Anxiety Disorders: A Pocket Guide for Primary Care by John R. Vanin MD, DFAPA, James D. Helsley MD, FAAFP, David

By John R. Vanin MD, DFAPA, James D. Helsley MD, FAAFP, David M. Morgan (auth.)

Recognition and therapy of psychiatric issues is a swiftly transforming into call for for today’s busy fundamental care practitioners. In nervousness issues: A Pocket consultant for fundamental Care, exceptional clinicians mix over a century of expertise into concise, functional info and strategies for the prognosis, evaluate, and powerful administration of psychiatric problems. This vital source deals a simple to appreciate evaluation of tension issues together with adjustment disease, panic ailment, posttraumatic tension affliction, obsessive-compulsive ailment, and substance-induced anxiousness illness. The authors learn key somatic court cases and comorbidities that frequently masks underlying psychiatric difficulties and remove darkness from tremendous potent remedy modalities in either mental and pharmacotherapy.

With right evaluate and administration, fundamental care practitioners will convey better caliber of lifestyles to participants tormented by nervousness problems. nervousness problems: A Pocket advisor for fundamental Care is a most-timely source for diagnosing psychological disorder, teaching sufferers, and bettering remedy results.

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Additional resources for Anxiety Disorders: A Pocket Guide for Primary Care

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ANXIETY DISORDER SCREENING INSTRUMENTS Anxiety disorder screening tools are available to assist the practitioner in assessing anxiety disorders in the clinical setting. 23 [10–14]. 17. Features of the Hamilton Rating Scale for Anxiety (HAM-A) • Assesses somatic and cognitive anxiety symptoms • Extensively used to monitor treatment responses of generalized anxiety disorder in studies and in clinical settings • Limited coverage of worry; does not include episodic anxiety • 14 items, rated 0–4 on an unanchored severity scale • Designed to be administered by a clinician • Total score range 0–56 • Formal training or use of structured guide required for high reliability • Validity limited by lack of coverage of areas critical to the modern understanding of anxiety disorders Adapted from ref.

Lifetime prevalence and age-of onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 2005;62:593–602. 7. National Institute of Mental Health. Anxiety disorders. http://www. cfm. 8. Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC. Twelvemonth use of mental health services in the United States. Arch Gen Psychiatry 2005;62:629–640. 9. American Psychiatric Association. , text revision. Washington, DC: American Psychiatric Association, 2000.

A concise but thorough history and mental status examination is vital for a good differential diagnosis and treatment plan. • To be most effective, the practitioner must develop a comfortable style in gathering patient psychiatric information, which includes making eye contact, exhibiting sensitivity, and listening closely. • Specific screening questions are often necessary to discover the symptoms of anxiety disorders. • Brief anxiety screening devices can be helpful adjuncts for the primary care practitioner for the clinical diagnosis of anxiety disorders.

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