Anxiety Flashcards
(14 cards)
How is diagnosis made
Symptoms for 6 months
Not caused by substance abuse or a comorbididisty
Step 1 in management
Treat primary disorder first
Step 2 management
Self care
Low instensity psychological intervention - self help
Paycpeducational groups
Step 2 management
High intensity psychological intervention - CBT or applied relaxation
+
Drug management
1st line drug management
SSRI
- paroxetine
- escitalopram
2nd
SNRI
3rd
Pregabalin
When would BZDs be indicated
In acute or short term crisis
What is firs line
Diazepam
Max 2-4weeks
What can be used for symptom management of tachycardia, sweating, tremor
Propranolol
If women becomes pregnant and has GAD
Which to psychological intervention
If continued?
Use lowest effect dose
When should patient be reviewed
4-6weeks