Anxiety disorders Anxiety disorders Aims Review of concept

Anxiety disorders

Anxiety disorders Aims �Review of concept of anxiety �Overview about anxiety disorders Objectives �Define anxiety �Recognize normal and pathological anxiety �Classify anxiety disorders �Deal with clinical syndroms

Anxiety disorders Definition Normal anxiety Anxiety symptom Anxiety disorders �generalized anxiety disorder �panic disorder �phobias �obsessive compulsive disorder �acute stress and post traumatic stress disorders

Anxiety disorders �Symptoms of anxiety �Psychological: fear, apprehenssion, fear of illness �Autonomic: heart, lungs, kidneys, stoma ch, intestin �Motor: headache, muscle spasm. .

Anxiety disorders Biology of anxiety �noradrenaline �serotonine �GABA

GAD Generalized anxiety disorder Definition: C/F: � 1 -symptoms of anxiety � 2 - associated � 3 - 6 months Etiology Genetic, Social, Psychological Dynamic (conflicts) Frustration Threat to self esteem

GAD DDx: �Hyperthyroidism Management �reassurance �drugs Benzodiazepines Antipsychotics Tricyclic antidepressants B blockers �psychotherapy �Social therapy

Panic disorder Definition C/F: �Symptoms of anxiety �Discrete attacks, short duration �In between, little or no symptoms �Fear of next attacks � 4 weeks

Panic disorder Etiology �Genetic, biochemical, hyperventilation, cognitive �DDx �Hypoglycemia, pheochromacytoma Management �reassurance �drugs SSRIs , Tricyclic antidepressants: clomipramine, imipramine �cognitive behavioral therapy

phobias Phobias Definition C/F � 1 -anxiety symptoms � 2 -certain object or situation �avoidance Types �simple phobia �social phobia � 3 -agoraphobia’s

phobias �Management � Behavioral: desensitization, flooding, implosion, social skill training

Stress disorders Acute stress and posttraumatic stress disorders Definition C/F � Exposure to extreme threat � Repeated reliving � Dreams � Avoidance � Decreased interests, emotional numbness � Hyperarousal � Sleep disturbance � Poor concentration � Duration 1 m acute 6 m PTSD

Stress disorders DDx �GAD �Depression Management �Behavioral �Drugs SSRIs