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Dr. Aftab Asif Associate Professor Department of Psychiatry Anxiety Disorders
NORMAL ANXIETY  & PATHOLOGICAL TYPES OF ANXIETY     ,[object Object],[object Object],[object Object],[object Object]
ANXIETY  DISORDER    ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
     PSYCHOANALYTIC THEORIES: ,[object Object]
MAJOR CATEGORIES: ,[object Object],[object Object],[object Object],[object Object],[object Object]
   BEHAVIOURAL THEORIES: ,[object Object],[object Object]
BIOLOGICAL THEORIES: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NEUROTRANSMITTER: ,[object Object],[object Object],[object Object]
Norepinephrine: Locus Ceruleus Pons     Limbic  system  Cerebral cortex  Brainstem   Spinal cord      Stimulation  Fear
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SEROTONIN: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GABA ,[object Object],[object Object],[object Object],[object Object]
BRAIN – IMAGING STUDY: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENETIC STUDIES: ,[object Object],[object Object],[object Object]
NEUROANATOMICAL CONSIDERATIONS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIFFERENT DISORDER VARIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Substance   Induced Anxiety  Disorder
Mixed anxiety/depression disorder ,[object Object],D D A A D A D
PANIC DISORDER   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DRUGS USED FOR THE TREATMENT OF PANIC DIAORDER.   Nausea, diarrhea, anxiety/nervousness, sexual dysfunction   somnolence   60 mg   20-40 mg   10 mg   Paroxetine   Nausea, diarrhea, anxiety/nervousness, sexual dysfunction   60 mg   20-40 mg   10 mg   Fluoxetine   Dry mouth, drowsiness, nausea, anxiety/nervousness, othostatic hypotension, myoclonus, hypotension, myoclonus, hypertensive 90 mg   30-90 mg   15 mg twice daily   Pheneizine   Dry mouth, blurred vision, constipation, urinary hesitancy, othostasis, somnolence, anxiety, sexual dysfunction   150 mg   50-100 mg   25 mg at bedtime Imipramine  CommonS. Effect Max. Dosage   Daily Dosing Range   Starting Dosage   Drug
Somnolence, ataxia, memory problems, physical dependence, withdrawal reactions   6 mg/day 1.5-4.0 mg 0.25-0.5 mg twice daily   Clonazepam   Nausea, diarrhea, anxiety/nervousness, sexual dysfunction   6 mg/day 1.5-4.0 mg 0.25-0.5 mg 3times daily   Alprazolam   Nausea, diarrhea, anxiety/nervousness, sexual dysfunction   60 mg 25-150 mg 25 mg   Sertraline
PHOBIC DISORDERS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPECIFIC TYPES:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SOCIAL PHOBIA:    ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENERALIZED ANXIETY DISORDER  (GAD)   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EPIDIMIOLOGY: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIFFERENTIAL DIAGNOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Anxiety

  • 1. Dr. Aftab Asif Associate Professor Department of Psychiatry Anxiety Disorders
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  • 9. Norepinephrine: Locus Ceruleus Pons     Limbic system Cerebral cortex Brainstem Spinal cord   Stimulation Fear
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  • 20. DRUGS USED FOR THE TREATMENT OF PANIC DIAORDER. Nausea, diarrhea, anxiety/nervousness, sexual dysfunction somnolence 60 mg 20-40 mg 10 mg Paroxetine Nausea, diarrhea, anxiety/nervousness, sexual dysfunction 60 mg 20-40 mg 10 mg Fluoxetine Dry mouth, drowsiness, nausea, anxiety/nervousness, othostatic hypotension, myoclonus, hypotension, myoclonus, hypertensive 90 mg 30-90 mg 15 mg twice daily Pheneizine Dry mouth, blurred vision, constipation, urinary hesitancy, othostasis, somnolence, anxiety, sexual dysfunction 150 mg 50-100 mg 25 mg at bedtime Imipramine CommonS. Effect Max. Dosage Daily Dosing Range Starting Dosage Drug
  • 21. Somnolence, ataxia, memory problems, physical dependence, withdrawal reactions 6 mg/day 1.5-4.0 mg 0.25-0.5 mg twice daily Clonazepam Nausea, diarrhea, anxiety/nervousness, sexual dysfunction 6 mg/day 1.5-4.0 mg 0.25-0.5 mg 3times daily Alprazolam Nausea, diarrhea, anxiety/nervousness, sexual dysfunction 60 mg 25-150 mg 25 mg Sertraline
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  • 29.