Generalised anxiety disorder

Question 1

ICD10 criteria for diagnosis of GAD

Answer 1

Ongoing, uncontrollable worries (type 1+2) that the patient recognises as excessive and inappropriate for at least 6 moths
AND
At least 4 symptoms of autonomic arousal e.g palpitations, dry mouth, headache, muscle pain

Question 2

Step 1 management of GAD

Answer 2

Psycho education

Monitoring

Question 3

Step 2 management of GAD

Answer 3

Self help methods

Support groups

Question 4

Step 3 management of GAD

Answer 4

CBT
Applied relaxation - techniques for muscle relaxation
OR
Pharmacological treatment

Question 5

Step 4 management of GAD

Answer 5

Combined psychological and pharmacological management

Question 6

Pharmacological treatment for GAD

Answer 6

1st line: SSRI
2nd line: SNRIs
3rd line: pregabalin