Diagnosis and Management of Generalized Anxiety Disorder ... | Generalized anxiety disorder DSM-5
1. Restlessness or feeling keyed up or on edge. · 2. Being easily fatigued. · 3. Difficulty concentrating or mind going blank. · 4. Irritability. · 5. Muscle ...Advertisement<< PreviousarticleNextarticle >>May1,2015Issue DiagnosisandManagementofGeneralizedAnxietyDisorderandPanicDisorderinAdults AMYB.LOCKE,MD,FAAFP;NELLKIRST,MD;andCAMERONG.SHULTZ,PhD,MSW,UniversityofMichiganMedicalSchool,AnnArbor,MichiganAmFamPhysician. 2015 May 1;91(9):617-624. Patientinformation:Seerelatedhandoutonanxietyandpanicdisorders,writtenbytheauthorsofthisarticle.ThisclinicalcontentconformstoAAFPcriteriaforcontinuingmedicaleducation(CME).SeetheCMEQuizQuestions.Authordisclosure:Norelevantfinancialaffiliations.AbstractEpidemiology,Etiology,andPathophysiologyTypicalPresentationandDiagnosticCriteriaDifferentialDiagnosisandComorbidityTreatmentReferralandPreventionReferencesArticleSectionsAbstractEpidemiology,Etiology,andPathophysiologyTypicalPresentationandDiagnosticCriteriaDifferentialDiagnosisandComorbidityTreatmentReferralandPreventionReferencesGeneralizedanxietydisorder(GAD)andpanicdisorder(PD)areamongthemostcommonmentaldisordersintheUnitedStates,andtheycannegativelyimpactapatient'squalityoflifeanddisruptimportantactivitiesofdailyliving.EvidencesuggeststhattheratesofmisseddiagnosesandmisdiagnosisofGADandPDarehigh,withsymptomsoftenascribedtophysicalcauses.DiagnosingGADandPDrequiresabroaddifferentialandcautiontoidentifyconfoundingvariablesandcomorbidconditions.Screeningandmonitoringtoolscanbeusedtohelpmakethediagnosisandmonitorresponsetotherapy.TheGAD-7andtheSeverityMeasureforPanicDisorderarefreediagnostictools.Successfuloutcomesmayrequireacombinationoftreatmentmodalitiestailoredtotheindividualpatient.Treatmentoftenincludesmedicationssuchasselectiveserotoninreuptakeinhibitorsand/orpsychotherapy,bothofwhicharehighlyeffective.Amongpsychotherapeutictreatments,cognitivebehaviortherapyhasbeenstudiedwidelyandhasanextensiveevidencebase.Benzodiazepinesareeffectiveinreducinganxietysymptoms,buttheiruse
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