ࡱ>  8bjbj-- 4:OOEppppp4$t,#9p#pp\ppq[BX֮o"r0,||p$##| 6:    Anxiety Disorders Anxiety Anxiety unpleasant state of apprehension or fear, accompanied by a physiologic state of ANS arousal Normal adaptive psychological and physiological response to stressful/threatening situation Abnormal maladaptive response to real or imagined stress; symptoms interfere with adaptation: Response disproportionate to stress or threat Stress or threat is nonexistent, imaginary, or misinterpreted Symptoms interfere with adaptation/response to stress or threat Symptoms interfere with other life functions Psychological Sx fear/apprehension, worry/ruminate/obsess, nervousness/distress, dereal-/depersonalztn Physiological Sx diaphoresis, diarrhea, dizzy, flushing, chills, hyperreflexia, hyperventilation, numb, palpitations, pupil dilation, restless, SOB, syncope, tachycardia, tremor, GI distress, urinary freq. Anxiety Neurobiology CNS Anxiety affects frontal cortex, limbic system, brainstem: Frontal Cortex interprets complex stimuli, conscious memory, learning, override emotions Limbic System emotional memory (CBT overrides), fear conditioning, anticipatory anxiety Brainstem ANS arousal, respiratory control, startle reflex Peripheral anxiety affects ANS, HPA axis, and visceral sensation: ANS tachycardia, tachypnea, diarrhea Hypothalamic-pituitary-adrenal (HPA) Axis activation adrenaline rush Visceral sensory activation heightened senses Neurotransmitters anxiety induces NE, Serotonin, GABA: NE locus ceruleus projects to frontal cortex, limbic system, brainstem, spinal cord Serotonin raphe nuclei project to cortex, limbic system, hypothalamus GABA cortex, limbic system, hypothalamus, locus ceruleus Panic Attack Panic Attack discrete period of intense fear/distress, accompanied by psychological/physiological Sx Onset very rapid (seconds), peaks around 10 minutes Stimuli symptoms can be in response to stimulus (crowds, driving, elevators), or spontaneous Context can be isolated, or in context of panic disorder/phobia or anxiety disorder Differential Diagnosis can be caused by many physical disorders, must be ruled out through H&P, labs Agoraphobia Agoraphobia anxiety in situations where escape is difficult/help hard to find (crowd, airplane, bridge) Cause usually 2o to panic disorder Function can be extremely debilitating Treatment if no accompanying panic attacks, only good treatment is behavioral therapy Panic Disorder Panic Disorder recurrent panic attacks, with >1 month of constant concern about another attack With Agoraphobia: Prevalence lifetime risk 1%, onset young adulthood Course variable, agoraphobia will be worsened by panic attacks ( agoraphobia harder to Tx Etiology strong biological component, possible behavioral component Comorbidity major depressive disorder, suicide, alcohol abuse Treatment SSRI, TCA, MAOI, benzodiazepines; not buspirone Without Agoraphobia: Prevalence lifetime risk 4%, onset young adulthood Course, Etiology, Comorbidity, Treatment same Social Phobia Social Phobia persistent fear of embarrassment in social/performance situations, interfering w/ function Vs. Avoidant Personality Disorder very similar, but avoidant personality fears 1-on-1 & intimacy Prevalence 2-5%, more common in women; onset in adolescence Course typically lifelong & continuous Etiology some genetic component Treatment  -blockers for performance anxiety, behavioral therapy, SSRIs, benzodiazepines, MAOIs -blockers  improve objective performance, but do not relieve anxiety feelings Benzodiazepines  relieves anxiety, but may impair cognitive functions Specific Phobia Specific Phobia persistent irrational fear of specific object or situation, impairing patients function Prevalence 10%, 3x higher in women Onset usually childhood, with 2nd peak of onset in 20s Course lifelong & continuous Etiology some genetic component Treatment best is behavior therapy (exposure), also benzodiazepine for scheduled exposure (plane fly) Obsessive Compulsive Disorder OCD persistent thoughts/behaviors which are excessive/unreasonable, time-consuming, impair function Obsession a thinking disorder ( persistent intrusive thoughts Compulsion a doing disorder ( irresistible urge to do something, according to rules often Vs. OCD Personality Disorder OCD personality doesnt impair function as much Prevalence 2-3%, onset is adolescence to mid-20s Course usually lifelong, symptoms wax & wane Etiology very strong genetic component Comorbidity major depressive disorder, eating disorder, panic disorder, anxiety, Tourettes, schizotypal Treatment can give SSRIs, also behavioral therapy Traumatic Stress Disorders Post-traumatic Stress Disorder (PTSD) reexperiencing trauma through flashbacks following severe traumatic event; conscious/unconscious avoiding of stimuli, increased arousal, last >1 mo, impair function Prevalence 2-9%, higher prevalence following war experience, sexual assault Onset can be immediate or delayed ( 6 months) Course variable Etiology predisposing factors are depression/anxiety, antisocial traits Comorbidity suicide, major depressive disorder, substance abuse Treatment combination of behavioral therapy & SSRIs Acute Stress Disorder same as PTSD, but onset & resolution within 1 month of event Other Anxiety Disorders Generalize Anxiety Disorder excess anxiety/worry about several events, 3 mo Sx, last 6 mo, impair fxn Prevalence less common (5% ?) Onset occurs at any age, but usually early in life Course chronic, with waxing/waning Etiology weak genetic component Comorbidity other anxiety disorders (80%), major depressive disorder (7%) Treatment benzodiazepines, buspirone, SSRIs, TCA, behavioral therapy Adjustment Disorder with Anxiety significant anxiety in response to identifiable stressor Onset within 3 months of stressor Resolution within 6 months of onset Anxiety Disorder Due to Medical Condition anxiety/OCD as physiological effect of medical cond. 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