disorders diagnosis and treatment焦虑症的诊断和治疗课件

《disorders diagnosis and treatment焦虑症的诊断和治疗课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、Anxietydisorders,Obsessive-CompulsiveandRelateddisorders,andTraumaandStressor-relatedDisordersHeidiCombs,MDAssistantProfessorUniversityofWashington/HMCPaulZarkowskiAssistantProfessorAFacultyDisclosureIhavenofinancialrelationshipstodiscloserelatingtothesubje

2、ctmatterofthispresentationWhatwewillreviewEpidemiologyofanxietyandrelateddisordersComorbidpsychiatricdiagnosesDiagnosticcriteriaforanxietyandrelateddisordersNeuroimagingfindingsofanxietydisordersQuickquestionstoscreenforanxietydisordersTreatmentincludingpsy

3、chotherapyandpsychopharmacologyObjectivesListtheprevalenceofanxietyandrelateddisordersIdentifycomorbidpsychiatricdiagnosesPerformaquickscreenforanxietyandrelateddisordersApplygeneralpharmacologicapproachestothetreatmentofanxietydisordersGeneralconsideration

4、sforanxietydisordersOftenhaveanearlyonset-teensorearlytwentiesShow2:1femalepredominanceHaveawaxingandwaningcourseoverlifetimeSimilartomajordepressionandchronicdiseasessuchasdiabetesinfunctionalimpairmentanddecreasedqualityoflifeNormalversusPathologicAnxiety

5、Normalanxietyisadaptive.Itisaninbornresponsetothreatortotheabsenceofpeopleorobjectsthatsignifysafetycanresultincognitive(worry)andsomatic(racingheart,sweating,shaking,freezing,etc.)symptoms.Pathologicanxietyisanxietythatisexcessive,impairsfunction.FocusedNe

6、uroanatomyReviewAmygdala-involvedwithprocessingofemotionallysalientstimuliMedialprefrontalcortex(includestheanteriorcingulatecortex,thesubcallosalcortexandthemedialfrontalgyrus)-involvedinmodulationofaffectHippocampus-involvedinmemoryencodingandretrievalThe

7、differentialdiagnosisofanxiety.PsychiatricandMedicaldisorders.PsychiatrClinNorthAm1985Mar;8(1):3-23PrimaryversusSecondaryAnxietyAnxietymaybeduetooneoftheprimaryanxietydisordersORsecondarytosubstanceabuse(Substance-InducedAnxietyDisorder),amedicalcondition(A

8、nxietyDisorderDuetoaGeneralMedicalCondition),anotherpsychiatriccondition,orpsychosocialstressors(AdjustmentDisorderwithAnxiety)AnxietydisordersSpecificphobiaSocialanxietydisorder(SAD)Panicdisorder(PD)A