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anxiety disorders(P)

anxiety disorders

anxiety disorder incidence most common psych illness, more common in women(2:1), family pattern of communication maintain perception and response to anxiety, greatly disproportionate
types of anxiety panic disorder, phobias, specific, PTSD, OCD, GAD
4 levels of anxiety contagious, transferred through empathy. include mild, moderate, severe, and panic
mild anxiety increases motivation, sharpens senses, learning is enhances. occurs in normal experiences of everyday life
moderate anxiety perceptual field diminish, attention span decrease, need help with problem solving, details excluded from observations. can be constructive
severe anxiety can only focus on one detail, severely limited attention, behavior aimed at relief of anxiety. hyperventilation can occur w/ impending doom or dread
panic unable to focus on anything, misperception of environment is common, delusions or hallucinations, fear of dying or going insane, prolonged episode can lead to physical and/or emotional exhaustion
behavioral adaptation response response that stabilize biological processes and preserve self-esteem. influenced by perception of situation, heredity/temperament, learned responses, support system, maturity
ego defense mechanism anxiety is inevitable, developed to cope w/ anxiety, w/out defense may not survive, operate on unconscious level, can deny-falsify- reality to make less threatening, healthy or unhealthy
mature healthy defense altruism(meet others needsa), sublimation(substitute acceptable acitvity), humor, suppression(deny)
neurotic intermediate defense repression, displacement, isolation, reaction, formation, undoing, rationalization, intellectualization
immature defenses passive aggressive, act out, dissociation, projection, devaluation
psychotic defenses denial of external reality(autism), distortion of external reality(delusions, hallucinations)
panic disorder sudden onset of extreme apprehension of fear, usually assoc. w/ feelings of impending doom. may believe losing mind or having H/A, unpredictable onset
panic disorder and agoraphobia S/S SOB, palpitations, angina, choking, chills, hot flashes, smothering sensations
agoraphobia excessive fear or anxiety about being in places or situations from which escape might be difficult. same symptoms of panic disorder
specific phobias fear of a single object, activity, or situation (snakes, closed spaces, flying)
OCD thoughts, impulses, or images that persist and recur that they cannot be dismissed from the mind. severe if it consumes much of ones mental processed impairing cognitive tasks
compulsions ritualistic behaviors that an individual feels driven to perform in an attempt to reduce anxiety.
GAD excessive anxiety or worry about numerous things that lasts for 6 months or longer. decision making is hard because poor concentration and dread of making wrong decision
GAD symptoms restlessness, fatigue, poor concentration, irritability, tension, and sleep disturbance
PTSD re-experiencing a highly traumatic event. symptoms may being w/in 3 months after trauma
PTSD major features flashbacks, avoidance of stimuli, general numbing, irritable, difficult concentrating, hypervigilance, exaggerated startle repsonse
psychopharm-psychobiology effects work by I or D release of a neurotransmitter into the synapse space of by I or D the sensitivity of its receptor site. if meds can alter imbalance mood disorders can be decreased
alcohol detox diminish cravings, revia and campral used.
alcohol deterrents antabuse, prevents breakdown of ETHOL. if the drink with med causes flushing, weak, N,V, monitor use of foods and products with alcohol..will get sick
opioids advantages help reduce illicit opioid use, helps stay in tx, can be used in office-based setting.
opioid agents dolophine(methodone) class II, revia, suboxone
medication classes to treat anxiety disorders benzodiazepines, buspirons, SSRI, SNRI, TCA, MAOIs, beta-blockers, anxiolytic drugs,
benzodiazpines meds xanax, valium, ativan, serax, librium, tranexe. ST tx, dependence and tolerance develop NOT for OCD and PTSD
BuSpar less sedation that benzos, no dependence, 3 or more weeks to be effective, works best when used before benzos, alleviates anxiety
SSRI celexa,lexapro,prozac,luvox,paxil, zoloft. first line tx for all anxiety disorders
SNRI cymbalta and effexor. acts within 1-2 weeks, effexor is approved for PD,GAD,SAD
TCAS elavil,anafranil,norpramin,sinequan, tofranil,ludiomil,pamelor,surmontil, ascendin. 2nd or 3rd line use for PD,GAD,SAD,OCD
beta blockers inderal and tenormin. relieve physical signs of anxiety- decrease HR and Panic. act by attaching to sensors that direct arousal messages.
anxiety feeling of tension,nervousness, apprehension,of fear that usually involves unpleasant reaction
anxiety s/s sweating, fast HR, rapid breathing, and elevated BP
anxiolytics used to prevent feelings of tension or fear
sedatives used to calm patients and can make them unaware of their environment
hypnotics help patients fall asleep by causing sedation
minor tranqs produce a state of tranquility in anxious patients
benzodiazepines most frequently used anxiolytic , prevent anxiety w/out causing much assoc. sedation. less likely to cause physical dependence
benzo action act in limbic system and RAS to make GABA more effective, causing interference w/ neuron firing
anxiolytic/hypnotic meds BuSpar,benadryl,lunesta,ambien
Created by: gudknecht