GUIDE COMPREHENSIVE SOLUTIONS
◉ frequent comorbidity of agoraphobia. Answer: panic d/o
used to be coded with panic d/o but now always coded separately
◉ most common agoraphobic stimulus in
children
adults. Answer: 1. being outside the home (think of being lost)
2. standing in lines/being in a crowd (fear of falling or experiencing
panic-like symptoms)
◉ GAD essential feature. Answer: excessive anxiety and worry about
a number of events or activities
worry can "shift" and tends to be expansive
"im a worrier, I was always a worrier"
◉ DSM5 GAD criteria ___ of 6 of the following symptoms for most
days for ___ months. Answer: 3 or more of the 6 for 6 months
1. restlessness "on edge"
2. easily fatigued
3. difficulty concentrating
,4. irritability (common)
5. muscle tensions
6. sleep disturbance
◉ big component of GAD assessment. Answer: psych/social/family
history is huge
acute onset with no family history and previously high functioning
and no hx of worry then investigate substance use/other causes
◉ rare but common example of cause of panic attack symptoms.
Answer: pheochromocytoma
◉ ____ is common example of medical diagnosis causing GAD
symptoms. Answer: hyperthyroidism
◉ SCARED screening tool. Answer: anxiety screening for pediatric
population
40 questions
>30 more specific for diagnosis
◉ GAD-7. Answer: over 2 weeks bothered by 7 symptoms rated 0-3
◉ anxiety dx first line meds. Answer: SSRIs
, buspar
PRN hydroxyzine, clonidine, propranolol (performance social
anxiety)
◉ treatments for specific symptoms
1. panic symptoms
2. general anxiety, excessive worries. Answer: 1. biofeedback
2. CBT
◉ tarasoff principle. Answer: duty to warn
NY 2013
◉ mental health declaration of human rights by CCHR. Answer:
mental health treatment standards and guiding principles of
citizen's commission on human rights
1. right to full consent
2. no tx against your will
3. no denial of civil liberty by reason of psychiatric illness w/out fair
jury trial
4. no hospitalizations bc of beliefs/practices