Psychiatry Fast Five Quiz: What Do You Know About Anxiety Disorders?

Stephen Soreff, MD

Disclosures

November 02, 2016

Patients may exhibit physical signs of anxiety such as sweaty palms, restlessness, and distractibility. Patients are generally oriented times three (oriented to person, place, and time) and cooperative. Mood may be normal or depressed. Affect is often preserved. Psychotic symptoms are not typical of uncomplicated anxiety disorders. Suicidal ideation should be assessed by asking about passive thoughts of death, desires to be dead, thoughts of harming self, or plans or acts to harm self. Homicidal ideation is uncommon. Cognition is typically intact with no impairment in memory, language, or speech. Insight and judgment are typically intact.

A panic attack generally lasts 20-30 minutes from onset and rarely more than an hour. Phobias do not present with suicidal or homicidal ideation, but comorbid conditions commonly associated with phobias, including depression and other anxiety disorders, do present with suicidal or homicidal ideation. Panic disorder is largely a diagnosis of exclusion, and attention should be focused on the exclusion of other disorders.

For more on the presentation of anxiety disorders, read here.

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