Anxiety Disorders: A Pocket Guide for Primary Care by John R. Vanin MD, DFAPA, James D. Helsley MD, FAAFP, David

By John R. Vanin MD, DFAPA, James D. Helsley MD, FAAFP, David M. Morgan (auth.)

Recognition and remedy of psychiatric issues is a swiftly becoming call for for today’s busy fundamental care practitioners. In anxiousness issues: A Pocket consultant for fundamental Care, unusual clinicians mix over a century of expertise into concise, useful details and strategies for the prognosis, review, and potent administration of psychiatric issues. This vital source deals a simple to appreciate review of tension issues together with adjustment sickness, panic sickness, posttraumatic tension ailment, obsessive-compulsive illness, and substance-induced nervousness ailment. The authors learn key somatic court cases and comorbidities that frequently masks underlying psychiatric difficulties and light up tremendous powerful therapy modalities in either mental and pharmacotherapy.

With right review and administration, fundamental care practitioners will carry better caliber of existence to members laid low with nervousness issues. nervousness problems: A Pocket consultant for fundamental Care is a most-timely source for diagnosing psychological sickness, instructing sufferers, and enhancing remedy results.

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A common potential error is initially to treat various symptoms with too many medications, including a low-dose antidepressant (that may be maintained at a subtherapeutic dose), a benzodiazepine, a separate sleep medication, an analgesic for pain, and perhaps something for the functional gastrointestinal symptoms. This regimen is not necessarily wrong, but one should consider starting with a low-dose antidepressant and titrating upward as tolerated to a therapeutic dose. Adding a benzodiazepine to help control the anxiety initially and as a sleep aid would also be acceptable.

Manual of Psychiatric Therapeutics, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2003:184–209. 3. Foa EB, Andrews LW. Anxiety disorders: where they are, where do they come from. In: Jamieson P, ed. If Your Adolescent Has an Anxiety Disorder. New York: Oxford University Press, 2006:9–41. 4. Ninan PT. The functional anatomy, neurochemistry, and pharmacology of anxiety. J Clin Psychiatry 1999;60(suppl 22):12–17. 5. McGregor JC, Anxiety disorders. In: Rakel RE, Bope ET, eds. Conn’s Current Therapy, Philadelphia: Saunders, 2006:1345–1350.

Adapted from ref. [3]. 2. , avoiding places) • With or without presence of agoraphobia Adapted from refs. [1] and [3]. 3. Key features of agoraphobia • Anxiety about being in places or situations from which escape might be difficult, embarrassing, or in which help may not be available in the event of having a panic attack • Places and situations are avoided or endured with anxiety or distress Adapted from refs. [1] and [3]. 4. Key features of specific phobia • Marked and persistent fear that is excessive, unreasonable, and brought on by the presence or anticipation of a specific object or situation • Exposure provokes an immediate anxiety response • Recognition that the fear is excessive or unreasonable • Phobic stimulus is avoided or endured with distress • Avoidance, anticipatory anxiety, or distress is significantly impairing Adapted from refs.

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