Anxiety Disorders Due to Medical Condition or Substance Use (Nursing)

00:02 Anxiety disorders due to medical condition or substance use, that could be intoxication, or it could be withdrawal.

00:11 Intoxication is the taking end of the substance to get a level of euphoria, or it could be the withdrawal of that substance from the body can produce an anxiety disorder.

00:25 And the signs and symptoms have to be more than what we're just seeing when a person is either using abusing misusing or withdrawing.

00:35 So there is a certain number amount of anxiety that you are going to see in a patient who is withdrawing.

00:45 But we want to be clear that it, for it to be a concurrent anxiety disorder, it has to be even more than what we normally would see with us misuse, abuse and withdrawal.

01:00 And that might be with alcohol, with cannabis, with hallucinogens, with amphetamines, cocaine, caffeine, the use of sedatives, or and misuse and abuse and withdrawal, hypnotics, anxiolytics.

01:18 We can see anxiety disorders that are given birth to a by the lack of the use of or the withdrawal from the substances.

01:32 Now medical conditions can increase a person's anxiety.

01:37 And if we leave those conditions untreated, it can result in an ongoing anxiety disorder.

01:47 What are some medical conditions that might provide a person with an anxiety disorder later on? How about myocardial infarction? Person has a heart attack, they never had anxiety before.

02:02 But as they are going on, and they've been discharged, and they don't get any treatment, they start thinking, well, what if I leave the house and I have another heart attack? Oh my gosh, I will die.

02:14 What if I eat something and I have a heart attack? Oh my goodness, I'll die.

02:19 What if I'm driving, and they start having an increased level of anxiety to the point where it interferes with their activities of daily living.

02:32 Another cardiac condition that can cause anxiety is congestive heart failure.

02:37 Patients who add two pounds and they get in the scale in the morning, and their doctor has told them hey, if you see a quick increase in your weight, chances are you're taking on water and it might affect your breathing and your heart.

02:52 The patient gets on, they don't think about the fact that perhaps it's just that time of the month or its water weight.

03:01 And they start thinking and becoming obsessed with the fact that this CHF might kill them.

03:08 This is a stress that increases to the level of severe.

03:14 And once you're getting to the level of severe, it is going to interfere with your activities of daily living.

03:21 We also have endocrine disorders that can increase anxiety, a person with diabetes who has hypoglycemia, they're afraid of suddenly having a drop in the blood sugar and become completely anxious about their blood sugar what is their level or perhaps a thyroid condition? Again, thyroid condition in and of itself can make the person have feelings of anxiety.

03:50 If left untreated, this thyroid condition can appear to be an anxiety disorder.

03:59 We always have to be looking at the patient and finding out what the patient has as comorbid medical problems so that we're able to eliminate those medical problems.

04:14 But if the person becomes focused on the medical problem and anxious about the medical problem, the person may develop an anxiety disorder.

04:25 We can think about respiratory conditions again, that can lead to anxiety disorders like asthma, or COPD.

04:35 And then there are neurological conditions.

04:38 A person who may have a seizure disorder who is always worried about whether or not the seizure disorder is about to occur or not occur.