Anxiety

what are somatic complaints for severe anxiety?

nausea, headache, dizziness, insomnia

certain things in the environment are seen or heard unless pointed out

selective inattention

condition in which children do not speak d/t fears of negative responses or evaluation, they will speak at home around immediate family

selective mutism

What are the different anxiety disorders?

separation anxiety disorder, specific phobia, social anxiety disorder, panic disorder, agoraphobia, generalized anxiety disorder

what are environmental factors for separation anxiety?

significant loss, death of a relative, separation from significant other, change of environment, immigration

physical symptoms with mild anxiety

slight discomfort, restlessness, nail biting, foot or finger tapping, fidgeting

a persistent, irrational fear of a specific object or situation, that leads to the desire to avoid it/all

specific phobia

symptoms of anxiety, panic attacks, obsessions, and compulsions that develop with the use of substances

substance induced anxiety disorder

Obessions and compulsions that develop with the use of a substance or within a month of stopping use of the substance

substance-induced OCD

gradual introduction of fear

systematic desensitization

What are can we teach/promote to those with anxiety?

teach about disorder available TX/medications relaxation techniques S/S of disorder presumed causes of risk factors

What is the ratio for trichotillomania female to males?

10:1

what is the TX for OCD?

-SSRI's -SNRI's (Venlafaxine/effexor) -antipsychotics in conjunction with antidepressants -Tricyclic's (clomipramine/anafranil) -deep brain stimulation -flooding/exposure and response prevention

TX for anxiety

-SSRI's(1st line) -SSNRI's(duloxetine/ cymbalta and Venlafaxine/effexor) -Benzodiazepines -Buspirone/BuSpar -Beta blockers -Antihistamines -Anticonvulsants -Antipsychotics

What the female to male ratio for GAD?

2:1

What the female to male ratio for agoraphobia?

2:1

Which medication class can place an infant at risk for floppy infant syndrome? (dystonia and muscle weakness)

Benzodiazepines

Fear of being in places or situations from which escape might be difficult or in which help might not be available. (being alone at home, traveling in a car or bus or plane, being on a bridge, riding in elevator)

agoraphobia

Causes of Agoraphobia

ACE's, genetics

unique phobia-cardiovascular response, begins with tachycardia, then bradycardia, hypotension, diaphoresis, and fainting

Blood injury and injection

What may occur to fetus if benzo is taken during PG?

Cleft palate/lip floppy infant syndrome(dystonia/muscle weakness)

Why are benzodiazepines not recommended for older adults?

Delirium, falls, fractures

comorbidity's seen with separation anxiety

Depression, bipolar, anxiety, PTSD, OCD, and personality disorder

What two disorders are seen with child separation disorder?

GAD and specific phobias

excessive worry about numerous things, out of proportion to the tur impact of event or situations

Generalized Anxiety disorder

What is the first time treatment for anxiety?

SSRI's

hair masses in the GI tract

Trichobezoar/Rapunzel syndrome

What does SSNRI's do?

blocks the reuptake of norepinephrine and serotonin which in turn boots mood

preoccupation with an imaged defective body part, mirror checking, wants to be perfect, 1st degree relatives often share this condition

body dysmorphic disorder

ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety

compulsions

For moderate anxiety is perceptual field heightened or decreased?

decreased. learning and problem solving not at optimal level

skin picking as a way to deal with stress and relieve anxiety, onset is in adolescence years, usually confined to the face

excoriation

What may acute panic lead to?

exhaustion

reaction to a specific danger

fear

are child males or females more likely to be affected by separation anxiety?

females

increased/faster exposure to fear

flooding

For severe anxiety is perceptual field heightened or decreased?

greatly reduced. focus is on scattered details or one specific detail

panic symptoms

hallucinations, erratic, uncoordinated, impulsive, losing touch with reality

For mild anxiety is the perceptual field heightened or decreased?

heightened

accumulation on belonging, fills every surface of home to where it can become inhabitable

hoarding disorder

Symptoms for severe anxiety

hyperventilation, sense of impending doom, trembling, pounding heart

Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind

obessions

What many hair in the GI tract cause?

obstruction or perforation

What are the complications of excoriation?

pain, sores, scars, infection

what is the most extreme for of anxiety?

panic

sudden onset of extreme apprehension/fear, impending doom. feelings of terror are severe. feels like have MI

panic attack

before the onset of agoraphobia, what will individuals tend to experience?

phobias, panic, and social anxiety disorder

Somatic nervous system symptoms for moderate anxiety

pounding heart, increase pulse and respirations, diaphoresis

secretly swallowed the pulled out hair

trichophagia

hair pulling, varying in degrees(small patch to baldness), linked to OCD, tends to run in family, more often in children

trichotillomania/ hair pulling disorder

What are some sleep promotion interventions?

warm bath, warm milk, relaxing music

Are benzodiazepines addictive?

yes, for short term use