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N6647 Comprehensive Psychiatric and Behavioral Health Disorders Mastery Examination: Anxiety Disorder Pathophysiology and Psychosocial Functional Impairment Assessment, Generalized Anxiety Disorder Diagnostic Criteria and Chronic Worry Evaluation, Panic D

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N6647 Comprehensive Psychiatric and Behavioral Health Disorders Mastery Examination: Anxiety Disorder Pathophysiology and Psychosocial Functional Impairment Assessment, Generalized Anxiety Disorder Diagnostic Criteria and Chronic Worry Evaluation, Panic Disorder Recurrent Attack Recognition and Behavioral Avoidance Patterns, Agoraphobia Environmental Fear Response Identification, Post-Traumatic Stress Disorder Intrusion Avoidance and Hyperarousal Symptom Clusters, Obsessive-Compulsive Disorder Obsessions and Compulsions Behavioral Analysis, Anxiety Risk Factors and Sympathetic Nervous System Differential Diagnosis, Evidence-Based Anxiety Pharmacotherapy Including SSRI SNRI and Benzodiazepine Management, Buspirone and Anticonvulsant Adjunctive Treatment Strategies Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 Anxiety Unpleasant state of physical and psychological arousal that interferes with effective psychosocial functioning Experience of dread, foreboding, or panic Apprehension, fear, irritability, intolerance, frustration, and overreaction Behaviors such as avoidance, distractability, restlessness Apathy, compulsions, rigidity, overreactions, preoccupation Repetitive actions: nail biting, hair pulling Affects approximately 40 million Americans Females Males 20-45 year old age group Anxiety risk factors Organic syndromes Use of of withdrawal from meds and/or substances Family history Social stress Psychiatric disorders Anxiety: subjective Complaints of apprehension, restlessness Insomnia Somatic complaints: fatigue, dry mouth, sweating, diarrhea, hyperventilation, vomiting, parasthesias Anxiety differentials/diagnostics Differentials: Any medical condition that involves stimulation of the sympathetic nervous system: MI, meds, anemia, PE, endocrine, hyperthyroidism Diagnostics: TSH, CBC, UA, UDS, EKG Generalized anxiety disorder Excessive worry for 6 months about multiple concerns that are difficult to control Diagnosis requires evidence of disrupted or impaired occupational or social functioning More disruptive than normal anxiety 60% have other comorbid psychiatric condition (depression) Anxiety is excessive and interferes with other aspects of the patient's life Primary difference is that symptoms must interfere with the patient's life: shakiness, restlessness, headaches, excessive sweating, GI complaints, cardiac complaints, irritability Panic disorder Typically presents in younger adults and can be disabling Can impair social, family and working lives of those affected Recurrent, short, intense episodes of panic-level psychological and physical symptoms of anxiety Initial episode must be spontaneous and unexpected Fear compels the patient to seek emergency healthcare due to feeling symptoms are life threatening and signal a serious health problem Based on a pattern of recurrent and unexpected panic attacks One attack must be followed by 1 month or more of persistent worry and/or maladaptive changes in behavior Likely to make significant changes in their behavior and routines in the hope of avoiding future panic episodes agoraphobia 30%-50% also have panic disorder Marked fear about 2 or more of the following: Using public transportation Being in open spaces Being in enclosed spaces Standing in line or in a crowd Being outside of the home alone PTSD Syndrome that develops after a person witnesses, participates in ,or hears of an extreme traumatic stressor Reaction is fear and helplessness, reliving the event over and over, trying to avoid being reminded of it Symptoms must be severe enough to last more than 1 month after the event and must significantly effect critical areas of the person's life such as relationships and work PTSD - diagnosis may be made if at least 1 symptom exists from each category Intrusive symptoms: reexperiencing the traumatic event or having intrusive symptoms Avoidance symptoms: avoids any situation or activity that might revive memories of the trauma Hyperarousal symptoms: being hypersensitive or on edge, patients may experience episodes of

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N6647 Comprehensive Psychiatric and Behavioral Health Disorders Mastery
Examination: Anxiety Disorder Pathophysiology and Psychosocial Functional
Impairment Assessment, Generalized Anxiety Disorder Diagnostic Criteria and
Chronic Worry Evaluation, Panic Disorder Recurrent Attack Recognition and
Behavioral Avoidance Patterns, Agoraphobia Environmental Fear Response
Identification, Post-Traumatic Stress Disorder Intrusion Avoidance and
Hyperarousal Symptom Clusters, Obsessive-Compulsive Disorder Obsessions
and Compulsions Behavioral Analysis, Anxiety Risk Factors and Sympathetic
Nervous System Differential Diagnosis, Evidence-Based Anxiety
Pharmacotherapy Including SSRI SNRI and Benzodiazepine Management,
Buspirone and Anticonvulsant Adjunctive Treatment Strategies Exam Questions
Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026



Anxiety

Unpleasant state of physical and psychological arousal that interferes with effective psychosocial
functioning

Experience of dread, foreboding, or panic

Apprehension, fear, irritability, intolerance, frustration, and overreaction

Behaviors such as avoidance, distractability, restlessness

Apathy, compulsions, rigidity, overreactions, preoccupation

Repetitive actions: nail biting, hair pulling

Affects approximately 40 million Americans

Females > Males

20-45 year old age group




Anxiety risk factors

Organic syndromes

Use of of withdrawal from meds and/or substances

Family history

,Social stress Psychiatric disorders




Anxiety: subjective

Complaints of apprehension,

restlessness

Insomnia

Somatic complaints: fatigue, dry mouth, sweating, diarrhea, hyperventilation, vomiting, parasthesias




Anxiety differentials/diagnostics

Differentials:

Any medical condition that involves stimulation of the sympathetic nervous system: MI, meds, anemia,
PE, endocrine, hyperthyroidism

Diagnostics:

TSH, CBC, UA, UDS, EKG




Generalized anxiety disorder

Excessive worry for > 6 months about multiple concerns that are difficult to control

Diagnosis requires evidence of disrupted or impaired occupational or social functioning

More disruptive than normal anxiety

60% have other comorbid psychiatric condition (depression)

Anxiety is excessive and interferes with other aspects of the patient's life

Primary difference is that symptoms must interfere with the patient's life: shakiness, restlessness,
headaches, excessive sweating, GI complaints, cardiac complaints, irritability




Panic disorder

, Typically presents in younger adults and can be disabling

Can impair social, family and working lives of those affected

Recurrent, short, intense episodes of panic-level psychological and physical symptoms of anxiety

Initial episode must be spontaneous and unexpected

Fear compels the patient to seek emergency healthcare due to feeling symptoms are life threatening
and signal a serious health problem

Based on a pattern of recurrent and unexpected panic attacks

One attack must be followed by 1 month or more of persistent worry and/or maladaptive changes in
behavior

Likely to make significant changes in their behavior and routines in the hope of avoiding future panic
episodes




agoraphobia

30%-50% also have panic disorder



Marked fear about 2 or more of the following:

Using public transportation

Being in open spaces

Being in enclosed spaces

Standing in line or in a crowd

Being outside of the home alone




PTSD

Syndrome that develops after a person witnesses, participates in ,or hears of an extreme traumatic
stressor

Reaction is fear and helplessness, reliving the event over and over, trying to avoid being reminded of it

Symptoms must be severe enough to last more than 1 month after the event and must significantly
effect critical areas of the person's life such as relationships and work

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