
Anxiety disorders
Spectrum of symtpoms:
Worry
Fear
Be anxious
GAD: increased anxiety taking place more days and nights than not for > 6mo with 3+ of (felling on border, fatigue, frustration, muscle tension, difficulty concentrating, sleep problems). Symptoms possess significant terme conseille with depressive disorder. F: Meters = a couple of: 1; very comorbid with MDD (62); patients worrying of anxiety may possibly have despression symptoms or comorbid depression.
Life span prevalence
F: M prevalence
MDD comorbidity
Panic disorder
1 ) 5%-3. five per cent
2: 1
60%
GAD
2-5%
2: 1
60 per cent
OCD
2%
1: one particular
Specific terror
Social phobia
7-10%
two: 1
twenty percent
PTSD
8% (40% experience trauma)
Comordbid with compound use and somatization d/o's
Specific phobia: excessive persistent fear of a unique object or situation with avoidance and interference with functioning. In social anxiety, " scrutiny by others” and the breakthrough discovery of anxiety by simply others is most feared (more than fear of appearing inexperienced, weak, etc). Social phobia has younger average associated with onset – mid-teens. Sociable phobia can be described as primary specific phobia, has to be distinguished via secondary social anxiety which might be a consequence of anxiety disorder. Beta-blockers is a superb choice for performance stress. Pindolol is definitely the only beta-blocker with serotonergic activity, not as likely to lead to depression. Panic disorder: > =4 of symptoms, most of which are somatic; large co-morbidity with somatization disorders. Prominent distinguishing factor is anticipatory panic, fear of using a somatic problem/panic attack once again. There are also PTSD avoidance factors that characterize somatic sxs of anxiety attacks vs . somatoform disorder, exactly where avoidance is generally absent. Agarophobia generally refers to fear of possessing a panic attack in a particular circumstance (not necessarily going outside); agarophobia could also occur with no panic attack. Distinguish fear of a situation (specific anxiety, external threat) vs . fear of having a panic attack (agoraphobia, internal threat), a...