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Anxiety and Anxiety Disorders Quiz
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Which statement best describes the core psychological feature of generalised anxiety disorder?
- A Recurrent intrusive thoughts with repetitive behaviours performed to reduce anxiety You picked ✕
- B Excessive and persistent worry about multiple aspects of daily life that is difficult to control You picked ✓
- C Brief episodes of intense fear with sudden onset and prominent autonomic symptoms You picked ✕
- D Low mood with loss of interest and pleasure as the predominant symptom You picked ✕
- E Anxiety restricted to specific objects or situations with avoidance behaviour You picked ✕
Correct!
Incorrect
The answer is B: Excessive and persistent worry about multiple aspects of daily life that is difficult to control
Explanation
Why B is correct
See Anxiety Disorders. Option B is correct. Generalised anxiety disorder (GAD) is a long-lasting condition in which a person has excessive worry about many everyday issues, such as health, money, work or family, out of proportion to any real risk. The worry is not tied to one trigger (which is why it is called generalised), it is present on most days, and the person finds it difficult to control. It comes with physical and mental features of ongoing anxiety, namely restlessness or feeling on edge, tiring easily, poor concentration, irritability, muscle tension and disturbed sleep. NICE CKS (the Clinical Knowledge Summaries used in UK primary care) describes the symptoms as present for at least six months and causing real distress or impairment. Think of GAD as the constant background hum of worry, as opposed to the sudden spike of a panic attack or the fear of one particular object. The physical symptoms (palpitations, sweating, tremor) are real but secondary, so the defining feature is the persistent worry itself.
- Core feature: excessive worry about many everyday issues, out of proportion to any real risk.
- Control: the worry is difficult to control and present on most days.
- Duration: symptoms are present for at least six months and cause real distress or impairment.
- Associated features: restlessness, tiring easily, poor concentration, irritability, muscle tension and disturbed sleep.
Why the other options are incorrect
- A. Recurrent intrusive thoughts with repetitive behaviours performed to reduce anxiety: Intrusive thoughts with repeated behaviours to relieve anxiety describe obsessive-compulsive disorder. In GAD the central problem is worry, not compulsions. Your answer
- C. Brief episodes of intense fear with sudden onset and prominent autonomic symptoms: This describes panic disorder, in which discrete attacks of intense fear come on suddenly with strong autonomic symptoms. GAD is a continuous background worry rather than separate attacks. Your answer
- D. Low mood with loss of interest and pleasure as the predominant symptom: Low mood with loss of interest and pleasure is the core of a depressive disorder. It may coexist with GAD but it is not its defining feature. Your answer
- E. Anxiety restricted to specific objects or situations with avoidance behaviour: This describes a phobia, in which anxiety is limited to a specific object or situation and leads to avoidance. GAD is not limited to one trigger. Your answer
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1
Which of the following is the most appropriate initial management approach for panic disorder?
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2
A 19-year-old university student experiences persistent worry, restlessness and difficulty concentrating. An SSRI is prescribed to reduce anxiety symptoms. Which neurotransmitter mechanism best explains how SSRIs exert their anxiolytic effect?
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