Anxiety guidelines Flashcards

1
Q

CBT interventions

A

Exposure, safety response inhibition, cognitive strategies, arousal management, surrender of safety signals

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2
Q

Anxiety risk factors

A
family hx of anxiety
personal hx of anxiety or mood d/o
childhood stressful life events or trauma
female
chronic medical illness
behavioural inhibition
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3
Q

Panic d/o and agoraphobia tx

A

CBT with exposure, combined or pharmacotherapy

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4
Q

panic disorder 1st line meds

A

SSRI: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline
SNRI: venlafaxine XR
2nd line: TCA, bentos, mirtazapine

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5
Q

panic d/o adjunct

A

2nd: alprazolam, clonazepam
3rd: aripiprazole, olanzapine, risperidone, divalproex, pindolol

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6
Q

Specific phobias

A

exposure based therapy

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7
Q

Social anxiety disorder

A

1st line: CBT with cognitive restructuring and exposure

OR meds– not combined

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8
Q

Social anxiety d/o 1st line meds

A

SSRI: escitalopram, fluvoxamine, paroxetine, sertraline (not fluoxetine, citalopram 2nd line)
SNRI: venlafaxine XR
Pregabalin >600mg/day

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9
Q

Social anxiety adjuncts

A

3rd line: aripiprazole, risperidone, buspirone, paroxetine

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10
Q

Generalized anxiety disorder

A

1st line CBT or meds– no combined

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11
Q

Generalized anxiety disorder 1st line meds

A

SSRI: escitalopram, paroxetine, sertraline (not fluoxetine, citalopram– both 3rd line)
SNRI: duloxetine, venlafaxine XR, agomelatine, pregabalin

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12
Q

Generalized anxiety- adjuncts

A

2nd line: pregabalin

3rd line: quetiapine XR, aripiprazole, olanzapine, risperidone

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13
Q

OCD

A

1st line: CBT with exposure response prevention or combined

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14
Q

OCD - 1st line meds

A

SSRI: escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline

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15
Q

OCD adjuncts

A

1st: aripirazole, risperidone
2nd: memantine, quetiapine, topiramate
3rd: citalopram, pregabalin, mirtazapine, halloo, ziprasidone, olanzapine, ketamine etc

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16
Q

PTSD

A

1st either psychotherapy (trauma focused CBT with exposure and cognitive restructuring; EMDR; may need DBT prior) or pharmacotherapy

17
Q

PTSD 1st line meds

A

SSRI: fluoxetine, paroxetine, sertraline
SNRI: venlafaxineXR

18
Q

PTSD adjuncts

A

2nd: eszopiclone, olanzapine, risperidone
3rd: aripiprazole, quetiapine, pregabalin, gabapentin, clonidine, reboxetine, tiagabine

19
Q

OCD- child/adolescent tx meds

A
  • citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline
  • Clomipramine
  • aripiprazole
20
Q

Social anxiety- child/adolescent tx meds

A

escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline

  • venlafaxine
  • mirtazapine
21
Q

Separation anxiety- child/adolescent, meds

A

fluoxetine, fluvoxamine

22
Q

GAD, child/adolescent, meds

A

fluoxetine, fluvoxamine, sertraline

23
Q

School refusal, child/adolescent, meds

A

citalopram (sm case series), imipramine + CBT

24
Q

PTSD, child/adolescent, meds

A

sertraline NOT recommended