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ID:19510178
大小:2.83 MB
页数:82页
时间:2018-10-02
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1、Anxietydisorders,Obsessive-CompulsiveandRelateddisorders,andTraumaandStressor-relatedDisordersHeidiCombs,MDAssistantProfessorUniversityofWashington/HMCPaulZarkowskiAssistantProfessorAFacultyDisclosureIhavenofinancialrelationshipstodiscloserelatingtothesubjectmatterofthispresentationWhatw
2、ewillreviewEpidemiologyofanxietyandrelateddisordersComorbidpsychiatricdiagnosesDiagnosticcriteriaforanxietyandrelateddisordersNeuroimagingfindingsofanxietydisordersQuickquestionstoscreenforanxietydisordersTreatmentincludingpsychotherapyandpsychopharmacologyObjectivesListtheprevalenceofan
3、xietyandrelateddisordersIdentifycomorbidpsychiatricdiagnosesPerformaquickscreenforanxietyandrelateddisordersApplygeneralpharmacologicapproachestothetreatmentofanxietydisordersGeneralconsiderationsforanxietydisordersOftenhaveanearlyonset-teensorearlytwentiesShow2:1femalepredominanceHaveaw
4、axingandwaningcourseoverlifetimeSimilartomajordepressionandchronicdiseasessuchasdiabetesinfunctionalimpairmentanddecreasedqualityoflifeNormalversusPathologicAnxietyNormalanxietyisadaptive.Itisaninbornresponsetothreatortotheabsenceofpeopleorobjectsthatsignifysafetycanresultincognitive(wor
5、ry)andsomatic(racingheart,sweating,shaking,freezing,etc.)symptoms.Pathologicanxietyisanxietythatisexcessive,impairsfunction.FocusedNeuroanatomyReviewAmygdala-involvedwithprocessingofemotionallysalientstimuliMedialprefrontalcortex(includestheanteriorcingulatecortex,thesubcallosalcortexand
6、themedialfrontalgyrus)-involvedinmodulationofaffectHippocampus-involvedinmemoryencodingandretrievalThedifferentialdiagnosisofanxiety.PsychiatricandMedicaldisorders.PsychiatrClinNorthAm1985Mar;8(1):3-23PrimaryversusSecondaryAnxietyAnxietymaybeduetooneoftheprimaryanxietydisordersORsecondar
7、ytosubstanceabuse(Substance-InducedAnxietyDisorder),amedicalcondition(AnxietyDisorderDuetoaGeneralMedicalCondition),anotherpsychiatriccondition,orpsychosocialstressors(AdjustmentDisorderwithAnxiety)AnxietydisordersSpecificphobiaSocialanxietydisorder(SAD)Panicdisorder(PD)A
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