Anxiety disorder- generalised

Question 1

Alternative causes

Answer 1

Hyperthyroidism

Cardiac disease

Medication induced anxiety

Question 2

Medication that may trigger anxiety

Answer 2

Salbutamol

Theophylline

Corticosteroids

Antidepressants

Caffeine

Question 3

Management of GAD

Answer 3

1. education about GAD and active monitoring
2. low-intensity psychological interventions
3. high-intensity psychological interventions or drug treatment
4. highly specialist input

Question 4

Low intensity psychological interventions

Answer 4

Individual non-facilitated self-help

Individual guided self-help

Psychoeducational groups

Question 5

Drug treatment for GAD

Answer 5

Sertraline is first-line SSRI

If ineffective off alternative SSRI or SNRI

If can’t tolerate SSRI/SNRI consider pregabalin

Question 6

Management of panic disorder

Answer 6

1. recognition and diagnosis
2. treatment in primary care
3. review and consideration of alternative treatments
4. review and referral to specialist mental health services
5. care in specialist mental health services

Question 7

Panic disorder treatment in primary care

Answer 7

CBT or drug treatment

SSRI first line

If contraindicated or no response after 12 weeks them imipramine or clomiparine should be offered