ICD-10 Criteria for GAD
Generalised and persistent somatic (physical) and psychological symptoms of anxietyOccurs for at least several weeks at a time Symptoms usually involve elements of apprehension, motor tension)
Order of drug therapy for GAD
SSRIs --> alternative SSRI or SNRI --> Pregabalin
ICD-10 of Panic Disorder
Several attacks within one month in circumstances with no objective dangerNot confined to known or predictable situationsShould be a comparative freedom from anxiety between attacks
ICD-10 Criteria for Phobias
Presence of psychological and autonomic symptoms Avoidance of the phobic situation must be a prominent featureAnxiety restricted to these certain situations
ICD-10 Agrophobia
Anxiety must be restricted to at least two of the following..CrowdsPublic placesTravelling aloneTravelling away from home
ICD-10 for social phobia
Anxiety must be restricted to or predominate in particular social situations
ICD-10 for specific phobia
Anxiety must be restricted to or predominate in particular phonic object or situation
Management of Obsessive compulsive disorder
ERP or CBTConsider SSRIs or clomipramine (a TCA good for OCD)
Definition of PTSD
Delayed or protracted response to a stressful event, symptoms must be persistant for more than 1-6 months) depending on the classification system
Clinical Features of PTSD
Hyperarousal / Alterations in arousal and reactivityRe-experiencing ('Flashbacks') Avoidance of reminders of the event