Psychotherapy: 105b/106b - Anxiety and Mood Disorders in Children
This content highlights that the most effective treatment for anxiety is a combination of SSRIs and cognitive-behavioral therapy (CBT), achieving about an 80% response rate, compared to lower rates with either treatment alone or placebo. It also outlines common behaviors across anxiety disorders, including hypervigilance, heightened reactivity to new situations, threat-biased interpretation, and avoidance coping.
What is the most effective treatment for anxiety?
Combination treatment is most effective! (80% response rate)
SSRI or CBT alone 55-60%
Placebo <25%
Key Terms
What is the most effective treatment for anxiety?
Combination treatment is most effective! (80% response rate)
SSRI or CBT alone 55-60%
Placebo <25%
What behaviors/characteristics are common of all anxiety disorders?
Hypervigilance
Reactivity to novel situations
Biased interpretation of experiences as threatening
The age of onset of panic disorder occurs during which stage of development?
a. before puberty
b. after puberty
c. older adolescence and young adulthood
d. middle age
c. older adolescence and young adulthood
What is the course of depressive disorders?
Recurrent; tend to come in episodes
Each episode increases the likelihood of furture episodes
Which medications are approved to treat teen depression?
Fluoxetine
Escitalopram
(Both are SSRIs)
What is the only FDA appreved medication for non-OCD anxiety disorders?
How effective is this medication?
Duloxetine
But SSRIs are much more effective and are used off-label for anxiety
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| Term | Definition |
|---|---|
What is the most effective treatment for anxiety? | Combination treatment is most effective! (80% response rate)
|
What behaviors/characteristics are common of all anxiety disorders? |
|
The age of onset of panic disorder occurs during which stage of development? a. before puberty | c. older adolescence and young adulthood |
What is the course of depressive disorders? | Recurrent; tend to come in episodes Each episode increases the likelihood of furture episodes Increased likelihood of developing comorbid disorders (conduct, alcohol use, substance use) |
Which medications are approved to treat teen depression? | Fluoxetine Escitalopram (Both are SSRIs) |
What is the only FDA appreved medication for non-OCD anxiety disorders? How effective is this medication? | Duloxetine But SSRIs are much more effective and are used off-label for anxiety |
What are the symptoms of depression? | SIG-E-CAPS
|
What is the role of CBT in the treatment of depression? | Equal to placebo And combination therapy (CBT + medication) is equal to medication alone |
What are the treatment goals for depression? | Complete remission of symptoms
|
List some of the phsyical symptoms of anxiety disorders |
|
What symptom can differentiate demoralization and clinical depression? | Anhedonia (present in clinical depression, but not in demoralization) A perosn who is demoralized but not depressed shows improved affect when thinking about something they enjoy BUT according to DSM III, any unhappiness with sufficient number of symptoms can qualify as depression |
The ordering of treatment benefit in the Treatment of Adolescents with Depression Study (TADS) is which one of the following?
| d. Combination treatment = medication > cognitive behavioral therapy = placebo Takeaway: antidepressants are important!! |
The age of onset of anxiety and depression is associated with which stages development? a. anxiety before puberty and depression after puberty | a. anxiety before puberty and depression after puberty |
Based on the Child/Adolescent Anxiety Multimodal Study (CAMS) which statement of regarding treatment of anxiety is true?
| c. Medication and CBT are equivalent |
What are the 3 potential treatment targets for anxiety? How do we treat each target? |
|