms? |
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Definition
| restlessness or feeling keyed up or on eedge, easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, sleep disturbance |
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Term
| To diagnose GAD you have to make sure that the worry is NOT d/t... |
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Definition
| substance or general medical condition and is not confined to features of another axis I disorder |
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Term
| What percent of people with GAD have another psychiatric d/o? |
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Definition
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Term
| What percent of people with GAD develop panic d/o? |
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Definition
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Term
| What are the neurochemical mechanisms of GAD? |
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Definition
| reduced CSF serotonin, SSRIs appear effective in pharmacotherapy, reduced GABA/benzodiazepine receptor binding capacity normalizes with treatment |
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Term
| When do pts with GAD seek treatment? |
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Definition
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Term
| What are teh different psychotherapy treatment for GAD? |
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Definition
| cognitive behavioral, supportive, psychodynamic |
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Term
| What is the pharmacotherapy for GAD? |
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Definition
| benzodiazepines, SSRIs, buspirone, TCAs, anticonvulsants (GABA) |
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Term
| What do you need to warn patients about when perscribing benzodiazepines? |
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Definition
| drinking, driving, dependence |
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Term
| What can benzos be used to treat? |
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Definition
| anxiety, alcohol and benzo withdrawal, antiepilieptic, restless leg syndrome, akathesia, sedation, acute mania, muscle relaxation |
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Term
| Which benzodiazepine is most often abused? |
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Definition
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Term
| What is the generic name for Xanax? |
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Definition
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Term
| What is the generic name for ativan? |
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Definition
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Term
| What is the generic name for librium? |
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Definition
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Term
| What is the generic name for klonopin? |
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Definition
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Term
| What is the generic name for valium? |
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Definition
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Term
| What should be taken into account when treating anxiety with klonopin? |
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Definition
| long acting; synergistic with SSRI |
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Term
| What is chlordiazepoxide (librium) used for? |
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Definition
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