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NU664 EXAM 2 Questions and Answers .
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NU664 EXAM 2 Questions and Answerslevels of anxiety - ANS-1-normative, perceptual field broadened
2-normative, perceptual field mild narrow
3-pathological, VS changes
4-pathological, panic
ataque de nervios - ANS-a self-labeled syndrome found in Latinos in which they
experience a mixture of anxiety, panic, depression, and anger
older adult anxiety symptoms - ANS-somatic concerns
DSM5 anxiety disorders - ANS-panic disorder
agorabphobia
social anxiety disorder
generalized anxiety disorder
selective mutism
fear vs anxiety - ANS-panic attacks are fear response
fear is imminent threat
anxiety is perceived/future
2 components of anxiety - ANS-awareness of physiological sensations I.e. VS
awareness of being nervous/frightened
limbic system - ANS-amygdala, hypothalamus, hippocampus
thalamus
mild anxiety - ANS-eustress
motivating
normal
___% pts with GAD have 1 other psychiatric disorder - ANS-90%
____ of people with GAD also have ____ - ANS-2/3 also have
,MDD
_____ is comorbid with BPD and body dysmorphic disorder - ANS-social phobia
medical conditions associated w/ anxiety - ANS-migraines
anemia
IBS
PUD
RA
asthma/COPD
CVD
endocrine disorders
fear panic phobia is ____ part of brain - ANS-amygdala center circuit
worry apprehension expectations, obsessions is what part of brain - ANS-cohticostraital
thalamic circuit
fear responses triggers what part of brain? - ANS-amygdala
limbic system role - ANS-emotions
learning
social behavior
prefrontal cortex - ANS-executive funcitoning/decision making
what is no longer considered anxiety disorders per DSM5? - ANS-OCD/obsessive
common vitamin deficiency in anxiety - ANS-B12
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,
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
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