Generalized Anxiety & Panic Disorder Flashcards
1
Q
What is the central feature of Anxiety disorder?
A
An excessive worry about a number of different events associated with heightened tension.
2
Q
What is the stepwise management pathway for GAD?
A
Step 1 - Education about GAD + active monitoring
Step 2 - Low intensity psychological interventions
- Individual non-facilitated self-help
- Individual guided self-help
- Psychoeducational groups
Step 3 - High intensity psychological interventions or Drug Treatment
- Cognitive behavioural therapy
- Applied relaxation
- Highly specialist input e.g. Multi agency teams
3
Q
What drug treatment does NICE recommend?
A
-
Sertraline should be considered first-line.
- Warn about increased risk of suicidal thinking and self-harm when starting SSRI.
- Weekly Follow up in the first month
4
Q
What is the stepwise treatment pathway for panic disorder?
A
Step 1: Recognition and diagnosis
Step 2: Treatment in primary care
- CBT or Drug Therapy
- SSRIs are first line
- If no response after 12 weeks switch to imipramine or clopramine.
Step 3: Review and consideration of alternative treatments
Step 4: Review and referral to specialist mental health services
Step 5: Care in specialist mental health services
