Anxiety disorders: GAD, panic, phobias, OCD, PTSD
Psychiatry · MBBS
Study notes
Recurrent intrusive thoughts with hand-washing — OCD; SSRI + exposure therapy. OCD (obsessions — intrusive + compulsions — washing/checking — ego-dystonic: treat — SSRIs — high dose + ERP — exposure response prevention): GAD (excessive worry 6 months — somatic: SSRIs + CBT), panic (sudden — palpitations, dyspnea — rule out cardiac/thyroid: SSRIs + CBT — breathing), phobias (specific — exposure; social — SSRIs; agoraphobia), PTSD (trauma — flashbacks, avoidance, hyperarousal — >1 month: trauma-focused CBT + SSRIs). The ritual is OCD — exposure breaks it.