MSRA: Anxiety Disorders

Question 1

What are the key features of post-traumatic stress disorder?

Answer 1

Hyperarousal, re-experiencing, avoidance
Occurs within 6 months of traumatic event
Symptoms present for 1 month

Question 2

What are the management options in PTSD?

Answer 2

Trauma focussed CBT, EMDR

Drug therapy: Venlafaxine or SSRI

Question 3

What is the management of generalised anxiety disorder (GAD)?

Answer 3

Step-wise approach (NICE)

1. Education and active monitoring
2. Psychoeducational groups and individual-guided self-help
3. CBT or drug therapy (first line SSRIs)
4. Requires highly specialised input

Question 4

What medication is first line in panic disorder?

Answer 4

SSRIs