Management  Help with the removal of any ongoing traumatic event. For example, practical assistance with finding safe accommodation if necessary or protecting against further loss (possessions, job) Discussion about what happened during the traumatic event: e.g., what was seen, how the individual acted or felt, or what he or she…

Fear  Anxiety DSM-IV Anxiety Disorders  ANXIETY DISORDER TYPE CLINICAL FEATURES MANAGEMENT 1. PANIC ATTACK •Abrupt onset•A discrete period of intense fear of discomfort•Rapid onset <10mins•last no more than 15mins STUDENTS FEAR the 3 C’sS – SweatingT – TremblingU – Unsteadiness, dizzinessD – Depersonalization, derealizationE – Excessive heart rate, palpitationsN – NauseaT – TinglingS – Shortness of breathFEAR of dyingFEAR of…

Risk Factors Symptoms BE-SKIM  DDx Assessment Complications: Management: The evidence does not support the routine combination of CBT and Pharmacotherapy, but when patients do not benefit from CBT, a trial of pharmacotherapy is advisable, and vice versa. Medication 1st line  Monotherapy: agomelatine, duloxetine, escitalopram, paroxetine, paroxetine CR, pregabalin, sertraline, venlafaxine…

Risk Factors pts experience either  Obsessions Common Obsessions Descriptions/Examples  Contamination  Concerns about dirt, germs, body waste, illness  Symmetry  Needing things “just so”, even, or lined up a certain arbitrary way  Aggressive  Most commonly focused on inadvertent harm, such as being responsible for a fire or break-in; also includes horrific thoughts…

Prognosis Risk Factors Screening and Rating Scales History investigations Treatment should be offered (as medication may be especially helpful in cases where symptoms are too distressing for patients to be able to do exposure therapy) First-line Citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, paroxetine CR, sertraline, venlafaxine XR Second-line  Alprazolam, clomipramine, clonazepam,…

3 types of phobias: Social phobia 1st line  Monotherapy: escitalopram, fluvoxamine, fluvoxamine CR, paroxetine, paroxetine CR, pregabalin, sertraline, venlafaxine XR  2nd line  Monotherapy: alprazolam, bromazepam, citalopram, clonazepam, gabapentin, phenelzine  3rd line  Monotherapy: atomoxetine, bupropion SR, clomipramine, divalproex, duloxetine, fluoxetine, mirtazapine, moclobemide, olanzapine, selegiline, tiagabine, topiramate.  Adjunctive therapy  Aripiprazole, buspirone, paroxetine,…

T – Traumatic event (experienced, witnessed, or was confronted, and the person experienced intense helplessness, fear, and horror) R – Re-experiencing (intrusive thoughts, nightmares, flashbacks, or traumatic memories/images) A – Avoidance (emotional numbing, detachment from others, flattening of affect, loss of interest, lack of motivation, and persistent avoidance of things…

Diagnosis when separation from major attachment figures occurs or is anticipated. Time disturbance causes  Epidemiology Prognosis Comorbidity Risk Factors Treatment

Delirium