Exam (elaborations)
Psych ER EOR EXAM QUESTIONS AND ANSWERS
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Psych ER EOR EXAM QUESTIONS AND ANSWERS Psych ER EOR EXAM QUESTIONS AND ANSWERS Psych ER EOR EXAM QUESTIONS AND ANSWERS
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Psych ER EORexcessive anxiety and worry occurring a majority of days for at least 6 months. About a number of and
various events or activities. must have 3 of the following sxs - restlessness, fatigue, muscle tension,
insomia, impaired concentration, or irritability. dx? - ANS GAD
Tx for generalized anxiety disorder - ANS combo of psychotherapy and pharmacotherapy is most
effective when used together.
SSRIs/SNRIs are first line
Buspirone can be an adjunct
can use benzos for short term use
CBT most effective type of therapy
intense fear or anxiety about being in places or situations from which escape or obtaining help maybe
difficult (open spaces, enclosed spaces, public transportation, being outside of home alone). sxs last 6
months. STRONG genetic factor. dx? - ANS agoraphobia
Tx for agoraphobia - ANS CBT + SSRIs
persistent (at least 6 months) of intense fear of social or performance situations in which the person is
exposed to the scrutiny of others for fear of embarrassment (public speaking, meeting new people,
using public restrooms). Individual fears they will act in a way or show anxiety sxs that will be negatively
evaluated. dx? - ANS social anxiety disorder
tx for social anxiety disorder? - ANS individual CBT is the mainstay
SSRI/SNRIs are first line pharmacotherapy
, performance only/public speaking anxiety - BB (propranolol)
persistent at least 6 months intense fear or anxiety of a specific situation (flying, objects, or places),
exposure to the stimulus triggers an immediate fear response. Can be endured or tolerated with intense
fear. impairs everyday activities or avoidance. dx? - ANS specific phobias
Tx for specific phobia - ANS CBT (exposure and desensitization therapy) first line
short term benzos/BB in some patients
failure to speak in specific social situations. Starts in childhood. lasts >1MO. ex: school. not attributed to
language difficulty or communication disorder. dx? - ANS selective mutism
tx for acute panic attack? - ANS BZD - alprazolam, lorazepam
risk factors for panic disorder? - ANS females
1st degree relative is affected
comorbid depression
childhood abuse
recurrent unexpected panic attacks (at least 2) often followed by persistent worry about future ones,
avoidance behaviors. dx? - ANS panic disorder
tx for panic disorder? - ANS pharmacotherapy and CBT most effective
SSRIs first line
Benzos for acute attacks
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