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Anxiety Disorders Notes

Medicine Notes > Clinical Psychiatry Notes

This is an extract of our Anxiety Disorders document, which we sell as part of our Clinical Psychiatry Notes collection written by the top tier of Bristol University students.

The following is a more accessble plain text extract of the PDF sample above, taken from our Clinical Psychiatry Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Anxiety Disorders
? Not triggered by specific stimulus
? 'Free-floating'
? Life is a worry- past mistakes & future catastrophes
? Symptoms at any time; Severe panic attacks
? Diagnosis= symptoms for 6 months o Treatment
? Main feature is worry--> avoidance and reassurance seeking
? Test predictions of worry with behavioural experiments
? Look for errors in thinking o Differentials
? Hyperthyroidism
? Substance misuse (intoxication, withdrawal)
? Excess caffeine
? Depression
? Both are full blown= Diagnose them both
? Low-level depressive and anxiety symptoms equally (but neither justify diagnosis alone)= Mixed anxiety &
depressive disorder
? Anxious (avoidant) personality disorder
? Late adolescence onwards
? 'An anxious person''
? No recent major increase in anxiety levels
? Dementia
? Schizophrenia
? Early
? Before hallucinations and delusions
? Delusional mood
? Intermittent anxiety in specific, quite ordinary circumstances
? Avoid feared situations
? Seriousness= resultant disability o AGORAPHOBIA
? General
? Fear of being unable to escape to a safe place
? Fear open spaces & confined situations difficult leave without notice
? Common problem situations o Travel; Queuing; Supermarkets; Crowds; Middle row cinema
? Onset= 20s/mid-30s
? Gradual or precipitated by sudden panic attacks
? Leaving home= anxiety. Severity increases with distance

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