GAD

Question 1

Management of GAD?

Answer 1

NICE suggest a step-wise approach:
step 1: education about GAD + active monitoring
step 2: low-intensity psychological interventions (individual non-facilitated self-help or individual guided self-help or psychoeducational groups)
step 3: high-intensity psychological interventions (CBT or applied relaxation) or drug treatment.
step 4: highly specialist input e.g. Multi agency teams

weekly follow-up in 1st month

Question 2

Drug treatment of GAD?

Answer 2

1ST LINE = SSRIs (sertraline)
2nd line = SNRI
3rd line = prcegablin

Question 3

Tx of panic attack?

Answer 3

NICE recommend either cognitive behavioural therapy or drug treatment
SSRIs or venlafaxine are first-line. If contraindicated or no response after 12 weeks then IMIPRAMINE or CLOMIPRAMINE should be offered

Question 4

Tx acute stress disorder/ PTSD?

Answer 4

1st line = trauma-focused cognitive-behavioural therapy (CBT)
other = Benzos