Generalised_Anxiety_Disorder_Flashcards
What is the first step in managing Generalised Anxiety Disorder (GAD)?
The first step in managing GAD is Cognitive Behavioural Therapy (CBT) over 4-12 weeks.
What additional trainings and education can be provided in Step 1 of GAD management?
Applied relaxation training, meditation training, sleep hygiene education, exercise, and self-help information can be provided.
What is the first-line drug treatment for GAD?
The first-line drug treatment for GAD is sertraline.
What is the second-line drug treatment for GAD if the first-line treatment is not effective?
The second-line drug treatment is another SSRI or SNRI.
What is the third-line drug treatment for GAD?
The third-line drug treatment is pregabalin.
What warning is given regarding the use of benzodiazepines in GAD management?
Benzodiazepines should not be routinely used except for short-term management during a crisis.
What is the follow-up procedure for SSRIs in GAD treatment?
The usual follow-up procedure for SSRIs is used, similar to depression management.
What should be offered in Step 3 of GAD management?
Step 3 involves offering a specialist assessment of needs and risks and reviewing the needs of family/carers.
What are some other pharmacological options for GAD if SSRIs are not effective or not tolerated?
Other pharmacological options include TCAs (e.g., clomipramine, imipramine), buspirone, and beta-blockers.
What are the uses and considerations for beta-blockers in GAD management?
Beta-blockers (e.g., propranolol) are sometimes used to treat adrenergic symptoms like tremor and palpitations but consider contraindications such as asthma.
What is the summary of GAD management steps?
Step 1: low-intensity psychological interventions; Step 2: drug treatment (sertraline); Step 3: highly specialist input.
How can propranolol help in GAD management?
Propranolol helps deal with anxiety that has a lot of physical symptoms like shakiness, sweating, and flushing.
Why should benzodiazepines generally be avoided in anxiety management?
Benzodiazepines should generally be avoided due to the high risk of dependence, except for specific phobias in the short term.
