Anxiety disorders

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,stomach,

intestin Motor: headache, muscle spasm..

Anxiety disorders Biology of anxiety noradrenaline serotonine GABA

GADGeneralized anxiety disorderDefinition:C/F: 1-symptoms of anxiety 2- associated 3- 6 monthsEtiology Genetic, Social, Psychological Dynamic (conflicts) Frustration Threat to self esteem

GADDDx: HyperthyroidismManagement reassurance drugs Benzodiazepines Antipsychotics Tricyclic antidepressants B blockers psychotherapy Social therapy

Panic disorderPanic disorderDefinitionC/F: Symptoms of anxiety Discrete attacks, short duration In between, little or no symptoms Fear of next attacks 4 weeks

Panic disorderEtiology Genetic, biochemical, hyperventilation, cognitive DDx Hypoglycemia, pheochromacytomaManagement reassurance drugs SSRIs , Tricyclic antidepressants: clomipramine,imipramine cognitive behavioral therapy

phobiasPhobiasDefinitionC/F 1-anxiety symptoms 2-certain object or situation avoidanceTypes simple phobia social phobia 3-agoraphobia’s

phobias Management Behavioral: desensitization, flooding,

implosion, social skill training

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

Stress disordersDDx GAD DepressionManagement Behavioral Drugs SSRIs