Anxiety

Question 1

describe the management of generalised anxiety disorder?

Answer 1

step wise approach

step 1: education of GAD and active monitoring

step 2: low intensity psychological intervention (i.e. self help groups)

step 3: high intensity psychological intervention (i.e. CBT, relaxation) or medications

step 4: high specialised input

Question 2

1st line drug treatment for GAD ?

Answer 2

sertraline

if ineffective offer alternative SSRI or SNRI i.e. duloxetine, venlafaxine

Question 3

if patient cannot tolerate SSRI or SNRI what is 3rd line?

Answer 3

pregabalin

Question 4

ICD-10 classification of generalised anxiety disorder ?

Answer 4

period of 6 months with prominent worry, tension and feelings of apprehension about every day events and problems
+ at least 4 symptoms i.e. palpitations, breathlessness, chest pain, dizziness etc